Sterilization Efficacy of Demolizer Technology for Onsite Treatment of Sharps and Other Regulated Medical Waste against Staphylococcus aureus, Escherichia coli, Candida albicans, Mycobacterium phlei and Bacillus subtilis Spores

Abstract

This study was performed to evaluate the efficacy of the Demolizer? technology for the on-site sterilization of low vo-lumes of regulated medical waste. The objective was to demonstrate a minimum of 6 log10 reduction of the dry heat sterilization process applied by the Demolizer? II system for the representative organisms, Staphylococcus aureus, Escherichia coli, Candida albicans, Mycobacterium phlei and Bacillus subtilis spores (formerly Bacillus subtilis) on simulated medical waste consistent with numerous regulatory standards for medical waste treatment. The system cycle was heat treatment at a minimum temperature of 350?F and held at or above this temperature for a minimum of 90 minutes. Upon completion of treatment, there was no evidence of growth in the bacterial species after treatment. Given the minimum detection level of 4 CFU/ml, the Demolizer? II system demonstrated a minimum sterilization efficacy of 6.6 log10 for both S. aureus and E. coli as representative gram-positive and gram-negative bacteria species. Candida albicans (6.7 log10 CFU/ml), Mycobacterium phlei (9.0 log10 CFU/ml) and Bacillus subtilis (6.3 log10 CFU/ml) were completely eliminated after sterilizing representative medical waste in the Demolizer? II system for 90 minutes at a minimum temperature of 350?F. Also, the Demolizer? II exceeded typical recognized standards for medical waste treatment of a 6 log10 reduction of Mycobacteria and a 4 log10 reduction of the appropriate Bacillus endospore.

Share and Cite:

J. Marsden, J. Saini, M. Ortega, D. Gorder and P. Hatesohl, "Sterilization Efficacy of Demolizer Technology for Onsite Treatment of Sharps and Other Regulated Medical Waste against Staphylococcus aureus, Escherichia coli, Candida albicans, Mycobacterium phlei and Bacillus subtilis Spores," Open Journal of Medical Microbiology, Vol. 2 No. 3, 2012, pp. 77-83. doi: 10.4236/ojmm.2012.23011.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] United States Environmental Protection Agency, “EPA Guide for Infectious Waste Management,” National Technical Information Service, Springfield, 1986.
[2] W. A. Rutala and C. G. Mayhall, “Medical Waste: The Society for Hospital Epidemiology of America Position Paper,” Infection Control and Hospital Epidemiology, Vol. 13, No. 1, 1992, pp. 38-48.
[3] W. A. Rutala, R. L. Odette and G. P. Samsa, “Management of Infectious Waste by U.S. Hospitals,” The Journal of American Medical Association, Vol. 262, No. 12, 1989, pp. 1635-1640. doi:10.1001/jama.1989.03430120089027
[4] K. K. Hanley and M. D. Chair, “Report of the Council on Medical Service: Expense of Medical and Biohazardous Waste Removal,” CMS Report 2-I-98, American Medical Association, 1998.
[5] G. Kalnowski, H. Weigand and H. Rüden, “Microbial Contamination of Hospital Waste,” Zentralblatt Bakteriologie, Mikrobiologie und Hygiene 1. Abt. Originale B, Hygiene, Vol. 178, No. 4, 1983, pp. 364-379.
[6] U.S. Congress Office of Technology Assessment, “Finding the Rx for Managing Medical Wastes,” US Government Printing Office, Washington DC, 1990.
[7] Occupational Safety and Health Standards, 29 CFR (Code of Federal Regulations), Bloodborne Pathogens, Subpart Z, “Toxic and Hazardous Substances,” 2009. http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=10051
[8] Agency for Toxic Substances and Disease Registry (ATSDR), “The Public Health Implications of Medical Waste: A Report to Congress,” Public Health Service, U.S. Department of Health and Human Services, Washington DC, 1990.
[9] C. C. Lee, G. L. Huffman and R. P. Nalesnik, “Medical Waste Management,” Environmental Science and Technology, Vol. 25, No. 3, 1991, pp. 360-363. doi:10.1021/es00015a607
[10] P. Layne, “Review and Evaluation of Existing Literature on Generation, Management and Potential Health Effects of Medical Waste,” Draft Report, Research Triangle Park, Durham, 1988.
[11] E. T. Oppelt, “Incineration of Hazardous Waste: A Critical Review,” Journal of Air control Pollution Association, Vol. 37, No. 5, 1987, pp. 558-586. doi:10.1080/08940630.1987.10466245
[12] W. A. Rutala and F. A. Sarubbi, “Management of Infectious Waste from hospitals,” Infection Control, Vol. 4, No. 4, 1983, pp. 198-204.
[13] California Department of Health Services (CDHS), “Steam Sterilization of Suction Canisters,” All Medical Waste Generators and Offsite Treatment Facilities, 2005.
[14] V. N. Scott and K. E. Stevenson, “HACCP—A Systematic Approach to Food Safety,” 4th Edition, GMA, Washington DC, 2006.
[15] Leberco, “Efficacy Testing of the Demolizer System Medical Waste Treatment System,” Leberco Testing, Inc., Roselle Park, 1992.
[16] Leberco, “Efficacy Testing of the Demolizer System Medical Waste Treatment System against Pseudomona aeruginosa,” Leberco Testing, Inc., Roselle Park, 1992.
[17] Leberco, “Efficacy Testing of the Demolizer System against Bacillus subtilis Spores Contained on Sporodex Strips,” Leberco Testing, Inc., Roselle Park, 1993.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.