Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-28T14:23:14.702Z Has data issue: false hasContentIssue false

Peracetic Acid Sterilization: A Timely Development for a Busy Healthcare Industry

Published online by Cambridge University Press:  21 June 2016

Sue Crow*
Affiliation:
Louisiana State University and Medical Center Hospital, Shreveport, Louisiana
*
Louisiana State University and Medical Center Hospital, PO Box 33932, Shreveport, LA 71130

Extract

Peracetic acid is a component of an equilibrium mixture that includes acetic acid, hydrogen peroxide, and water. Although it was first reported in 1902, not until years later did Greenspan and MacKellar find it to be bactericidal at 0.001%, fungicidal at 0.003%, and sporicidal at 0.30%.’ There are no specific data explaining how peracetic acid actually destroys the cell; it has been speculated that it functions like other peroxides and oxidizing agents. Block suggests that it destroys the chemosmotic function of the lipoprotein cytoplasmic membrane through dislocation or rupture of the cell wall.

Peracetic acid is sporicidal at low temperatures, and it remains effective in the presence of some organic material. Sprossig stated that peracetic acid has advantages for disinfection and sterilization not found in any other agent. Block states that, “It would be desirable to have a chemical with the attributes of hydrogen peroxide-effective germicidal and sterilizing capabilities, no harmful decomposition products, and infinite water solubility-but with greater lipid solubility and freedom from deactivation by catalases and peroxidases. Such a compound exists. It is peracetic acid.” Fraser adds that, “A prime advantage of peracetic acid is that it is a nonfoaming, water-soluble liquid that is fast acting and nonderivatising, as well as environmentally accepted.”

Type
Product Commentary
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Greenspan, FP, MacKellar, DG. The application of pet-acetic acid germicidal washes to mold control of tomatoes. Food Technology 1951;5:9597.Google Scholar
2. Block, SS. Peroxygen compounds. In: Block, SS, ed. Disinfection, Sterilization, and Preservation. 4th ed. Malvern, Penn: Lea and Febiger; 1991:172180.Google Scholar
3. Sprossig, M. Pet-acetic acid and resistant microorganisms. In: Kedzia, WB, ed. Resistance of Microorganisms to Disinfectants: Second International Symposium. Warsaw, Poland: Polish Academy of Sciences. 1975:8991.Google Scholar
4. Fraser, JAL. Novel applications of peracetic acid in industrial disinfection. In: Chemspec 86 BACS Symposium. 1986:6569.Google Scholar
5. Wallace, CG, Demicco, DD, Agee, PM. Community Hospital of Roanoke Valley, Roanoke, Virginia. Nosocomial pseudoinfection associated with endoscopy processor disinfection using 2% glutaraldehyde: alternative 35% peracetic acid with Steris System 1. Presented at the 3rd International Conference on Nosocomial Infections. July 31-August 2, 1990. Atlanta, Ga.Google Scholar
6. Favero, MS. Strategies for disinfection and sterilization of endoscopes: the gap between basic principles and actual practice. Infect Control Hosp Epidemiol. 1991;12:279281.CrossRefGoogle ScholarPubMed