Brief report| Volume 41, ISSUE 4, P381-383, April 2013

Download started.


Alkaline detergent combined with a routine ward bedpan washer disinfector cycle eradicates Clostridium difficile spores from the surface of plastic bedpans

Published:October 08, 2012DOI:
      The cleaning efficiency of a ward bedpan washer disinfector was evaluated using various cycle parameters and detergent to determine which conditions could effectively eliminate Clostridium difficile spores from the surface of bedpans. Results revealed that the regular intensive cycle with thermal conditions of 85°C for 60 seconds plus the addition of an alkaline detergent was sufficient to eradicate C difficile spores. However, these thermal conditions alone, without detergent, were not adequate.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Infection Control
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Archbald-Pannone L.
        • Sevilleja J.E.
        • Guerrant R.
        Diarrhea, Clostridium difficile, and intestinal inflammation in residents of a long-term care facility.
        J Am Med Dir Assoc. 2010; 11: 263-267
        • Macleod-Glover N.
        • Sadowski C.
        Efficacy of cleaning products for C difficile: environmental strategies to reduce the spread of Clostridium difficile-associated diarrhea in geriatric rehabilitation.
        Can Fam Physician. 2010; 56: 417-423
        • Viswanathan V.K.
        • Mallozzi M.J.
        • Vedantam G.
        Clostridium difficile infection: an overview of the disease and its pathogenesis, epidemiology and interventions.
        Gut Microbes. 2010; 1: 234-242
        • Taslim H.
        Clostridium difficile infection in the elderly.
        Acta Med Indones. 2009; 41: 148-151
        • Alfa M.J.
        • Lo E.
        • Wald A.
        • Dueck C.
        • DeGagne P.
        • Harding G.K.
        Improved eradication of Clostridium difficile spores from toilets of hospitalized patients using an accelerated hydrogen peroxide as the cleaning agent.
        BMC Infect Dis. 2010; 10: 268-277
        • Alfa M.J.
        • Olson N.
        • Buelow-Smith L.
        Simulated-use testing of bedpan and urinal washer disinfectors: evaluation of Clostridium difficile spore survival and cleaning efficacy.
        Am J Infect Control. 2008; 36: 5-11
        • Bryce E.
        • Lamsdale A.
        • Forrester L.
        • Dempster L.
        • Scharf S.
        • McAuley M.
        • et al.
        Bedpan washer disinfectors: an in-use evaluation of cleaning and disinfection.
        Am J Infect Control. 2011; 39: 566-570
        • International Standards Association
        ISO 15883-3, washer-disinfectors: requirements and tests for washer-disinfectors employing thermal disinfection for human waste containers.
        International Standards Association, Geneva [Switzerland]2006
        • Diab-Elschahawi M.
        • Furnkranz U.
        • Blacky A.
        • Bachhofner N.
        • Koller W.
        Re-evaluation of current A0 value recommendations for thermal disinfection of reusable human waste containers based on new experimental data.
        J Hosp Infect. 2010; 75: 62-65
        • Van Knippenberg-Gordebeke G.G.
        Dutch surveys bedpan management (1990 & 2010): progress in correct use of washer disinfectors.
        BMC proceedings. 2011; 5: 308