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CDC Health Advisory- Severe Respiratory Illness Associated with Enterovirus D68- Multiple States- Disinfecting Guidelines

September 12, 2014

September 12, 2014- On September 12, 2014 The Centers for Disease Control and Prevention (CDC) issued a health advisory via their Health Alert Network (HAN) detailing concerns about Enterovirus D68 (EV-D68) multi-state occurrences and recent escalation in hospitalization of infected patients, many of which included children.  In addition, the purpose for this HAN advisory was to provide awareness of EV-D68 as a potential cause of acute unexplained respiratory illness and provide guidance to state health departments and health care providers.  

Enterovirus D68 is a non-enveloped virus, which is a relatively hardy virus that can survive on surfaces for many hours, that is often associated with various clinical symptoms, from mild to severe.  It causes primarily respiratory illness, although the full extent of the disease remains unclear.

With routes of EV-D68 transmission not fully understood and the increased cluster of occurrences, it is important to use best practices for infection control, including “Standard”, “Contact”, and “Droplet” precautions, which are further described in the 2007 Guideline for Isolation Precautions published by the CDC. It is important to note, the CDC provides recommended best practices for health care settings, while the Environmental Protection Agency (EPA) reviews and approves surface disinfectants.   

In lieu of test data specific to EV-D68 found on EPA registered disinfectant product’s labeling, the CDC recommends disinfecting healthcare surfaces with an EPA registered hospital-grade disinfectant with kill claims for any of several non-enveloped viruses (e.g norovirus, poliovirus, rhinovirus). Disinfectants should be used in accordance with the manufacturer’s instructions for the specific claim and in a manner consistent with environmental infection control recommendations, including surface contact times.  The CDC published Guidelines for Environmental Infection Control in Healthcare Facilities is another great resource for information.

Contec, Inc’s Peridox® Sporicidal Disinfectant and Cleaner can provide healthcare facilities with a cleaning and disinfecting solution responsive to CDC guidance. As with all such guidance, healthcare facilities should review their established practices and procedures to ensure compliance and efficacy for infection control and cleaning. To learn more about Peridox, visit our web page or email us.

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