General Authority For Health Services

For The Emirate Of Abu Dhabi

Ref. No.: 30/60/014

Division/Dept/Section: Health Policies &

Issue Date : June 2006
Regulation Division

Subject: Policy/Procedure For Formulating Revision Date: June 2008

Antiseptic/Disinfectant Items
Revision : 1

Policy/ Procedure for

Formulating Antiseptic/ Disinfectant Items

June 2006
 General Authority For Health Services
For The Emirate Of Abu Dhabi
Ref. No.: 30/60/014

Division/Dept/Section: Health Policies &

Issue Date : June 2006
Regulation Division

Subject: Policy/Procedure For Formulating Revision Date: June 2008

Antiseptic/Disinfectant Items
Revision : 1

TABLE OF CONTENT

PAGE

1. INTRODUCTION 1

2. PURPOSE 1

3. APPLIES TO 1

4. DEFINITION 1

5. POLICY & PROCEDURE 1

6. SAFE USE OF ANTISEPTIC AND DISINFECTANT ITEMS 2

7. ATTACHMENTS 2
- Flow chart for formulating non-formulated antiseptic/ disinfectant items
- New product evaluation request form
- GAHS standard formulated list for antiseptic and disinfectant items
-
- GAHS Antiseptics/ Disinfectants technical committee members
 General Authority For Health Services
For The Emirate Of Abu Dhabi
Ref. No.: 30/60/014

Division/Dept/Section: Health Policies &

Issue Date : June 2006
Regulation Division

Subject: Policy/Procedure For Formulating Revision Date: June 2008

Antiseptic/Disinfectant Items
Revision : 1

1. INTRODUCTION
It is essential to have the necessary approval for the use of any antiseptic/disinfectant agent at
any of GAHS facilities, in order to provide effective and safe cleaning, disinfection or
sterilization to the patient environment as well as to equipment involved in patient care.

2. PURPOSE;
The purpose of this policy is to ensure and provide general guidelines and description steps
regarding how to formulate any antiseptic/disinfectant items in GAHS contract list.

3. APPLIES TO:
GAHS Health Care Facilities, divisions and purchasing department.

4. DEFINITION:
Formulated item is an item that is recommended by GAHS antiseptic/disinfectant technical
committee and listed in GAHS contract list after approval of the senior management.

5. POLICY & PROCEDURE:

5.1 Any antiseptic/disinfectant items requested for addition to a formulary list must be supported
by documented clinical requirements, as well the following conditions:

ƒ Disinfectants should have broad-spectrum bactericidal, virucidal, fungicidal, and sporicidal

effects.
ƒ Organic materials, soap, or plastics should not easily neutralize them.
ƒ Antiseptic/disinfectant items should not lose efficiency in a short time and should have rapid
action.
ƒ Preferably to be low corrosive and low irritant.
ƒ Antiseptic/disinfectant items should be cost effective.
ƒ Antiseptic/disinfectant items should also be environmentally friendly
ƒ All antiseptic/disinfectant items/solutions must have an FDA (Food & Drug Administration)
in USA or CE (European Conformity) in European countries approval.

5.2 When the need for a new product is identified, the department/ facility should follow GAHS
Purchasing and Material Management Policies and Procedures (605, 606 and 608).

-1-
 General Authority For Health Services
For The Emirate Of Abu Dhabi
Ref. No.: 30/60/014

Division/Dept/Section: Health Policies &

Issue Date : June 2006
Regulation Division

Subject: Policy/Procedure For Formulating Revision Date: June 2008

Antiseptic/Disinfectant Items
Revision : 1

5.3 This approval will be forwarded to GAHS antiseptic/disinfectant technical committee, who
will convene to determine and review the technical specification of each item and
recommend accordingly.
5.4 After the recommendation of GAHS antiseptic/disinfectant technical committee the new
item will be forwarded to the Head of the Drug and Medical Product dept (GAHS) for
approval and then it will be forwarded to purchasing committee for placement on price
agreement.

6. SAFE USE OF ANTISEPTIC/ DISINFECTANT ITEMS:

ƒ All GAHS healthcare organizations must use antiseptic and disinfectant items according to
the manufactures’ instructions and specifications.
ƒ All GAHS healthcare organizations must have Material Safety Data Sheet (MSDS) for
each individual antiseptic/ disinfectant item.
ƒ Each unit have to prepare clear written guidelines/procedures for the safe and proper use of
each individual antiseptic / disinfectant item that is in use in their unit and to be posted at the
site of antiseptic / disinfectant use.

7. ATTACHMENTS

ƒ New Product Evaluation Request Form

ƒ Flow Chart for Formulating Non-Formulated Antiseptic/Disinfectant item
ƒ Antiseptics/ Disinfectants GAHS Formulated List
ƒ GAHS Antiseptics/ Disinfectants technical committee members

-2-
 General Authority For Health Services
for the Emirate of Abu Dhabi

A~provedDocument for Circulation

Description of DocumentlSerial Number: PPRllNSl002

Title of Document : Policy/Procedures for formulating Antiseptic I

Purpose of the Document:
Originating Division & Department:
Origination Date:
Serial Number Assigned:
Version:
Review Date:
DivisionIDepartment Responsible
for Review:
Disinfectant ltems
To standardize Policy & Procedure for formulating
Antiseptic IDisinfectant ltems and to have a standard
list of Antiseptic & Disinfectant items for all the health
care facilities of the Emirate of Abu Dhabi
Provider Policy and Regulation Division (PPR) -
Facility Licensing and lnspection Dept
June 2006
Version I
June 2008
PPRl Facility Licensing & lnspection

Issue Date: October 2006 Number of Official Letter :

Approved Authorization:
Document Submitted By:
I Signature:
Ms. Khushnud Moul
Team Leader, Hospitals & Clinics lnspection

Document Approved By:

Eng. Zaid D. A/ Siksek

Director, Provider Policy and Regulation
Division -
Document Approved By: Signature: I

H.E. Ahmed Mubarak A1 Mazrouei

1GAHS Director General
 General Authority for Health Services
for the Emirate of Abn Dhabi

Management Support Division

Quality & Risk Management Department

Antiseptic & Disinfectant Policy Task Force

Appr~vaXDocument
No Name T3t'le - ., Signature
'

3. Mr. Yasi.Al Ramahi Senior, Health & Safety Officer- GAHS

4. Dr. Mohd Abu A1 Khair brug Advisor- GAHS

5. Dr. Ninette Bandy Primary Care Specialist, Dentist- GAHS

, ,,-
6. Ms. Nancy Rhodes Planning Purchasing Analyse, GAHS

7. Ms. Elmalize Malan Purchasing Dept- GAHS

8. Ms. Margaret Lambert Senior Risk Officer- Tawam Hospital

11. Dr. Mokhtar El Hagrassy Chief of Microbiology- Mafiaq Hospital

I

I
P -
I

12. Mr. Mohd Hamad Senior LC. Coordinator-M a h q Hospital

13. Dr. Safinaz Khalil Microbiologist- Mafi-aq Hospital

14. Mr. Kamal Khan Inventory Controller- SKMC .

f
15. Dr. Basheer Hamzeh Zlinical Pathologist- Western Region
,,//
v
,... j
 FLOW CHART FOR FORMULATING OF ANY ANTISEPTIC/DISINFECTANT INTO
THE FORMULARY LIST AT GAHS

The purpose of this flow chart is to ensure and provide general guidelines and description steps to
all those responsible for antiseptics/disinfectants in GAHS facilities in order to be aware and
familiar with the principle procedures for formulating any antiseptic/disinfectant solutions in the
GAHS formulary list. For more details refer to Policy & Procedure for formulating
antiseptic/disinfectant items.

Health Facility/Department Requesting

Non-formulary antiseptic/disinfectant items

The new product evaluation request form (Product Evaluation and Introduction of
New Products- PUR 606) to be evaluated by new product evaluation committee
(PUR-608)

Health Facility Infection Control Committee and/or Material Management

Evaluation Committee recommendation is required for the item requested

The recommendation of GAHS Hospital is forwarded to the GAHS

antiseptic/disinfectant technical committee for approval

Head of Drug and Medical product department in GAHS is needed

New approved item will be forwarded to purchasing department for

placement on the price agreement.
 GAHS STANDARD FORMULATED LIST FOR ANTISEPTICS DISINFECTANTS ITEMS

FDA / COUNTRY VENDOR

ITEM # ITEM DESCRIPTION CATALOG #
CE
MANUFACT
OF ORIGIN
LOCAL VENDOR
LICENSED
COMMENTS

ALCOHOL
1 Isopropyl Alcohol 70% (Isopropanol) 1000ml 9 Esteer Pharma Germany Arabian Ethicals yes

Global Int'l &

2 Isopropyl Alcohol 70% (Isopropanol) 500ml 9 Medline & EEC USA +Eur yes
Global Scientafic

3 Swabs Isopropyl Alcohol 70% 2 ply non- woven sterile Webcol MDS090730 9 MEDLINE USA Pharmalink yes

4 Swabs Isopropyl Alcohol 70% 2 ply Medium Sterile Webcol MDS090730 9 MEDLINE USA Pharmalink yes

Chlorhexidine Gluconate
Hand Rub
Manuspray
1 Composition: Alkylaminoalkyl glycine, ethanol, chlorexidine 9 France Gulf Drug Est. No
Anios
digluconate, allantoine, perfume (CHG 0.5 with Alcohol 70%)

2 Hand Rub- CHG 0.5 with Alcohol 70% 9 Antiseptica Germany Pharmalink yes

3 Aqueous CHG Solution 2% 9 Esteer Pharma Germany Arabian Ethicals yes

4 Aqueous CHG Solution 2% 500ml 9 Antiseptica Germany Pharmalink yes

Dermanios
5 Hand Scrub- CHG 4% 9 France Gulf Drug Est. No
Anios

6 Hand Scrub- Aqueous CHG 4% 9 Esteer Pharma Germany Arabian Ethicals yes

7 Hand Scrub- Aqueous CHG 4% 500ml 9 Antiseptica Germany Pharmalink yes

Scrub Brush
8 Chlorhexidine Gluconate 4% Liquid for Hand Washing Scrub 4458A 9 C.V MEDICA SPAIN Global Int'l yes
Brush 4% Exidine

Povidone Iodine
1 Povidone Iodine 10% solution (1% Iodine) Aqueous Solution 120ml 10 8204 9 Triad USA Al Hayat yes

2 Povidone Iodine 10% solution (1% Iodine) Aqueous Solution 9 EEC Europe Global Scientific yes

3 Swabs Povidone Iodine 10% solution (1% Iodine) Impregnated 9 P.D.I. U.S.A/Europe Atlas yes

4 Swabsticks Povidone Iodine 10% solution (1% Iodine) Impregnated MDS093902 9 MEDLINE USA Global Int'l yes

Povidone/Iodine Prep Pads - Saturated with povidone/iodine

5
10%solution (1% iodine). Textured.
MDS093917 9 MEDLINE USA Pharmalink yes

Povidone/Iodine Perineal Wash - A povidone-iodine 10% (1%

Iodine) wash kit that includes an 8-ounce bottle of povidone-iodine
6
solution and 8-ounce empty applicator bottle. Packaged as kits. –
MDS093930 9 MEDLINE USA Pharmalink yes
Povidone/Iodine wash kit

FDA Stands for: Food Drug Administration - USA 1

CE Stands for: European Conformity - Europe Reviewed/ finalized by Antiseptic and Disinfectant Task Force 1/15/2007 nr
 GAHS STANDARD FORMULATED LIST FOR ANTISEPTICS DISINFECTANTS ITEMS

FDA / COUNTRY VENDOR

ITEM # ITEM DESCRIPTION CATALOG #
CE
MANUFACT
OF ORIGIN
LOCAL VENDOR
LICENSED
COMMENTS

Alphadine Scrub ( Scrubbing solution) Copmposition:

7
Povidone Iodine 7.5% Surgical
9 Reyad Pharma KSA Gulf Drug Est. No

Quaternary
Require clarificatio about
1 Medicated Germicida (Quartenary) Hygiene Wipes Minuten Wipes 8062 9 APMD KSA Rekaz yes its effectiveness (in
process)

Antimicrobial Hand Sanitizer

Hand Rub Purell 1000ml
1 Composition: 62% Ethyl alcohol, Water (Aqua), Glycerin & 2156-04 9 Jojo Ind. USA Global Int'l yes
Moisturizers

Hand Rub
Manugel Hydroalcohol gel 500ml Composition:
2 Hydro-alcoholic, 2-propanol basis (60%v/v) & antiseptic agent 1048363 9 LAB ANIOS France Gulf Drug yes
contains: viscousing & softening ingredients, Glycerin, perfume,
coloring

Antimicrobial Hand Sanitizer Sterillium 500ml Composition: 2-

3 propanol 45.0g,1-propanol 30.0g, mecetronium-etilsulfate (inn) 0.2g, 9 Bode Chemie Germany Horizon yes
skin care additive, colorant, fragrances

Hand Rub Dial Instant 800ml

4 Composition: 62% Ethyl alcohol, Water (Aqua), Carbomer, 9 Dial USA NMC yes
Disopropylamine, Cetyl Acetate, Glycerin & Moisturizers

Require manufact, vendor,

5 SURFACE WIPES DISINFECTANT DINGDI0099OC country of origin &
Composition (from GAHS)

Chloraprep 2% (Sizes: 2.8mls, 3mls, 10mls & 26 mls) Skin Require manufact, vendor,
6 Prep. 9 No country of origin &
Composition: Chlorhexidine2% Composition (from GAHS)

Hand Scrub (Avagard).

Composition: Chlorhexidine Gluconate 1% with Ethyl Alcohol 61%
7
& Moisturizer
9 3M USA NMC No

CSSD

Composition is required (from

1 STERIS 20 Sterilant (for cleaning of gastro scopes) S2009 9 Steris USA Pharmatrade yes
GAHS)

Detergent Triple Enzyme Bacteriostatic 3M ZYME (Ultrasonic) Crti- Composition is required (from
2
Klenz - 1 gal
1479-08 9 Steris USA AMT yes
GAHS)

3 Detergent Manual Detergent + Pre-Soak – Manu-Klenz 1 gal 1115-09 9 Steris USA AMT yes Composition is required

4 Instrument Corrosion Remover PRY CREAM-1 CASE - 12 OZ. NM430 9 Steris USA AMT yes Composition is required

FDA Stands for: Food Drug Administration - USA 2

CE Stands for: European Conformity - Europe Reviewed/ finalized by Antiseptic and Disinfectant Task Force 1/15/2007 nr
 GAHS STANDARD FORMULATED LIST FOR ANTISEPTICS DISINFECTANTS ITEMS

FDA / COUNTRY VENDOR

ITEM # ITEM DESCRIPTION CATALOG #
CE
MANUFACT
OF ORIGIN
LOCAL VENDOR
LICENSED
COMMENTS

Cidex OPA. Disinfectant 3.78L

Composition: Ortho Phthal Aldhyde 0.55%, 99.45% water & inert
5
ingredients
20391 9 J&J USA Pharmatrade yes

Detergent Triple Enzyme Bacteriostatic (Ultrasonic)3 ENZYME , 4 MEDISAFE

6
LITRE
9 U.K.
UK City Pharmacy yes Composition is required

Detergent Triple Enzyme Bacteriostatic 3M ZYME (Ultrasonic) Â the three

7
ENDOZIME AW PLUS
345AP 9 RUHOF USA MPC yes
items are
 under the
8 Detergent Enzymatic ENDOZIME AW PLUS 345AP 9 RUHOF USA MPC yes same catalog
No.345AP
Detergent Manual + Pre-Soak - Manu-Klenz - ENDOZIME AW Â
9
PLUS
345AP 9 RUHOF USA MPC yes

10 F A C T S Autoclave Cleaner 345FCT 9 RUHOF USA MPC yes Composition is required

11 Remover Instrument Corrosion SURGISTAINE 345B 9 RUHOF USA MPC yes Composition is required

Glutaraldehyde (Steranios)
12
Composition: 2 % Glutaraldehyde (Activated)
9 LAB ANIOS France Gulf Drug No

3E-Zyme (ANIOSYME 3000, 5 liter gallon)

Composition: Enzymatic complex (protease, Lipase, amylase) and
13 Stabilizing agent, Non ionic detergents, Polyhexanide, Quaternary 9 LAB ANIOS France Gulf Drug Est
ammonia propionate, Bactericidal, Virucidal, active against T.B.

14 DETERGENT ENZYMATIC 9 J&J USA PHARMATRADE YES

Asepty Zyme
15 Protease enzyme presoak,cleaner 9 Reyad Pharma KSA Gulf Drug Est YES

HYDROGEN PEROXIDE

Hydrogen Peroxide Cencentrate (1.62%PeraSafe)

Antec Int'l
1 Composition: Peracetyl ions, Peracetic Acid 0.26%, hydrogen 9 /DuPont
UK Metromed No
peroxide & acetic acid & decomposes to carbon dioxide & water

Hydrogen Peroxide Surfactant (1% Virkon)

Antec Int'l
2 Composition: Peracetyl ions, Peracetic Acid 0.26%, hydrogen 9 /DuPont
UK Metromed No
peroxide & acetic acid & decomposes to carbon dioxide & water

DIALYSIS
Puristeril Plus or Actril (for cleaning and cold disinfection of
Feresenius
heamodylisis machine) Feresenius
1
Composition: Peracetic Acid, Acetic Acid, Hydrogen Peroxide,
67197-472D 9 Medical Care Germany
Medical Care AG
yes
AG
water

FDA Stands for: Food Drug Administration - USA 3

CE Stands for: European Conformity - Europe Reviewed/ finalized by Antiseptic and Disinfectant Task Force 1/15/2007 nr
 GAHS STANDARD FORMULATED LIST FOR ANTISEPTICS DISINFECTANTS ITEMS

FDA / COUNTRY VENDOR

ITEM # ITEM DESCRIPTION CATALOG #
CE
MANUFACT
OF ORIGIN
LOCAL VENDOR
LICENSED
COMMENTS

Diasteril (for cleaning and heat disinfection of heamodylisis Feresenius

Feresenius
2 machine) Composition: # 5085651 9 Medical Care Germany
Medical Care AG
yes
21.3gm of Hydoxy Acetic Acid/100ml AG

Deconex Neutralizer (for special washing machine, for neutralizing

3 of alkaline residues) Composition: Phosphate 9 Al Kevin Trading Switzerland Al Kevin Trading No
free, based on Organic Acid

Hypochlorite & Sodium Dichloroisocyanurate

(N.A.D.C.)
Disinfectant Sodium Hypochloride Solution Clorox Bleach Solution Require manufact, vendor
1
5.25%
9 yes
& country of origin

Hypochlorite Achtichlor: Tablet & Granules Tablet 0.5 Gm and 2.5 DePuy Health
2 UK Al Amry Medical No
Grams.Disinfectant Care
Hypochlorite Presept: Tablet & Granules Tablet 0.5 Gm and
3 J&J USA Pharmatrade No
2.5 Grams.Disinfectant
Require manufact, vendor,
4 Germicide White Vinegar Solution 9 yes country of origin &
Composition.

DENTAL
DISINFECTANT SOLUTION FOR INSTRUMENT BIOMERS NON
1 CORROSIVE SAFER REDY TO USE,RECHED HIGHEST LEVEL 9 MICRYLIUM CANDA Al Nawras yes Composition is required
TB DISINFECTION IN ONE MINUTE
BIOSONIC CLEANING SOLUTION FOR ULTRASONIC BATH
ULTRACLEAN-3 (DISINFECTANT CONCENTRAT FOR THE
2 ULTRASONIC BATH, EXCELLENT CLEANING EFFECT 9 MICRYLIUM CANDA Al Nawras yes Composition is required
DISSOLVES PROTEINS ON CONTAMINATED INSTRUMINT
REMOVES GIPS,CEMENT,BLOOD,
INSTRUMENT DETERGENT DISINFECTOR POWDER FOR
3
ALUMINIUM TRAY NEODISHER AN MILD
KG 9 WEGERT GERMANY Al Nawras yes Composition is required

DISINFECTANT SOLUTION FOR INSTRUMENT FREE

ALDEHYDES, PHENOL AND CORROSIVE ,EFFECTIVE
SPECTRUM:
ORO CLEAN SWITZERLAN
4 BACTERICIDE/FUNGICIDE/MRSA,TUBERCULOCIDE, HEPATITIS 9 CHEMI AG D
MED PLANET yes Composition is required
B & C, NON -ENVELOPED ADENO VIRUS, AND THE ONLY ONE
EFFECTIVE ON CORONAVIRUS(SARS) OROCID MULTISEPT
PLUS

DISINFECTANT SOLUTION FOR SURFACE DETRIRO MIKRO

WITH SPRAYER ALDEHYDE FREE MINIMAL ALLERGY RISK,
VERY SHORT WORKING TIME (30SECONDS) EFFECTIVE ORO CLEAN SWITZERLAN
5
SPECTRUM: EFFECTIVE SPECTRUM:
9 CHEMI AG D
MED PLANET yes Composition is required

BACTERICIDE/FUNGICIDE/MRSA,TUBERCULOCIDE, HEPATITIS
B & C PLEASANT LIME SCENT

FDA Stands for: Food Drug Administration - USA 4

CE Stands for: European Conformity - Europe Reviewed/ finalized by Antiseptic and Disinfectant Task Force 1/15/2007 nr
 GAHS STANDARD FORMULATED LIST FOR ANTISEPTICS DISINFECTANTS ITEMS

FDA / COUNTRY VENDOR

ITEM # ITEM DESCRIPTION CATALOG #
CE
MANUFACT
OF ORIGIN
LOCAL VENDOR
LICENSED
COMMENTS

BIOSONIC CLEANING SOLUTION FOR ULTRASONIC BATH

ULTRACLEAN-3 (DISINFECTANT CONCENTRAT FOR THE
ORO CLEAN SWITZERLAN
6 ULTRASONIC BATH, EXCELLENT CLEANING EFFECT 9 CHEMI AG D
MED PLANET yes Composition is required
DISSOLVES PROTEINS ON CONTAMINATED INSTRUMINT
REMOVES GIPS,CEMENT,BLOOD,

SURFACE WIPES DISINFECTANT FREE ALDEHYDES, PHENOL

AND CORROSIVE ,EFFECTIVE SPECTRUM:
BACTERICIDE/FUNGICIDE/MRSA,TUBERCULOCIDE, HEPATITIS ORO CLEAN SWITZERLAN
7
B & C, NON -ENVELOPED ADENO VIRUS,
9 CHEMI AG D
MED PLANET yes Composition is required

CORONAVIRUS(SARS) DENTIPO WIPES (FAST DISINFECTANT

OF SMALL SURFACES, EGUIPM

EVACUATION SYSTEM CLEANER SOLUTION OROCLEAN

ORO CLEAN SWITZERLAN Composition is required. Used
8 LIQUID CONCENTRATE NON FOAMING CLEANING FOR 9 CHEMI AG D
MED PLANET yes
for Dental Unit
EVACUATION SYSTEM.

REACTIVATION SALT FOR WASHER DISINFECTOR MACHINE NETHERLAN

9
REACTIVATION SALT FOR WASHER DISINFECTOR MACHINE
9 IKZONOBEL
D
Al Nawras yes Composition is required

TRAY CLEANER POWDER Coe tray cleaner detergent powder

10
cleaning agent for impression tray
9 G.C Europe Gulf& World yes Composition is required

IMPRESSION DISINFECTANT LIQUID CONCENTRATE MD 520,

11
Imprission Disinfection liquid for use with HygoJet, 2.5 ltr.
9 Durr Dental Germany G.M.P yes Composition is required

EVACUATION SYSTEM CLEANER SOLUTION Durr - Germany -

12 OROTOL Classic, 1Ltr of concentrated liquid produce 20 Ltr. 9 Durr Dental Germany GULF MED PROJ yes Composition is required
Working solution ( 5% )
MIXER,FOR EVACUATION CLEANER Durr Dental - Germany,
13
OROCAP
9 Durr Dental Germany GULF MED PROJ yes Composition is required

14 MIXER,FOR EVACUATION CLEANER Durr Dental 9 Durr Dental Germany PRIME yes Composition is required

Total Items: 65

CE - European Conformity - European Countries

FDA/CE Marking on a product is a manufacturer's declaration that the product complies with the essential requirements of the relevant USA /
European health, safety and environmental protection legislations.

FDA Stands for: Food Drug Administration - USA 5

CE Stands for: European Conformity - Europe Reviewed/ finalized by Antiseptic and Disinfectant Task Force 1/15/2007 nr