Glutaraldehyde, the myth of the "14days" vs. the "30
or 28days solutions:
A common question that is routinely asked is what is the difference
between a 14 days and a 28 days glutaraldehyde solution? Which should
I use? Why is Wavicide-01 a 30 days solution? Please explain?
Originally, when the first glutaraldehyde product appeared on the
market, it was a 14 day alkaline solution. It was discovered that
when the pH of a glutaraldehyde solution is raised to very high levels,
above 9, the cidal activity is increased.. but the glutaraldehyde
begins to polymerize at a much faster rate. Two weeks after activation,
whether is has been used or not, the MEC (Minimum Effective Concentration)
of the glutaraldehyde is now below the threshold where the product
is effective as a disinfectant and the solution should be discarded.
With the addition of some surfactants and a lower pH the glutaraldehyde
product becomes a 28 days solution, after activation whether it has
been used or not. 100% Tuberculocidal inactivation goes from 45 minutes
for the 14 days solution to 90 minutes for the 28 days solution.
Wavicide-01 works at an even lower pH and is pre-activated, the unused
product remaining in the bottle is good for one year from the manufacturing
date. Like a 14 days solution, TB is inactivated in 45 minutes, yet
the product is good for thirty days from the date of first use. It
is very important that the concentration of all glutaraldehyde disinfectants
be monitored daily or even more often depending on your application
using monitor strips to make sure it remains above MEC (a glutaraldehyde
product below its Minimum Effective Concentration is ineffective).
For applications like endoscope disinfection where typically a pre-washed
wet device is submerged in the solution, the product is continually
being diluted and the glutaraldehyde concentration will drop at a
very high rate, much shorter than the 14, 28 or 30 days mentioned
on the label.
We would like to steer users away from the notion of "days of
use" to the importance of monitoring glutaraldehyde concentration
which is the important factor in determining whether or not the product
is effective. The "day of use" period reflect the maximum
period of time the product can be in use regardless of the fact its
concentration is still above MEC.