Reducing Ethylene Oxide
and Glutaraldehyde Use

Environmental Best Practices for Health Care Facilities | November 2002	jcaho Environment of Care

Standards 1.3,2.3,4.0

Where are Ethylene Oxide and Glutaraldehyde Used?

Although many environmentally preferable technologies exist for sterilizing equipment and surfaces within hospitals, these technologies
can damage some medical instruments that are susceptible to moisture and heat. In such cases, hospitals typically use ethylene oxide (EtO)
to sterilize moisture- and heat-sensitive instruments and glutaraldehyde as a high-level disinfectant. Health care employees who commonly
use glutaraldehyde-based products work in many departments, from gastroenterology, urology, and cardiology to x-ray, laboratory, and
pharmacy. This fact sheet provides background information on the uses and hazards of both chemicals, describes environmentally preferable
alternatives, and provides detailed case study and cost information to help your hospital evaluate alternatives to EtO and glutaraldehyde.

The first step in assessing the impacts of EtO and glutaraldehyde is to conduct an inventory of who, how, and where the chemicals are used in
your hospital. Completing the usage inventory will enable you to prioritize your actions, monitor progress in eliminating the use of the chemicals,
and ensure that affected employees are included in training and monitoring programs. In addition, an inventory may create opportunities for
gathering feedback from hospital personnel on EtO, glutaraldehyde, and which alternatives might be best. Common locations to look for EtO
and glutaraldehyde are mentioned in the following sections.

Why Eliminate EtO?

Ethylene oxide (EtO) poses several health hazards requiring special
handling and disposal of the chemical and training in its use. It is identified
by the National Toxicology Program as a known human carcinogen (see
http://ntp-server.niehs.nih.gov/) and has several other acute and chronic
health effects:

•	Inhaling EtO can cause nausea, vomiting, and neurological disorders.

•	In solution, EtO can severely irritate and burn the skin, eyes, and lungs.

•	EtO is a probable teratogen and may pose reproductive hazards.

•	EtO may damage the central nervous system, liver, and kidneys,
or cause cataracts.

EtO is also extremely reactive and flammable, increasing the risk of chemical
accidents that could injure hospital employees and patients. For example,
even static electricity can cause EtO to ignite; therefore, employees using it should be well trained and aware of its potential dangers. A small selec-
tion of hydrogen peroxide- and peracetic acid-based sterilants can be used to replace EtO for many applications throughout your hospital. The fol-
lowing case study discusses the costs and benefits of switching to non-EtO alternatives.

case study | Finding Alternatives to EtO at Mary Hitchcock Memorial Hospital'

Facing increasing regulatory pressure and a growing awareness of the occupational exposure hazard of using EtO, Mary
Elitchcock Memorial Elospital (MHMH) in Lebanon, New Elampshire began evaluating non-EtO sterilization unit alternatives.
MHMH adopted two alternative technologies: Sterrad, a plasma phase hydrogen peroxide-based sterilizing agent and Steris, a
peracetic acid-based technology. The primary difference between the two alternatives is that Steris is a "just-in-time" technology
that requires sterilized items to be immediately used after being removed from the unit. This aspect makes it impractical in some
applications, specifically for trauma cases where the need for a specific instrument cannot be predetermined. In most cases,

continues

MHMH's 3-Step Approach to Eliminating EtO

1-2--3

Determine
which medical
instruments are
sterilized using
EtO.

Evaluate
methods of
eliminating
EtO steriliza-
tion for each
instrument. *

'Usually achieved by alternative technologies or a
new or alternative device approved for sterilization
with non-EtO technologies

Establish a 'work-
ing group" to facil-
itate the decision
making process
and ensure that

sterilization
standards are not
compromised.


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Environmental Best Practices for Health Care Facilities | Reducing Ethylene Oxide and Glutaraldehyde

r



MHMH Sterilization Cost Comparison



1

r

Ethylene Oxide (EtO)

mam

Non-EtO Alternatives



Capital Costs

New emissions control equipment for existing EtO unit	$25,000

Renovation and construction	$20,000

"Lost time" from construction disruption	$20,000

2 Sterrad units'	$212,000

Cost Total: $277,000

2 Sterrad units	$212,000

2 Steris units	$35,000

New and/or replacement of instruments over 2 yrs	$50,000—$75,000

Cost Total: $297,000-$322,000

Annual Operating Cost; 3

Emissions control	$10,000

Spill response and staff training	$5,000

Alarm system maintenance, testing, EtO monitoring	$5,000

Sterrad operating costs	$2,000

	Cost Total: $22,000

Sterrad operating costs	$2,000

Steris operating costs 	$1,000

EtO outsourcing ($80/load, approx. 60 loads/year)	$4,800

Cost Total: $7,800

1 Background information adopted from Teiius Institute's "Healthy Hospitals: Environmental Improvements Through Environmental Accounting-Appendix B"

: Because EtO operations are limited to one load per day under MHMH's Title V permit, the addition of two non-EtO units were needed to meet the sterilization needs of the hospital.
5 Contingent costs of an EtO "incident" or related fines are not included

Sterrad has proved to be an acceptable alternative to EtO; how-
ever, in some instances, manufacturers have not yet approved
the use of EtO alternatives for sterilization of their products.
Such limitations vary by vendor and are not specific to one
instrument or medical device product type. For example,

MHMH must still sterilize the following five instruments using
EtO: angioscopes, choledocoscopes, surgiscopes, bone flaps, and
hysterectoscopes.

Devices that have not been approved for sterilization using EtO
alternatives are often constructed of complex mixed-media mate-
rials. To completely eliminate

Advanced Sterilization Products
provided the following costs
per sterilized square foot:

E tO/CO 2 mix
EtO/HCFC mix
Sterrad

$12/foot
$11.31/foot
$8.44/foot

the need for EtO, MHMH is
collecting data from other
healthcare facilities to find
alternative instruments (or in
some cases, the same prod-
uct by a different vendor)
that have been approved for non-EtO sterilization alternatives.

MHMH conducted a detailed cost analysis to evaluate the difference
between using EtO and non-EtO sterilization technologies (see
"MHMH Sterilization Cost Comparison"); however, several costs
and benefits of eliminating EtO were not quantified, including:

•	Transaction cost of reduction effort

•	Value of quicker average sterilization time

•	Benefit of increased availability of instruments and
sterilization process control, which ultimately translates
to better infection control

•	Instrument upgrade/replacement costs; some of which would
have been necessary regardless of the EtO elimination effort

•	Benefit of avoided EtO exposure incidents

Overall, MHMH staff are pleased with both Steris and Sterrad

technologies. In addition, because the new technologies have
shorter processing times and therefore higher productivity,
MHMH is able to sterilize instruments that were previously
being high-level disinfected. Also, the labor required to operate
the technologies has proven to be less than expected, despite
increased productivity.

Why Eliminate Glutaraldehyde?

Glutaraldehyde is most frequently used as a cold liquid high-level disin-
fectant for heat-sensitive equipment such as dialysis instruments; surgi-
cal instruments; suction bottles; bronchoscopes; endoscopes; and ear,
nose, and throat instruments. There are other, less obvious areas where
glutaraldehyde is used as well. For example, it is used as a tissue fixative
in histology and pathology laboratories and as a hardening agent in the
development of x-rays. Unlike EtO, glutaraldehyde is not a human carcino-
gen; however, several health effects have been reported among hospital
workers exposed to glutaraldehyde:

•	Asthma, and breathing difficulties	• Hives

•	Burning eyes and conjunctivitis	• Nausea

•	Headaches	• Rashes and allergic dermatitis

•	Nosebleed, irritation, sneezing,	• Staining of the hands
and wheezing.	• Throat and lung irritation

Several hydrogen peroxide-, peracetic acid-, and orthopalahaldehyde-
based high-level disinfectant solutions can be used to replace glutaralde-
hyde throughout your hospital. The following case study discusses the
costs and benefits of switching to glutaraldehyde alternatives.

case study | Kaiser Woodland Hills Medical
Center Eliminates Glutaraldehyde

Prompted by increasing health concerns related to the use of
glutaraldehyde, Kaiser Woodland Hills Medical Center


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Reducing Ethylene Oxide and Glutaraldehyde | Environmental Best Practices for Health Care Facilities

page 3

(Woodland Hills) in Woodland Hills, CA eliminated it from its
highest use area: the Gastroenterology Department. This
department accounts for over 50% of the hospital's glutaralde-
hyde use. The department relies on eight automated endo-
scope reprocessors for high-level disinfection of endoscopes,
which are in use about eight hours each day. The Environ-
mental Health and Safety Director at Woodland Hills identified
Cidex OPA (ortho-phthalaldehyde) as a possible glutaraldehyde
alternative because of 1) its lower inhalation exposure risk, 2)
reduced disinfecting time (12 minutes vs. APIC-approved 20
minute disinfection time and FDA-approved 45 minute disin-
fecting time for Cidex), 3) the solution is approved for use in
almost all of their equipment without negating the warranty
and 4) the cost of using Cidex OPA was significantly less than
installing a more substantial ventilation system to minimize
respiratory irritation from using glutaraldehyde. Cidex OPA,
however, cost approximately $25 per gallon—three times more
than glutaraldehyde.

Due to its toxicity, California legislation deemed Cidex OPA a
hazardous waste beginning January 1, 2001. However, this
legislation exempts healthcare facilities from tiered permitting
regulatory requirements when treating Cidex OPA with glycine
on site to render it a non hazardous waste, (if local publicly
owned treatment works (POTWs) or sewer agencies have other
prohibitions against sewerage of aldehydes, facilities must seek
approval for this process as well.) To comply with California

Top Reasons to Eliminate Glutaraldehyde

Adapted from the Sustainable Hospitals Project

•	Glutaraldehyde is a potent occupational skin irritant
and sensitizer.

•	Glutaraldehyde is a recognized cause of occupational asthma.

•	Patients, visitors, and hospital employees may be needlessly
exposed to glutaraldehyde vapors in patient rooms and clinic
areas where open bins or poorly ventilated reprocessing units
are in use.

•	Cost-competitive alternatives exist that meet infection
control standards and reduce risks to patient, visitor, and
employee health.

•	Several regulatory organizations, including OSHA, NIOSH,
and ACGIH, are re-evaluating their exposure limits for
glutaraldehyde.

The Sustainable Hospitals Project website includes a 4-step
glutaraldehyde use sutvey that can help 1) identify where glutaralde-
hyde is used, 2) prioritize areas for improvement, 3) monitor progress,
and 4) ensure affected employees are included in training and
monitoring programs.

legislation, Woodland Hills treats Cidex OPA with 25 grams of
glycine per gallon for 1-hour, which renders it a non-hazardous
waste. Woodland Hills must utilize an external treatment tank
for this process, since manufacturer warranties would be voided
if the Cidex OPA were treated within the reprocessor. It spent

continues

Overview of EtO and Glutaraldehyde Alternatives

Sterrad

(Advanced Sterilization
Products)

Enclosed sterilization processor
with 45-minute cycle time

Processor $65,000 to $130,000

Hydrogen peroxide cassettes $216
to $265 per case ($43 to $53 per
cassette, or $9 to $10 per cycle)

Generates hydrogen peroxide gas
plasma from 58% hydrogen peroxide
solution

Steris 20

(Steris Corporation)

Sterilization in 12 minutes at 50 to
55 °C; instruments "patient ready"
in less than 30 minutes

Processor $18,200

Peracetic acid cups $128 per case
($7 per cup)

0.2% peracetic acid
(diluted from 35%)

Glutaraldehyde Alternatives

Cidex OPA

(Advanced Sterilization Products)

High-level disinfection in
12 minutes at 20 °C

$25 per gallon

0.55% OPA solution: exposure limits
not yet determined

Sporox II

(Sultan Chemists)

High-level disinfection in
30 minutes at 20 °C

$25 per gallon

7.5% hydrogen peroxide

Sterilox

(Sterilox Technologies Inc.)

V

Cycle time is 10 minutes for high-
level disinfection

Rental of generator $15,000 year
costing approximately $1—$3 per
cycle, depending on use

System generates hypo-chlorus acid

Currently used in Europe as liquid
chemical sterilant; FDA pre-market
clearance pending

J

Table adapted from Sustainable Hospitals Project web site. Costs provided are vendor list prices; actual costs may vary significantly under contract agreements.


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Environmental Best Practices for Health Care Facilities | Reducing Ethylene Oxide and Glutaraldehyde

$700 to purchase the external treatment tank, which includes
a mobile cart, treatment tank, pump, and tubing. Glycine costs
approximately $5 per gallon, including the cost of the product and
labor. This is more effort than what is required for glutaraldehyde;
vendors often provide test strips that when dipped in solution,
will change color to show whether it has fully degraded.

Despite the added treatment steps, Woodland Hills employees
are very satisfied with the OPA-based product. Symptoms asso-
ciated with using Cidex OPA are described as being very mild,
with select staff indicating slight eyelid irritation and a "chalky"
taste after prolonged use. However, Woodland Hills staff noted
that the complaints received for OPA are much less frequent
and significantly less severe than comments made regarding
glutaraldehyde. Also, because Cidex OPA has a quicker cycle
time than glutaraldehyde, Woodland Hills saves approximately 8
minutes with each disinfection cycle, or a savings of 1 hour for
each 8-hour automated endoscope reprocessor shift. This
allows greater turn-over of endoscopes, while requiring fewer
reprocessors to disinfect them. This is especially important to
consider for new facilities, since the cost of endoscopes is
approximately $30,000 and reprocessors are often near $15,000.
In addition, Woodland Hills has found that Cidex OPA does not
lose efficacy as fast as the glutaraldehyde-based product. In their
high-volume department, they are now able to disinfect approx-
imately 60% more endoscopes during the life of the solution.

Accounting for Time

Perhaps the most significant savings when switching to a non-
EtO or non-glutaraldehyde alternative is the value of time
saved in sterilizing or disinfecting equipment. This value is diffi-
cult to quantify however, because the direct impact of shorter
process times is dependent on several factors, including such
things as on-hand inventory of equipment and cost of labor.

A Look at Ortho-Phthalaldehyde

(Adapted from the Michigan Health and Hospital Association Employee
Safety and Disability Service Newsletter)

Also an aldehyde, ortho-phthalaldehyde (OPA) is chemically related
to glutaraldehyde. According to the Michigan Health and Hospital
Association (MHA), the disinfecting mechanism of OPA is thought
to be similar to glutaraldehyde and is based on the pcrweiful binding
of the aldehyde to the outer cell wall of contaminant organisms.
A notable difference between the two commercial disinfectants is the
percent of active ingredient in each product. Commercial OPA-based
disinfecting products contain only 0.55% of the active ingredient,
while most glutaraldehyde-based disinfecting products contain 2.4
to 3.2% active ingredient - 5 to 7 times that of OPA products.

Although OPA may pose similar occupational hazards to glutaralde-
hyde - including mild eye, skin, and respiratory tract irritation and
skin and respiratory sensitization — the risk is significantly reduced
due to the low percentage of OPA and relatively low vapor pressure
of OPA-based commercial products. OPA does not currently have a
recommended exposure limit; however, vendors recommend that
similar protective equipment be used, including gloves and goggles.

For example, consider the Kaiser Woodland Hills glutaraldehyde
case study: using Cidex OPA saved 1 hour of endoscope pro-
cessing time each day. This can result in a significant increase
in productivity by allowing equipment to be available for
patient care sooner. A shorter process time also saves labor, as
technicians do not have to wait as long for equipment to
process, allowing them to do more with their time. Ultimately,
quicker process times can mean that more patients get treated
sooner. A careful analysis of how time affects your facility
should be performed when considering non-EtO or non-glu-
taraldehyde alternatives. While difficult to calculate, these
savings can easily make up for the higher cost of non-EtO and
non-glutaraldehyde alternatives.

Cidex OPA Material Safety Data Sheet, Advanced Sterilization
Products. http://www.cidex.com/ASPnew.htm

Massachusetts Toxics Use Reduction Institute. "Massachusetts
Chemical Fact Sheet: Ethylene Oxide." www.turi.org/PDF/eo.pdf

Michigan Health and Hospital Association. "Glutaraldehyde Free
High Le\>el Disinfectant Introduced," March 2000. www.mhaser-
vicecoi-p.com/esdm/newsletter_archive/pages_archive/
Years_past/March2000nv.html

National Institute for Occupational Safety and Health.
"Glutaraldehyde: Occupational Hazards in Hospitals." May 2001.

National Safety Council. "Ethylene Oxide Chemical Backgrounder.'
July 1997. www.nsc.org/library/chemical/EthylenO.htm

Occupational Safety and Health Administration.
www.osha-slc.gov/SLTC/ethyleneoxide/index.html

Sustainable Hospitals Project, www.sustainablehospitals.org

Tellus Institute. "Healthy Hospitals: Environmental Improvements
Through Environmental Accounting." July 2000.
www.tellus.org/bScs/publications/R2-213-Nb.pdf

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Consider taking the "Hospitals for a Healthy Environment Pledge." Find out more at www.h2e-online.org

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\ This fact sheet was produced by the Environmental Protection Agency (EPA) Region 9 Pollution Prevention Program. Mention of trade names, products,
or services does not convey, and should not be interpreted as conveying, official EPA approval, endorsement, or recommendation.


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