I disagree

randmel89

New member
I only sterilize my nebulizers once a week every sunday after my last treatment. I have been doing this for years and I do just fine...
 

randmel89

New member
<BR>I only sterilize my nebulizers once a week every sunday after my last treatment. I have been doing this for years and I do just fine...
 

randmel89

New member
<P><div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i> Devil's advocate here (not saying I don't sterilize, just asking everyone to pause & think): What are you trying to kill by sterilizing? If you start with a clean/sterile neb, and use it to administer for one child, then at most it becomes contaminated with whatever is already in their lungs. You then rinse (even RT's do this) which removes most surface contaminates. What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far. I'm not aware of any formal research, but the odds of either 1) growing a large enough culture on dry plastic to impact your health or 2) somehow contaminate with a new culture before sterilizing, but NOT after are pretty low. Realistically the basics of microbiology says the risk of complications is pretty low. Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote></div> </P>
<P> </P>
<P>Exactly why I only rinse my nebulizers and sterilize once a week. </P>
 

randmel89

New member
<P><div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i> Devil's advocate here (not saying I don't sterilize, just asking everyone to pause & think): What are you trying to kill by sterilizing? If you start with a clean/sterile neb, and use it to administer for one child, then at most it becomes contaminated with whatever is already in their lungs. You then rinse (even RT's do this) which removes most surface contaminates. What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far. I'm not aware of any formal research, but the odds of either 1) growing a large enough culture on dry plastic to impact your health or 2) somehow contaminate with a new culture before sterilizing, but NOT after are pretty low. Realistically the basics of microbiology says the risk of complications is pretty low. Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote> </P>
<P></P>
<P>Exactly why I only rinse my nebulizers and sterilize once a week. </P>
 

randmel89

New member
<P><div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i> Devil's advocate here (not saying I don't sterilize, just asking everyone to pause & think): What are you trying to kill by sterilizing? If you start with a clean/sterile neb, and use it to administer for one child, then at most it becomes contaminated with whatever is already in their lungs. You then rinse (even RT's do this) which removes most surface contaminates. What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far. I'm not aware of any formal research, but the odds of either 1) growing a large enough culture on dry plastic to impact your health or 2) somehow contaminate with a new culture before sterilizing, but NOT after are pretty low. Realistically the basics of microbiology says the risk of complications is pretty low. Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote> </P>
<P></P>
<P>Exactly why I only rinse my nebulizers and sterilize once a week. </P>
 

hmw

New member
<div class="FTQUOTE"><begin quote>Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote></div>
True, but our kids aren't aerosolizing(sp) what's on our skin and inhaling it straight into their lungs. Maybe eventually swallowing a bug or two, lol... but that is different. <img src="i/expressions/face-icon-small-wink.gif" border="0">
 

hmw

New member
<div class="FTQUOTE"><begin quote>Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote>
True, but our kids aren't aerosolizing(sp) what's on our skin and inhaling it straight into their lungs. Maybe eventually swallowing a bug or two, lol... but that is different. <img src="i/expressions/face-icon-small-wink.gif" border="0">
 

hmw

New member
<div class="FTQUOTE"><begin quote>Sorry to those of you that compulsively sterilize, but there are more germs on your skin than that neb and you still kiss your kids.</end quote>
<br />True, but our kids aren't aerosolizing(sp) what's on our skin and inhaling it straight into their lungs. Maybe eventually swallowing a bug or two, lol... but that is different. <img src="i/expressions/face-icon-small-wink.gif" border="0">
 

ymikhale

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>xin</b></i>

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i>
What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far.</end quote></div>

Interesting point.

I am glad this topic has been brought up, because I've purposely avoided using my nebulizer out of (probably irrational) fear that it's going to do <i>me</i> more harm than good.

To explain further, I am a recently diagnosed, very mild CF case, and apart from regularly coughing up snot, I'm extremely healthy. It occurred to me that if I start using my neb, I may inadvertently inhale bacteria that I would have otherwise avoided. (Again, this may be irrational. And I don't recommend that <i>anyone</i> follows my example. I am responsible for precisely one person's health - mine.)</end quote></div><br><br>it is funny, but my dd's doctor also said something along these lines when i asked about hypertonic saline for my dd.<br>
 

ymikhale

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>xin</b></i>

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i>
What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far.</end quote>

Interesting point.

I am glad this topic has been brought up, because I've purposely avoided using my nebulizer out of (probably irrational) fear that it's going to do <i>me</i> more harm than good.

To explain further, I am a recently diagnosed, very mild CF case, and apart from regularly coughing up snot, I'm extremely healthy. It occurred to me that if I start using my neb, I may inadvertently inhale bacteria that I would have otherwise avoided. (Again, this may be irrational. And I don't recommend that <i>anyone</i> follows my example. I am responsible for precisely one person's health - mine.)</end quote><br><br>it is funny, but my dd's doctor also said something along these lines when i asked about hypertonic saline for my dd.<br>
 

ymikhale

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>xin</b></i>

<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>just1more</b></i>
What is left is very low level of bacteria, which is almost assured to be best equipped to live in warm/moist lungs not dry plastic. In addition, the nebulizer has little or no food source so life will be short for any bacteria that have made it this far.</end quote>

Interesting point.

I am glad this topic has been brought up, because I've purposely avoided using my nebulizer out of (probably irrational) fear that it's going to do <i>me</i> more harm than good.

To explain further, I am a recently diagnosed, very mild CF case, and apart from regularly coughing up snot, I'm extremely healthy. It occurred to me that if I start using my neb, I may inadvertently inhale bacteria that I would have otherwise avoided. (Again, this may be irrational. And I don't recommend that <i>anyone</i> follows my example. I am responsible for precisely one person's health - mine.)</end quote><br><br>it is funny, but my dd's doctor also said something along these lines when i asked about hypertonic saline for my dd.<br>
 

ymikhale

New member
i also sterilise every time. our hospital suggested we use disposable kits but they supplied only 1 kit a day while we needed 2 for tobi. they said that the chance of contamination when using the same kit twice during the same day is very small, but i refused and preferred to use the one that can be sterilised even if it is more hassle
 

ymikhale

New member
i also sterilise every time. our hospital suggested we use disposable kits but they supplied only 1 kit a day while we needed 2 for tobi. they said that the chance of contamination when using the same kit twice during the same day is very small, but i refused and preferred to use the one that can be sterilised even if it is more hassle
 

ymikhale

New member
i also sterilise every time. our hospital suggested we use disposable kits but they supplied only 1 kit a day while we needed 2 for tobi. they said that the chance of contamination when using the same kit twice during the same day is very small, but i refused and preferred to use the one that can be sterilised even if it is more hassle
 

randmel89

New member
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: Verdana; FONT-SIZE: 9pt"><FONT color=#000000>I just don't understand why so many people are obsessed with sterilizing nebulizers. I am 37 and have never sterilized my nebulizers more than once a week. The hospital even uses the same nebulizer for me during the first week I am in and after that they will get a new one for another week usage. I guess if you want to waste time sterilizing them every day that is your choice but not me I have better things to do.</FONT></SPAN></P>
 

randmel89

New member
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: Verdana; FONT-SIZE: 9pt"><FONT color=#000000>I just don't understand why so many people are obsessed with sterilizing nebulizers. I am 37 and have never sterilized my nebulizers more than once a week. The hospital even uses the same nebulizer for me during the first week I am in and after that they will get a new one for another week usage. I guess if you want to waste time sterilizing them every day that is your choice but not me I have better things to do.</FONT></SPAN></P>
 

randmel89

New member
<BR>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: Verdana; FONT-SIZE: 9pt"><FONT color=#000000>I just don't understand why so many people are obsessed with sterilizing nebulizers. I am 37 and have never sterilized my nebulizers more than once a week. The hospital even uses the same nebulizer for me during the first week I am in and after that they will get a new one for another week usage. I guess if you want to waste time sterilizing them every day that is your choice but not me I have better things to do.</FONT></SPAN></P>
 

Havoc

New member
I think we need to specify between medically clean and sterile. The lungs/oropharynx are certainly not sterile. As Just1more noted, the bacteria left after simple washing with soap (regular, non-antibacterial) and warm water would quickly die if left out to dry on a clean paper towel. We as a society are becoming germophobic, and some of the antibacterial soaps are actually contributing to resistant bacterias.
<br>
<br>I agree with the docs that sterilizing by boiling is not necessary every time. If I have to do nebs, which is rare, I simply clean with soap and water and let dry. I might sterilize with steam once a week.
<br>
<br>It should also be noted that you get a good dose of Pseudomonas every time you shower and mycobacterias are increasingly being found in tap water.
 

Havoc

New member
I think we need to specify between medically clean and sterile. The lungs/oropharynx are certainly not sterile. As Just1more noted, the bacteria left after simple washing with soap (regular, non-antibacterial) and warm water would quickly die if left out to dry on a clean paper towel. We as a society are becoming germophobic, and some of the antibacterial soaps are actually contributing to resistant bacterias.
<br>
<br>I agree with the docs that sterilizing by boiling is not necessary every time. If I have to do nebs, which is rare, I simply clean with soap and water and let dry. I might sterilize with steam once a week.
<br>
<br>It should also be noted that you get a good dose of Pseudomonas every time you shower and mycobacterias are increasingly being found in tap water.
 

Havoc

New member
I think we need to specify between medically clean and sterile. The lungs/oropharynx are certainly not sterile. As Just1more noted, the bacteria left after simple washing with soap (regular, non-antibacterial) and warm water would quickly die if left out to dry on a clean paper towel. We as a society are becoming germophobic, and some of the antibacterial soaps are actually contributing to resistant bacterias.
<br>
<br>I agree with the docs that sterilizing by boiling is not necessary every time. If I have to do nebs, which is rare, I simply clean with soap and water and let dry. I might sterilize with steam once a week.
<br>
<br>It should also be noted that you get a good dose of Pseudomonas every time you shower and mycobacterias are increasingly being found in tap water.
 
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