Urgent question about Cayston/Altera neb

SIcklyhatED

New member
I just started Cayston a week ago, and everything's gone great, though I'll admit the whole "sanitize after every use" is a bit annoying. I've been pretty house bound but come Monday I'm going to be starting my college studies. I have class from 1-5 pm, but need to do a treatment right before then, only I live 45 minutes from school....<div><br></div><div><i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i></div><div><br></div><div> I'll probably have to do the treatment on campus and I can't sanitize it at school, and no I'm not asking because my mother is my program director and I feel like that would be inappropriate.</div><div><br></div><div>I forgot to call the CF pharmacy and their office is closed over the weekend.... bummer.</div>
 

SIcklyhatED

New member
I just started Cayston a week ago, and everything's gone great, though I'll admit the whole "sanitizeafter every use" is a bit annoying. I've been pretty house bound but come Monday I'm going to be starting my college studies. I have class from 1-5 pm, but need to do a treatment right before then, only I live 45 minutes from school....<br><i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i><br> I'll probably have to do the treatment on campus and I can't sanitize it at school, and no I'm not asking because my mother is my program director and I feel like that would beinappropriate.<br>I forgot to call the CF pharmacy and their office is closed over the weekend.... bummer.
 

SIcklyhatED

New member
I just started Cayston a week ago, and everything's gone great, though I'll admit the whole "sanitizeafter every use" is a bit annoying. I've been pretty house bound but come Monday I'm going to be starting my college studies. I have class from 1-5 pm, but need to do a treatment right before then, only I live 45 minutes from school....<br><i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i><br> I'll probably have to do the treatment on campus and I can't sanitize it at school, and no I'm not asking because my mother is my program director and I feel like that would beinappropriate.<br>I forgot to call the CF pharmacy and their office is closed over the weekend.... bummer.
 

teamtucker

New member
I have no idea the answer to your question....However, they do make sanitize bags for breastpump parts that you can sanitize in the microwave....maybe it would work on this too?...Just a thought...
 

teamtucker

New member
I have no idea the answer to your question....However, they do make sanitize bags for breastpump parts that you can sanitize in the microwave....maybe it would work on this too?...Just a thought...
 

teamtucker

New member
I have no idea the answer to your question....However, they do make sanitize bags for breastpump parts that you can sanitize in the microwave....maybe it would work on this too?...Just a thought...
 

saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>SIcklyhatED</b></i> <div>
</div><div><i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i></div><div>
</div><div><br></div></end quote></div>

<div><br></div><div><br></div><div>Bacteria grown in warm, wet conditions. I wouldn't do this. </div><div><br></div><div>It's important to clean sterilize ALL your nebs (for Cayston or otherwise) after every treatment. If you rinse with water, or keep in soapy water, bacteria can still be present. I would do anything to re-introduce bacteria in to my lungs.</div><div><br></div><div>Keep in mind, bacteria isn't airborn unless sometime coughs or sneezes on you. So just breathing air doesn't introduce bacteria. But breathing meds from a neb with bacteria can re-introduce bacteria to different areas of your lungs. </div><div><br></div><div>Obviously the mesh part of the Cayston equation should be rinsed in water and then kept soaked in rubbing alcohol until you use it next. </div><div><br></div><div>What I do is I have a small, desktop type dishwasher just for cleaning and sterilizing nebs (CFF has guidelines to follow for water temp/duration of water exposure to ensure PA is killed). It has been the only way I can clean all my nebs and actually have a life.</div><div><br></div><div>I have been using the eFlow/Altera system since 2006 (nearly 6 years) and using the dishwasher for cleaning the nebs works perfectly. This is from the British PARI website, but the parts are identical. Boiling is just fine for the neb parts: <a href="http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf">http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf</a></div><div><br></div><div>reminds me, i should create a blog post about this.</div><div><br></div><div>anyway, here is the dishwasher I have:</div><div><br></div><div><a href="http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464">http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464</a></div><div><br></div><div><br></div><div>Using a dishwasher - Easy. Sterile. Quick. </div>
 

saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>SIcklyhatED</b></i>
<i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i>
<br></end quote>

<br><br>Bacteria grown in warm, wet conditions. I wouldn't do this.<br>It's important to clean sterilize ALL your nebs (for Cayston or otherwise) after every treatment. If you rinse with water, or keep in soapy water, bacteria can still be present. I would do anything to re-introduce bacteria in to my lungs.<br>Keep in mind, bacteria isn't airborn unless sometime coughs or sneezes on you. So just breathing air doesn't introduce bacteria. But breathing meds from a neb with bacteria can re-introduce bacteria to different areas of your lungs.<br>Obviously the mesh part of the Cayston equation should be rinsed in water and then kept soaked in rubbing alcohol until you use it next.<br>What I do is I have a small, desktop type dishwasher just for cleaning and sterilizing nebs (CFF has guidelines to follow for water temp/duration of water exposure to ensure PA is killed). It has been the only way I can clean all my nebs and actually have a life.<br>I have been using the eFlow/Altera system since 2006 (nearly 6 years) and using the dishwasher for cleaning the nebs works perfectly. This is from the British PARI website, but the parts are identical. Boiling is just fine for the neb parts:<a href="http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf">http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf</a><br>reminds me, i should create a blog post about this.<br>anyway, here is the dishwasher I have:<br><a href="http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464">http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464</a><br><br>Using a dishwasher - Easy. Sterile. Quick.
 

saveferris2009

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>SIcklyhatED</b></i>
<i>Basically, my question is, is it ok to do the treatment, then leave the neb in a bowl of soapy water for a few hours until after I get home?</i>
<br></end quote>

<br><br>Bacteria grown in warm, wet conditions. I wouldn't do this.<br>It's important to clean sterilize ALL your nebs (for Cayston or otherwise) after every treatment. If you rinse with water, or keep in soapy water, bacteria can still be present. I would do anything to re-introduce bacteria in to my lungs.<br>Keep in mind, bacteria isn't airborn unless sometime coughs or sneezes on you. So just breathing air doesn't introduce bacteria. But breathing meds from a neb with bacteria can re-introduce bacteria to different areas of your lungs.<br>Obviously the mesh part of the Cayston equation should be rinsed in water and then kept soaked in rubbing alcohol until you use it next.<br>What I do is I have a small, desktop type dishwasher just for cleaning and sterilizing nebs (CFF has guidelines to follow for water temp/duration of water exposure to ensure PA is killed). It has been the only way I can clean all my nebs and actually have a life.<br>I have been using the eFlow/Altera system since 2006 (nearly 6 years) and using the dishwasher for cleaning the nebs works perfectly. This is from the British PARI website, but the parts are identical. Boiling is just fine for the neb parts:<a href="http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf">http://www.pari.de/fileadmin/user_upload/Dokumenten-Center/eFlow-rapid/Handling-und-Hygiene/178D0036-eFlowrapid-Handling-und-Hygienekarte-EN.pdf</a><br>reminds me, i should create a blog post about this.<br>anyway, here is the dishwasher I have:<br><a href="http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464">http://www.walmart.com/ip/Danby-Compact-Countertop-EnergyDishwasher/9854464</a><br><br>Using a dishwasher - Easy. Sterile. Quick.
 

saveferris2009

New member
THanks for the blog post idea <img src="i/expressions/face-icon-small-smile.gif" border="0">


http://noexcusesnoexcuses.blogspot.com/2011/10/how-to-clean-nebs.html
 

saveferris2009

New member
THanks for the blog post idea <img src="i/expressions/face-icon-small-smile.gif" border="0">


http://noexcusesnoexcuses.blogspot.com/2011/10/how-to-clean-nebs.html
 

saveferris2009

New member
THanks for the blog post idea <img src="i/expressions/face-icon-small-smile.gif" border="0">
<br />
<br />
<br />http://noexcusesnoexcuses.blogspot.com/2011/10/how-to-clean-nebs.html
 

saveferris2009

New member
and, once again, the URL isn't automatically hyperlinked. Ennio, can you please fix this? a URL should be automatically hyperlinked....
 

saveferris2009

New member
and, once again, the URL isn't automatically hyperlinked. Ennio, can you please fix this? a URL should be automatically hyperlinked....
 

saveferris2009

New member
and, once again, the URL isn't automatically hyperlinked. Ennio, can you please fix this? a URL should be automatically hyperlinked....
 

Liza

New member
FYI - DO NOT put your Altera in the dishwasher OR attempt to sterilize it in those microwave sterilizers! The mesh part, that metal piece you aren't suppose to touch will warp and mess up it's ability to work properly.

I called the CFF pharmacy to ceheck on if I could use my brand new dishwasher to sterilize it and they said no. It can not handle the heat. The instructions state not to use any microwave steriling system.

I had asked them once what we are supposed to do with the extra Altera's, they said most patients, after accumulating three, will use one per treatment and then rotate them out as they get new ones. I had commented, " Ooo, and only have to sterilize once a day!" and she said yes. So, we rinse after use, when not at home and wash it when we get home and sterilize it as scheduled.
 

Liza

New member
FYI - DO NOT put your Altera in the dishwasher OR attempt to sterilize it in those microwave sterilizers! The mesh part, that metal piece you aren't suppose to touch will warp and mess up it's ability to work properly.

I called the CFF pharmacy to ceheck on if I could use my brand new dishwasher to sterilize it and they said no. It can not handle the heat. The instructions state not to use any microwave steriling system.

I had asked them once what we are supposed to do with the extra Altera's, they said most patients, after accumulating three, will use one per treatment and then rotate them out as they get new ones. I had commented, " Ooo, and only have to sterilize once a day!" and she said yes. So, we rinse after use, when not at home and wash it when we get home and sterilize it as scheduled.
 

Liza

New member
FYI - DO NOT put your Altera in the dishwasher OR attempt to sterilize it in those microwave sterilizers! The mesh part, that metal piece you aren't suppose to touch will warp and mess up it's ability to work properly.
<br />
<br />I called the CFF pharmacy to ceheck on if I could use my brand new dishwasher to sterilize it and they said no. It can not handle the heat. The instructions state not to use any microwave steriling system.
<br />
<br />I had asked them once what we are supposed to do with the extra Altera's, they said most patients, after accumulating three, will use one per treatment and then rotate them out as they get new ones. I had commented, " Ooo, and only have to sterilize once a day!" and she said yes. So, we rinse after use, when not at home and wash it when we get home and sterilize it as scheduled.
<br />
 
S

stephen

Guest
I'm not in the medical field but for what it's worth -

I've been using Cayston for over four years. Once a day I soak my Altera and two Pari LC Plus nebulizers in boiling water for a few minutes. The other two times daily that the Altera is used, I just rinse it quickly in hot tap water.

We need to realize that we are constantly breathing non-sterilized air. As I've been told by more than one paleontologist, "Our lungs are like sewers" from all the crap in the air we are constantly breathing.

My feeling is that as a long as the nebulizers are not clogged, or "dirty" with bacteria, there is no reason for them to be sterile.

Stephen,
69 years old with CF
 
S

stephen

Guest
I'm not in the medical field but for what it's worth -

I've been using Cayston for over four years. Once a day I soak my Altera and two Pari LC Plus nebulizers in boiling water for a few minutes. The other two times daily that the Altera is used, I just rinse it quickly in hot tap water.

We need to realize that we are constantly breathing non-sterilized air. As I've been told by more than one paleontologist, "Our lungs are like sewers" from all the crap in the air we are constantly breathing.

My feeling is that as a long as the nebulizers are not clogged, or "dirty" with bacteria, there is no reason for them to be sterile.

Stephen,
69 years old with CF
 
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