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Infection Control Guidance for Respiratory Equipment and Devices
SEVERE ACUTE RESPIRATORY SYNDROME (SARS)

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The following fact sheet has been developed to assist with the sterilization and disinfection of respiratory equipment and devices according to infection risk categories (Spaulding Classification). Please be advised that as more information about the cause of this illness becomes available, the information provided below may change.

Table. Sterilization and Disinfection of Respiratory Equipment and Devices According to Infection Risk Categories (Spaulding Classification)

Category Description Device Processing
Critical Devices that enter the blood stream or sterile tissue Bronchoscope biopsy forceps and specimen brushes Sterilization
Semicritical Devices that directly or indirectly contact mucus membranes Bronchoscopes and accessories
Oral, nasal and tracheal airways
Ventilator breathing circuits
Bubbling or wick humidifiers
Exhalation valves
Small volume medication nebulizers
Large volume nebulizers/mist tents
Large volume room-air humidifiers
PFT mouthpieces, tubing, connectors
Resuscitation bags
Laryngoscope blades
Stylets
Air-pressure monitor probes
CO2 and O2 analyzer probes
Temperature probes
Respirometers
Suction catheters
Anesthesia devices or equipment:
• face masks or tracheal tubes
• inspiratory and expiratory tubings
• y connectors
• right angle connectors
• reservoir bags
• humidifier and tubing
High-level disinfection
Noncritical Devices that touch only intact skin but not the mucous membranes or do not contact the patient Exterior surface of ventilator Low/intermediate level disinfection

For general information on Severe Acute Respiratory Syndrome (SARS), please see "Fact Sheet on Severe Acute Respiratory Syndrome (SARS)", or visit the Health Canada website at:http://www.sars.gc.ca or phone 1-800-454-8302