| FAQ - Practice Safety/Patient Safety - Archived Through 2012
Where can Peracetic Acid be obtained?
According to the authors of OSAP's Mission Guide, the Peracetic Acid based product available in powder form that is listed in the humanitarian guide is Perasafe made by Antec International ( http://www.antechh.com ). It is not FDA cleared as a sterilant nor is it available for sale in the United States. It is approved for use in Europe and has a CE mark. Evidently, the rights to market Perasafe are owned by Dupont Chemical. Antec's distributor in the United States is Biosafety USA Inc., found at http://www.biosafetyusa.com . They do not appear to be pursuing clearance to market or to sell it here. You may however, be able to purchase it in the host country for a humanitarian mission. As far as the authors are aware, there is no powder or concentrate based high-level disinfectant/sterilant product available for sale in the US at this time.
Several recent articles in J Hosp Infection have evaluated Perasafe against Glutraldehyde and other agents as a high-level disinfectant. Check them out at Pub Med at: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi . Once you are directed to Pub Med type in the word: Perasafe in the search window.
General information on Perasafe is also available from the manufacturer's site located at: http://www.antechh.com/perasafegd.html
There is another alternative that you may be interested in. There is a product called Steris sterilization system. Information about it is provided by Steris in the form of a brochure. The Brochure number is M1868EN. This and other information regarding the system may be viewed at:
Additionally, OSAP has prepared a 52 page resource: Guide for Safety and Infection Control For Oral Healthcare Missions. We would like to refer you directly to this resource. It is currently free of charge if downloaded from our website. We believe this resource guide will provide you with answers to your questions concerning infection control issues during your mission trip.
The resource guide is available at: http://www.osap.org/displaycommon.cfm?an=1&subarticlenbr=15
In order to avoid transporting chemicals, the Guide offers alternative methods for sterilizing that you may like to consider.
The guide does include an appendix with a comparison chart for Sterilization and High-Level Disinfection: Available Methods and Chemical Agents. In addition, a list of available chemical sterilants/high-level disinfectants with trade names, manufacturers, and active ingredient may be viewed at: http://www.fda.gov/cdrh/ode/germlab.html
As a note: FDA clearance to market, also referred to as a 510(k) is required for all chemical sterilants and high-level disinfectants marketed in the United States. And, commercial airlines may not permit you to transport certain hazardous chemicals/agents. Therefore, you should contact the airlines you will travel with for possible restrictions.
An excellent concise guide to high level disinfection under field conditions can be found on the website for the Johns Hopkins Center for Reproductive Health at:
You may also contact the American Dental Association (ADA) and your state/local dental society. They may be able to assist you in contacting society members who do volunteer work. The ADA and dental society should also be able to provide you with contact information for dental volunteer groups, such as the flying doctors. These groups have provided volunteer services from many years and can direct you to additional resources.
The ADA has a great deal of information on their website for health volunteers oversees. To view this information go to:
Some liquid sterilants require an activator while other sterilants are ready to use. One dental infection control expert offers the following suggestion, there is a hydrogen peroxide based product (Sporox by Rickett Coleman. Refer to the FDA's list of cleared liquid sterilants.), that may be safer to handle and dispose of in areas without the resources we have here in the United States.
Other resources include:
Engender Health: http://www.engenderhealth.org/res/offc/safety/ip-ref/index.html
Health Volunteers Overseas: http://www.hvousa.org
This material should help answer this and many other questions.
OSAP has further resource information on infection control issues at: