NORCET 3 - 2022 (Shift-1)
Applied Microbiology & Infection control
Easy

Which of the following disinfectant solution can be used to clean COVID-19 patient linen?

Appeared in: NORCET 3 - 2022 (Shift-1)

Explanation

  • 1% Sodium hypochlorite solution is a potent, broad-spectrum disinfectant recommended by health authorities for decontaminating linen exposed to pathogens like SARS-CoV-2.
  • As a chlorine-releasing agent, it is highly effective (virucidal) against enveloped viruses by denaturing their proteins and nucleic acids.
  • It is an inexpensive, fast-acting, and widely used disinfectant for laundry and surfaces in hospital infection control protocols.

Why Other Options Were Wrong

  • Option B: Savlon contains chlorhexidine and cetrimide, which are primarily skin antiseptics used for cleaning wounds or hands.
  • Option C: Betadine (povidone-iodine) is a skin antiseptic used for pre-surgical skin preparation. It causes significant staining, making it unsuitable for laundry.
  • Option D: Alcohol evaporates too quickly to ensure the necessary contact time for disinfection on porous materials like linen. It is also flammable and not cost-effective for large items.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Infographic: Step-by-step guide on 'Safe Handling and Disinfection of Infectious Linen', showing a healthcare worker in full PPE, the soaking process in sodium hypochlorite, and the final washing machine step.
  • Visual 2: Chart: 'Comparison of Common Disinfectants' detailing the spectrum of activity, uses, and limitations of sodium hypochlorite, alcohol, iodine compounds, and chlorhexidine.
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Infection control and disinfection protocols for contaminated linen in a healthcare setting, specifically in the context of COVID-19 to guide bedside assessment, documentation, and the next nursing action.
  • Proper disinfection of patient linen is a critical nursing responsibility to break the chain of infection and prevent nosocomial (hospital-acquired) infections.
  • Failure to use the correct disinfectant and procedure can lead to the spread of pathogens to other patients, healthcare workers, and the wider community.
  • What if? If the linen was only soiled with non-infectious material (e.g., food), a standard hot water wash with detergent would be sufficient. Chemical disinfection with sodium hypochlorite is reserved for linen contaminated with potentially infectious body fluids.
How to Approach the Question
  • Identify the core of the question: It asks for the correct disinfectant for a specific application (COVID-19 patient linen).
  • Analyze the context: The keywords are 'COVID-19' (a virus) and 'linen' (fabric). This requires a disinfectant that is virucidal and suitable for laundry.
  • Evaluate each option based on its primary use: Is it a surface disinfectant, a skin antiseptic, or suitable for fabrics?
  • Recall standard infection control guidelines. Sodium hypochlorite (bleach) is the universally recognized standard for disinfecting contaminated hospital laundry.
  • Eliminate options based on their unsuitability: Savlon and Betadine are skin antiseptics, and alcohol is impractical for large fabric items.
Concept Tested & Keywords
  • Concept Tested: Infection control and disinfection protocols for contaminated linen in a healthcare setting, specifically in the context of COVID-19.
  • Stem keywords: disinfectant solution, clean, COVID-19, patient linen
  • Lead-in keywords: Which

Question ID

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