The biggest advantage

The biggest advantage of hydrogen peroxide as a sterilant is the short cycle time.[link widoczny dla zalogowanych] Whereas the cycle time for ethylene oxide (discussed above) may be 10 to 15 hours, the use of very high concentrations of hydrogen peroxide allows much shorter cycle times. Some hydrogen peroxide modern sterilizers, such as the Sterrad NX have a cycle time as short as 28 minutes.
Hydrogen peroxide sterilizers have their drawbacks. Since hydrogen peroxide is a strong oxidant, there are material compatibility issues and users should consult the manufacturer of the article to be sterilized to ensure that it is compatible with this method of sterilization.[link widoczny dla zalogowanych] Paper products cannot be sterilized in the Sterrad system because of a process called cellulostics, in which the hydrogen peroxide would be completely absorbed by the paper product. The penetrating ability of hydrogen peroxide is not as good as ethylene oxide and so there are limitations on the length and diameter of lumens that can be effectively sterilized and guidance is available from the sterilizer manufacturers.
While hydrogen peroxide offers significant advantages in terms of throughput, as with all sterilant gases, sterility is achieved through the use of high concentrations of reactive gases. Hydrogen peroxide is primary irritant and the contact of the liquid solution with skin will cause bleaching or ulceration depending on the concentration and contact time. The vapor is also hazardous with the target organs being the eyes and respiratory system.[link widoczny dla zalogowanych] Even short term exposures can be hazardous and NIOSH has set the Immediately Dangerous to Life and Health Level (IDLH) at 75 ppm.[17] less than one tenth the IDLH for ethylene oxide (800 ppm). Prolonged exposure to even low ppm concentrations can cause permanent lung damage and consequently OSHA has set the permissible exposure limit to 1.0 ppm,[link widoczny dla zalogowanych], calculated as an 8 hour time weighted average (29 CFR 1910.1000 Table Z-1). Employers thus have a legal duty to ensure that their personnel are not exposed to concentrations exceeding this PEL. Even though the sterilizer manufacturers go to great lengths to make their products safe through careful design and incorporation of many safety features, workplace exposures of hydrogen peroxide from gas sterilizers are documented in the FDA MAUDE database.

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