SIST EN 1499:2013
(Main)Chemical disinfectants and antiseptics - Hygienic handwash - Test method and requirements (phase 2/step 2)
Chemical disinfectants and antiseptics - Hygienic handwash - Test method and requirements (phase 2/step 2)
This European Standard specifies a test method simulating practical conditions for establishing whether a product for hygienic handwash reduces the release of transient microbial flora on hands when used to wash the artificially contaminated hands of volunteers.
NOTE 1 Attention is drawn to the fact that tests on human volunteers are the subject of legal provisions in certain European countries/regions.
This European Standard applies to products for hygienic handwash for use in areas and situations where disinfection is medically indicated. Such indications occur in patient care, for example:
- in hospitals, in community medical facilities and in dental institutions,
- in clinics of schools, of kindergartens and of nursing homes;
and may occur in the workplace and in the home. It may also include services such as laundries and kitchens supplying products directly for the patient.
EN 14885 specifies in detail the relationship of the various tests to one another and to "use recommendations".
NOTE 2 This method corresponds to a phase 2, step 2 test.
Chemische Desinfektionsmittel und Antiseptika - Hygienische Händewaschung - Prüfverfahren und Anforderungen (Phase 2/Stufe 2)
Diese Europäische Norm legt ein Prüfverfahren fest, das praktische Bedingungen simuliert um festzustellen, ob ein Produkt für die hygienische Händewaschung die Abgabe der auf den Händen befindlichen transienten mikrobiellen Flora verringert, wenn es für das Waschen der künstlich kontaminierten Hände von freiwilligen Probanden verwendet wird.
ANMERKUNG 1 Es wird darauf hingewiesen, dass Versuche mit menschlichen Probanden in bestimmten europäischen Ländern/Regionen gesetzlichen Bestimmungen unterliegen.
Diese Europäische Norm gilt für Produkte zur hygienischen Händewaschung, die in Bereichen und unter Bedingungen angewendet werden, wo eine Desinfektion aus medizinischen Gründen angezeigt ist. Indikationen dieser Art liegen z. B. bei der Patientenbetreuung in
Krankenhäusern, kommunalen medizinischen Einrichtungen und im Dentalbereich;
medizinischen Einrichtungen in Schulen, Kindergärten und Heimen
vor und können auch am Arbeitsplatz und im häuslichen Bereich gegeben sein. Eingeschlossen sein können auch Einrichtungen wie Wäschereien und Küchen, die der direkten Versorgung von Patienten dienen.
EN 14885 legt im Einzelnen die Beziehungen der verschiedenen Prüfungen untereinander und zu den „Anwendungsempfehlungen“ fest.
ANMERKUNG 2 Das Verfahren entspricht einer Prüfung der Phase 2, Stufe 2.
Antiseptiques et désinfectants chimiques - Lavage hygiénique des mains - Méthode d'essai et prescriptions (phase 2/étape 2)
La présente Norme européenne décrit une méthode d’essai simulant des conditions pratiques afin d’établir si
un produit pour le lavage hygiénique des mains réduit la flore microbienne transitoire des mains lorsqu’il est
utilisé pour laver les mains artificiellement contaminées de sujets volontaires.
NOTE 1 L’attention du lecteur est attirée sur le fait que les essais sur des sujets humains sont soumis à des
dispositions légales dans certains pays/régions d’Europe.
La présente Norme européenne s’applique aux produits destinés au lavage hygiénique des mains dans les
domaines et situations où la désinfection est médicalement préconisée. De telles indications se rencontrent
dans le cadre des soins apportés aux patients, par exemple :
⎯ dans des hôpitaux, dans des centres de soins médicaux et des cabinets dentaires ;
⎯ dans des infirmeries d’écoles, de jardins d’enfants et de maisons de retraite ;
et peuvent aussi se rencontrer sur les lieux de travail ou à domicile. Elles peuvent également concerner des
secteurs tels que des blanchisseries et des cuisines qui fournissent des produits directement aux patients.
L’EN 14885 spécifie de manière détaillée la relation des différents essais entre eux et par rapport aux
« recommandations d’usage ».
NOTE 2 Cette méthode correspond à un essai de phase 2, étape 2.
Kemična razkužila in antiseptiki - Higiensko umivanje rok - Preskusna metoda in zahteve (faza 2, stopnja 2)
Ta evropski standard določa preskusno metodo s simuliranjem praktičnih pogojev za ugotovitev, ali izdelek za higiensko umivanje rok zmanjša prenos prehodne mikrobiološke flore na roke, ko se uporablja za umivanje načrtno onesnaženih rok prostovoljcev. OPOMBA 1 Opozoriti je treba na dejstvo, da so preskusi s človeškimi prostovoljci predmet predpisov v določenih evropskih državah. Ta evropski standard velja za izdelke za higiensko umivanje rok za področja in primere, ko obstajajo zdravstvene indikacije za dezinfekcijo. Te indikacije se pojavljajo pri negi bolnikov, na primer: v bolnišnicah, skupnih zdravstvenih in zobozdravstvenih ustanovah; v klinikah šol, vrtcev in domov za starejše; in lahko nastanejo na delovnem mestu ali doma. Vključujejo lahko tudi storitvene prostore, kot so pralnice in kuhinje, ki proizvode neposredno dostavljajo bolniku. EN 14885 podrobno določa razmerje med različnimi preskusi in priporočili za uporabo. OPOMBA 2 Ta metoda ustreza preskusu stopnje 2 faze 2.
General Information
Relations
Standards Content (Sample)
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.Chemische Desinfektionsmittel und Antiseptika - Hygienische Händewaschung - Prüfverfahren und Anforderungen (Phase 2/Stufe 2)Antiseptiques et désinfectants chimiques - Lavage hygiénique des mains - Méthode d'essai et prescriptions (phase 2/étape 2)Chemical disinfectants and antiseptics - Hygienic handwash - Test method and requirements (phase 2/step 2)71.100.35Kemikalije za dezinfekcijo v industriji in domaChemicals for industrial and domestic disinfection purposes11.080.20Dezinfektanti in antiseptikiDisinfectants and antisepticsICS:Ta slovenski standard je istoveten z:EN 1499:2013SIST EN 1499:2013en,fr,de01-julij-2013SIST EN 1499:2013SLOVENSKI
STANDARDSIST EN 1499:20011DGRPHãþD
EUROPEAN STANDARD NORME EUROPÉENNE EUROPÄISCHE NORM
EN 1499
April 2013 ICS 11.080.20; 71.100.35 Supersedes EN 1499:1997English Version
Chemical disinfectants and antiseptics - Hygienic handwash - Test method and requirements (phase 2/step 2)
Antiseptiques et désinfectants chimiques - Lavage hygiénique des mains - Méthode d'essai et prescriptions (phase 2/étape 2)
Chemische Desinfektionsmittel und Antiseptika - Hygienische Händewaschung - Prüfverfahren und Anforderungen (Phase 2/Stufe 2) This European Standard was approved by CEN on 1 March 2013.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre:
Avenue Marnix 17,
B-1000 Brussels © 2013 CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. EN 1499:2013: ESIST EN 1499:2013
Standard handwash procedure . 22 Annex B (informative)
Neutralizers and rinsing liquids . 23 Annex C (informative)
Graphical representation of neutralizer control and method validation . 25 Annex D (informative)
Quality control of soft soap . 26 Annex E (informative)
Examples of reporting of results and significance testing . 27 Annex F (normative)
WILCOXON'S matched-pairs signed-ranks test . 31 Bibliography . 32
The following technical changes have been made:
Neutralization (5.5.1.2). The procedure (Annex A).
The annexes have been completely revised. Data obtained using the former version of EN 1499 may still be used, if it is supplemented by data on neutralization. If the neutralizer used in the test using the former version is not sufficiently neutralizing, a complete new test will be run. The changed procedure in Annex A is regarded as having no (or negligible) influence on the results. According to the CEN-CENELEC Internal Regulations, the national standards organisations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United Kingdom. SIST EN 1499:2013
1 Scope This European Standard specifies a test method simulating practical conditions for establishing whether a product for hygienic handwash reduces the release of transient microbial flora on hands when used to wash the artificially contaminated hands of volunteers.
NOTE 1 Attention is drawn to the fact that tests on human volunteers are the subject of legal provisions in certain European countries/regions. This European Standard applies to products for hygienic handwash for use in areas and situations where disinfection is medically indicated. Such indications occur in patient care, for example: in hospitals, in community medical facilities and in dental institutions, in clinics of schools, of kindergartens and of nursing homes; and may occur in the workplace and in the home. It may also include services such as laundries and kitchens supplying products directly for the patient.
EN 14885 specifies in detail the relationship of the various tests to one another and to “use recommendations”. NOTE 2 This method corresponds to a phase 2, step 2 test. 2 Normative references The following documents, in whole or in part, are normatively referenced in this document and are indispensable for its application. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. EN 12353, Chemical disinfectants and antiseptics — Preservation of test organisms used for the determination of bactericidal (including Legionella), mycobactericidal, sporicidal, fungicidal and virucidal (including bacteriophages) activity EN 14885, Chemical disinfectants and antiseptics — Application of European Standards for chemical disinfectants and antiseptics 3 Terms and definitions For the purposes of this document, the terms and definitions given in EN 14885 apply. 4 Requirements When tested in accordance with Clause 5, the mean reduction of the release of the test organism Escherichia coli K12 achieved by the hygienic handwash with the product under test shall be larger than that achieved by a specified reference hygienic handwash (unmedicated liquid soap). SIST EN 1499:2013
K12
NCTC 10538; CIP 54.117; NCIMB 100831) NOTE This test organism has been specifically chosen to meet health and safety guidance and ethical committee considerations. It is a K12 strain of E. coli of normal flora origin internationally recognised as being non-pathogenic. According to the UK catalogue of the National Collections of Industrial & Marine Bacteria (see [2]), NCIMB strain 10083 is classified as a risk group 1 organism. The German Safety Ordinance on Gene Technology [3] also assigns the K12 strain to group 1. Directive 93/88/EEC [4] (Annex III to Directive 90/679/EEC [5]) explicitly states that non-pathogenic strains of Escherichia coli are excluded from the group 2 assignment.
5.2.2 Culture media and reagents 5.2.2.1 General All weights of chemical substances given in this European Standard refer to the anhydrous salts. Hydrated forms may be used as an alternative, but the weights required shall be adjusted to allow for consequent molecular weight differences. The reagents shall be of analytical grade and/or appropriate for microbiological purposes. They shall be free from substances that are toxic or inhibitory to the test organisms. To improve reproducibility, it is recommended that commercially available dehydrated material is used for the preparation of culture media. The manufacturer's instructions relating to the preparation of these products should be rigorously followed. For each culture medium and reagent, a time limitation for use should be fixed. 5.2.2.2 Water The water shall be freshly glass-distilled water and not demineralised water. If distilled water of adequate quality is not available, water for injections (see [1]) may be used. Sterilise in the autoclave [5.3.2.1 a)]. Sterilisation is not necessary if the water is used e.g. for preparation of culture media and subsequently sterilised. NOTE See 5.2.2.7 for the procedure to prepare hard water.
1) The NCTC, CIP and NCIMB numbers are the collection numbers of this strain supplied by these cultures collections. This information is given for the convenience of users of this European Standard and does not constitute an endorsement by CEN of the product named.
Tryptone, pancreatic digest of casein 15,0
g
Soya peptone, papaic digest of soybean meal 5,0
g
Sodium chloride (NaCl) 5,0
g
Agar 15,0
g
Water (5.2.2.2)
to 1 000,0 ml
Sterilise in the autoclave [5.3.2.1 a)]. After sterilisation, the pH of the medium shall be equivalent to 7,2 ± 0,2 when measured at (20 ± 1) °C. NOTE 1 TSA is used for preparing and counting N, Nv and NvB (5.4.1.4, 5.4.1.5). b) Tryptone Soya Selective Agar (TSSA) Tryptone soya selective agar, consisting of:
Tryptone, pancreatic digest of casein 15,0
g
Soya peptone, papaic digest of soybean meal 5,0
g
Sodium chloride (NaCl) 5,0
g
Sodium-desoxycholate 0,5
g
Agar 15,0
g
Water (5.2.2.2)
to 1 000,0
ml
Sterilise in the autoclave [5.3.2.1 a)]. After sterilisation, the pH of the medium shall be equivalent to 7,2 ± 0,2 when measured at (20 ± 1) °C. NOTE 2 TSSA is used for quantitative cultures of the sampling fluids and their dilutions (5.5.3.2, 5.5.3.3.4). 5.2.2.4 Tryptone Soya Broth (TSB) Tryptone soya broth, consisting of:
Tryptone, pancreatic digest of casein 15,0
g
Soya peptone, papaic digest of soybean meal 5,0
g
Sodium chloride (NaCl) 5,0
g
Water (5.2.2.2)
to 1 000,0
ml
Sterilise in the autoclave [5.3.2.1a)]. After sterilisation, the pH of the medium shall be equivalent to 7,0 ± 0,2 when measured at (20 ± 1) °C. 5.2.2.5 Neutralizer The neutralizer shall be chosen, controlled and validated for the product under test in accordance with 5.5.1.2, 5.5.2.1 and 5.5.2.2. Only neutralizers using TSB (5.2.2.4) as diluent are allowed. It shall be sterile. NOTE Information on neutralizers that have been found to be suitable for some categories of products is given in Annex B.
5.2.2.6 Diluted soft soap
Linseed oil 50,0
parts by weight
Potassium hydroxide [1] 9,5
parts by weight
Ethanol (min. 95 %) [1] 7,0
parts by weight SIST EN 1499:2013
Hot distilled water (75 ± 5) °C
as needed
Prepare a solution of 9,5 parts potassium hydroxide in 15 parts water (5.2.2.2) and add 50 parts linseed oil. Heat up to approximately 70 °C while constantly stirring. Add the ethanol and continue heating while stirring until the saponification process is completed and a sample dissolves clearly in water and almost clearly in alcohol. The weight of the soft soap is then brought up to 100 parts by addition of water (5.2.2.2), heated up to
(75 ± 5) °C to dilute the soft soap. Take 200 g of the soft soap, fill up to 1 000 g with water (5.2.2.2) and sterilise in the autoclave [5.3.2.1 a)]. The pH of the final diluted soft soap shall range between 10,0 and 11,0.
For quality control of the soft soap, see Annex D. 5.2.2.7 Hard water for dilution of products For the preparation of 1 l of hard water, the procedure is as follows: prepare solution A: dissolve 19,84 g magnesium chloride (MgCl2) and 46,24 g calcium chloride (CaCl2) in water (5.2.2.2) and dilute to 1 000 ml. Sterilise by membrane filtration (5.3.2.7) or in the autoclave [5.3.2.1 a)]. Autoclaving – if used - may cause a loss of liquid. In this case, make up to 1000 ml with water (5.2.2.2) under aseptic conditions. Store the solution in the refrigerator (5.3.2.8) for no longer than one month; prepare solution B: dissolve 35,02 g sodium bicarbonate (NaHCO3) in water (5.2.2.2) and dilute to 1000 ml. Sterilise by membrane filtration (5.3.2.7). Store the solution in the refrigerator (5.3.2.8) for no longer than one week; place 600 ml to 700 ml of water (5.2.2.2) in a 1 000 ml volumetric flask (5.3.2.12) and add 6,0 ml (5.3.2.9) of solution A, then 8,0 ml of solution B. Mix and dilute to 1 000 ml with water (5.2.2.2). The pH of the hard water shall be 7,0 ± 0,2, when measured at 20 °C ± 1°C (5.3.2.4). If necessary, adjust the pH by using a solution of approximately 40 g/l (about 1 mol/l) of sodium hydroxide (NaOH) or approximately 36,5 g/l (about 1 mol/l) of hydrochloric acid (HCl).
The hard water shall be freshly prepared under aseptic conditions and used within 12 h. NOTE When preparing the product test solutions (5.4.2), the addition of the product to the hard water produces a different final water hardness in each test tube. In any case, the final hardness, expressed as calcium carbonate (CaCO3) in the test tube, is lower than 375 mg/l. 5.3 Apparatus and glassware 5.3.1 General Sterilise all glassware and parts of the apparatus that will come into contact with the culture media and reagents or the sample, except those that are supplied sterile by one of the following methods: a) by moist heat, in the autoclave [5.3.2.1 a)];
b) by dry heat, in the hot air oven [5.3.2.1 b)]. 5.3.2 Usual microbiological laboratory equipment2)
In particular, the following: 5.3.2.1 Apparatus for sterilisation
2) Disposable equipment is an acceptable alternative to reusable glassware. SIST EN 1499:2013
holding time of 15 min;
b) for dry heat sterilisation, a hot air oven capable of being maintained at (18050+) °C for a minimum holding time of 30 min, at (170 50+) °C for a minimum holding time of 1 h or at (16050+) °C for a minimum holding time of 2 h. 5.3.2.2 Water baths, capable of being controlled at 20 °C ± 1 °C, at 45 °C ± 1 °C (to maintain melted TSA and TSSA in case of pour plate technique) and at additional test temperatures ± 1 °C (5.5.1) 5.3.2.3 Incubator, capable of being controlled at 36 °C ± 1 °C or 37 °C ± 1 °C (5.5.2). The same temperature shall be used for incubations performed during a test and its control and validation 5.3.2.4 pH-meter, having an inaccuracy of calibration of no more than ± 0,1 pH units at 20 °C ± 1 °C. A puncture electrode or a flat membrane electrode should be used for measuring the pH of the agar media (5.2.2.3) 5.3.2.5 Stopwatch 5.3.2.6 Shakers a) electromechanical agitator, e.g. Vortex® mixer3); b) mechanical shaker. 5.3.2.7 Membrane filtration apparatus, constructed of a material compatible with the substances to be filtered The apparatus shall have a filter holder of at least 50 ml volume. It shall be suitable for use with filters of diameter 47 mm to 50 mm and 0,45 µm pore size for sterilisation of hard water (5.2.2.7). The vacuum source used shall give an even filtration flow rate. To prevent overlong filtration, the device shall be set so as to obtain the filtration of 100 ml of rinsing liquid in 20 s to 40 s. 5.3.2.8 Refrigerator, capable of being controlled at 2 °C to 8 °C 5.3.2.9 Graduated pipettes, of nominal capacities 10 ml, 1 ml and 0,1 ml, or calibrated automatic pipettes
5.3.2.10 Petri dishes (plates), of size 90 mm to 100 mm 5.3.2.11 Glass beads (diameter 3 mm to 4 mm) 5.3.2.12 Volumetric flasks 5.3.2.13 Spreader, made of glass or other material 5.3.2.14 Container of sufficient capacity to immerse two hands vertically up to the mid-metacarpals simultaneously in 2 l of contamination fluid 5.3.2.15 Two bottles of at least 1 l capacity
3) Vortex® in an example of a suitable product available commercially. This information is given for the convenience of users of this European Standard and does not constitute an endorsement by CEN of this product. SIST EN 1499:2013
maximum 1 l TSB (5.2.2.4) each and incubate again (5.3.2.3) for 18 h to 24 h. Pool the resulting bacterial suspensions in a container (5.3.2.14). b) Adjust the number of cells in the suspension to 1,5 x 108 cfu/ml4) to 5,0 x 108 cfu/ml using TSB
(5.2.2.4), estimating the number of cfu by any suitable means. Maintain this test suspension in the water bath at 20 °C and use within 4 h as contamination fluid, and to prepare the validation suspensions (5.4.1.5). The use of a spectrophotometer for adjusting the number of cells is highly recommended (about 620 nm wavelength - cuvette 10 mm path length). Each laboratory should therefore produce calibration data for each test organism knowing that suitable values of optical density are generally found between 0,150 and 0,460. To achieve reproducible results of this measurement, it may be necessary to dilute the test suspension, e. g. 1+9. NOTE
A colorimeter is a suitable alternative. c) For counting, prepare 10-6 and 10-7 dilutions of the test suspension using TSB (5.2.2.4).
Mix [5.3.2.6 a)]. Take a sample of 1,0 ml of each dilution in duplicate and inoculate using the pour plate or the spread plate technique. 1) When using the pour plate technique, transfer each 1 ml sample into separate Petri dishes and add 15 ml to 20 ml melted TSA [5.2.2.3 a)], cooled to 45 °C ± 1 °C. 2) When using the spread plate technique, spread each 1,0 ml sample – divided into portions of approximately equal size – on an appropriate number (at least two) of surface dried plates containing TSA [5.2.2.3 a)]. For incubation and counting, see 5.4.1.6.
4) cfu/ml = colony forming unit(s) per millilitre. SIST EN 1499:2013
(5.2.2.4) to obtain 3,0 x 104 cfu/ml to 1,6 x 105 cfu/ml [about one fourth (1+3) of the 10-3 dilution] (NvB). Maintain and use these validation suspensions (NV and NVB) the same way as the test suspension [5.4.1.4 b)]. c) For counting, prepare a 10-1dilution with TSB (5.2.2.4) but prepare a 10-3 dilution of the validation suspension to count the neutralizer control [see b)].
Mix [5.3.2.6 a)]. Take a sample of 1,0 ml in duplicate and inoculate using the pour plate or the spread
plate technique [5.4.1.4 c)]. For incubation and counting see 5.4.1.6. 5.4.1.6 Incubation and counting of the test and the validation suspensions a) Incubate (5.3.2.3) the plates for 20 h to 24 h. Discard any plates that are not countable for any reason. Count the plates and determine the number of cfu. Incubate the plates for a further 20 h to 24 h. Do not recount plates that no longer show well-separated colonies. Recount the remaining plates. If the number has increased, use only the higher number for further evaluation. b) Note for each plate the exact number of colonies but record “> 330” for any counts higher than 330 and determine the Vc values according to 5.6.2.2. c) Calculate the numbers of cfu/ml in the test suspension “N” and in the validation suspensions “Nv” and “NvB” using the methods given in 5.6.2.3 and 5.6.2.5. Verify according to 5.7. 5.4.2 Product test solutions The product as received shall be used as a product test solution if recommended by the manufacturer. Product test solutions of products recommended by the manufacturer to be diluted shall be prepared in hard water (5.2.2.7).
For solid products, dissolve the product as received by weighing at least 1,0 g ± 10 mg of the product in a volumetric flask and filling up with hard water (5.2.2.7). Subsequent dilutions (= lower concentrations) shall be prepared in volumetric flasks (5.3.2.12) on a volume/volume basis in hard water (5.2.2.7).
For liquid products, dilutions of the product shall be prepared with hard water in volumetric flasks (5.3.2.12) on a volume/volume basis. The product test solutions shall be prepared freshly and used in the test within 3 h. They shall give a physically homogenous preparation, stable during the whole procedure. If during the procedure a visible inhomogeneity appears due to the formation of a precipitate or flocculant, it shall be recorded in the test report. NOTE Counting microorganisms embedded in a precipitate or flocculant is difficult and unreliable. Record the test concentration in terms of mass per volume or volume per volume and details of the product sample as received. SIST EN 1499:2013
NOTE Due to the standardised wash procedure (Annex A), a contact time shorter than 30 s cannot be realised and verified.
c) test organism: The test organism is Escherichia coli K12 (5.2.1). 5.5.1.2 Neutralization The product under test has to be neutralized during the test. A suitable neutralizer (5.2.2.5) has to be found before the test procedure (5.5.3) is performed. For that purpose carry out the validation of the neutralization (5.5.2.1 and 5.5.2.2) in connection with 5.5.4 using a neutralizer, chosen according to laboratory experience and published data. For certain products, TSB (5.2.2.4) may act as a suitable neutralizer. If this neutralizer is not valid, repeat the validation test using an alternative neutralizer taking into account the information given in Annex B.
The neutralizer control and the method validation shall be performed with the same neutralizer that will be used in the test procedure (5.5.3). 5.5.1.3 Equilibration of temperature Prior to testing, equilibrate all reagents [product test solutions (5.4.2), diluted soft soap (5.2.2.6), test suspension (5.4.1.4), validation suspension (5.4.1.5), TSB (5.2.2.4), the neutralizer (5.2.2.5) and – if necessary - hard water (5.2.2.7)] to the test temperature of 20 °C using the water bath (5.3.2.2) controlled at 20 °C. Check that the temperature of the reagents is stabilised at 20 °C. 5.5.1.4 Selection of volunteers The test shall be performed on 12 to 15 healthy persons who have hands with healthy skin, without cuts or abrasions, and with short and clean fingernails. Although, in general, age is not a limiting factor, volunteers should be at least 18 years of age. As it may happen that values of volunteers cannot be used for calculation, it is recommended to do the test rather with a higher number than 12 volunteers. On the day of the test, volunteers should not wear any jewellery or other items on the hands and wrists. SIST EN 1499:2013
For testing a single product, a cross-over design is used. The volunteers are randomly divided into two groups of approximately the same size. Group 1 uses the reference hygienic handwash (RP, 5.5.3.3.2), group 2 the product under test (PP, 5.5.3.3.3). The test is then repeated on the same day with group 1 using the handwash procedure with the test product and group 2 using the reference handwash procedure. Before every reference handwash procedure and every handwash procedure with the product under test, the procedures described in 5.5.3.1 and 5.5.3.2 shall be carried out.
For testing more than one product at a time, a Latin square design is used with as many groups of volunteers and as many experimental runs as there are products to be tested (including the reference handwash). In each run, all handwash procedures are employed in parallel. At the end of the whole series, every subject shall have used each product under test once, including the reference handwash. For each product under test, the hands have to be cleaned for 1 min between the testing of the different products with tap water and diluted soft soap (5.2.2.6), because residual neutralizer or product on the volunteers’ hands may influence the performance of the subsequently tested product. Finally, the hands shall be thoroughly dried with a clean (paper) towel. After the reference handwash, rinsing with tap water is enough. NOTE In a Latin square design, only products can be simultaneously tested for which the same neutralizer can be used.
5.5.2 Neutralization – control and validation5) 5.5.2.1 Neutralizer control "B" – verification of the absence of toxicity of the neutralizer To verify the absence of toxicity of the neutralizer, the procedure is as follows: a) Pipette 9,0 ml of the neutralizer – used in the test (5.5.3) – into a tube. Add 1,0 ml of the validation suspension (“NvB”) [5.4.1.5 b)] containing 3,0 x 104 cfu/ml to 1,6 x 105 cfu/ml. Start the stopwatch at the beginning of the addition, mix [5.3.2.6 a)]. Transfer 0,5 ml of this mixture into a tube containing 4,5 ml of neutralizer to obtain 10-1 dilution of NVB, repeat this procedure to obtain 10-2 dilution of NVB. Place the tubes of the 10-2 dilution of NVB in a water bath controlled at (20 ± 1) °C for the neutralization time of 10 s ± 1 s (5.5.2.2). Just before the end of this time, mix [5.3.2.6 a)]. NOTE The high amount of neutralizer in relation to the test organisms reflects the additional dilutions with neutralizer. b) At the end of this time, take a sample of 1,0 ml of this mixture “B” (10-2 dilution of NVB) in duplicate and inoculate TSA plates [5.2.2.3 a)] using the pour plate or the spread plate technique [5.4.1.4.c)]. For incubation and counting, see 5.5.4. 5.5.2.2 Method validation "C" To validate the neutralization method, the procedure is as follows: a) Pipette 2,0 ml of TSB (5.2.2.4) into a tube. Starting a stopwatch, add 8,0 ml of the product test solution. Mix [5.3.2.6 a)] and place the tube in a water bath controlled at 20 °C for t. Just before the end of t, mix
[5.3.2.6 a)] again. b) At the end of t, transfer 1,0 ml of the mixture into a tube containing 8,0 ml of neutralizer (used in 5.5.3). Restart the stopwatch at the beginning of the addition. Mix [5.3.2.6 a)] and place the tube in a water bath
5) For a graphical representation of this method, see Annex C. SIST EN 1499:2013
Volunteers’ hands are prepared by washing for 1 min with 5 ml diluted soft soap (5.2.2.6) without use of a brush. After being rinsed with running tap water, they are thoroughly dried with paper towels for at least 30 s. The contamination fluid [5.4.1.4 b)] is poured into a container (5.3.2.14) and both hands are immersed up to the mid-metacarpals for 5 s with fingers spread apart. Carefully allow surplus liquid to drain back into the container for a maximum of 30 s. Allow the hands to dry in the air for 3 min, holding them in a horizontal position with the fingers spread out and rotating them to and fro to avoid the formation of droplets. During this procedure, care should be taken to avoid contamination of the surrounding work area. One batch of contamination fluid shall be used no longer than 3 h after the first volunteer's hands have been contaminated. Additionally, it shall be ensured that, in a test, all subjects' hands shall be treated with the same batch of contamination fluid, even if various products are tested against the reference handwash. The container with the contamination fluid should be used for all volunteers. 5.5.3.2 Sampling of the test organisms before treatment (“Prevalue”) Immediately after drying, rub the fingertips (including that of the thumb) for 1 min on the base of a Petri dish (5.3.2.10) containing 10 ml of TSB (5.2.2.4) as sampling fluid in order to assess the release of test organisms before treatment of the hands (prevalues). A separate Petri dish is used for each hand. Dilutions of 10-3 and 10-4 of these sampling fluids are prepared with the sampling fluid, i.e. TSB (5.2.2.4). From each dilution, 0,1 ml is spread on surface dried plates containing TSSA [5.2.2.3 b)] using spreaders (5.3.2.13) to obtain 10-4 and 10-5 dilutions. The interval between sampling and plating shall not exceed 30 min. As an alternative technique to the spread plate technique, the pour plate technique may be used by transferring each 0,1 ml sample into separate Petri dishes and adding 15 ml to 20 ml melted TSSA [5.2.2.3 b)], cooled to 45 °C ± 1 °C. See the procedure in 5.4.1.4 c) 1). NOTE 1 The sampling fluid for the prevalues does not contain neutralizer (5.2.2.5) as this may influence the performance of the product under test. The different sampling procedures for pre- and postvalues will not influence the evaluation of the product since the reference handwash is treated the same way. NOTE 2 Sodium-desoxycholate in TSSA is used to inhibit the growth of skin staphylococci. As TSSA may influence the growth in the contamination fluid (5.4.1.4) and the susceptibility of the test organisms against the products, it is not used for the preparation of the prevalue sampling fluid. For incubation and counting, see 5.5.4. SIST EN 1499:2013
After sampling for the prevalues (5.5.3.2) let the hands dry. Immediately after drying and without recontaminating the hands, perform the handwash in accordance with either 5.5.3.3.2 or 5.5.3.3.3, as applicable (5.5.1.5).
5.5.3.3.2 Reference hygienic handwash procedure (RP)
Pour 5 ml of diluted soft soap (5.2.2.6) into the cupped hands pre-moistened with tap water, and wash hands for 60 s up to the wrists in accordance with the standard handwash procedure shown in Annex A to ensure total coverage of the hands. As much lukewarm tap water (drinking water quality) may be added during the procedure as necessary to produce lather. As a first step, distribute the diluted soft soap (5.2.2.6) all over the hands, including the wrists, palm to palm; continue with five times right palm over left dorsum and left palm over right dorsum, then continue with five strokes backwards and forwards, palm to palm with fingers interlaced; continue with five times rubbing the backs of fingers to opposing palms with fingers interlocked, then five times rotational rubbing of right thumb clasped in left palm and left thumb clasped in right palm, then rub five times rotationally with clasped fingers of the right hand in the wet palm of the left hand and clasped fingers of the left hand in the wet palm of the right hand. After 60 s the hands are rinsed under running tap water for 10 s from distal to proximal with fingertips upright. To avoid recontamination the fingertips shall remain upright until sampling for the postvalues. Before the end of the rinsing, wrists and lower arms shall be dried with paper towels by a helper. The time for rinsing and drying is 15 s ± 1 s. For sampling see 5.5.3.3.4. 5.5.3.3.3 Hygienic handwash procedure with product under test (PP) This procedure shall be performed according to the recommendation provided by the manufacturer, which shall include: contact time (washing time without final rinse) between 30 s and 60 s;
quantities and frequency of application of the product and of tap water;
need for pre-wetting the hands; and need for and duration of a final rinse with tap water. In any case, the steps of the standard handwash procedure as described in Annex A shall be followed. For the test procedure a final rinse of 10 s is needed immediately after the contact time, even if the manufacturer recommends another time or no final rinse at all. With fingertips upright the hands are rinsed from distal to proximal under running tap water (drinking water quality). To avoid recontamination the fingertips shall remain upright until sampling for the postvalues. Before the end of the rinsing, wrists and lower arms shall be dried with paper towels by a helper. The time for rinsing and drying is 15 s ± 1 s. For sampling see 5.5.3.3.4. 5.5.3.3.4 Sampling of the test organisms after treatment (“Postvalue”) Immediately after treatment (5.5.3.3.2 and 5.5.3.3.3), the same sampling procedure is used as described for the prevalues (5.5.3.2) but volumes of 1,0 ml and 0,1 ml of undiluted sampling fluid and 0,1 ml from its 10-1 dilution are plated out for quantitative culture on surface dried plates containing TSSA [5.2.2.3 b)] to obtain SIST EN 1499:2013
45 °C ± 1 °C. See the procedure in 5.4.1.4 c) 1). In contrast to the prevalue sampling (5.5.3.2), the neutralizer chosen according to 5.5.1.2 (and the results of 5.5.2.1 and 5.5.2.2) is used as the sampling fluids and as diluent for the 10-1 dilution (5.2.2.5). The regular time for rubbing on the base of the Petri dish is 1 min. For incubation and counting see 5.5.4. 5.5.4 Incubation and counting of the test mixture and the control and validation mixtures For incubation and counting of the test mixture and the control and validation mixtures, the procedure is as follows:
a) Incubate (5.3.2.3) the plates for 20 h to 24 h. Discard any plates which are not countable (for any reason). Count the plates and determine the number of cfu. Incubate the plates for a further 20 h to 24 h. Do not recount plates which no longer show well separated colonies. Recount the remaining plates. If the number has increased, use only the higher number for further evaluation. b) Note for each plate the exact number of colonies but record “> 330” for any counts higher than 330 and determine the Vc-values according to 5.6.2.2. c) Calculate the numbers of cfu/ml in the test mixtures of prevalue and postvalue (5.6.2.6) and in the validation mixtures B and C using the method given in 5.6.2.4 and 5.6.2.5. Verify according to 5.7. 5.6 Experimental data and calculation
5.6.1 Explanation of terms and abbreviations 5.6.1.1 Overview of the different suspensions and test mixtures N, Nv and NvB represent the bacterial suspensions. B (neutralizer control) and C (method validation) represent the different control test mixtures. 5.6.1.2 Vc-values
All experimental data are reported as Vc-values. A Vc-value is the number of cfu counted per 1,0 ml sample. 5.6.2 Calculation 5.6.2.1 General The first step in the calculation is the determination of the Vc-values. The second step is the calculation of N, Nv, NV0, NvB, B and C. The third step is the calculation of the reduction R (5.6.2.6). 5.6.2.2 Determination of Vc -values The Vc-values are determined as follows. a) The usual limits for counting bacteria on agar plates are between 15 and 300. In this European Standard, a deviation of 10 % is accepted, so the limits are 14 and 330.
NOTE The lower limit (14) is based on the fact that the variability increases the smaller the number counted in the sample (1 ml or 0,1 ml) is and therefore subsequent calculations may lead to wrong results. The lower limit refers SIST EN 1499:2013
The upper limit (330) reflects the imprecision of counting confluent colonies and growth inhibition due to nutriment depletion. It refers only to the counti
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