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8 leading cause of infection in patients with PICC lines. e covers also contain a patent-pending mesh window, which allows healthcare providers to monitor the site for leakage or infection. ClearGuard HD Antimicrobial Barrier Cap (ClearGuard). e ClearGuard HD Antimicrobial Barrier Cap is clinically shown to significantly reduce catheter-related bloodstream infections in hemo- dialysis patients using central venous catheters. e device is designed to kill infection-causing bacteria inside a long-term hemodialysis catheter. Duette Dual Balloon Urinary Catheter (Poiesis Medical). Duette indwelling urinary catheter is the first catheter clinically designed to reduce bladder wall damage and increase fluid removal. Two peer-re- viewed clinical trials demonstrated the catheter's superiority over other devices and found it sustained lower CAUTI rates during a two-year period. POWERWAND (Access Scientific). e WAND family of products is designed to prevent hospital-acquired infections and protect both patients and providers. e Powerwand midline with Chronoflex C has more than 23,000 catheter days of published usage with no blood- stream infections, which outperforms other midlines on the market. Readycleanse (Medline Industries). Readycleanse is specially de- signed for comprehensive metal and perineal care to reduce the risk of developing a CAUTI. Medline's five-cloth cleansing protocol follows nursing best practices for a compliance-driven, standardized approach for daily care of the Foley catheterized patient. Disinfectants and detergents 3M C. diff Solution Tablets (3M). 3M C. diff Solution Tablets, intend- ed to be dissolved in water, serve as an alternative disinfecting method to bleach and peracetic acid disinfectants. e tablets are EPA-regis- tered to kill C. diff spores and effective against orovirus. AP-4 (Altapure). Altapure's AP-4 high-level disinfection system is a high performance device designed to meet the terminal cleaning de- mands of the critical care hospital environment. AP-4 achieves a true 6 Log elimination of pathogenic bioburden and includes Altapure's patented ultrasonically generated aerosol delivery. No post wipe-down is necessary and the room is available for immediate occupation aer applying the system. BioBlast Disinfectant (Aquaox; BioBlasting). BioBlast Disinfectant is a 275 ppm hypochlorous acid product. e nontoxic disinfectant is de- signed to eliminate bacteria, viruses, fungi and mold, and has EPA-reg- istered kill claims for a variety of single-celled microorganisms. Bleach Germicidal Wipes (Clorox Healthcare). Clorox Healthcare Bleach Germicidal Wipes kill 58 microorganisms, including C. difficile spores, in three minutes or less. e product also has claims for MERS- CoV, SARS-CoV and other common causes of healthcare-associated infections. Extended use in healthcare facilities can improve surface capability, and the wipes leave less residue than other disinfectant wipes. BruTabs (BHC). BruTabs are effervescent disinfectant sanitizer tablets, effective against C. difficile spores, hepatitis B, norovirus and Canine parvovirus. e tablets sanitize common areas and surfaces in medical, dental and long-term care environments. EM360 Electrostatic Spray System (E-Mist Innovations). E-Mist is dedicated to infection prevention and control. Founded on a legacy of electrostatic science and technology, the E-Mist Infection Control System and Process complements existing disinfection application methods. It is a mobile, touchless, cordless and environmentally friendly surface disinfectant. Fuzion Cleaner Disinfectant (Clorox Healthcare). Fuzion is a next-generation bleach combining disinfecting efficiency against tough-to-kill pathogens like C. difficile spores with aesthetics required for broad use throughout the facility. e low-residue formula kills C. diff spores in two minutes and 35 other pathogens — including bacte- ria, viruses and fungi — in one minute. Halo Total-Room Disinfection System (Halosil International). e Halo Disinfection System is a total-room disinfection system designed to kill 99.9 percent of C. difficile spores throughout the entire room. e product uses proprietary 5 percent hydrogen peroxide solution with 1 percent silver processed through the fogging system to create a dry mist that disinfects all surfaces and is effective against viruses, bacteria, mold and fungi. Micro-Kill One Germicidal Alcohol Wipes (Medline Industries). Micro-Kill One Germicidal Alcohol Wipes are durable, low-lint polypro- pylene cloths that include a quaternary ammonium and alcohol solution. e wipes are designed to kill 25 microorganisms within one minute, including gram-positive, gram-negative and multidrug-resistant bacteria. NOROxyCdiff (PreVasive). NOROxyCdiff is an EPA-registered C. difficile sporicide with a two-minute contact time to eliminate C. diff spores. e device can be applied on all surfaces without risking damage, bleaching or corrosion. People can be in the room without personal protection equipment when using the spray, and when ap- plied with the Xcel Disposable MicroFiber Cloths, it requires 25 to 30 percent less liquid to fully saturate a canister. Oxivir TB (Diversey). Oxivir TB cleans, disinfects and deodorizes hard, nonporous inanimate hospital or medical surfaces in one step without rinsing. e disinfectant works in 60 seconds and is designed to kill MRSA and norovirus. Peroxide Cleaner Disinfectants (Clorox Healthcare). Clorox Healthcare Hydrogen Peroxide Cleaner Disinfectant offers the fastest non-bleach disinfecting times available for 40-plus microorganisms. e non-corrosive disinfectant is formulated for superior patient and staff comfort with no harsh chemical fumes or odors. Sani-Cloth HB (PDI). e Sani-Cloth HB Germicidal Disposable Wipe is intended to clean and disinfect nonporous environmental sur- faces in healthcare facilities. e product, which is an EPA-registered low-level disinfectant, has proven effective against 100-plus microor- ganisms in 10 minutes. Sani-Cloth Bleach (PDI). Designed to disinfect areas rife with C. dif- ficile spores and norovirus, the Sani-Cloth Bleach Germicidal Dispos- able Wipe is effective against 50 microorganisms in four minutes. e product's formula is an EPA-registered intermediate-level disinfectant (1:10 sodium hypochlorite). Sani-Cloth Plus (PDI). e Sani-Cloth Plus Germicidal Disposable Wipe is intended for use in alternate care settings, such as a physi- cian's office. e wipes are effective against 16 microorganisms in three minutes and are offered in various sizes and formats dependent on facility need. Hand hygiene Alcare Plus Antiseptic Handrub (Steris). Alcare Plus Antiseptic Handrub is a foamed, alcohol-based surgical scrub and hand rinse for healthcare personnel. e rub has a broad spectrum of antimicrobial action to fight against pathogenic microorganisms. e formulation has emollients for high-frequency professional use. Fully Textured Single-Use Gloves (SW Safety Solutions). SW Safety Solutions' fully textured single-use gloves are designed to improve handling of smooth or slippery surfaces and small components. e gloves include ActivAloe, an exclusive form of aloe manufactured with a patented process to help retain the skin's natural health benefits. e gloves also include Hydrex, a moisture management technology.