Inhalation Equipment Hygiene: A Belgian National Survey

Abstract Background: Nebulizers are a potential source of contamination of the respiratory tract. Nevertheless, only a few clear guidelines regarding cleaning and disinfection of nebulizers are available. This survey aims to analyze the common household methods used by cystic fibrosis (CF) patients in Belgium. Methods: A questionnaire about type of nebulizer, methods, and frequency of cleaning, disinfection, and drying was established by physiotherapists at the Belgian CF centers. Results and Conclusions: The Belgian CF Association sent this questionnaire to all Belgian CF patients. Of the 903 questionnaires distributed, 379 (42%) were returned. Fifty-two, 40 and 8% of patients used a vibrating-mesh nebulizer, jet nebulizer, or ultrasonic device, respectively. Ninety-eight percent of patients cleaned their material and soap was used by 35% of patients. Disinfection was performed by 91% of the patients and was daily performed by 57% of patients. Thermal disinfection (boiling water or sterilizer), a hypochl...