Why is it not wise to miss Home fumigation after renal transplant? | Best Fumigation service

Infection is a vital cause of morbidity and mortality after renal transplantation. Most kidney transplant recipients might experience an infection within the first 3 months after transplantation.

Most patients develop urinary tract infections (UTIs) in the first six months after renal transplantation. Of those who develop the first episode of UTI, the recurrence rates as observed were 57%, 27%, and 14% for having one, two, or three recurrences, respectively.

Thus it is very important to count on every detail that is at least in our hands.

Now few bacterial and fungal may be insignificant to others, but for renal transplant patients that can turn to affect the graft kidney, given to their low immunity power. Similarly, UTI can be very dangerous for a renal transplant patient, affecting the life expectancy of the graft kidney. Here lies the importance of home fumigation.

Nephrocare India provides an updated home fumigation facility with advanced techniques and machines to serve the patients with the best. For a renal transplant patient, a little essential hygiene goes a long way.

What is fumigation?

Fumigation is a process of gaseous sterilization which is used for the killing of micro-organisms and prevention of microbial growth in air, the surface of a wall, or floor.

It is generally used in pharmaceuticals, operation theatres, hospitals, hotels, offices, and houses wherever required. It may also be used to eradicate pests from foods, soil, or from items being shipped.

There are different types of equipment or instruments for the pest control treatment. This is called Fumigation Machine. People who work in disaster response, clean-up industries, pest control, and laboratories as well as hospitals, must know how to use fumigation machines.

This machine is specially designed to sanitize large as well as small areas and make them fit for human habitation. There are various kinds of fumigation machines (also called fogger machine) available in the market.

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Why Fumigation is required post Renal Transplant?

Fumigation is very essential to prevent contaminations from harmful bacteria, fungus, viruses and other pathogens present inside the room.

fungi in the cracked walls

 This could include bacteria in furniture dust, fungi in the cracked walls, spores and viral contents on the floors, and pests like bed bugs in bed linens and mattresses. Fumigation helps to prevent and avoid possible post-surgery infections due to harmful pathogens.

Please note, that the chances of bacterial & fungal infection are very high in the first 3months of renal transplant. And any contamination post-surgery may be cost-effective, and moreover may affect the graft Kidney to a considerable extent.

When is it safe to use a room after fumigation?

Renal transplant patients and others can use the room 24-48 hours after the fumigation has been done.

How frequent should be the fumigation for Transplant patients?

It is better to get the room or area fumigated every month for the first 6 months of the transplant to avoid any infection for Kidney transplant patients.

Contact here to avail all advance home fumigation service

How is Room fumigation done? or what is the Process of Fumigation service?

1. Required area has to be cleaned (windows, doors floor, walls, table and all washable equipment) thoroughly with soap and water.

2. The windows and ventilators have to be tightly closed to avoid the leak of fume.

3. Any openings found, need to be sealed with cellophane tape or other material to avoid the leak of fume.

4. All lights, A/C, and other electrical & electronic items have to be switched off.

5. The required amount of fumigation chemicals is calculated depending upon the room size in cubic feet (LxBxH)

6. Most of the fumigation chemicals are irritants to the eye & nose.

So the personnel undertaking the fumigation must be provided with personal protective equipment (PPE).

7. Paste a warning notice on the front door indicating fumigation is in progress

8. Switch on the boiler, leave the room and seal the door.

9. After 45 minutes switch off the boiler without entering into the room. Switch off the main electrical supply from outside.

10. After the initiation of the Fumigation process, immediately leave the room and seal it for at least 12 to 24 hours.

11. Before neutralization, the fumigation system should be taken out from the room.

Types of fumigants

  1. Gas fumigants:

This is a Fumigant of gaseous states for pest control. Since this is a toxic fumigant, precautions must be taken not to disperse this to the external environment. Gas fumigation must only be attempted after an area is cleared of humans and animals. Some of the gas fumigants are….

A. Methyl bromide – used for rodents, termites, insects, nematodes, and weeds.

B. Sulfuryl fluoride – used for pests in cereal grains, tree nuts, and dry fruits.

  • Solid fumigants :

 These fumigants are used for mainly insect control, in the form of tablets, powders or pellets.

Though solid fumigants are easier to use and safer than gaseous fumigants, these fumigants have numerous health concerns, according to the USDA.

A. Aluminum phosphide – Used for all stages of pest control in flour, tea, cotton, and grain.

B. Calcium cyanide – Reacts with water vapour to form hydrogen cyanide, which effectively eliminates a wide range of pests.

  • Liquid fumigant

 Liquid fumigants are sprayers, which disperse large quantities of liquid over the desired area.

Liquid fumigants are used for mold, pests, insects, and pathogens, but are highly toxic to humans, flammable, and volatile.

 Liquid fumigation acts faster than solid fumigation and is safest when performed outdoors or within an enclosed fumigation chamber. 

Some of the liquid fumigants are……

Carbon disulfide, ethyl acetate, chloroform, carbon tetrachloride, Sulfuryl fluoride, ethylene dichloride and methyl bromide.

CHEMICAL COMPOUNDS USED FOR CLEANLINESS

Iodophors – Iodophor group of disinfectants has an iodine base. Though they kill a large range of microorganisms, their cost is high. Since these compounds have low pH, their detergent action is limited.  When used on the floor, discoloration of the floor may happen.

Phenolics – These groups of disinfectant chemicals have a carbolic acid-base, derived from coal tar.  Usually, they are Black or White fluids. They are more potent than iodophors, but they are irritant to skin and mucosa and corrosive to metal surfaces. White fluids are emulsified suspension and precipitate on the surface and makes subsequent cleaning difficult.

Chlorine – Chlorine-releasing chemicals are cheap and effective at low concentrations. They act by releasing nascent chlorine. However, freshly prepared chlorine solution remains active for 6 to 8 hours after its constitution. Though it has the advantage of being effective against a wide variety of microorganisms such as viruses, fungi, bacteria, and spores, Chlorine solution gets inactivated by organic matters (e.g. pus, dirt, blood, etc.) and it damages plastics, rubber, some metals, and fabrics. They are not compatible with some detergents and acidic fluids including urine and liberate-free chlorine which is harmful in a confined space.

Alcohol– Ethyl and Isopropyl Alcohol in higher concentrations (60 – 70%) are fast-acting effective disinfectants. Alcohol also has the advantage of leaving skin dry. However, they do not have penetrative power. They are active against Mycobacterium but not against spores and a few viruses such as poliovirus. T it can be used for disinfecting trolley tops, thermometers, steel table tops, etc.

Quats – Quaternary Ammonium Compounds have antimicrobial properties. Certain quaternary ammonium compounds, especially those containing long alkyl chains, are used as antimicrobials and disinfectants, such as Benzalkonium Chloride, Benzethonium Chloride, Cetylpyridinium Chloride, Cetrimide, etc.

They are found to be effective against Fungi, Amoeba, Bacteria, and certain types of Viruses.

We at Nephrocare, use a highly evolved fumigant named ALSTASAN LF 125, which is a broad spectrum terminal disinfectant, based on third and fourth-generation quarternary ammonium compound mixture. ALSTASAN LF 125 includes hydrogen peroxide and silver ions.

This fogging-based air disinfectant kills almost all the pathogens and spores present in the room.

While most gas fumigation includes formaldehyde solution which is harmful to humans, ALSTASAN LF 125 is a highly evolved air fumigant, used by fogging the room, and is very safe & effective for humans and surroundings.

Nephrocare India provides an updated home fumigation facility with advanced techniques and machines to serve the patients with the best. For a renal transplant patient, a little essential hygiene goes a long way.

Published by Dr.Pratim Sengupta

Dr. Pratim Sengupta thinks of himself as conscious, living, soulful being with an inner urge to break the inertia of life. He feels that life is nothing but a material expression of the Supreme Almighty Consciousness. His conscious existence empowered him to see, to hear, to talk, to interact, to feel, to dream, to ask questions, and to seek solutions to every problem. In the flow of life, as he grew up, he understood that knowledge of life is the only way to understand the scientific basis of conscious existence. Hence Dr. Sengupta felt the urge to study the science of life – i.e. Medicine. After he completed his higher secondary education from the Ramakrishna Mission Vidyamandira in Belurmath, he joined the MBBS (Bachelor of Medicine, Bachelor of Surgery) course at RG Kar Medical College, Kolkata. The professional packaging of knowledge in terms of a time-bound, goal-oriented syllabus frustrated him a bit, but nevertheless ignited the urge within him to study further. He thus went on to his post-graduation (MD) in Medicine from IPGMER and SSKM Hospital, Kolkata. During his MD training, he got a glimpse of the vastness of knowledge, and the quest to learn precisely the facts of life narrowed down his area of interest to the functioning of the kidneys and the specialisation of Nephrology – a discipline that is complex, yet relatively new and still evolving in terms of complete understanding of renal physiology and pathology. So, Dr. Sengupta decided to study and train for the DM (Doctorate of Medicine) degree in Nephrology. Right from the start of his career, Dr. Sengupta was passionate about Research. During the MD programme he worked on Cirrhotic Cardiomyopathy, Autonomic Neuropathy of Lupus, and Insulin resistance in Diabetics. All these research studies were published in national journals. During his postdoctoral study in Nephrology, he worked on Hemodialysis efficiency, and suggested an angular placement of the Dialyser in order to increase efficiency. This innovative concept was accepted for presentation at the World Congress of Nephrology, Milan, in 2009, and also published in Hemodialysis International. Dr. Sengupta also worked on Plasmapheresis – a blood filtering technique by which toxic and pathogenic immunoglobulins can be removed from the body. He studied the role of Prethymectomy Plasmapheresis in Myasthenia Gravis patients, and his findings were published in the journal Interactive Cardiovascular and Thoracic Surgery. The patient-empowered nutritional model for nutritional care of kidney patients is another interesting and innovative area in which Dr. Sengupta has worked for quite a long time. Dr.Pratim Sengupta won the Bharat Jyoti award for his excellency in the field of medicine. He is also the president of our non-governmental organization, The Kidney Care Society. His tireless contribution to provide quality living for his patients is worth mentioning. He introduced Mukti, blending ancient Indian yoga with modern medicine for well being of every patient. He has also introduced an unique online course "Art of Living with diabetes" which is a complete solution to diabetes management. He has authored many books, blogs, for the patients. Searching and researching for solutions to problems in the field of Nephrology remains the passion and dream of Dr. Pratim Sengupta, and he intends to persist on this journey as long as he is conscious. Meanwhile, even as he pursues his dreams, Dr. Sengupta diligently puts into practice all he has learned about Nephrology over the years, at the Belle Vue Clinic in Kolkata and ILS hospital,Dumdum where he is available for his patient

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