SOP For OT Fogging

All India Institute of Medical Sciences, Rajkot
Department of Clinical Microbiology
SOP for Fogging of Minor Operating

Theatre
Proprietary statement: This document contains information. It is provided to institution staff

under AIIMS Rajkot only. Do not share verbally or otherwise without written consent of the
Prof & Head, Department of Clinical Microbiology, AIIMS, Rajkot.
DOC. NO. TITLE ISSUE

NO.
AIIMS/Rajkot/Micro/ SOP for Fogging of Minor Operating Theatre 1.0
SOP/1
Effective Date:01/09/2022
Name Designation Function Signature

Dr Mayuri Bhise Assistant Preparation
Professor
Dr Ashwini Prof & Head Review and Approval
Agrawal
1.1 Purpose: - This document describes the standard operating procedures to be

followed for fogging minor operation theatres for infection prevention and control.
1.2 Scope: -This document is applicable to all categories of staff working in an operation theatre
as per their assigned responsibility
1.3 Indications of Fogging

• If any infected case surgery performed in operation room
• Before functioning of a newly constructed or renovated or repaired operation room
• As a part of terminal cleaning once in a week.
1.4 Requirements
• Fogger Machine
• Water
• 0.5 to 1% Bacillocid Special (0.5% for clean area, 1% for dirty area)
Document Type: Standard operative procedure Issue No. Issue Date 01/09/2022
Document No.: AIIMS/Rajkot/Micro/ SOP/1 Page No: 1 of 3

Theatre
1.5 General instructions before fogging:
• Remove all the dust from area where fogging has to be carried out.
• Clean the room thoroughly and mop all the surfaces
• Before starting the fogging process room & all surfaces should be cleaned with
disinfectant
• Labels should be put on the door with time of starting & expected time of opening
• Seal the room including windows and ventilators air tight.
• Use adhesive tapes to close the gaps.
• Switch off the fans.
• Keep air conditioning switched off.
• Switch on exhaust for 15 minutes prior starting air conditioning.
• Air conditioning to be started after 1 hour of the procedure.
1.6 Precautions to be taken during process of fogging
• Do not use flammable/non approved liquids in the fogging machine.

• Do not use machine without timer device.
• Never probe into front nozzle from where the mist comes out.
• Use funnel to pour the liquid in the machine tank.
• After completion of procedure add some plain water in the empty tank and
fogger machine should be started for flushing.
1.7 Fogging procedure
• Measure the area of room to be fogged in cubic feet.

• Disinfectant Bacillocid special to be used as per the area size of O.T for allotted time
• For each 1000 cu.ft. (28.3 cu.mt.) space, use one litre of 0.5% to 1 % Bacillocid special
• Pour this solution to fogging machine
• Switch on the machine
• Keep it for 60 minutes
• No neutralisation with ammonia required
• Appropriate use of PPE like gloves, masks and goggles etc
• Check all the activities are being carried out which were mentioned in the instruction
for pre-fogging.
• Mark sure that no person will present in the area or room of fogging apart from the
person who is carrying the fogging operation.
• The person who is carrying out the operation should be aware of the fogger machine
mechanism and handing of the fogging disinfectant liquid

Theatre
• Once the fogger machine is ready to use for the fogging operation than ensure and make
the proper place for the machine. Keep the fogger machine on ground floor only; find
out suitable location for the machine as per availability of power plug.
• Make sure that while placing the fogger machine, there should not be any barrier in
front of the fogger machine nozzle. 2 to 3 feet empty space must be there. As per this
guideline make the suitable placement of fogger machine.
• Make sure that the fogger machine nozzle is kept at 45-degree angle to the ground floor.
If not so it is strictly advised to make the angle at 45 degrees to the ground floor.
1.8 Instructions for the post fogging of the OT

• After stopping the fogger machine, the fogged area must be isolated for one hour
• After one hour of isolation, one should start the AC system for 10 minutes.
• After that the OT is ready for use
1.9 References
• Essential Of Hospital Infection Control By Apurba S Sastry And Deepashree
• Hospital Infection Prevention And Control Guidelines On Ncdc.Gov.In

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All India Institute of Medical Sciences, Rajkot

Department of Clinical Microbiology

SOP for Fogging of Minor Operating

Proprietary statement: This document contains information. It is provided to institution staff

DOC. NO. TITLE ISSUE

Name Designation Function Signature

1.1 Purpose: - This document describes the standard operating procedures to be

1.3 Indications of Fogging

SOP for Fogging of Minor Operating

1.5 General instructions before fogging:

1.6 Precautions to be taken during process of fogging

• Do not use flammable/non approved liquids in the fogging machine.

1.7 Fogging procedure

• Measure the area of room to be fogged in cubic feet.

SOP for Fogging of Minor Operating

1.8 Instructions for the post fogging of the OT

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