Table 9

Spaulding classifications and low-level or high-level disinfection472

Spaulding classificationRisk of contactDisinfectionAgents usedOrganisms inactivated
Non-criticalOnly with intact skinLow-level disinfection (LLD)Quaternary ammonium compounds, alcohol, phenolVegetative bacteria, enveloped viruses, some non-enveloped viruses, fungi
SemicriticalWith mucous membranes or non-intact skinHigh-level disinfection (HLD)Hydrogen peroxide, peracetic acid, glutaraldehyde, hibidil, hypochloriteAll microorganisms
CriticalWith sterile tissuesSterilizationGlutaraldehyde, hydrogen peroxide, peracetic acid, ethylene oxide gasAll viable microorganisms, bacterial spores