What is the best alternative to using glutaraldehyde if an item cannot be exposed to heat?

The best alternative to using glutaraldehyde when an item cannot be exposed to heat is to use soaked gauze. Soaked gauze can effectively remove contaminants and provide a level of disinfection, especially when moistened with a suitable solution. This method is particularly useful in situations where heat sterilization is not feasible, as it enables the user to physically clean surfaces and items, creating a barrier against potential pathogens.

While alcohol wipes are commonly used for surface disinfection, their effectiveness can be limited depending on the type of organism and the presence of organic matter. Bleach solutions can be effective as well, but they require careful handling and preparation and may damage certain materials over time. Hydrogen peroxide serves as a disinfectant and is effective against many pathogens, but like the other alternatives, it may not be suitable for all items and surfaces without thorough evaluation.

Choosing soaked gauze allows for a practical balance of cleaning and disinfection, especially in settings where alternative sterilization methods are not possible.