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Evidence & Insights

Evidence for Better Disinfection Decisions

Regulatory documents, organism-specific efficacy, research, and operational evidence in one place.

Start with EraDOCator-60 product facts and current source documents. Then see how CDC and FDA pathogen activity, produce-safety events, peer-reviewed research, and operational evidence relate to your facility or food system without expanding the EPA-accepted label claim. Procurement teams, infection prevention leaders, and operators can review the evidence pathway from regulatory documentation to implementation decisions.

Start with verified facts. Connect evidence to decisions.

Product identity and label-based efficacy come first. Research, outbreak context, operational experience, and implementation evidence provide additional context for Infection Prevention, Procurement, Operations, Administration, Safety, and other decision-makers.

Product Facts

EraDOCator-60 Product & Regulatory Review

Use this section for product identity, label-based contact times, and direct source-document access.

Product identity

  • Distributor productEraDOCator-60
  • EPA Reg. No.54289-4-102813
  • EPA primary registration54289-4
  • Active chemistryPeracetic acid + hydrogen peroxide chemistry
  • Primary label acceptedFebruary 5, 2026
  • Healthcare useHard, non-porous surface disinfection in hospitals and health care facilities
EraDOCator-60 is EPA Reg. No. 54289-4-102813 and is associated with primary EPA Reg. No. 54289-4. The primary registration is used for the current accepted label and EPA organism-list cross-checks.
Enhanced-protocol concentration update: EraDOCate is presenting the 4-minute C. difficile, C. auris, and Poliovirus Type 1 protocol at 2,000 ppm PAA. The currently posted February 5, 2026 EPA primary-label PDF remains available for product identity and existing label directions.
Healthcare implementation: EraDOCator-60 is an EPA-registered disinfectant with labeled use in hospitals and health care facilities. Use according to the current EPA-approved label, SDS, applicable workplace safety requirements, facility policies, and equipment manufacturer instructions. Individual facilities may maintain their own Infection Prevention, EVS, Safety, Biomed, formulary, and procurement review processes. EPA registration does not imply EPA endorsement.

Label-based contact times

1 minute. At the standard healthcare use solution of 0.85 fl. oz. per gallon, approximately 1,135 ppm PAA, the February 5, 2026 EPA-accepted primary label lists multiple bacteria, viruses, viral surrogates, and fungi. High-priority examples include Salmonella enterica ATCC 10708, Salmonella enterica serovar Typhimurium ATCC 13311, Listeria monocytogenes ATCC 19111, E. coli O157:H7 ATCC 35150, MRSA ATCC 33592, CA-MRSA USA300, Pseudomonas aeruginosa ATCC 15442, Influenza A H3N2, RSV, Human Coronavirus 229E, Rhinovirus Type 37, Rotavirus, and Feline calicivirus as a Norovirus surrogate.

3 minutes. The same standard dilution specifies a 3-minute contact time for Streptococcus pneumoniae ATCC 6304 and vancomycin-resistant Enterococcus faecalis, VRE, ATCC 51575.

4 minutes. The enhanced protocol for the three organisms below is presented at 2,000 ppm PAA. Keep the surface visibly wet for the full 4-minute contact time.

Clostridioides difficileATCC 43598
4-minute contact time
EPA List K
Candida aurisCDC AR-0385
4-minute contact time
EPA List P
Poliovirus Type 1ATCC 1562
4-minute contact time
Current EPA primary label
EPA List H independently cross-checks primary EPA Reg. No. 54289-4 at 1 minute for MRSA and 3 minutes for VRE. EPA List S independently cross-checks 1-minute contact times for HIV, Hepatitis B, and Hepatitis C. Use the current accepted label for the specific organism, concentration, surface, application method, and contact time.

Quick source check

Use EraDOCator-60 product documentation together with primary EPA Reg. No. 54289-4, the current accepted label, and the applicable EPA organism lists.

Product identityEraDOCator-60 · EPA Reg. No. 54289-4-102813
Primary labelEPA Reg. No. 54289-4 · current accepted directions for use
C. difficile4-minute enhanced protocol · EPA List K cross-check
C. auris4-minute enhanced protocol · EPA List P cross-check

Current Pathogen & Outbreak Watch

Current public-health events can help facilities identify where label-listed organisms are operationally relevant. This section keeps the outbreak organism separate from the exact EPA label organism or surrogate.

Outbreak context checked August 23, 2026
Related label organism, not exact outbreak-strain claim

Salmonella outbreaks and produce recalls

Current public-health signal: FDA and CDC report 431 Salmonella Javiana illnesses across 32 states, 57 hospitalizations, and no deaths in the jalapeño-associated outbreak. FDA is also investigating a sprout-associated outbreak involving Salmonella Agona together with multiple STEC strains; 55 total illnesses and 4 hospitalizations were reported as of August 21.

EraDOCate label relationship: The accepted label lists Salmonella enterica ATCC 10708 and Salmonella enterica serovar Typhimurium ATCC 13311 at a 1-minute contact time on hard, non-porous surfaces at the standard healthcare dilution.

Safe interpretation: These are Salmonella-relevant hard-surface label claims. Do not describe Salmonella Javiana, Salmonella Agona, or another outbreak strain as directly tested unless it appears on the accepted label.

Species match, strain distinction still matters

Listeria monocytogenes

Current public-health signal: FDA lists an active Listeria monocytogenes investigation with 9 reported cases and the implicated product not yet identified.

EraDOCate label relationship: Listeria monocytogenes ATCC 19111 is listed at a 1-minute contact time for hard, non-porous surface disinfection at the standard healthcare dilution.

Safe interpretation: The organism is an exact species match. The current outbreak should not be represented as an exact ATCC 19111 strain match unless public-health data establish that identity.

Related species, different serotypes

Current produce-associated E. coli investigations

Current public-health signal: The August sprout outbreak includes STEC O26:H11, O103:H25, and O168:H8. A separate ongoing outbreak linked to frozen organic blueberries involves E. coli O145:H28, with 12 illnesses and 4 hospitalizations.

EraDOCate label relationship: The accepted label lists E. coli O157:H7 ATCC 35150 at a 1-minute contact time on hard, non-porous surfaces.

Safe interpretation: Do not convert the O157:H7 hard-surface claim into a claim against O26:H11, O103:H25, O168:H8, O145:H28, or another unlisted serotype.

Direct label organism + EPA List P

Candida auris remains a healthcare priority

Current public-health signal: CDC reports 6,304 clinical C. auris cases in 2024 and notes that cases continue to rise nationally, with ongoing transmission in some geographic areas.

EraDOCate label relationship: Candida auris CDC AR-0385 is listed under the enhanced 4-minute protocol. EraDOCate is presenting the enhanced protocol at 2,000 ppm PAA Primary EPA Reg. No. 54289-4 also appears on EPA List P.

Safe interpretation: Market the accepted C. auris claim and 4-minute protocol. Do not imply that every circulating clinical isolate has been individually tested.

Important claim boundary: Outbreak reporting does not expand the EPA label. The iceberg-lettuce Cyclospora outbreak is a major current food-safety event, but Cyclospora is not presented here as a direct EraDOCate efficacy claim. Produce-treatment directions, food-contact sanitizing directions, and hard-surface public-health disinfection claims must remain separate.

Produce Safety: What 2026 Outbreaks, FDA Guidance & PAA Research Are Showing

Use current outbreaks to identify vulnerability in the food system. Use FDA guidance to frame preventive controls. Use peer-reviewed PAA research to understand the broader science. Use the current EPA label to determine exactly what EraDOCator-60 claims and directions apply.

Four evidence layers. Keep them separate.

FDA outbreak investigations describe current public-health events. FDA guidance describes recommended food-safety practices and regulatory thinking. Peer-reviewed studies describe PAA under defined research conditions. EraDOCator-60 claims come from the current EPA-accepted label.

Outbreak context

Current Produce Outbreak Signal

FDA reports 431 Salmonella Javiana illnesses linked to jalapeños, 55 illnesses in the STEC and Salmonella sprout outbreak, 10,930 Cyclospora illnesses in the iceberg-lettuce outbreak as of August 20, and 12 E. coli O145:H28 illnesses linked to frozen organic blueberries. These counts describe public-health events, not EraDOCator-60 efficacy.

FDA guidance

Fresh-Cut Produce Gets New 2026 Guidance

FDA finalized guidance on August 11, 2026 for ready-to-eat fresh-cut produce processors. It addresses CGMPs, hazard analysis, preventive controls, and control measures for washing cut produce. Fresh-cut produce often has no later kill step, which increases the importance of process control and prevention of contamination.

Open FDA Guidance
Label-supported workflow

What the EraDOCator-60 Label Adds

The current primary label includes separate commercial fruit-and-vegetable process-water, raw post-harvest produce, processed-produce, food-contact sanitizing, and hard-surface disinfection directions. Produce-treatment claims remain separate from public-health outbreak-pathogen claims.

New 2026 Produce & PAA Evidence

Food Microbiology · 2026

80 ppm PAA on Collard Greens & Kale

A UC Davis study evaluated 80 ppm PAA on collard greens and kale. PAA produced the largest reductions among the acid-based washes tested, including about 1.0 to 1.2 log reductions in native bacteria, 1.2 to 1.4 log reductions in fungi, and about 1.5 to 2.3 log reductions in Enterococcus faecium, used as a pathogen surrogate. The study used a 5-minute soak and 15-second rinse, so its results do not establish an EraDOCator-60 efficacy claim.

Open PubMed
Journal of Food Protection · 2026

Biofilm Performance Depends on the Surface

A USDA-linked study tested PAA against E. coli O157:H7 and Listeria monocytogenes biofilms on stainless steel, PTFE, and EPDM under dynamic-flow conditions. Performance varied by surface, shear conditions, and exposure time. EPDM was consistently harder to clean. The study supports attention to equipment design, gaskets, high-shear zones, pre-cleaning, and verification.

Open PubMed
Journal of Hazardous Materials · 2026

Sublethal PAA Stress Deserves Attention

A 2026 experimental study found PAA exposure induced persistent small-colony variants in Listeria monocytogenes with metabolic dormancy and increased biofilm formation under the study conditions. This finding reinforces correct concentration, full labeled contact time, cleaning before sanitizing or disinfecting, and process verification. It does not negate EPA-accepted label claims.

Open PubMed
FDA recall · August 22, 2026

Sprout Recall Reinforces Cross-Contamination Control

Everything Sprouts recalled specific lots of Everything Sprouts and Calco alfalfa sprouts because of potential STEC and Salmonella contamination. FDA directs consumers, retailers, and distributors to clean and sanitize surfaces and containers touched by recalled sprouts. The outbreak involves STEC O26:H11, O103:H25, O168:H8 and Salmonella Agona.

Open FDA Recall
Systems evidence

Sanitation Is One Control Point

Current evidence supports a systems approach. Water, produce, equipment, food-contact surfaces, concentration, contact time, temperature, holding time, cleaning, training, and cross-contamination controls all affect performance.

Explore Produce & Post-Harvest
Claim control

Research Does Not Expand the Label

Neither current outbreak reports nor broader PAA studies create EraDOCator-60 claims against STEC O26:H11, O103:H25, O168:H8, Salmonella Agona, Salmonella Javiana, Cyclospora, or biofilms. Use the current EPA label for organism-specific public-health claims and directions for use.

Verify Regulatory Documents
Evidence rule: FDA outbreak counts describe public-health events. FDA guidance describes recommended food-safety practices and regulatory thinking. Peer-reviewed PAA studies describe research conditions. The current EPA label controls EraDOCator-60 claims, concentrations, contact times, surfaces, produce uses, rinse or drain-dry directions, and other directions for use.

Healthcare Infection Prevention: The Operational Challenge

An October 2025 review from Infection Control Consulting Services, ICCS, identified five recurring pressures for healthcare facilities: emerging pathogens and antimicrobial resistance, infection-prevention staffing shortages, surveillance and reporting burden, budget pressure, and inconsistent compliance driven by human factors.

Changing disinfectants is an infection-prevention decision.

Environmental cleaning operates inside a broader infection-prevention program. ICCS describes how outdated or inadequate cleaning practices, staffing gaps, reporting pressure, delayed investment, and uneven daily execution can increase facility risk. This article provides healthcare context. It does not evaluate EraDOCate, create an EraDOCator-60 efficacy claim, or represent an ICCS endorsement.

Emerging Pathogens & AMR

ICCS highlights the need to keep infection-prevention protocols current as pathogen threats and antimicrobial resistance change. For a disinfectant review, start with the current EPA label and organism-specific directions.

Staffing & Oversight

Staffing shortages can reduce infection-prevention oversight and consistency. A practical environmental-cleaning program needs clear ownership, training, frontline feedback, and repeatable workflows.

Surveillance & Reporting

ICCS describes growing reporting and data burden. Facilities need measurable processes that help leaders evaluate implementation, identify gaps, and prepare for surveys and audits.

Budget & Value

ICCS notes that infection-prevention investments may stall when leaders cannot see the financial case. Product evaluation should include workflow, training, dispensing, standardization, implementation burden, and measurable outcomes.

Compliance & Human Factors

Written policies alone do not guarantee consistent execution. Environmental cleaning depends on how well the workflow fits the people performing it.

People Training, workload, communication, accountability, and frontline feedback influence daily execution.
Process Contact time, dilution, application method, surface requirements, and workflow design affect consistency.
Performance Verification, review, and reinforcement help identify gaps and improve implementation.

EraDOCate Decision Lens

Evaluate label-based efficacy first. Then compare workflow, training, dispensing, measurement, frontline experience, surface requirements, and implementation ownership. The current EPA-approved label remains the authority for EraDOCator-60 claims and directions for use.

Evidence boundary: ICCS is an independent infection-control consulting organization. Its 2025 article is included as healthcare operational context and does not test, review, certify, or endorse EraDOCate or EraDOCator-60.
Evidence Review Framework

From Scientific Evidence to Operational Decisions

Healthcare and institutional buyers evaluate disinfectant programs through multiple evidence layers. EraDOCate separates EPA label claims, peer-reviewed research, outbreak information, and real-world implementation experience.

Regulatory Evidence

EPA registration, label-listed organisms, contact times, and source documentation define approved product claims.

Scientific Evidence

Peer-reviewed research provides additional understanding of chemistry, pathogen behavior, application methods, and environmental considerations.

Implementation Evidence

Operational testing, verification processes, training, and facility experience support adoption decisions.

What Decision-Makers Need to Understand

Different teams look at the same product from different angles. The strongest review connects efficacy, workflow, training, purchasing, implementation, and frontline experience.

One decision. Multiple operational questions.

EraDOCate gives clinical, purchasing, operational, and administrative teams a common set of product facts and implementation questions to work from.

25% C. diff case reduction

Frontline feedback matters.

Cleaning & Maintenance Management reported that better communication and real-time clinical feedback to EVS workers were linked to a 25% drop in C. difficile cases on two oncology units. The operational lesson is straightforward: include frontline teams, identify barriers, and review the process using real observations.

EfficacyDoes the product have the organism-specific claims and contact times the facility needs?
WorkflowCan frontline teams realistically follow the dilution, application, and wet-contact-time process?
TrainingIs the program easy to teach across departments, shifts, and languages?
PurchasingCan the formulary, dispensing approach, and product standardization make operational sense?
ImplementationWho owns rollout, coaching, PPM checks, and process review after conversion?
Frontline experienceWhat are EVS, housekeeping, custodial, food-service, veterinary, and care teams seeing in daily use?
Surface & use requirementsWhat compatibility, rinse, food-contact, animal-care, or other use-specific directions apply?
MeasurementWhat metrics will show whether training, dilution, workflow, and adoption are improving?
The evidence is most useful when it helps the facility make a clearer product and implementation decision.

How Buyers Can Use the Evidence

Use the evidence to compare EraDOCator-60 with the facility's current program across efficacy, workflow, purchasing, implementation, surface requirements, and other priorities that matter to the organization.

Infection Prevention

Review organism-specific efficacy, concentration, contact time, surface requirements, and how the protocol fits patient-care or resident-care workflows.

Procurement

Review product standardization, dispensing, documentation, ordering, training needs, surface compatibility, and total program complexity.

Administration & Operations

Review implementation ownership, staff adoption, turnover workflow, training, process metrics, and whether the program can scale.

DfE Status Pending EPA Review Status information for teams tracking environmental product certifications.

EPA Design for the Environment Status

EraDOCate is pursuing EPA Design for the Environment, DfE, certification for eligible products. Certification is pending EPA review and has not yet been granted.

This status can be included in environmental or procurement review where it is relevant.

EraDOCate will not use the EPA DfE logo unless EPA authorization is received. Always read and follow current product label directions.

Evidence Beyond Efficacy

Some reviews also consider worker exposure, application method, residue, laundry, wastewater, food systems, produce handling, and broader stewardship.

Use the evidence that is relevant to your setting.

Healthcare, senior living, schools, hospitality, food service, produce operations, veterinary, and other facilities may weigh these issues differently. The research below provides context for those conversations.

Air & application

Review how spraying, wiping, ventilation, frequency, and other application factors shape routine use.

Surfaces & residue

Review product-specific residue information and how repeated use relates to surfaces and contact pathways.

Drains & wastewater

Review environmental-fate and wastewater research when downstream stewardship is part of the purchasing decision.

Textiles & laundry

Review laundry and textile evidence when reusable fabrics are part of the operating workflow.

Land & plant pathways

Review environmental research when land, biosolids, agriculture, or community stewardship is relevant.

One Health & AMR

Review animal, aquatic, and antimicrobial-resistance research where those issues matter to the organization.

These topics add context to the purchasing decision. Product efficacy and current label directions remain the starting point.

Evidence Library

Start with regulatory and infection-prevention sources, then explore occupational, environmental, operational, and policy references as needed.

EraDOCator-60 Regulatory Documents

Product identity, current label resources, supplemental-distribution documentation, and EPA organism-list cross-checks.

Current EPA Label — Primary Reg. 54289-4

Official EPA-hosted primary label for EPA Reg. No. 54289-4. This is the primary regulatory source for the 4-minute C. difficile, C. auris, and Poliovirus Type 1 directions used in the verification section above.

EPA Supplemental Distribution

EPA explains why a three-part registration such as 54289-4-102813 traces back to primary registration 54289-4 and how supplemental distributor products relate to the primary product.

EraDOCate Evidence & Insights

EraDOCate regulatory, scientific, outbreak, operational, and educational resources in the current evidence hub.

EraDOCate Videos

Video content for product education, implementation conversations, and training support.

Comprehensive Guide

Operational guidance and multilingual training support for EraDOCate workflows.

CDC C. auris Guidance

Environmental cleaning and C. auris readiness.

EPA List P

Registered products with claims against Candida auris.

EPA List K

Registered products with claims against C. diff spores.

EPA List H: MRSA & VRE

EPA cross-check for primary Reg. No. 54289-4 showing a 1-minute MRSA contact time and 3-minute VRE contact time.

EPA List S: Bloodborne Pathogens

EPA cross-check for primary Reg. No. 54289-4 showing 1-minute contact times for HIV, Hepatitis B, and Hepatitis C.

FDA Active Foodborne Outbreak Investigations

Current FDA investigations, traceback activity, inspections, sampling, advisories, and recalls involving Salmonella, Listeria, E. coli, Cyclospora, and other pathogens.

Fresh Produce & Post-Harvest

EraDOCate's dedicated resource for current produce-safety context, label-supported produce/process-water workflows, community value, and measurable implementation design.

Fresh Produce Antimicrobial Wash Study

2025 peer-reviewed study evaluating 80 mg/L PAA and other antimicrobial washes on cucumbers, broccoli, and lettuce, including cross-contamination experiments.

PAA and Pecan Conditioning Water

2025 Food Control study evaluating 30 and 90 ppm PAA for Salmonella reduction and cross-contamination control during in-shell pecan conditioning.

PAA in Cut Salads

2025 study showing that 80 ppm PAA had only a temporary, relatively weak effect under the tested conditions and did not improve shelf life.

EPA Residue Methods

QAC and phenolic residue testing methods.

EPA Design for the Environment, DfE

EPA explains DfE certification for antimicrobial pesticide products and the review process for registrants.

UC Davis: QAC Inhalation Toxicity

UC Davis summary of mouse-model research comparing inhaled and oral QAC exposure.

EST: Aspirated QACs and Lung Injury

Peer-reviewed mouse-model study evaluating aspirated QAC exposure and lung injury.

QACs: Chemical Class of Emerging Concern

Environmental Science & Technology review covering environmental occurrence, ecological effects, human exposure, health effects, and antimicrobial resistance.

Surface Residues and Human Exposure

Study using indoor dust, bulk air, hand wipes, silicone wristbands, and urine to evaluate QAC exposure pathways in homes.

Indoor Dust and Human Urine

2026 Environmental Pollution study connecting paired indoor dust and urine samples to QAC suspect screening and exposure associations.

Wastewater, Effluent, and Biosolids

Environmental Science & Technology study analyzing 21 QACs in influent, effluent, and biosolids from 12 wastewater treatment plants from 2020 to 2023.

QACs in Textiles and Laundry Wastewater

2026 study on QAC occurrence in textiles and laundry wastewater, including migration concerns from QAC-treated reusable textiles.

QACs in Surface Water and Stormwater

New York study surveying 27 QACs in surface water, drinking water, stormwater runoff, swimming pool water, rainwater, tap water, bottled water, and lake water.

QAC Uptake in Wheat Seedlings

2026 Environmental Science & Technology study on uptake and metabolism of DTAC, DBAC, and DDAC in hydroponically grown wheat seedlings.

BAC, Fish, and Resistance Genes

Journal of Hazardous Materials study reporting that environmental concentrations of benzalkonium chloride strongly induced resistance gene profiles in fish.

NPIC QAC Fact Sheet

Balanced toxicology and proper-use context for quaternary ammonium compounds, including exposure routes and label-based use.

Nurses’ Health Study II: Disinfectants and CVD

Large prospective observational study reporting an association between frequent occupational disinfectant exposure and incident cardiovascular disease.

Disinfectants and Asthma Risk

Occupational study evaluating associations between disinfectant and cleaning-product exposure patterns and asthma.

QACs in Assisted Living

Study evaluating QAC use patterns and measured surface and dust contamination in assisted-living environments.

ICCS: Top Infection Prevention Challenges in 2025

Industry infection-prevention perspective on emerging pathogens and AMR, staffing shortages, surveillance and reporting burden, budget pressure, environmental cleaning, and human factors. Included for healthcare operational context, not as product efficacy evidence.

Hospital Room Cleaning Review

Cleaning hospital surfaces to prevent HAIs.

CMM: EVS Input and HAI Prevention

Industry reporting on EVS engagement, real-time feedback, and an oncology-unit example involving C. difficile outcomes.

Carling ICU Hygiene Study

Environmental hygiene intervention in ICUs.

New York S9073A

PFAS-related product disclosure and procurement trend.

Find the Evidence You Need

Different teams can use the same library for different questions.

Infection Prevention

Start with the current label, EPA organism lists, C. auris and C. difficile guidance, environmental-cleaning resources, and healthcare operational evidence such as the ICCS infection-prevention review.

EVS & Operations

Use implementation guidance, training resources, room-turn examples, PPM checks, and frontline-feedback evidence.

Procurement

Review product identity, dispensing, surface requirements, standardization opportunity, residue information, and supplier documentation.

Worker & Facility Health

Use occupational, inhalation, respiratory, cardiovascular, and exposure-pathway research for deeper health and safety review.

Stewardship & One Health

Use wastewater, textile, plant, animal, aquatic, and antimicrobial-resistance research where those topics are relevant.

Leadership

Connect efficacy, workflow, staffing, implementation, purchasing, and facility priorities into one decision.

Food Safety & Produce

Start with the current produce/process-water label directions, then use FDA outbreak investigations and peer-reviewed PAA studies for broader food-safety context, implementation planning, and community-impact questions.

Want to Review the Evidence With Us?

Bring your current products, contact times, workflow, training, dispensing approach, and priority concerns. EraDOCate can help organize the comparison around the evidence that matters to your facility.

www.eradocateusa.com | 1 (866) ERADOCATE
EraDOCator-60 is an EPA-registered disinfectant, EPA Reg. No. 54289-4-102813, with labeled use in hospitals and health care facilities. Use according to the current EPA-approved label, SDS, applicable workplace safety requirements, facility policies, and equipment manufacturer instructions. EPA registration does not imply EPA endorsement.

A Review Can Focus On

  • Product identity and label-based efficacy
  • Organism-specific contact times
  • Current workflow and training
  • Dilution and dispensing
  • Surface and use requirements
  • Worker and facility evidence
  • Stewardship priorities
  • Demonstration, procurement, and implementation planning