Clinical evidence is essential to support chemistry, particularly in healthcare settings where product performance and safety are critical.
Independent scientific research helps demonstrate how our chemistry works in practice, supports regulatory and clinical decision‑making, and provides transparency for healthcare professionals using our products.
Strong chemistry is built on strong clinical evidence
Scientific validation is central to how our products are developed, tested and brought to market.
The publications available for download on this page include peer-reviewed studies published in recognised scientific and clinical journals.
Together, these articles contribute to the growing body of evidence supporting the efficacy, safety and value of our products and technologies.

Featured Studies
Can high risk HPV survive on medical devices after disinfection?
Can chlorine dioxide overcome biofilms and antimicrobial resistance in healthcare?
Which disinfection method performs best in real clinical settings?
How can a high-level disinfection protocol ensure effective disinfection of reusable ophthalmic equipment?
Wipe Disinfection Efficacy & Performance
Laboratory and controlled studies on chlorine dioxide effectiveness by wiping, looking at mechanics, and microbiology
Does wiping harder improve disinfection performance?
This study explores how differences in user-applied wiping force impact disinfection performance and reveals why consistent results do not depend on pressure alone.
How quickly can disinfectants eliminate resistant mycobacteria?
This study shows that chlorine dioxide wipes achieve rapid mycobactericidal activity within 30 seconds when used with mechanical action.
Can manual disinfection deliver consistent results every time?
This study shows that chlorine dioxide wipes can achieve fully reproducible high level disinfection, with no observed human error across all users tested.
Can chlorine dioxide overcome biofilms and antimicrobial resistance in healthcare?
This study shows that chlorine dioxide is highly effective against multidrug-resistant-organisms and biofilms, supporting its role in improving environmental decontamination and patient safety.
Medical Device Reprocessing
Clinical case studies on the high-level disinfection of reusable devices with chlorine dioxide
How effective are manual wipes for endoscope disinfection?
This study shows that chlorine dioxide wipes are non-inferior to automated disinfection in achieving high-level disinfection for reusable devices in ENT practice.
Is wiping as effective as traditional soaking for endoscope disinfection?
This study shows that chlorine dioxide wipes can achieve high-level disinfection of nasendoscopes rapidly, with effective reduction of bacteria and spores.
How effective are wipes for nasendoscope disinfection?
A prospective clinical study demonstrates that chlorine dioxide wipes provide reliable high level disinfection, with no detectable microbial contamination after use.
Does layngoscope disinfection prevent enveloped viruses transmission?
A real-world audit demonstrates that strict adherence to chlorine dioxide wipe decontamination and infection control guidance can effectively prevent nosocomial transmission.
Which disinfection method performs best in real clinical settings?
This study shows that chlorine dioxide wipes deliver equivalent microbiological efficacy while significantly reducing turnaround time and cost compared to traditional systems.
Can soaking be as effective as chemical automated disinfection?
This study shows that chlorine dioxide soak delivers equivalent clinical and microbiological results, while significantly reducing turnaround time and cost compared to chemical automated systems.
Are chlorine dioxide wipes effective for ENT disinfection?
This systematic review shows that wipe-based chlorine dioxide systems deliver fast, reliable high level disinfection, with strong clinical performance and cost advantages in ENT settings.
Can disinfection effectiveness be measured in real time?
This survey reveals wide variation in nasendoscope reprocessing methods, with both manual wiping and automated systems used equally across ENT departments.
Can chlorine dioxide wipes effectively remove SARS-CoV-2 from airway devices?
This study shows that chlorine dioxide wipes eliminated detectable SARS-CoV-2 from airway endoscopes, delivering fast and effective disinfection in clinical settings.
Human Papillomavirus (HPV) & Virus Decontamination
Viral persistence especially HPV and effectiveness of chlorine dioxide in eliminating it
Can high-level disinfection eliminate HPV contamination?
Follow-up findings show that combining barrier protection with chlorine dioxide high-level disinfection reduced HPV detection on ultrasound probes to zero.
Can high risk HPV survive on medical devices after disinfection?
This study shows that chlorine dioxide can effectively inactivate native HPV 16 and 18 on ultrasound probes and nasendoscopes, even under realistic clinical conditions.
Infection Control, Transmission & Clinical Outcomes
Outbreaks, transmission pathways, and large-scale infection prevention impact
How can a high-level disinfection protocol ensure effective disinfection of reusable ophthalmic equipment?
This study highlights how an adenovirus outbreak in a neonatal intensive care unit (NICU) was linked to contamination of reusable ophthalmic equipment, demonstrating the importance of appropriate disinfection practices.
Can proactive infection control prevent hospital outbreaks?
This study shows that targeted infection control measures can dramatically reduce outbreak rates, achieving significantly lower incidence compared to other hospitals over five years.
How do infections spread in high-risk hospital environments?
This study investigates a bloodstream infection outbreak in an obstetric ward, exploring how transmission can occur through environmental contamination, equipment, and clinical practices, and the role of monitoring and infection control measures in stopping its spread.
Technology, Safety & Operational Efficiency
Innovation, workflow improvements, safety and new disinfection technologies
Is cold sterilisation fast and effective for complex devices?
This study shows that the Stella 5L system can completely eliminate microbial contamination from confocal miniprobes in just five minutes.
Is there a better approach to high-level disinfection?
This review explores how chlorine dioxide performs against established systems, highlighting differences in cost, efficiency and usability across healthcare settings.
Is chlorine dioxide safe for healthcare workers to use?
This study shows that airborne exposure during wipe-based disinfection remains well below occupational safety limits, confirming safe use in clinical environments.
Real World Examples
Discover how and why these Australian healthcare facilities implemented Tristel to achieve compliance, enhance workflow and combat infection control issues.






