Abstract: A recirculation system for electrochemically activated antimicrobial solutions returns antimicrobial solution which has been depleted of active antimicrobial species to a electrolytic cell for regeneration of the active species. Organic load, which frequently contaminates items to be sterilized or disinfected, such as medical instruments, rapidly depletes the active antimicrobial species in a conventional treatment system, reducing the effectiveness of microbial decontamination by electrochemically activated solutions. By recirculating the antimicrobial through the electrolytic cell, the concentration of active species is maintained at a level at which efficient sterilization is achieved.