Sterilization 2

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Sterilization 2

  1. 1. STERILIZATIONAND DISINFECTIONBy: Dr. NEHAL NOUH
  2. 2. Moist Heat: Moist heat may be used in three forms to achieve microbial inactivation: 1. Dry saturated steam (At temperature above 100oC), as autoclave. 2. Boiling water/ steam at atmospheric pressure ( At temperature 100oC). 3. Hot water below boiling point (At temperature below 100oC).
  3. 3. 1. Autoclave (At temperature above100oC): Moist heat sterilization involves the use of steam in the range of 121-1340C for 15 minutes. Steam under pressure of 15psi (pounds per square inch) is used to generate high temperature needed for sterilization to destroy microorganisms Uses of moist heat: Decontamination of laboratory waste and the sterilization of laboratory glassware, media, and reagents.
  4. 4.  Advantages : It has more penetrative power than dry air, it moistens the spores (moisture is essential for coagulation of proteins). Disadvantages: It is not acceptable for rubber, plastics, and equipment that would be damaged by high temperatures.
  5. 5. 2- Boiling water ( At temperature 100oC):Boiling water (100oC) kills most vegetative bacteria and viruses immediately. Certain bacterial toxins such as Staphylococcal enterotoxin are heat resistant. Some bacterial spores are resistant to boiling and can survive. Glasswares can be disinfected by placing them in boiling water for 10-20 minutes. The lid of the boiler must not be opened during the period.Steam at 100oC: Instead of keeping the articles in boiling water, they are subjected to free steam at 100oC.
  6. 6. 3. Hot water below boiling point (At temperature below 100oC). This type of sterilization such as (Pasteurization): This process was employed in food and dairy industry. Flash method (heated at 72oC for 15 seconds) followed by quickly cooling to 13oC. Other pasteurization methods include Ultra-High Temperature (UHT), 140oC for 15 sec and 149oC for 0.5 sec. This method is suitable to destroy most milk borne pathogens like Salmonella, Mycobacteria.
  7. 7. B- Chemical Methods: Disinfectants are those chemicals that destroy pathogenic bacteria from inanimate surfaces. Those chemicals that can be safely applied over skin and mucus membranes are called antiseptics.I- ALCOHOLS: Mode of action:1- Alcohols dehydrate cells.2- disrupt membranes and cause coagulation of protein. Examples: Ethyl alcohol, isopropyl alcohol and methyl alcohol. Application:A 70% aqueous solution is more effective at killing microbes than absolute alcohols.Methyl alcohol kills fungal spores, hence is useful in disinfecting inoculation hoods.
  8. 8. II- ALDEHYDES: Mode of action: damages nucleic acids. It kills all microorganisms, including spores. Examples: Formaldehyde, Gluteraldehyde. Application: 40% Formaldehyde (formalin) is used for surface disinfection and fumigation of rooms, chambers, operation theatres, biological safety cabinets, wards, sick rooms.
  9. 9. III- PHENOL: Mode of action: Act by disruption of membranes, precipitation of proteins and inactivation of enzymes. Examples: 5% phenol, hexachlorophene, chlorhexidine, chloroxylenol (Dettol). Applications:They act as disinfectants at high concentration and as antiseptics at low concentrations.They are bactericidal, fungicidal, mycobactericidal but are inactive against spores and most viruses.20% Chlorhexidine gluconate solution is used for pre- operative hand and skin preparation and for general skin disinfection bacteria, mycobacteria, fungi and viruses.
  10. 10. IV- HALOGENS: Mode of action: They are oxidizing agents. Chlorine reacts with water to form hypochlorous acid, which is microbicidal. Examples: Chlorine compounds (chlorine, bleach, hypochlorite) and iodine compounds (tincture iodine, iodophores). Applications: Tincture of iodine (2% iodine in 70% alcohol) is an antiseptic. concentrations chlorine is used to disinfect swimming pools.
  11. 11. V- HEAVY METALS: Mode of action: Act by precipitation of proteins and oxidation of sulfydryl groups. They are bacteriostatic. Examples: Mercuric chloride, silver nitrate, copper sulfate. Applications: 1% silver nitrate solution can be applied on eyes as treatment for opthalmia neonatorum Disadvantages: Mercuric chloride is highly toxic.
  12. 12. VI- SURFACE ACTIVE AGENTS: Mode of actions: They disrupt membrane resulting in leakage of cell constituents. Examples: soaps or detergents. Cetrimide and benzalkonium chloride. Application: They are active against vegetative cells, Mycobacteria and enveloped viruses. They are widely used as disinfectants at dilution of 1-2% for domestic use and in hospitals.
  13. 13. VII- HYDROGEN PEROXIDE: Mode of action: Damages proteins and DNA. Application: It is used at 6% concentration to decontaminate the instruments, equipments such as ventilators. 3% Hydrogen Peroxide Solution is used for skin disinfection and deodorising wounds and ulcers. Strong solutions are sporicidal.
  14. 14. Sterilizing gases: Useful for sterilization of heat sensitive medical devices and surgical supplies.Examples: Ethylene oxide, peracetic acid, formaldehyde and H2O2 gases.Mode of action: Microbicidal and Sporicidal in action. Kills by combining with cell proteins.

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