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Parenterals

Formulation development

       Pragati Kumar B
       Asst. Proff.
       Nimra College of Pharmacy
       Vijayawada
Introduction and importance of the study
• Parenteral products are products that are administered
  to the body by injection
• Because this route of administration bypasses the
  normal body defense mechanisms, it is essential that
  these products are prepared with a high degree of care
  and skills than utilized in preparing conventional oral or
  topical products.
• The finished product must be sterile, non-pyrogenic and
  free from extraneous insoluble materials. These
  products must satisfy a number of requirements for
  parenteral products.
Sterile formulations must meet a
     number of special criteria such as
•   Sterility
•   Particulate material
•   Pyrogen free
•   Stability
•   pH
•   Osmotic pressure
During the formulation of parenteral
   products the following factors are critical
• The vehicle in which the drug is dissolved or
  dispersed
• Volume (dose) of the injection
• Adjustment of isotonicity
• Adjustment of pH
• Stabilisers
• Preservatives
• Adjustment of specific gravity (for spinal
  anaesthesia)
• Concentration units
Difference between parenterals
         and other products
• Limits to the level of pyrogens present and of
  particulate matter
• The injection route dictates the volume of
  formulation. Hence the solubility of the drug
  in the selected vehicle is critical in the
  formulation
Vehicle
• The preferred vehicle is water as it is well tolerated
  by the body, easy to administer and a large solvent
  capacity
• Water for injection must be sterile and free from
  pyrogens
• Cellulose, glass, rubber cores, cloth or cotton fibres
  may constitute the contaminants list.
• Suitable filtration media for removal of particulate
  material are sintered glass filters or membrane
  filters with a pore size of 0.45-1.2 microns
Ph and Buffers
• As parenteral products are administered directly to tissues
  and systemic circulation, formulations prepared should not
  vary significantly from physiological pH, which is about 7.4.
• The acceptable pH range is 3-10.5 for i.v preparations and
  4-9 for other routes.
• Buffers are included in injections to maintain the pH of the
  packaged product.
• The buffers used in the injection must allow the body fluids
  to change the product pH after injection.
• Acetate, citrate and phosphate buffers are commonly used
  in parenteral products.
Osmotic pressure
• The osmotic pressure of the blood is approx.
  300 milli Osmoles/L and ideally any sterile
  solution would be formulated to have the
  same osmolarity
• For eg: 0.9% w/v NaCl i.v solution has an
  osmolarity of 308 milli Osmoles/L .
• 5% w/v Dextrose i.v solution has an osmolarity
  of 280 milli Osmoles/L .
• NaCl, Mannitol or glucose can be used to
  adjust osmolarity.
Antimicrobial agents
• Aqueous preparations which are prepared
  using aseptic preparations and which cannot
  be terminally sterilized may contain a suitable
  antimicrobial preservative in an appropriate
  concentration.
• Antimicrobial agents are added to multiple
  dose vials to inhibit the growth of microbial
  organisms which may occur accidentally and
  contaminate the product during use.
• Antimicrobial agents must be effective in the
  parenteral formulation
Antimicrobial preservatives
S.NO   ANTIMICROBIAL AGENT       CONCENTRATION (%w/v)


1      Benzalkonium chloride     0.01
2      Benzyl alcohol            1- 2
3      Chlorobutol               0.25 – 0.5
4      Phenol                    0.5
5      Chlorocresol              0.1 – 0.3
6      Phenyl mercuric salts     0.002
7      Methyl hydroxy benzoate   0.1- 0.2
Atioxidants
• Aqueous solutions are more susceptible to
  oxidation
• Bisulphites and metabisulphites are commonly
  used antioxidants in aqueous injections.
• Injection formulations may in addition also
  contain chelating agents, such as EDTA or citric
  acid, to remove trace elements, which
  catalyse oxidative degradation.
Sterilization
• Sterility :Absence of life or absolute freedom
  from biological contamination.
• Sterilization : inactivation or elimination of all
  viable organism and their spores.
• Disinfectant : substance used on non- living
  objects to render them non- infectious; kills
  vegetative bacteria, fungi, virus but not
  spores. Eg: Formaldehyde
• Bactericide : ( Germicide) substance that kills
  vegetative bacteria and spores
Advantages and disadvantages
Moist Heat
• Spore are killed by moist heat.
• Culture media & other liquids required
  to retain their content of water.
• Not applicable to waterproof materials
  such as oils and greases or dry
  materials.
Pasteurization
• Moist heat at temperature below 1000 C.
• Heat labile fluids may be disinfected not
  sterilized by heating at 560 C for 30 min.
• Sufficient to kill mesophilic bacteria but not
  spores.
• For serum, or other body fluids containing
  proteins, temp to rise above 59o C.
• UHT; 140o C less than 1 sec.
• Cold Pasteurization.
• High pressure pasteurization.
Washer Disinfectors
•   Washing machines using hot
    water, steam and detergents, may
    be used.
•   Washing action at 710 C for 3 min
    or 800 C for 1 minute sufficient
    to kill vegetative organism.
•   Recommended for instruments
    contaminated with HBV and HIV.
•   Accordingly it is set at 93o C for
    10 min.
Boiling at 100o C
• Heating in boiling water at 100o C for 5
  minutes sufficient to kill all vegetative
  bacteria, HBV and some bacterial spore.
• Used only in case of emergencies to sterilize
  medical and surgical equipment.
• Heat labile articles and hollow or porous items
  where water will not penetrate lumen cannot
  be disinfected this way.
Steaming at 100o C
• To prevent glass from cracking which
  happens when it is heated directly.
• Also in case of heat labile culture media.
• Pure steam in equilibrium with boiling
  water at normal atmospheric pressure
• Exposure to this temperature for 5
  minutes will kill microorganism.
Free Steaming

• Koch and Arnold steamers are used.
• Useful for selective heat labile media
  like DCA, XLD, TCBS and Slenite F
  broth.
• These media do not support the growth
  of heat resistant bacteria.
• Tyndallization- 20 min for 3 succesive
  days.
Steam sterilization
•    Irreversibly coagulates and denatures
     microbial enzymes and proteins.
•    Important parameters for
     effectiveness
1.   Exposure time
2.   Temperature of process
3.   Level of moisture.
4.   Pressure
1) Advantages
• ������ Non-toxic
• ������ Cycle easy to control and monitor
• ������ Inexpensive
• ������ Rapidly microbiocidal
• ������ Least affected by organic/inorganic soils
• ������ Rapid cycle time
• ������ Penetrates medical packing, device lumens
2) Disadvantages
• ������ Deleterious for heat labile instruments
• ������ Potential for burns
Autoclaves
•   Invented by Charles
    Chamberland in 1879.
•   Precursor was the
    Steam digester
    invented by Denis
    Papin in 1679.
•   At correct temp lethal
    to all
    bacteria, viruses, fung
    i & protozoa.
• Example of usage of autoclaves are:
• Hospitals & OPD- Porous load
  autoclaves.
• Mortuary- Bench top autoclaves.
          :

• Microbiology Lab: Media preparators or
  fluid cycle steam sterilizers.
• Pharmaceutical- Fluid Cycle Sterilizer
Types of autoclaves
•   Simple laboratory autoclave
•   Transportable bench top autoclaves
•   Large simple autoclave
•   Downward displacement autoclave
•   Multipurpose laboratory autoclave
•   Pre vacuum
•   High security autoclave.
•   Porous load sterilizer.
•   Low temperature steam.
•   Steam flash pressure pulsing steam sterilization
    autoclaves
•    Sterilization Hold Time
•    Heat Penetration Time
•    Condensation of steam: 3 effects
1.   Wets microorganisms.
2.   Liberates latent heat.
3.   Significant contraction of steam.
• Time and temperature with pressure required
  for sterilization by steam under pressure in
  autoclave.
• 121-124o c at 1.1 bar for 15 min.
• 134-138o c at 2.2 bar for 3 min.
1 bar=1 atm pressure=14.7 pounds
  per square inch
•    Steam which is present must be
1.   Saturated:
2.   Dry.
3.   Pure.
    Steam supply:
1.   Superheated steam ( Dry gas)
2.   Wet steam
•    Removal of air:
1.   Simple transportable (pressure-cooker) autoclaves.
2.   Downward displacement autoclaves.
3.   Porous load autoclaves.
•  Items to be put in autoclave
1. Unwrapped non porous items:
2.   Porous loads
3.   Discard loads
4.   Fluids in sealed containers.
5.   Nutrient media.
Simple laboratory autoclave

1. Considered unsatisfactory.
2. Not monitor temperature of load and
   therefore cannot prevent spoiling
   nutritive value.
3. No safety interlock.
Transportable bench top autoclaves.
•  Sophisticated version of air displacement
   autoclave.
• Possess automatic cycle control with
   indicator for cycle failure and thermal
   safety.
• Disadvantages of this are:
1. Not fitted with vacuum assisted air removal.
2. No assisted drying.
3. Cannot be used for porous loads, packaged
   items or discard loads.
4. Cant handle liquid loads
Large simple autoclave
• Larger version of simple pressure
  cooker.
• No means of assisted air removal.
• Size too large to permit removal of air.
• Unsuitable for wrapped articles and
  make safe loads.
Downward displacement laboratory
            autoclaves
• Provision for removal of air from chamber{
  balanced pressure steam trap}
• Other devices assist the drying of the load.
• No vacuum assistance for air removal.
• Air removal was found to be inadequate.
• Only value is sterilization of unwrapped non-
  porous metallic items.
• Cooling may take many hours to be below
  80o C
Multipurpose laboratory autoclaves
• Different types of load require different cycles
  required for these different loads.
Special feature
• Presence of efficient means of assisted air
  removal and drying, assisted cooling and a
  temperature sensitive probe reading directly
  from the load.
Multipurpose laboratory autoclaves (
               Contd)
•    Aqueous media
1.   Accelerated cooling required to avoid damage to
     nutrient properties of culture medium.
2.   Cooling to below 80o C before autoclave is opened
     minimize risk of breakage and explosions.
3.   Volume of DIN bottle which is used should be not
     over 80%.
4.   Duration of heating up period should be controlled
     automatically with a thermocouple placed in one of
     the largest bottle or simulators, which reproduces
     thermal characteristic of bottle.
Multipurpose laboratory autoclaves (
              Contd)
• 121o c for 15 min. Cooling of load should
  be assisted so that media are cooled to
  under 80o c in 30 min.
• Methods of cooling.
• Cooling time duration set by a
  thermocouple placed in simulator
• Air blasting.
• Glasswares are satisfactorily processed
  as part of a fluid cycle.
1. High security autoclave

2. Porous load sterilizer

3. Low temperature steam
Gas sterilization
•   For delicate heat labile equipments.
•   Monitoring their efficacy by biological test.
1. Low temperature steam
             formaldehyde
• Steam at sub atmospheric pressure (temp
  below 100o C) kills the spores of thermophilic
  bacteria very slowly.
• Sporicidal at high concentration in presence of
  moisture.
• Synergism between formaldehyde and steam.
• Difficulty in combining the two.
2. Ethylene oxide sterilizer
• Useful also for small
  proportion of medical
  and surgical devices
  which cannot withstand
  autoclaving.
• Kills micro organisms by
  altering their DNA by
  alkylation
• only materials with
  documented ethylene
  oxide penetration and
  dissipation properties
  should be used as
  wrappers.
Low temperature sterilization by ozone
• The 125 l ozone
  sterilizer uses medical
  grade oxygen water and
  electricity to generate
  ozone within the
  sterilizer to provide
  efficient sterilants
  without producing toxic
  chemicals or using high
  temperatue.
• End of cycle O2 and
  H2O are formed.
Liquid Sterilization
• To sterilize immersible devices like
  endoscopes etc with 35% liquid
  Peracetic acid.
• Done using STERIS system 1
• Acid is diluted with sterile filtered
  water.
• Commercially available spores can be
  used for monitoring sterilization.
• Disadvantage is high cost.
Sterilizing Filter
• Aqueous liquids sterilized by forced passage
  through filter of porosity small enough to
  retain any microorganism.
1) Membrane filters:
• Manufactured from variety of polymeric
  material such as cellulose
  diacetate, polycarbonate and polyester, as
  disc.
Membrane Filter (Contd)
•    Membrane made in 2 ways
1.   Capillary pore membranes:
     For viruses
2.   Labyrinthine pore
     membranes: Bacteria &
     yeast
•    Exact procedure for use
     varies with form in which
     filter is supplied.
•    Filters may be supplied
     with plastic holders pre
     sterilized for single use, or
     mounted in re-usable
     holders and fitted to
     filtration vessels.
Sterilizing Filter
2)Syringe filters:
•      Membrane 13-25mm diameter.
•      Fitted in syringe like holders
       of stainless steel or
       polycarbonate.
•      Used for sterilization of small
       volumes of fluid.
3)Vacuum and in- line filters:
•      Membranes of 25-45 mm
       diameter are used either with
       in line filter holders of Teflon
       or stainless steel and
       aluminum.
•      Used for sterilization of large
       volumes of air and liquid.
4) Pressure filtration:
• Large membranes, 100-
  293 mm in
  diameter, housed in
  pressure filter holders.
• Production of pure water.

5) Air Filters:
• Large volume of air rapidly
  freed from infection by
  passage through HEPA
  (High efficiency particle
  arrester)
Air Filters (Contd)
• Principal use is to render
  safe the air withdrawn from
  an exhaust ventilated safety
  cabinets used for work with
  pathogens.
• To decontaminate air input
  into laminar flow cabinet.
• Fitted with disposable pre
  filter which reduces load
  collected by main filter.
• Main HEPA should have
  99.99% efficiency.
STERILIZATION BY RADIATION
• IONIZING radiation - γ
  radiation from
  radioactive elements
  ,usually Co60.,
    E.g.. Sterilization of
     Disposable Syringes.
   Bacillus pumilis used for
     testing.
• ULTRAVIOLET RAYS:
  Mercury vapor lamps
  emitting radiation in the
  range of 250-260nm are
  bactericidal & to a
  lesser extent sporicidal.
References

• Mackie & McCartney Practical Medical
  Microbiology 14 th edition
• Murray, Scot et al Text book of
  medical microbiology
• Bailey & Scot, Diagnostic Medical
  Microbiology Twelfth Edition
• Ananthnarayan and Paniker, Textbook
  of microbiology, 8 th edition.

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Parenterals bpk

  • 1. Parenterals Formulation development Pragati Kumar B Asst. Proff. Nimra College of Pharmacy Vijayawada
  • 2. Introduction and importance of the study • Parenteral products are products that are administered to the body by injection • Because this route of administration bypasses the normal body defense mechanisms, it is essential that these products are prepared with a high degree of care and skills than utilized in preparing conventional oral or topical products. • The finished product must be sterile, non-pyrogenic and free from extraneous insoluble materials. These products must satisfy a number of requirements for parenteral products.
  • 3. Sterile formulations must meet a number of special criteria such as • Sterility • Particulate material • Pyrogen free • Stability • pH • Osmotic pressure
  • 4. During the formulation of parenteral products the following factors are critical • The vehicle in which the drug is dissolved or dispersed • Volume (dose) of the injection • Adjustment of isotonicity • Adjustment of pH • Stabilisers • Preservatives • Adjustment of specific gravity (for spinal anaesthesia) • Concentration units
  • 5. Difference between parenterals and other products • Limits to the level of pyrogens present and of particulate matter • The injection route dictates the volume of formulation. Hence the solubility of the drug in the selected vehicle is critical in the formulation
  • 6. Vehicle • The preferred vehicle is water as it is well tolerated by the body, easy to administer and a large solvent capacity • Water for injection must be sterile and free from pyrogens • Cellulose, glass, rubber cores, cloth or cotton fibres may constitute the contaminants list. • Suitable filtration media for removal of particulate material are sintered glass filters or membrane filters with a pore size of 0.45-1.2 microns
  • 7. Ph and Buffers • As parenteral products are administered directly to tissues and systemic circulation, formulations prepared should not vary significantly from physiological pH, which is about 7.4. • The acceptable pH range is 3-10.5 for i.v preparations and 4-9 for other routes. • Buffers are included in injections to maintain the pH of the packaged product. • The buffers used in the injection must allow the body fluids to change the product pH after injection. • Acetate, citrate and phosphate buffers are commonly used in parenteral products.
  • 8. Osmotic pressure • The osmotic pressure of the blood is approx. 300 milli Osmoles/L and ideally any sterile solution would be formulated to have the same osmolarity • For eg: 0.9% w/v NaCl i.v solution has an osmolarity of 308 milli Osmoles/L . • 5% w/v Dextrose i.v solution has an osmolarity of 280 milli Osmoles/L . • NaCl, Mannitol or glucose can be used to adjust osmolarity.
  • 9. Antimicrobial agents • Aqueous preparations which are prepared using aseptic preparations and which cannot be terminally sterilized may contain a suitable antimicrobial preservative in an appropriate concentration. • Antimicrobial agents are added to multiple dose vials to inhibit the growth of microbial organisms which may occur accidentally and contaminate the product during use. • Antimicrobial agents must be effective in the parenteral formulation
  • 10. Antimicrobial preservatives S.NO ANTIMICROBIAL AGENT CONCENTRATION (%w/v) 1 Benzalkonium chloride 0.01 2 Benzyl alcohol 1- 2 3 Chlorobutol 0.25 – 0.5 4 Phenol 0.5 5 Chlorocresol 0.1 – 0.3 6 Phenyl mercuric salts 0.002 7 Methyl hydroxy benzoate 0.1- 0.2
  • 11. Atioxidants • Aqueous solutions are more susceptible to oxidation • Bisulphites and metabisulphites are commonly used antioxidants in aqueous injections. • Injection formulations may in addition also contain chelating agents, such as EDTA or citric acid, to remove trace elements, which catalyse oxidative degradation.
  • 12. Sterilization • Sterility :Absence of life or absolute freedom from biological contamination. • Sterilization : inactivation or elimination of all viable organism and their spores. • Disinfectant : substance used on non- living objects to render them non- infectious; kills vegetative bacteria, fungi, virus but not spores. Eg: Formaldehyde • Bactericide : ( Germicide) substance that kills vegetative bacteria and spores
  • 13.
  • 14.
  • 15.
  • 16.
  • 18.
  • 19. Moist Heat • Spore are killed by moist heat. • Culture media & other liquids required to retain their content of water. • Not applicable to waterproof materials such as oils and greases or dry materials.
  • 20. Pasteurization • Moist heat at temperature below 1000 C. • Heat labile fluids may be disinfected not sterilized by heating at 560 C for 30 min. • Sufficient to kill mesophilic bacteria but not spores. • For serum, or other body fluids containing proteins, temp to rise above 59o C. • UHT; 140o C less than 1 sec. • Cold Pasteurization. • High pressure pasteurization.
  • 21. Washer Disinfectors • Washing machines using hot water, steam and detergents, may be used. • Washing action at 710 C for 3 min or 800 C for 1 minute sufficient to kill vegetative organism. • Recommended for instruments contaminated with HBV and HIV. • Accordingly it is set at 93o C for 10 min.
  • 22. Boiling at 100o C • Heating in boiling water at 100o C for 5 minutes sufficient to kill all vegetative bacteria, HBV and some bacterial spore. • Used only in case of emergencies to sterilize medical and surgical equipment. • Heat labile articles and hollow or porous items where water will not penetrate lumen cannot be disinfected this way.
  • 23. Steaming at 100o C • To prevent glass from cracking which happens when it is heated directly. • Also in case of heat labile culture media. • Pure steam in equilibrium with boiling water at normal atmospheric pressure • Exposure to this temperature for 5 minutes will kill microorganism.
  • 24. Free Steaming • Koch and Arnold steamers are used. • Useful for selective heat labile media like DCA, XLD, TCBS and Slenite F broth. • These media do not support the growth of heat resistant bacteria. • Tyndallization- 20 min for 3 succesive days.
  • 25. Steam sterilization • Irreversibly coagulates and denatures microbial enzymes and proteins. • Important parameters for effectiveness 1. Exposure time 2. Temperature of process 3. Level of moisture. 4. Pressure
  • 26. 1) Advantages • ������ Non-toxic • ������ Cycle easy to control and monitor • ������ Inexpensive • ������ Rapidly microbiocidal • ������ Least affected by organic/inorganic soils • ������ Rapid cycle time • ������ Penetrates medical packing, device lumens 2) Disadvantages • ������ Deleterious for heat labile instruments • ������ Potential for burns
  • 27. Autoclaves • Invented by Charles Chamberland in 1879. • Precursor was the Steam digester invented by Denis Papin in 1679. • At correct temp lethal to all bacteria, viruses, fung i & protozoa.
  • 28. • Example of usage of autoclaves are: • Hospitals & OPD- Porous load autoclaves. • Mortuary- Bench top autoclaves. : • Microbiology Lab: Media preparators or fluid cycle steam sterilizers. • Pharmaceutical- Fluid Cycle Sterilizer
  • 29. Types of autoclaves • Simple laboratory autoclave • Transportable bench top autoclaves • Large simple autoclave • Downward displacement autoclave • Multipurpose laboratory autoclave • Pre vacuum • High security autoclave. • Porous load sterilizer. • Low temperature steam. • Steam flash pressure pulsing steam sterilization autoclaves
  • 30.
  • 31. Sterilization Hold Time • Heat Penetration Time • Condensation of steam: 3 effects 1. Wets microorganisms. 2. Liberates latent heat. 3. Significant contraction of steam.
  • 32. • Time and temperature with pressure required for sterilization by steam under pressure in autoclave. • 121-124o c at 1.1 bar for 15 min. • 134-138o c at 2.2 bar for 3 min. 1 bar=1 atm pressure=14.7 pounds per square inch
  • 33. Steam which is present must be 1. Saturated: 2. Dry. 3. Pure.  Steam supply: 1. Superheated steam ( Dry gas) 2. Wet steam
  • 34. Removal of air: 1. Simple transportable (pressure-cooker) autoclaves. 2. Downward displacement autoclaves. 3. Porous load autoclaves. • Items to be put in autoclave 1. Unwrapped non porous items: 2. Porous loads 3. Discard loads 4. Fluids in sealed containers. 5. Nutrient media.
  • 35. Simple laboratory autoclave 1. Considered unsatisfactory. 2. Not monitor temperature of load and therefore cannot prevent spoiling nutritive value. 3. No safety interlock.
  • 36. Transportable bench top autoclaves. • Sophisticated version of air displacement autoclave. • Possess automatic cycle control with indicator for cycle failure and thermal safety. • Disadvantages of this are: 1. Not fitted with vacuum assisted air removal. 2. No assisted drying. 3. Cannot be used for porous loads, packaged items or discard loads. 4. Cant handle liquid loads
  • 37. Large simple autoclave • Larger version of simple pressure cooker. • No means of assisted air removal. • Size too large to permit removal of air. • Unsuitable for wrapped articles and make safe loads.
  • 38. Downward displacement laboratory autoclaves • Provision for removal of air from chamber{ balanced pressure steam trap} • Other devices assist the drying of the load. • No vacuum assistance for air removal. • Air removal was found to be inadequate. • Only value is sterilization of unwrapped non- porous metallic items. • Cooling may take many hours to be below 80o C
  • 39. Multipurpose laboratory autoclaves • Different types of load require different cycles required for these different loads. Special feature • Presence of efficient means of assisted air removal and drying, assisted cooling and a temperature sensitive probe reading directly from the load.
  • 40. Multipurpose laboratory autoclaves ( Contd) • Aqueous media 1. Accelerated cooling required to avoid damage to nutrient properties of culture medium. 2. Cooling to below 80o C before autoclave is opened minimize risk of breakage and explosions. 3. Volume of DIN bottle which is used should be not over 80%. 4. Duration of heating up period should be controlled automatically with a thermocouple placed in one of the largest bottle or simulators, which reproduces thermal characteristic of bottle.
  • 41. Multipurpose laboratory autoclaves ( Contd) • 121o c for 15 min. Cooling of load should be assisted so that media are cooled to under 80o c in 30 min. • Methods of cooling. • Cooling time duration set by a thermocouple placed in simulator • Air blasting. • Glasswares are satisfactorily processed as part of a fluid cycle.
  • 42. 1. High security autoclave 2. Porous load sterilizer 3. Low temperature steam
  • 43. Gas sterilization • For delicate heat labile equipments. • Monitoring their efficacy by biological test.
  • 44. 1. Low temperature steam formaldehyde • Steam at sub atmospheric pressure (temp below 100o C) kills the spores of thermophilic bacteria very slowly. • Sporicidal at high concentration in presence of moisture. • Synergism between formaldehyde and steam. • Difficulty in combining the two.
  • 45. 2. Ethylene oxide sterilizer • Useful also for small proportion of medical and surgical devices which cannot withstand autoclaving. • Kills micro organisms by altering their DNA by alkylation • only materials with documented ethylene oxide penetration and dissipation properties should be used as wrappers.
  • 46. Low temperature sterilization by ozone • The 125 l ozone sterilizer uses medical grade oxygen water and electricity to generate ozone within the sterilizer to provide efficient sterilants without producing toxic chemicals or using high temperatue. • End of cycle O2 and H2O are formed.
  • 47. Liquid Sterilization • To sterilize immersible devices like endoscopes etc with 35% liquid Peracetic acid. • Done using STERIS system 1 • Acid is diluted with sterile filtered water. • Commercially available spores can be used for monitoring sterilization. • Disadvantage is high cost.
  • 48. Sterilizing Filter • Aqueous liquids sterilized by forced passage through filter of porosity small enough to retain any microorganism. 1) Membrane filters: • Manufactured from variety of polymeric material such as cellulose diacetate, polycarbonate and polyester, as disc.
  • 49. Membrane Filter (Contd) • Membrane made in 2 ways 1. Capillary pore membranes: For viruses 2. Labyrinthine pore membranes: Bacteria & yeast • Exact procedure for use varies with form in which filter is supplied. • Filters may be supplied with plastic holders pre sterilized for single use, or mounted in re-usable holders and fitted to filtration vessels.
  • 50. Sterilizing Filter 2)Syringe filters: • Membrane 13-25mm diameter. • Fitted in syringe like holders of stainless steel or polycarbonate. • Used for sterilization of small volumes of fluid. 3)Vacuum and in- line filters: • Membranes of 25-45 mm diameter are used either with in line filter holders of Teflon or stainless steel and aluminum. • Used for sterilization of large volumes of air and liquid.
  • 51. 4) Pressure filtration: • Large membranes, 100- 293 mm in diameter, housed in pressure filter holders. • Production of pure water. 5) Air Filters: • Large volume of air rapidly freed from infection by passage through HEPA (High efficiency particle arrester)
  • 52. Air Filters (Contd) • Principal use is to render safe the air withdrawn from an exhaust ventilated safety cabinets used for work with pathogens. • To decontaminate air input into laminar flow cabinet. • Fitted with disposable pre filter which reduces load collected by main filter. • Main HEPA should have 99.99% efficiency.
  • 53. STERILIZATION BY RADIATION • IONIZING radiation - γ radiation from radioactive elements ,usually Co60., E.g.. Sterilization of Disposable Syringes. Bacillus pumilis used for testing. • ULTRAVIOLET RAYS: Mercury vapor lamps emitting radiation in the range of 250-260nm are bactericidal & to a lesser extent sporicidal.
  • 54. References • Mackie & McCartney Practical Medical Microbiology 14 th edition • Murray, Scot et al Text book of medical microbiology • Bailey & Scot, Diagnostic Medical Microbiology Twelfth Edition • Ananthnarayan and Paniker, Textbook of microbiology, 8 th edition.