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Sterilization
         Processes



Antonio Matachana, S.A.
Sterilization Processes



  Sterilization:
  Process which permits the destruction or
  elimination of all life forms from the medium or
  object being sterilized.

  To sterilize: To subject to sterilization.
  Sterilized:
  State of that which has undergone sterilization.

  Sterile:
  The state of containing no living micro-
  organism or virus capable of reproduction.

Antonio Matachana, S.A.
Sterilization Processes


 Sterilization Processes

                                           Dry - Hot Air - Poupinel Oven
 By Phisical              HEAT
 Agents                                    Wet - Steam under pressure - Autoclave

                                                                Gamma Rays
                          IONISING RADIATION                    Electrons

                          PLASMA GAS



                                           Ethylene Oxide
 By Chemical              GAS
 Agents                                    Formaldehyde
                          LIQUIDS




Antonio Matachana, S.A.
Sterilization Processes



  DESTRUCTION MECHANISMS
       Dry heat: By oxidation

       Wet heat: By protein coagulation

       Radiation:By altering the protein
                 molecules and nucleic acids

       Gases:             By alkylation

       Glutaraldehyde Liquids: Sporicide



Antonio Matachana, S.A.
Sterilization Processes




  Stages in the process for
  producing sterile products:

       •        Pre-sterilization
       •        Sterilization
       •        Post-sterilization


Antonio Matachana, S.A.
Sterilization Processes




  Pre-sterilization
  This comprises all the operations prior to
  Sterilization and includes:
       • Selection of the materials to be sterilized
       • Cleaning protocols and products and equipment to be
         used.
       • Checking and preparation of the materials.
       • Selection of the method of sterilization to be used,
         according to the material.
       •    Selection of the type of wrapping.
       •    Method of packaging and preparation.
       • Positioning of the load in the sterilizer.
Antonio Matachana, S.A.
Sterilization Processes




  Packaging for Sterilization

             1. Compatible with the process

             2. Microbial barrier

             3. Free of toxic elements liable to interfere
                 with the product or process

             4. Suitable for aseptic presentation

             5. Economical


Antonio Matachana, S.A.
Sterilization Processes




  TYPES OF PACKAGING

               • Paper
               • Paper / plastic combined
               • Textile
               • Unwoven / synthetic fabrics
               • Containers
               • Others


Antonio Matachana, S.A.
Sterilization Processes




  Control of the Sterilization System

  • PHYSICAL C.
                    – Mechanical components
                    – Graphs
                    – Printer

  • CHEMICAL C.
                    – Bowie-Dick test (only for steam sterilization)
                    – External controls - Change indicators
                    – Internal controls - Integrators

  • BIOLOGICAL C.
                    – Spores test

Antonio Matachana, S.A.
Sterilization Processes



  CHEMICAL CONTROLS
  The chemical controls are elements based on a
  chemical reaction with one or several of the
  parameters involved in a sterilization process.
  They are usually in the form of strips or sheets of
  paper impregnated with chemical reagent which
  varies depending on the parameter to be measured,
  but generally they involve a change in colour.
  Recommended characteristics:
            •    Very obvious colour change
            •    Non-toxic
            •    Easy to use
            •    Certified

Antonio Matachana, S.A.
Sterilization Processes




  BIOLOGICAL CONTROLS
  The biological controls consist of elements
  composed of biological preparations containing
  specific micro-organism spores for each
  sterilization system.

  The Pharmacopeia defines the specific types and
  strains to be used in manufacturing these control
  elements, as well as the means of recovery for their
  subsequent analysis.




Antonio Matachana, S.A.
Sterilization Processes


  Biological Controls
  SELF-CONTAINED TYPE
  These can be interpreted by the actual user, without
  requiring the services of an external laboratory.
  CONVENTIONAL TYPE
  These require the intervention of a microbiology
  laboratory for culture and subsequent interpretation.


  Recommended characteristics:
               • Reliability
               • Easy to interpret


Antonio Matachana, S.A.
Sterilization Processes

MANTAINING PRODUCT STERILITY
Mantaining the integrity of a sterilized object is a complex
matter which depends essentially on three factors.
       • Effective sterilization
            – Validacion of the process
       • Maintenance of sterility
            – Storage conditions
            – Quality of packaging
       • Aseptic handling during final use


        The CDC stipulates in its recommendations that:

 In case of doubt concerning the sterility of
 an object, that object should not be used.

 Antonio Matachana, S.A.

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3 sterilisation process

  • 1. Sterilization Processes Antonio Matachana, S.A.
  • 2. Sterilization Processes Sterilization: Process which permits the destruction or elimination of all life forms from the medium or object being sterilized. To sterilize: To subject to sterilization. Sterilized: State of that which has undergone sterilization. Sterile: The state of containing no living micro- organism or virus capable of reproduction. Antonio Matachana, S.A.
  • 3. Sterilization Processes Sterilization Processes Dry - Hot Air - Poupinel Oven By Phisical HEAT Agents Wet - Steam under pressure - Autoclave Gamma Rays IONISING RADIATION Electrons PLASMA GAS Ethylene Oxide By Chemical GAS Agents Formaldehyde LIQUIDS Antonio Matachana, S.A.
  • 4. Sterilization Processes DESTRUCTION MECHANISMS Dry heat: By oxidation Wet heat: By protein coagulation Radiation:By altering the protein molecules and nucleic acids Gases: By alkylation Glutaraldehyde Liquids: Sporicide Antonio Matachana, S.A.
  • 5. Sterilization Processes Stages in the process for producing sterile products: • Pre-sterilization • Sterilization • Post-sterilization Antonio Matachana, S.A.
  • 6. Sterilization Processes Pre-sterilization This comprises all the operations prior to Sterilization and includes: • Selection of the materials to be sterilized • Cleaning protocols and products and equipment to be used. • Checking and preparation of the materials. • Selection of the method of sterilization to be used, according to the material. • Selection of the type of wrapping. • Method of packaging and preparation. • Positioning of the load in the sterilizer. Antonio Matachana, S.A.
  • 7. Sterilization Processes Packaging for Sterilization 1. Compatible with the process 2. Microbial barrier 3. Free of toxic elements liable to interfere with the product or process 4. Suitable for aseptic presentation 5. Economical Antonio Matachana, S.A.
  • 8. Sterilization Processes TYPES OF PACKAGING • Paper • Paper / plastic combined • Textile • Unwoven / synthetic fabrics • Containers • Others Antonio Matachana, S.A.
  • 9. Sterilization Processes Control of the Sterilization System • PHYSICAL C. – Mechanical components – Graphs – Printer • CHEMICAL C. – Bowie-Dick test (only for steam sterilization) – External controls - Change indicators – Internal controls - Integrators • BIOLOGICAL C. – Spores test Antonio Matachana, S.A.
  • 10. Sterilization Processes CHEMICAL CONTROLS The chemical controls are elements based on a chemical reaction with one or several of the parameters involved in a sterilization process. They are usually in the form of strips or sheets of paper impregnated with chemical reagent which varies depending on the parameter to be measured, but generally they involve a change in colour. Recommended characteristics: • Very obvious colour change • Non-toxic • Easy to use • Certified Antonio Matachana, S.A.
  • 11. Sterilization Processes BIOLOGICAL CONTROLS The biological controls consist of elements composed of biological preparations containing specific micro-organism spores for each sterilization system. The Pharmacopeia defines the specific types and strains to be used in manufacturing these control elements, as well as the means of recovery for their subsequent analysis. Antonio Matachana, S.A.
  • 12. Sterilization Processes Biological Controls SELF-CONTAINED TYPE These can be interpreted by the actual user, without requiring the services of an external laboratory. CONVENTIONAL TYPE These require the intervention of a microbiology laboratory for culture and subsequent interpretation. Recommended characteristics: • Reliability • Easy to interpret Antonio Matachana, S.A.
  • 13. Sterilization Processes MANTAINING PRODUCT STERILITY Mantaining the integrity of a sterilized object is a complex matter which depends essentially on three factors. • Effective sterilization – Validacion of the process • Maintenance of sterility – Storage conditions – Quality of packaging • Aseptic handling during final use The CDC stipulates in its recommendations that: In case of doubt concerning the sterility of an object, that object should not be used. Antonio Matachana, S.A.