Horizon Net Zero Dawn – keynote slides by Ben Abraham
Disinfection
1. Wide spectrum activity and effective against
all microorganism
Should not be toxic to human
Should be active in presence of organic
matter such as body fluid,blood and pus
Should be effective at all ph ranges
Should not corrode metals and not irritant to
skin
Should have high penetrating power and
quick action
Should not cause local irritation,cheap and
easy available
2. Concentration of disinfectant
Time of action
Ph of medium
Temperature
Nature of the organism
Presence of interefering substance might
reduce the activity by absorption and making
available less disinfectant to kill cells
3. Ethyl alcohol and isopropyl alcohol
Rapidly kill bacteria including tubercle
bacteria
But have no virucidal or sporicidal activity
Skin antiseptic
Methyl alcohol is effective against fungal
spores and used in treating cabinets affected
by them
Methyl alcohol vapour is toxic and
inflammable
4. FORMALDEHYDE
GLUTARALDEHYDE
Formaldehyde
bactericidal,sporicidal,virucidal
Preservation of tissue for histological
examination
Sterilise bacterial vaccine
Prepare toxoid from toxin
For killing bacterial culture and suspensions
5.
6. Effective against bacteria,viruses and spores
For sterilisation of
cytoscope,endoscope,bronchoscope
sterilise plastic endotracheal tubes,face
mask,metal instruments
PHENOLS
cresol: used in sterilisation of infected
glass ware,cleaning floors,disinfection of
excreta
7.
8. Savlon used in wounds ,disinfection of skin
Bactericidal
More active against gram positive than gram
negative bacteria
No action on tubercle bacilli
Good fungicidal activity
9. more active against gram positive than gram
negative bacteria
Bacteriostatic
Toxic
HALOGEN : CHLORINE AND IODINE
Bactericidal and effective against sporing
bacteria and viruses
10. water supplies,swimming pools,food and
dairy industries
Bleaching powder or hypochlorite solution are
widely used for human immunodeficeincy
virus infected material
Chloramines used as antiseptic for dressing
wounds
IODINE: used as skin disinfectant
Bactericidal
Moderate action on spores
11.
12.
13. ANILINE DYES:
Skin and wound antiseptic
Bacteriostatic and low bactericidal
Aniline dyes are crystal violet,brilliant green
and malachite green
More effective against gram positive bacteria
than gram negative bacteria
No activity against M.tuberculosis
Non toxic and non irritant to tissues
14. acriflavine,euflavine,proflavine,aminacrine
They are more active against gram positive
bacteria than gram negative bacteria .
These dyes are used un clinical medicine
GASES:
Formaldehyde gas:
employed for fumigation of operation
theatres,wards,laboratories
Gas is toxic and irritant when inhaled Generated
by heating formalin in a heater or by addition
of potassium permanganate (150 gm of pot.
perm. to 280ml of formalin per 1000 cu.ft. of
the room)
Used to fumigate sick rooms, OT etc.
15. Colourless liquid
Effective against all micro organism including
viruses,spores
Highly penetrating gas and penetrates plastic
Used for sterilising plastic and rubber
articles,respirators,heart lung machine,dental
equipment and clothing,disposable plastic
syringe,petridishes.
unsuitable for fumigation of rooms because
of explosive nature
16. condensation product of ketane and
formaldehyde
Boiling point 163deg c
Low penetrating gas
Rapid action and used in 0.2%
Effective against all microrganism ,including
viruses
More efficient for fumigation than
formaldehyde
17. department assembling ,producing and
distributing sterile supplies to meet the
requirement of the hospital,the department
service wards and theatres and also
undertake decontamination of medical
equipments
Working of cssd
1) presentation of sterile supplies to the
hospital
2) medical equipment cleaning
18. 4) sterilisation
5) distribution and storage
FUNCTIONS
1) receipt and delivery of equipment from all
areas of the hospital
2)supply of sterile materials for dressing and
procedures carried out in wards and
departments
3) supply of operation theatres with
necessary sterile instrument
19. 5)To dry,wrap,bag and seal items in
preparation for sterilisation
6) To disaasemble ,clean and check for
proper function of equipment such as IV
infusion pumps,suction machines
20. CENTRAL STERILE SUPPLY DEPARTMENT
is an organized department present in the
hospital to make reliably sterilized articles
available at the required time and place for
any agreed purpose in the hospital as
economically as possible.