The document discusses various methods and processes for decontaminating medical equipment. It defines key terms like contamination, decontamination, cleaning, drying, disinfection and sterilization. It describes the three levels of risk for medical equipment based on its contact with patients - high, medium and low risk. For each level, it recommends the appropriate decontamination process - sterilization for high risk equipment, sterilization or disinfection for medium risk, and cleaning for low risk. It then discusses the various processes in detail, including manual and automated cleaning methods, types of disinfectants and disinfection methods, and sterilization techniques like heat, radiation and filtration.
Aseptic strategy implies utilizing practices and methodology to keep pollution from pathogens. It includes applying the strictest standards to limit the danger of disease. Human services laborers utilize aseptic system in medical procedure rooms, facilities, outpatient care focuses, and other social insurance settings.
The sterilization of surgical instruments is a process that removes all microorganisms from medical instruments before a surgery can take place. Proper sterilization ensures that all equipment has been thoroughly cleaned, sanitized and sterilized, and minimizes the risk of preventable surgical site infections. This process should be completed by a certified central sterilization technician.
Environmental cleaning depends on Infection Control risk Assessment as High, Moderate & Low Risk Areas. This document includes Procedures & Practices in Hospital for Environmental Cleaning & Disinfection based on cheapest hospital grade disinfectant i.e Clorox / Household Bleach available for especially third world countries.
Measures practiced by health care personnel to prevent spread, transmission and acquisition of infection between clients, from health care providers to client and from client to health care providers.
-definition
-why is infection control important in health care facilities
-nosocomial infection
-standard precaution
-additional precaution
-role of infection control nurse
- donning of Ppe kit
- doffing of ppe kit
All these are explained in details with images
Aseptic strategy implies utilizing practices and methodology to keep pollution from pathogens. It includes applying the strictest standards to limit the danger of disease. Human services laborers utilize aseptic system in medical procedure rooms, facilities, outpatient care focuses, and other social insurance settings.
The sterilization of surgical instruments is a process that removes all microorganisms from medical instruments before a surgery can take place. Proper sterilization ensures that all equipment has been thoroughly cleaned, sanitized and sterilized, and minimizes the risk of preventable surgical site infections. This process should be completed by a certified central sterilization technician.
Environmental cleaning depends on Infection Control risk Assessment as High, Moderate & Low Risk Areas. This document includes Procedures & Practices in Hospital for Environmental Cleaning & Disinfection based on cheapest hospital grade disinfectant i.e Clorox / Household Bleach available for especially third world countries.
Measures practiced by health care personnel to prevent spread, transmission and acquisition of infection between clients, from health care providers to client and from client to health care providers.
-definition
-why is infection control important in health care facilities
-nosocomial infection
-standard precaution
-additional precaution
-role of infection control nurse
- donning of Ppe kit
- doffing of ppe kit
All these are explained in details with images
It includes
1. Definitions
2. Classification of medical asepsis
3. Which procedure to use?
4. What to sterilize?
5. Types of Disinfection
6. Conclusion
Rationale
Chain of infection
Routes of disease transmission
CDC and OSHA
Spauldings classification
Sterilization protocol
Methods of sterilization-physical and chemical agents
New methods of sterilization
Sterilization of scaler handpeice and inserts
Infection control
Infectious diseases commonly encounterd in dentistry
Medical history and dental safety
Immunization of personnel involved in dental care
Infection control practices
Hand hygiene
Personal protective equipments
Surface barriers
Waste management in dental practice
Cdc guidelines-special considerations
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. In order to ensure safe systems of work and to prevent
transmission of infection, it is essential that
decontamination of equipment after use on a patient is
undertaken to prevent the transmission of infection.
This is in accordance with the requirements of the Health
and Social Care Act 2008: Code of Practice on the
prevention and control of infections and related
guidance.
3. Contamination: The soiling of an object with harmful,
potentially infectious or unwanted matter.
Decontamination: A combination of processes that
removes or destroys contamination.
Consequently micro-organisms (or other contaminants)
are prevented from reaching a susceptible site, in
sufficient numbers necessary to initiate infection or any
harmful response.
4. These are the process to be followed to initiate correct steps in performing
decontamination:
CLEANING:
Physical removal of contaminants including dust, soil and organic matter , along with
a large proportion of micro organisms.
Detergent wipes or detergent and warm water and single use cloths are recommended.
• Cleaning is essential before disinfection or sterilisation is carried out.
• All equipment that has been cleaned must be dried thoroughly before storage.
DRYING
Drying with a large proportion of micro organisms. Drying will cause a further
reduction. This Process is essential prior to disinfection and Sterilization.
DISINFECTION:
Utilizing heat or chemicals to reduce the number of viable micro- organisms to a level
which is not harmful to health (but not all viruses and/or bacterial spores).
STERILIZATION:
Renders the object free from viable micro-organisms, including viable micro-
organisms, including bacterial spores and viruses.
Important Note:
All decontamination procedures should be undertaken by a qualified trained and
equipped member of staff, wearing personal protective equipment.
5. Each instrument or piece of medical equipment which
comes into contact with a patient is a potential source
of infection.
The decontamination process required is commonly
specified as one of three levels (based on the
classification system first proposed by Dr E H
Spaulding).
These are divided into 3 groups of risk:
High risk/Critical Item
Medium risk/ Semi critical Item
Low risk/ Non Critical Item
6. RISK Application Recommendati
on
High Item in close contact with a break in the skin or mucous
membrane or introduced into a sterile body cavity or
tissue.
Critical items must be sterile.
Some are: Surgical instruments Cardiac or IV or
Catheters
Sterilization
Medium Item in contact with nonintact mucous membranes or
skin, body fluids and particularly after use on infected
patients or prior to use on immuno- compromised
patients.
These items must be free of all microorganisms (except
spores)
Sterilization or
Disinfection
Low Items in contact with healthy/intact skin but not mucous
membranes or not in contact with patient.
Item must be clean. Some are: Bedpans Linens
Stethoscope
Disinfection or
Cleaning
7. Method Selection
Various factors influence the choice of decontamination process:
1)Nature of organisms present: The CDC recommends that all
supplies, linens, and equipment in a health care setting should be
treated as if the patient were infectious.
2)Number of organisms present: The more organisms present on
an item, the longer it takes to destroy them.
3) Type of equipments: Equipment with small lumens, crevices,
or joints requires special care. Articles which are prone to
damage during decontamination requires special attention.
4) Intended use of equipment: The need for medical and surgical
asepsis influences the preparation and cleaning of equipment.
5) Available means for sterilization and disinfection: The choice
of method depends on the availability and practicality of the
means.
6) Time: Time is a key factor when sterilizing or disinfecting
articles. Failure to follow the recommended time periods is
grossly negligent.
8.
9. Definition
CLEANING is a dirt removing process, using liquid detergent and
warm water. This process removes a high proportion of all micro-
organisms.
It is essential for the removal of organic matter, grease and lubricants,
which might otherwise protect organisms from additional
decontamination processes such as disinfection and sterilization
General principles:
Cleaning and thorough rinsing should always precede any attempt to
disinfect or sterilize.
Cleaning can be achieved by either manual or automated methods.
Cleaning should be carried out using a validated cleaning process
wherever possible.
10. Types of Cleaning
1) Manual Cleaning
2) Automated Cleaning
Effective cleaning is an essential prerequisite to all subsequent methods of
decontamination.
Manual cleaning is an implementation of cleaning process done by human.
Automated cleaning is a controlled process that will provide more consistent
results and therefore manual cleaning of items should only be undertaken when
automated methods are inappropriate or unavailable.
List of automated cleaners
Ultrasonic cleaner – Ultrasonic cleaning is a process that uses ultrasound
(usually from 20–400 kHz) and an appropriate cleaning solvent (sometimes
ordinary tap water) to clean items.
Washer disinfector - systems that are designed to clean and disinfect specific
medical utensils, surgical instruments and other articles found in healthcare
facilities.
Thermal washer disinfector - The use of an automated thermal washer-
disinfector provides disinfection using moist heat.
Thermal disinfection takes place at 93°C with a temperature holding time in
compliance.
This process incorporates both cleaning and disinfection.
11.
12. Disinfection is the killing of many, but not all microorganisms. It
is a process of reduction of number of contaminating organisms
to a level that cannot cause infection, i.e. pathogens must be
killed. Some organisms and bacterial spores may survive.
Disinfectants are chemicals that are used for disinfection.
Disinfectants should be used only on inanimate objects.
Antiseptics are mild forms of disinfectants that are used
externally on living tissues to kill microorganisms, e.g. on the
surface of
Disinfection Used when items cannot be sterilized or situations
where no method of sterilization is available.
Chemicals used in disinfection are called disinfectants.
Different disinfectants have different target ranges, not all
disinfectants can kill all microorganisms.
13. Importance of disinfection:
The method of disinfection is used internationally for
the safety of humans, to decrease the scale of
transmission of diseases.
A large emphasis of sterilization and disinfection has
been placed in the food industry, water sanitization and
medical care and hospitals.
14. Number and Location of Microorganisms:
Innate Resistance of Microorganisms:
Concentration and Potency of Disinfectants:
Physical and Chemical Factors:
Several physical and chemical factors also influence
disinfectant procedures: temperature, pH, relative
humidity, and water hardness.
Organic and Inorganic Matter:
Duration of Exposure:
Biofilms: Microorganisms may be protected from disinfectants by
production of thick masses of cells and extracellular materials, or
bio films. Once these masses form, microbes within them can be
resistant to disinfectants by multiple mechanisms, including
physical characteristics of older bio films, genotypic variation of the
bacteria, microbial production of neutralizing enzymes, and
physiologic gradients within the bio film (e.g., pH).
Porous or smooth:
15. Consistency
• Liquid (Alcohols, Phenols)
• Gaseous (Formaldehyde vapour, Ethylene oxide)
Spectrum of activity
• High level
• Intermediate level
• Low level
Mechanism of action
• Action on membrane (Alcohol, detergent)
• Denaturation of cellular proteins (Alcohol, Phenol)
• Oxidation of essential sulfhydryl groups of enzymes (H2O2,
Halogens)
• Alkylation of amino-, carboxyl- and hydroxyl group (Ethylene
Oxide, Formaldehyde)
16. Low – Level Disinfectants For Housekeeping And Non – Critical
Items That Does Not Touch The Patient’s Skin Ex. Lysol alcohol-
free quaternary ammonium compound.
Intermediate Level Disinfectants For Semi – Critical Items That
Comes In Contact With The Skin
Ex. water-based phenolics, alcohol-based phenolics, iodophors, sodium
hypochlorites and other chlorine compounds, and alcohol-based
quaternary ammonium compounds.
High Level Disinfectant For Critical Items That Comes In Contact
With The Body Tissues Or Below Skin Membranes
Peracetic acid.
Hydrogen peroxide.
Glutaraldehyde.
Hypochlorous acid.
Hypochlorite.
Ortho-Phthaldehyde.
17. PHYSICAL DISINFECTION:
Disinfection is best achieved by moist heat such as boiling
in water (100°C for 10 minutes at sea level) or by
Tindilization means boiling for 20 minutes and then
cooling, again re-boiling and cooling for three times which
kills all organisms except for a few bacterial spores.
PHYSICAL DISINFECTANT
BOILING WATER
PASTERURIZATION
ULTRAVIOLET RAYS
The Rays Comes In Contact With The Organisms Wear
Protective Skin Covering!!!Skin Covering!!!
18. CHEMICAL DISINFECTION:
Chemical disinfectants may be supplied ready to use or may need accurate
dilution to use
Liquid disinfectants are preferably used for solid surfaces and equipment. They
vary greatly in their efficiency, depending on the chemical constituents and the
agents involved.
These include alcohols, chlorine and chlorine compounds, formaldehyde,
glutaraldehyde, ortho-phthalaldehyde, hydrogen peroxide, iodophors, peracetic
acid, phenolics, and quaternary ammonium compounds. Chemical disinfection
may only be used for items for which thermal disinfection
Chemical Disinfectant Solutions
Phenol and Phenol Derivatives:
concentrations 5% to 10 %.
Unpleasant odor
Toxic
used for disinfection of walls, floors, bench tops.
They effectively kill bacteria including Mycobacterium tuberculosis, fungi and
lipid- containing viruses.
They are not active against spores
19. Halogens (Chlorine and Iodine):
Sodium hypochlorite is the most common
Common household bleach (5% available chlorine) can be
diluted 1/10 to 1/100 with water
At high concentrations and extended contact time, considered
cold sterilants
They are most often used as antiseptics and in surgical soaps
and are relatively nontoxic to humans.
Alcohols
Ethyl or isopropyl alcohol in concentration of 70% to 90% are
good general-use disinfectants.
they evaporate fast and therefore have limited exposure time.
They are less active against non- lipid viruses and ineffective
against lipid viruses and ineffective against bacterial spores.
Concentrations above 90% are less effective. They should only
be used after all the visible surface dirt has been removed from
the area to be disinfected.
20. Aldehydes
Formalin is 37% solution of formaldehyde in water.
Dilution of formalin to 5% results in an effective
disinfectant.
Formaldehyde is a human carcinogen and creates
respiratory problems at low levels of concentration.
Glutaraldehyde:
Chemically related to formaldehyde, is more effective
against all types of bacteria, fungi, and of bacteria,
fungi, and viruses.
Vapors of glutaraldehydes are irritating to the eyes
nasal passages and upper nasal passages and upper
respiratory tract.
21. Quaternary Ammonium Compounds (Quats):
Detergents with strong surface activity.
They are active against Gram-positive bacteria
They are less active against Gram-negative bacteria .
Quats are relatively nontoxic and can be used for
decontamination of food equipment and for general
cleaning.
Hydrogen Peroxide
3% Hydrogen peroxide is stable and efficient against
inanimate surfaces.
Peroxides are often used as antiseptics in cleaning in
wounds.
The activity is highest against anaerobic bacteria.
It can cause damage to tissues and cause delay in healing.
22. Sterilization is the killing or removal of all microorganisms, including
bacterial spores which are highly resistant.
Sterilization is an absolute term, i.e. the article must be sterile meaning the
absence of all microorganisms.
Sterilization destroys all microorganisms on the surface of an article or in a
fluid to prevent disease transmission associated with the use of that item.
While the use of inadequately sterilized critical items represents a high risk of
transmitting pathogens.
USES OF STERILIZATION
1. Sterilization for Surgical Procedures: Gloves, aprons, surgical
instruments, syringes etc. are to be sterilized.
2. Sterilization in Microbiological works like preparation of culture media,
reagents and equipments where a sterile condition is to be maintained.
Commonly Used In The Operating Room And Delivery Room
Nursing Procedures That Are Invasive
23. Purpose
Eliminate All Microorganisms That Will Come Into
Contact With Body Tissues.
Protect Patients From Possible Infection When Natural
Defenses Are Not Normal
Procedures Requiring Sterile Technique
Procedures When Underlying Tissues Are Being
Exposed tissues
Internal Body Areas Are Normally Sterile
25. Sterilization By Heat
Heat is most effective and a rapid method of sterilization and disinfection.
Excessive heat acts by coagulation of cell proteins. Less heat interferes with
metabolic reactions.
TYPES OF HEAT:
A. Sterilization by moist heat
B. Sterilization by dry heat
A. Sterilization by moist heat Moist heat acts by denaturation and coagulation of
protein, breakage of DNA strands, and loss of functional integrity of cell
membrane.
(I) Sterilization at 100°C
(II) Sterilization above 100°C
(III) Sterilization below 100°C
Sterilization at 100°C
1. Boiling: Boiling at 100°C for 30 minutes is done in a water bath. Syringes,
rubber goods and surgical instruments may be sterilized by this method.
2. Steaming: Steam (100°C) is more effective than dry heat at the same
temperature. It is done with a steam sterilizer. In this sterilization is done by
two methods:
a) Single Exposure for 11/2 hours
b) Tyndallization (Fractional Sterilization)
26. (II) Sterilization above 100°C:
Autoclaving It is one of the most common methods. It is a metallic cylindrical vessel.
It is done by steam under pressure.
When the autoclave is closed and water starts boiling above 100°C and
(III) Sterilization below 100°C
1. Pasteurization: Pasteurization is heating of milk to such temperature and for such a
period of time so as to kill pathogenic bacteria that may be present in milk without
changing color, flavor and nutritive value of milk.
i) Flash Method: Heating at 72 °C for 15 secs.
ii) Holding Method: Heating between 63 °C and 66 °C for 30 minutes
2. Inspissations: stiffening of protein without coagulation between 70 °C to 80 °C
STERILIZATION BY DRY HEAT MECHANISMS
By protein denaturation, oxidative damage and toxic effect of elevated electrolyte.
Dry heat at 160 °C holding for one hour.
1. Red Heat: heating to red in Bunsen burner or spirit lamp flame.
2. Flaming: the article is passed through flame without allowing it to become red hot.
3. Incineration : ignites and reduce to ash & gas 4. Hot air oven (sterilizer): one of the
most
27.
28.
29. Sterilization By Radiation
Gamma and X-ray are two principal types of ionizing
radiation used in sterilization.
Their application is mainly centered on the sterilization
of prepackaged medical devices.
Ultraviolet (UV) radiation is a practical method for
inactivating viruses, mycoplasma, bacteria and fungi.
UV radiation is successfully used in the destruction of
airborne microorganisms.
UV light sterilizing capabilities are limited on surfaces
because of its lack of penetrating power .
30. Ionizing Radiation
Exposure To Irradiation
Irradiation Sterilization Is Suitable For Heat And
Moisture Sensitive Items
Sterilization By Filtration Sterilize solutions which are
heat liable such as sugar solutions, sera and antibiotics
are done by filtration methods.
Types:
1. Earthen ware (Candle) filter
2. Asbestos (seitz) disc filters
3. Membrane filter
4. Syringe filter
5. Air filters
31. Chemical Agents
Chemicals are also used for sterilization. Heating provides a reliable way to rid
objects of all transmissible agents, but it is not always appropriate if it will
damage heat-sensitive materials such as biological materials, fiber optics,
electronics, and many plastics. In these situations chemicals, either as gases or
in liquid form, can be used as sterilants.
ETHYLENE OXIDE GAS : Is one of the common methods used to sterilize,
pasteurize, or disinfect items because of its wide range of material
compatibility.
ITEMS THAT ARE SENSITIVE HEAT/ITEMS THAT ARE SENSITIVE
HEAT/ MOISTURE.MOISTURE.
HIGHLY FLAMMABLE!!! MONITOR!!!
Ethylene oxide is a colorless gas which is toxic to inhale.
It is effective against all organisms and does not damage equipment.
Ethylene oxide treatment is generally carried out between 30 °C and 60 °C with
relative humidity above 30% and a gas concentration between 200 and 800
mg/l.
Typically, the process lasts for several hours.
Ethylene oxide is highly effective, as it penetrates all porous materials, and it
can penetrate through some plastic materials and films.
The operating cycle ranges from 2 - 24 hours so the turnaround time is
prolonged and it is a relatively expensive process.
32. HYDROGEN PEROXIDE: SAFE AND NON-TOXIC
Hydrogen peroxide, in both liquid and as vaporized hydrogen peroxide (VHP), is another chemical
sterilizing agent.
Hydrogen peroxide is used to sterilize heat or temperature sensitive articles such as rigid
endoscopes.
In medical sterilization hydrogen peroxide is used at higher concentrations, ranging from around
35% up to 90%.
The biggest advantage of hydrogen peroxide as a sterilant is the short cycle time.
It have a cycle time as short as 28 minutes.
Ozone Gas
Expensive And Easy To Operate expensive And Easy To Operate Corrosive!!!
Not Used For Items Made Of not Used For Items Made Of Steel Brass And Aluminum steel Brass
And Aluminum
Liquid Chemical Sterilant
Peracetic Acid: (0.2%) Is A Recognized Sterilant By The FDA For Use In Sterilizing Medical
Devices Such As Endoscopes.
Liquid Sterilant
Suitable For Sterilizing Heat
Rinse In Sterile Water Before
Can Be Used Immediately
Indicators Of Sterility
Sterile Tapes sterile Tapes
Package With Sterile Indicators
Expiration Date
33. GENERAL PRINCIPLES
1. Microorganisms move through space in air currents.
2. Microorganisms are one transferred from one surface to
another when a non sterile object touches other objects
3. Microorganism move from one object to another as as a
result of gravity
4. Microorganisms travel rapidly along any moisture through
a wicking action
5. Microorganisms move slowly along a dry surface
6. Microorganisms are releases through the air on droplet
nuclei whenever a person breathes or speaks
7. Microorganisms are in constant motion in a variety of ways
8. The edge of the sterile field is potentially contaminated by
microorganisms moving in from the outside from the outside