generally about classification, mechanism of action, the effects of toxic chemicals found in disinfectants, beneficial effects and how to minimize exposure to these disinfectants
2. INTRDUCTION
• Disinfectants are antimicrobial agents that are applied to the surface of non-living
objects to destroy microorganisms (bacteria, viruses, fungi, mold or mildews)
that are living on the objects.
• It does not necessarily kill all microorganisms but reduces them to a level
acceptable for a defined purpose.
• Disinfectants can be split into two broad groups, oxidizing and nonoxidizing
• However, other classifications also exist like alcohol, iodophors, phenolics etc.
• Its effects ranges from mild to severe depending on the dose and frequency of
exposure
3. Important definitions
• Sanitize: is to remove dirt and germs from surfaces/objects, through washing
and cleaning but not to the level of disinfection
• Antiseptic: similar to disinfectant but is applied to living tissue e.g.
skin/mucous membranes etc. with a view to killing microorganisms that can
be present on the tissue.
• Cleaning: the physical removal of foreign material e.g. dirt, soil, dust, organic
secretions etc.
• Sterilization: complete elimination or destruction of all forms of
microorganisms
4. CLASSIFICATION OF DISINFECTANTS
• Disinfectants can be split into two broad groups, oxidizing and
nonoxidizing.
• Oxidizing disinfectants include the;
Halogens such as chlorine, iodine, bromine,
chlorine dioxide
oxygen-releasing materials such as peracetic acid and
hydrogen peroxide.
5. cont
Nonoxidizing disinfectants are as follows:
• quaternary ammonium compounds e.g benzalkonium chloride
• Amphoterics
• Biguanides
• acid anionics.
• Phenols mouthwashes, soaps
• Aldehyde such as formaldehyde, glutaraldehyde
6. Other classifications
Based on the components of disinfectants
• Alcohols
• Iodophors
• Phenolics
• Formaldehyde
• Hydrogen peroxide
• Sodium hypochlorite, etc.
7. Mechanism of their action
Oxidizing disinfectants
• It denatures proteins, disrupts the cell wall permeability and
oxidizes sulfhydryl and sulfur bonds in proteins, enzymes,
decrease oxygen uptake, inhibition of protein synthesis and
other metabolites which results in a loss of structure and leads
to cell lysis and death
8. Cont
Non oxidizing agent
• Aldehyde-alkylation
• Phenol –act as protoplasmic poison
• Quaternary ammonium compounds- inactivation of energy
producing enzymes
9. SOURCES OF EXPOSURE
• Surface waters, rain water, sediments, drinking water, groundwater,
industrial and urban runoff, and at hazardous waste sites.
• Workplace
• Inhalation
• contact with surfaces or objects which have been disinfected with the
products.
• Petroleum industry.
10. Cont.
• Heavy-duty surfactants
•Food e.g phenol have been found in foods such smoked pork belly,
mountain cheese, fried bacon, fried chicken, and black fermented tea.
11. Beneficial effects of disinfectants
• Effective in reducing microbial load on floors.
• Interrupts the transmission of communicable diseases
• Less environmental impact (aquatic or terrestrial)
• Less issues with disposal
• Produces more clean pleasing surfaces
• Water purification
• Waste water treatment
• Recommended for patients on isolation precautions
• Needed for surfaces contaminated by blood and other potentially infective
materials.
12. Toxicity of disinfectants
Dermal effects
• Skin dryness
• Mild skin reaction
• Caustic burns on the skin
• Skin dermatitis of the hands
GIT effects
• Irritation of the gastro-intestinal lining
• Nausea
• Vomiting
• Abdominal pain and diarrhea
14. toxicity cont.
Eye effects
• Eye irritation and itching
• Decreased vision
• Lacrimation
Respiratory effects
• Lung irritation
• Shortness of breath
• Cough and sneezing
15. toxicity
• Affects the central nervous system and heart resulting in
dysarrhythmias, seizures and coma.
• Affects the liver
• Cognitive problems such as learning disability and behavior
change
• Birth defects and fertility problems in caged lab mice e.g Virex
and Quatricide
16. Toxicity of disinfectants
• Edema haemorrhage
• Cancer like nasal, lung cancers etc.
• Coma
• Convulsions
• Hypotension
• And death possibly
18. Cont
• Proper disposal of empty containers of disinfectants
• The disinfectants should be stored under suitable temperature
• Manufacturer should provide an safety data sheet for each product
• Never mix two disinfectants together
• Clean in a ventilated space
• Be sure children aren’t in the room.
• Never mix products. Chemicals in cleaning products can have dangerous
reactions with one another. For example, the mixture of bleach and ammonia
creates deadly chloramine fumes
19.
20. REFERENCE
• Lock S (1977) Disinfection, Sterilization and Preservation.
Philadelphia, PA: Lea & Febiger.
• Hugo WB (1971) Inhibition and Destruction of the Microbial Cell.
London: Academic Press
21. I may not be perfect but if others have made
it I too can do it
BLESSINGS