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• Sterilization : It is a process by which an article,
surface or medium is made free of all
microorganisms either in vegetative or spore form.
• Disinfection : Destruction of all pathogens or
organisms capable of producing infections but not
necessarily spores. All organisms may not be killed
but the number is reduced to a level that is no
longer harmful to health.
• Antiseptics : Chemical disinfectants which can safely
be applied to living tissues and are used to prevent
infection by inhibiting the growth of
microorganisms.
• Asepsis :Technique by which the occurrence of
infection into an uninfected tissue is prevented.
Why we need Sterilization
• Microorganisms capable of causing infection are constantly present in the
external environment and on the human body. Microorganisms are
responsible for contamination and infection.
• The aim of sterilization is to remove or destroy them from materials or from
surfaces.
• How can microorganisms be killed?
• Denaturation of proteins
• Interruption of DNAsynthesis/repair
• Disruption of cell membranes
Classification
1. Physical sterilization includes:
❖ Heat
❖ Dry heat
❖ Moist heat
❖ Radiation
❖ Filtration
2. Chemical sterilization includes:
❖ Alcohols andAldehydes
❖ Phenols and Halogens
❖ Oxidizing agents and Salts
❖ Surface active agents and ethylene oxide gas
Factors that influence efficacy of disinfection/sterilization
• Contact time
• Physico-chemical environment (e.g. pH)
• Presence of organic material
• Temperature
• Type of microorganism
• Number of microorganisms
• Material composition
Uses of sterilisation:
1. Sterilisation of materials, instruments used in
surgical and diagnostic procedures.
2. Media and reagents used in the microbiology
laboratory.
3. Food and drug manufacturing to ensure safety
from contaminating organisms.
Materials Method
1 Inoculating wires and loops Red heat
2 Glass ware- syringes, petridishes, testtubes,
flasks etc.
Hot –airoven
3 Disposable syringes, and other disposableitems Gamma radiation
4 Culture media Autoclaving
5 Culture media containing serum andegg Tyndallisation
6 Toxin , serum, sugar, and antibiotic solutions Filtration
7 Cystoscope and endoscope Glutaraldehyde
8 Infected soiled dressings Incineration
9 Skin Iodine, alcohol
10 Milk Pasteurisation
Heat-Related Methods: Dry-Heat Sterilization
• Dry heat:
1. Red heat
2. Flaming
3. Incineration
4. Hot air oven
Factors influencing dry heat sterlization:
• Nature of heat
• Temperature and duration
• Characteristic of organism and spores
• Type of material
• Principle:
– Dry heat kills the organism by
• denaturation of the bacterial proteins,
• oxidative damage
• toxic effect of elevated levels of electrolytes.
1. Red heat: Materials are held in the flame of a
Bunsen burner till they become red hot.
➢ Inoculating wires or loops
➢ Tips of forceps and Needles
• 2. Flaming: Materials are passed through the flame
of a Bunsen burner without allowing them to become
red hot.
➢ Glass slides and Scalpels
➢ Mouths of culture tubes.
Sun light:
➢ Active germicidal effect due to its content of ultraviolet rays .
➢ Natural method of sterilization of water in tanks, rivers and lakes.
Incineration:
• Materials are reduced to ashes by
burning.
• Instrument used was incinerator.
– Soiled dressings
– Animal carcasses
– Bedding
– Pathological material
Hot air oven
• Involves heating at atmospheric pressure and often use a fan to obtain uniform
temperature by circulation.
• Electrically heated and fitted with a fan to even distribution of air in the chamber.
• Fitted with a thermostat that maintains the chamber air at a chosen
• Temperature and time:
• » 160 °C for 2 hours.
• » 170 °C for 1 hour
• » 180 °C for 30 minutes.
❖ Glassware like glass syringes, Petri dishes, pipettes and test
tubes, Surgical instruments like scalpels, scissors, forceps and
Chemicals like liquid paraffin, fats etc. can be sterilized.
• Precautions :
1. Should not be overloaded
2. Arranged in a manner which allows free circulation of air
3. Material to be sterilized should be perfectly dry.
4. Test tubes, flasks etc. should be fitted with cotton plugs.
5. Petridishes and pipetts should be wrapped in paper.
6. Rubber materials and inflammable materials should not be kept inside.
7. The oven must be allowed to cool for two hours before opening, since
glass ware may crack by sudden cooling.
• Disadvantages of Dry-Heat Sterilization
– Less reliable than autoclaving
– Many materials don’t tolerate dry heat.
Sterilisationcontrols:
• Sterilisationcontrols
1. Sporesof
Bacillus subtilis
subsp.niger
2.Non- toxigenic
strain of
C.tetani.
MOIST HEAT
1. Temperature below100°C
• Pasteurizationof milk
• Inspissations
• Vaccine bath
• Temperature at100°C
• Boiling
• Tyndallisation
• Steam sterilisation
• Temperature above100°C
• Autoclave
Heat-Related Methods: Moist heat
I :Temperature below100°C
Pasteurization:
✓ Used for milk, ice cream, yogurt, and fruit juices
✓ Heat-tolerant microbes survive
✓ Batch method
✓ temperature below 100° Pasteurization of milk
✓ Developed by Louis Pasteur to prevent the spoilage
of beverages. Used to reduce microbes responsible for
spoilage of beer, milk, wine, juices, etc.
✓ Milk was exposed to 65oC for 30 minutes.
✓ High Temperature Short Time Pasteurization (HTST):Used
today. Milk is exposed to 72oC for 15 seconds.
Inspissations:
• Heating at 80-85°C for half an hour daily on
three consecutive days
• Serum or egg media are sterilized.
Vaccine bath:
• Heating at 60°C for an hour daily in vaccine bath for
several successive days. Serum or body fluids can
be sterilized by heating at 56°C for an hour daily for
several successive days.
II: A temperature at100°C
• Boiling : Boiling for 10 – 30 minutes may kill
most of vegetative forms but spores with stand
boiling.
• Tyndallisation: Steamat 100C
for 20 minutes on three
successive days. Used for
egg , serum and sugar
containing media.
• Steam sterilizer: Steam at
100C for 90 minutes. Used for
media which are decomposed
at high temperature.
III. A temperature above 100°C
• Autoclave :
• Steam above 100°C has a better killing power than
dry heat.
• Bacteria are more susceptible to moist heat.
• Components of autoclave:
• Consists of vertical or horizontal cylinder of
gunmetal or stainless steel.
• Lid is fastened by screw clamps and rendered
air tight by an asbestos washer.
• Lid bears a discharge tap for air and steam, a
pressure gauge and a safety valve.
Autoclave:ClosedChamberwith High
TemperatureandPressure
Transformation indesign
Sterilization conditions:
– Temperature – 121 °C
– Chamber pressure -15 lb per square inch.
– Holding time – 15 minutes
– Others :
• 126°C for 10 minutes
• 133°C for 3 minutes
• Uses of Autoclaves:
• Useful for materials which can not withstand high temp.
• To sterilize culture media, rubber material, gowns,
dressings, gloves etc.
For Porousloads
For Liquid loads
▪Sterilization controls:
oThermocouples
oBacterial spores- Bacillus stearothermophilus
oBrowne’s tube and Autoclave tapes
Sterility Controls
Yellow medium
means spores are
viable; autoclaved
objects are not
sterile.
Red medium means
spores were killed;
autoclaved objects
are sterile.
Incubation
After autoclaving, flexible
vial is squeezed to break
ampule and release medium
onto spore strip.
Cap that allows
steam to penetrate
Flexible plastic
vial
Crushable glass
ampule
Nutrient medium
containing pH
color indicator
Endospore strip
Filtration:
• Filtration:
• Useful for substanceswhichget
damagedbyheat.
• Tosterilize sera,sugarsand antibiotic
solutions.
• Toobtain bacteria free filtratesof
clinical samples.
• Purification ofwater.
Several types of Filters
• Typesof filters:
1. Candlefilters
2. Asbestosdisc filters
3. Sintered glassfilters
4. Membrane filters
5. Air filters
6. Syringefilters
Filtration
• Sterilize solutions
that may be
damaged or
denatured by high
temperatures or
chemical agents.
Thefiltering DependsonPore Size
• The pore size for filtering bacteria, yeasts, and
fungi is in the range of 0.22-0.45 μm
(filtration membranes are most popular for
this purpose).
Candle filters
The roles of HEPA filters in Biological flow safety
cabinets
Supply HEPA
filter
Blower
Light
Safety glass
View screen
High-velocity
air barrier
Exhaust HEPA
filter
❖To ensure the best results, pharmaceutical sterile filtration
is performed in a room with highly filtered air (HEPA
filtration) or in a laminar flow cabinet or "flowbox", a
device which produces a laminar stream of HEPA filtered
air.
❖HEPA filters are critical in the prevention of the spread of
airborne bacterial and viral organisms and, therefore,
infection. Typically, medical-use HEPA filtration systems
also incorporate high-energy ultra-violet light units to kill
off the live bacteria and viruses trapped by the filter
media.
Radiations
1. Ionizing radiations:
▪ X rays
▪ Gamma rays: commercially used for sterilization of
disposable items. (cold sterilization)
▪ Cosmic rays
2.Nonionizing Radiation
▪ Infra red rays: Used for rapid mass sterilization of syringes
and catheters.
• Ultraviolet light :
▪ Wavelength is longer than 1 nanometer. Damages DNA by
producing thymine dimers, which cause mutations.
▪ Used to disinfect operating rooms, nurseries, cafeterias.
Ultraviolet radiation is used for disinfecting enclosed areas
such as bacterial laboratory, inoculation hood, laminar flow
and operation theatres. Damages skin, eyes.

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M 1 sterlization

  • 1.
  • 2. • Sterilization : It is a process by which an article, surface or medium is made free of all microorganisms either in vegetative or spore form. • Disinfection : Destruction of all pathogens or organisms capable of producing infections but not necessarily spores. All organisms may not be killed but the number is reduced to a level that is no longer harmful to health.
  • 3. • Antiseptics : Chemical disinfectants which can safely be applied to living tissues and are used to prevent infection by inhibiting the growth of microorganisms. • Asepsis :Technique by which the occurrence of infection into an uninfected tissue is prevented.
  • 4. Why we need Sterilization • Microorganisms capable of causing infection are constantly present in the external environment and on the human body. Microorganisms are responsible for contamination and infection. • The aim of sterilization is to remove or destroy them from materials or from surfaces. • How can microorganisms be killed? • Denaturation of proteins • Interruption of DNAsynthesis/repair • Disruption of cell membranes
  • 5. Classification 1. Physical sterilization includes: ❖ Heat ❖ Dry heat ❖ Moist heat ❖ Radiation ❖ Filtration 2. Chemical sterilization includes: ❖ Alcohols andAldehydes ❖ Phenols and Halogens ❖ Oxidizing agents and Salts ❖ Surface active agents and ethylene oxide gas
  • 6. Factors that influence efficacy of disinfection/sterilization • Contact time • Physico-chemical environment (e.g. pH) • Presence of organic material • Temperature • Type of microorganism • Number of microorganisms • Material composition
  • 7. Uses of sterilisation: 1. Sterilisation of materials, instruments used in surgical and diagnostic procedures. 2. Media and reagents used in the microbiology laboratory. 3. Food and drug manufacturing to ensure safety from contaminating organisms.
  • 8. Materials Method 1 Inoculating wires and loops Red heat 2 Glass ware- syringes, petridishes, testtubes, flasks etc. Hot –airoven 3 Disposable syringes, and other disposableitems Gamma radiation 4 Culture media Autoclaving 5 Culture media containing serum andegg Tyndallisation 6 Toxin , serum, sugar, and antibiotic solutions Filtration 7 Cystoscope and endoscope Glutaraldehyde 8 Infected soiled dressings Incineration 9 Skin Iodine, alcohol 10 Milk Pasteurisation
  • 9. Heat-Related Methods: Dry-Heat Sterilization • Dry heat: 1. Red heat 2. Flaming 3. Incineration 4. Hot air oven
  • 10. Factors influencing dry heat sterlization: • Nature of heat • Temperature and duration • Characteristic of organism and spores • Type of material • Principle: – Dry heat kills the organism by • denaturation of the bacterial proteins, • oxidative damage • toxic effect of elevated levels of electrolytes.
  • 11. 1. Red heat: Materials are held in the flame of a Bunsen burner till they become red hot. ➢ Inoculating wires or loops ➢ Tips of forceps and Needles
  • 12. • 2. Flaming: Materials are passed through the flame of a Bunsen burner without allowing them to become red hot. ➢ Glass slides and Scalpels ➢ Mouths of culture tubes.
  • 13. Sun light: ➢ Active germicidal effect due to its content of ultraviolet rays . ➢ Natural method of sterilization of water in tanks, rivers and lakes.
  • 14. Incineration: • Materials are reduced to ashes by burning. • Instrument used was incinerator. – Soiled dressings – Animal carcasses – Bedding – Pathological material
  • 15. Hot air oven • Involves heating at atmospheric pressure and often use a fan to obtain uniform temperature by circulation. • Electrically heated and fitted with a fan to even distribution of air in the chamber. • Fitted with a thermostat that maintains the chamber air at a chosen • Temperature and time: • » 160 °C for 2 hours. • » 170 °C for 1 hour • » 180 °C for 30 minutes.
  • 16. ❖ Glassware like glass syringes, Petri dishes, pipettes and test tubes, Surgical instruments like scalpels, scissors, forceps and Chemicals like liquid paraffin, fats etc. can be sterilized.
  • 17. • Precautions : 1. Should not be overloaded 2. Arranged in a manner which allows free circulation of air 3. Material to be sterilized should be perfectly dry. 4. Test tubes, flasks etc. should be fitted with cotton plugs. 5. Petridishes and pipetts should be wrapped in paper. 6. Rubber materials and inflammable materials should not be kept inside. 7. The oven must be allowed to cool for two hours before opening, since glass ware may crack by sudden cooling. • Disadvantages of Dry-Heat Sterilization – Less reliable than autoclaving – Many materials don’t tolerate dry heat.
  • 18. Sterilisationcontrols: • Sterilisationcontrols 1. Sporesof Bacillus subtilis subsp.niger 2.Non- toxigenic strain of C.tetani.
  • 19. MOIST HEAT 1. Temperature below100°C • Pasteurizationof milk • Inspissations • Vaccine bath • Temperature at100°C • Boiling • Tyndallisation • Steam sterilisation • Temperature above100°C • Autoclave
  • 20. Heat-Related Methods: Moist heat I :Temperature below100°C Pasteurization: ✓ Used for milk, ice cream, yogurt, and fruit juices ✓ Heat-tolerant microbes survive ✓ Batch method ✓ temperature below 100° Pasteurization of milk ✓ Developed by Louis Pasteur to prevent the spoilage of beverages. Used to reduce microbes responsible for spoilage of beer, milk, wine, juices, etc. ✓ Milk was exposed to 65oC for 30 minutes. ✓ High Temperature Short Time Pasteurization (HTST):Used today. Milk is exposed to 72oC for 15 seconds.
  • 21.
  • 22. Inspissations: • Heating at 80-85°C for half an hour daily on three consecutive days • Serum or egg media are sterilized.
  • 23. Vaccine bath: • Heating at 60°C for an hour daily in vaccine bath for several successive days. Serum or body fluids can be sterilized by heating at 56°C for an hour daily for several successive days.
  • 24. II: A temperature at100°C • Boiling : Boiling for 10 – 30 minutes may kill most of vegetative forms but spores with stand boiling.
  • 25. • Tyndallisation: Steamat 100C for 20 minutes on three successive days. Used for egg , serum and sugar containing media. • Steam sterilizer: Steam at 100C for 90 minutes. Used for media which are decomposed at high temperature.
  • 26. III. A temperature above 100°C • Autoclave : • Steam above 100°C has a better killing power than dry heat. • Bacteria are more susceptible to moist heat. • Components of autoclave: • Consists of vertical or horizontal cylinder of gunmetal or stainless steel. • Lid is fastened by screw clamps and rendered air tight by an asbestos washer. • Lid bears a discharge tap for air and steam, a pressure gauge and a safety valve.
  • 27.
  • 30. Sterilization conditions: – Temperature – 121 °C – Chamber pressure -15 lb per square inch. – Holding time – 15 minutes – Others : • 126°C for 10 minutes • 133°C for 3 minutes • Uses of Autoclaves: • Useful for materials which can not withstand high temp. • To sterilize culture media, rubber material, gowns, dressings, gloves etc.
  • 31. For Porousloads For Liquid loads ▪Sterilization controls: oThermocouples oBacterial spores- Bacillus stearothermophilus oBrowne’s tube and Autoclave tapes
  • 32. Sterility Controls Yellow medium means spores are viable; autoclaved objects are not sterile. Red medium means spores were killed; autoclaved objects are sterile. Incubation After autoclaving, flexible vial is squeezed to break ampule and release medium onto spore strip. Cap that allows steam to penetrate Flexible plastic vial Crushable glass ampule Nutrient medium containing pH color indicator Endospore strip
  • 33. Filtration: • Filtration: • Useful for substanceswhichget damagedbyheat. • Tosterilize sera,sugarsand antibiotic solutions. • Toobtain bacteria free filtratesof clinical samples. • Purification ofwater.
  • 34. Several types of Filters • Typesof filters: 1. Candlefilters 2. Asbestosdisc filters 3. Sintered glassfilters 4. Membrane filters 5. Air filters 6. Syringefilters
  • 35. Filtration • Sterilize solutions that may be damaged or denatured by high temperatures or chemical agents.
  • 36. Thefiltering DependsonPore Size • The pore size for filtering bacteria, yeasts, and fungi is in the range of 0.22-0.45 μm (filtration membranes are most popular for this purpose).
  • 38. The roles of HEPA filters in Biological flow safety cabinets Supply HEPA filter Blower Light Safety glass View screen High-velocity air barrier Exhaust HEPA filter
  • 39. ❖To ensure the best results, pharmaceutical sterile filtration is performed in a room with highly filtered air (HEPA filtration) or in a laminar flow cabinet or "flowbox", a device which produces a laminar stream of HEPA filtered air. ❖HEPA filters are critical in the prevention of the spread of airborne bacterial and viral organisms and, therefore, infection. Typically, medical-use HEPA filtration systems also incorporate high-energy ultra-violet light units to kill off the live bacteria and viruses trapped by the filter media.
  • 40. Radiations 1. Ionizing radiations: ▪ X rays ▪ Gamma rays: commercially used for sterilization of disposable items. (cold sterilization) ▪ Cosmic rays 2.Nonionizing Radiation ▪ Infra red rays: Used for rapid mass sterilization of syringes and catheters.
  • 41. • Ultraviolet light : ▪ Wavelength is longer than 1 nanometer. Damages DNA by producing thymine dimers, which cause mutations. ▪ Used to disinfect operating rooms, nurseries, cafeterias. Ultraviolet radiation is used for disinfecting enclosed areas such as bacterial laboratory, inoculation hood, laminar flow and operation theatres. Damages skin, eyes.