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Physical methods of Disinfection 
Dr Kiran KS 
Department of Oral & Maxillofacial 
Surgery
Definition 
• Disinfection is the destruction or removal of 
all pathogenic organisms or organism capable 
of giving rise to infection, but not necessarily 
spores.
Classification 
• Cleaning 
• Sunlight 
• Desiccation 
• Heat 
• Filtration 
• Radiation
CLEANING
Cleaning 
• Widely used. 
• Cheapest 
• Detergents & their disinfectant property.
Cleaning cont. 
• Surface tension depressants, or wetting 
agents –cleaning – ‘surfactants’ or ‘synthetic 
detergents’. 
• Extensively used in laundry and dishwashing 
powders, shampoos and other washing 
preparations.
Classification of detergents 
• Those which ionize with the detergent 
property resident in the anions – anionic 
detergents. 
• Eg: soap, sodium lauryl sulfate.
Classification…con 
• Those which ionize with the detergent 
property resident in cation- cationic 
detergents 
• Eg: Cetyl pyridinium chloride (Ceepryn)
Classification con… 
• Non-ionic detergents, they do not ionize and 
do not possess significant antimicrobial 
property.
Cleaning cont. 
• Removal of microbial flora from surfaces such 
as skin and clothing- soaps- mechanical 
removal.
Cleaning cont. 
• Soaps reduce surface tension- increase 
wetting power of water in which they are 
dissolved – soapy water, emulsify and disperse 
oil and dirt – microorganisms get enmeshed in 
the soap lather and are removed by rinsing 
water.
Surface tension 
• Decrease in ST Alter permeability 
characteristics of cytoplasmic membrane 
Leakage of cellular substance damage to cell
Ultrasonic cleaners 
• Ultrasonic cleaning recommended- in initial 
removal of bio- burden ,while reducing hand 
contact with potential injury causing reusable 
sharps.
Hand washing 
• “hand washing is considered to be one of the 
most important procedures in prevention of 
infections”. 
• Mere mechanical action of rubbing the hands 
together and rinsing them under running 
water is an important aspect in removal of 
transient organisms.
HAND RUB
HAND 
WASHING
Technique 
• Remove jewellery & check hands for cuts & 
abrasions. 
• Trim & clean finger nails, false fingernails or 
nail polish should not be used. 
• Scrub hands & forearm with approved liquid 
soap & iodophores alternatively & repeatedly 
for 7 minutes, washing away the lather each 
time.
• Always rinse from fingertip proceeding to 
elbow ,keeping the elbow raised. 
• Allow water to drip from elbow & not from 
hand. 
• Dry hands first , with sterile towel begining 
with hands & working towards the elbow. 
• Apply gloves in an aseptic manner.
• Repeat hand washing between patient 
appointments, before handling records, 
before lunch, after a break in routine, & 
before leaving the clinic.
SUNLIGHT
Sunlight 
• Active germicidal action , due to content of UV 
rays. 
• Natural method of sterilization in case of 
water in tanks, river & lakes.
Desiccation 
• Cessation of metabolic activity- decline in total 
viable population. 
• Time of survival of microorganism after 
desiccation depends on; 
1. Kind of organism. 
2. Material in or on which the organisms are dried. 
3. Completeness of drying process. 
4. Physical conditions to which dried organisms are 
exposed eg., light, temperature , humidity.
Desiccation cont. 
• Species of Gram negative cocci such as 
gonococci and meningiococci are very 
sensitive to dessication. 
• Streptococci are more resistant. 
• Dried spores remain viable, indefinitely.
Radiation 
• Mode of transmission of energy through 
space. 
• Less energetic, nonionizing- UV radiation 
• UV radiation is absorbed specifically by 
different compounds.
UV light 
• 150- 3900 A- UV spectrum 
• 2650 A , highest bactericidal action. 
• UV light has limited penetration, even a thin 
layer of glass, filters off large percentage of 
light. 
• Microorganisms on the surface are 
susceptible.
Mode of action 
• Absorbed by cellular materials , specially 
nucleus- damages the cell. 
• Pyrimidine of nucleic acid absorbs UV 
radiation – forms ‘pyrimidine dimer’(adjacent 
2 pyrimidine's become bonded) unless dimers 
are removed by specific intercellular enzyme; 
DNA replication is inhibited and mutation 
results.
Application
Heat 
• Microbes can grow over a range of 
temperatures. 
• Psychrophiles- very low temperature. 
• Mesophiles- moderate temperature (body 
temperature) 
• Thermophiles- very high temperature.
BOILINING
Boiling water 
• Uncertainty in sterilization exist. 
• 90-100 degree, 10- 30 min 
• All vegetative spores gets destroyed when 
exposed to boiling water ,but some bacterial 
spores can withstand this condition for hours. 
• Dis adv: makes surgical instruments blunt.
Pasteurization
pasteurization 
 Milk, cream and certain alcoholic beverages (beer 
and wine) are subjected to controlled heat 
treatment called pasteurization. 
 Milk heated at 63 degree for 30 mts.(holder 
method) 
 72 degree for 15- 20 sec (flash process) 
 Followed by cooling to less than 13 degree , all the 
nonsporing pathogens – Mycobacterium, 
Brucellae, Salmonella are destroyed
Vaccine bath 
• Vaccines of nonsporing bacteria are 
inactivated in special vaccine bath at 60 
degree for 1 hour.
Serum bath 
• Serum or body fluids contain coagulable 
proteins can be sterilized by heating for 1 hour 
at 56 degree in water bath on several 
successive days.
BACTERIOLOGICAL FILTERS
Bacteriological filters 
• HEPA filters. 
• High Efficiency Particulate Air Filter has made 
it possible to deliver clean air to an enclosure 
such as cubicle or a room.
HEPA filters 
• HEPA filtration + system of laminar airflow is 
used now, extensively to produce dust and 
bacteria free air.
Bibliography 
• Ananthanarayan & Paniker’s Text Book of 
Microbiology. 
• Microbiology – Michael J. Pelczar, JR. , E.C.S. 
Chan, Noel R. Krieg.
Physical methods of disinfection

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Physical methods of disinfection

  • 1. Physical methods of Disinfection Dr Kiran KS Department of Oral & Maxillofacial Surgery
  • 2. Definition • Disinfection is the destruction or removal of all pathogenic organisms or organism capable of giving rise to infection, but not necessarily spores.
  • 3. Classification • Cleaning • Sunlight • Desiccation • Heat • Filtration • Radiation
  • 5. Cleaning • Widely used. • Cheapest • Detergents & their disinfectant property.
  • 6. Cleaning cont. • Surface tension depressants, or wetting agents –cleaning – ‘surfactants’ or ‘synthetic detergents’. • Extensively used in laundry and dishwashing powders, shampoos and other washing preparations.
  • 7. Classification of detergents • Those which ionize with the detergent property resident in the anions – anionic detergents. • Eg: soap, sodium lauryl sulfate.
  • 8. Classification…con • Those which ionize with the detergent property resident in cation- cationic detergents • Eg: Cetyl pyridinium chloride (Ceepryn)
  • 9. Classification con… • Non-ionic detergents, they do not ionize and do not possess significant antimicrobial property.
  • 10. Cleaning cont. • Removal of microbial flora from surfaces such as skin and clothing- soaps- mechanical removal.
  • 11. Cleaning cont. • Soaps reduce surface tension- increase wetting power of water in which they are dissolved – soapy water, emulsify and disperse oil and dirt – microorganisms get enmeshed in the soap lather and are removed by rinsing water.
  • 12.
  • 13. Surface tension • Decrease in ST Alter permeability characteristics of cytoplasmic membrane Leakage of cellular substance damage to cell
  • 14. Ultrasonic cleaners • Ultrasonic cleaning recommended- in initial removal of bio- burden ,while reducing hand contact with potential injury causing reusable sharps.
  • 15. Hand washing • “hand washing is considered to be one of the most important procedures in prevention of infections”. • Mere mechanical action of rubbing the hands together and rinsing them under running water is an important aspect in removal of transient organisms.
  • 17.
  • 19. Technique • Remove jewellery & check hands for cuts & abrasions. • Trim & clean finger nails, false fingernails or nail polish should not be used. • Scrub hands & forearm with approved liquid soap & iodophores alternatively & repeatedly for 7 minutes, washing away the lather each time.
  • 20. • Always rinse from fingertip proceeding to elbow ,keeping the elbow raised. • Allow water to drip from elbow & not from hand. • Dry hands first , with sterile towel begining with hands & working towards the elbow. • Apply gloves in an aseptic manner.
  • 21. • Repeat hand washing between patient appointments, before handling records, before lunch, after a break in routine, & before leaving the clinic.
  • 22.
  • 24. Sunlight • Active germicidal action , due to content of UV rays. • Natural method of sterilization in case of water in tanks, river & lakes.
  • 25. Desiccation • Cessation of metabolic activity- decline in total viable population. • Time of survival of microorganism after desiccation depends on; 1. Kind of organism. 2. Material in or on which the organisms are dried. 3. Completeness of drying process. 4. Physical conditions to which dried organisms are exposed eg., light, temperature , humidity.
  • 26. Desiccation cont. • Species of Gram negative cocci such as gonococci and meningiococci are very sensitive to dessication. • Streptococci are more resistant. • Dried spores remain viable, indefinitely.
  • 27. Radiation • Mode of transmission of energy through space. • Less energetic, nonionizing- UV radiation • UV radiation is absorbed specifically by different compounds.
  • 28. UV light • 150- 3900 A- UV spectrum • 2650 A , highest bactericidal action. • UV light has limited penetration, even a thin layer of glass, filters off large percentage of light. • Microorganisms on the surface are susceptible.
  • 29. Mode of action • Absorbed by cellular materials , specially nucleus- damages the cell. • Pyrimidine of nucleic acid absorbs UV radiation – forms ‘pyrimidine dimer’(adjacent 2 pyrimidine's become bonded) unless dimers are removed by specific intercellular enzyme; DNA replication is inhibited and mutation results.
  • 31.
  • 32.
  • 33. Heat • Microbes can grow over a range of temperatures. • Psychrophiles- very low temperature. • Mesophiles- moderate temperature (body temperature) • Thermophiles- very high temperature.
  • 35. Boiling water • Uncertainty in sterilization exist. • 90-100 degree, 10- 30 min • All vegetative spores gets destroyed when exposed to boiling water ,but some bacterial spores can withstand this condition for hours. • Dis adv: makes surgical instruments blunt.
  • 36.
  • 38. pasteurization  Milk, cream and certain alcoholic beverages (beer and wine) are subjected to controlled heat treatment called pasteurization.  Milk heated at 63 degree for 30 mts.(holder method)  72 degree for 15- 20 sec (flash process)  Followed by cooling to less than 13 degree , all the nonsporing pathogens – Mycobacterium, Brucellae, Salmonella are destroyed
  • 39.
  • 40.
  • 41.
  • 42. Vaccine bath • Vaccines of nonsporing bacteria are inactivated in special vaccine bath at 60 degree for 1 hour.
  • 43. Serum bath • Serum or body fluids contain coagulable proteins can be sterilized by heating for 1 hour at 56 degree in water bath on several successive days.
  • 45. Bacteriological filters • HEPA filters. • High Efficiency Particulate Air Filter has made it possible to deliver clean air to an enclosure such as cubicle or a room.
  • 46.
  • 47.
  • 48. HEPA filters • HEPA filtration + system of laminar airflow is used now, extensively to produce dust and bacteria free air.
  • 49.
  • 50.
  • 51. Bibliography • Ananthanarayan & Paniker’s Text Book of Microbiology. • Microbiology – Michael J. Pelczar, JR. , E.C.S. Chan, Noel R. Krieg.