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STERILIZATION AND
DISINFECTION
INTRODUCTION
 STERILIZATION : Destroys or removes all living organisms
including viable spores
• reduction of at least 106 log colony-forming units of
microorganisms and their spores
• achieved by a physical agent or a chemical agent
 DISINFECTION : Destroys or removes all/ most pathogenic
organisms but not bacterial spores
• reduction of at least 103 log colony-forming units of
microorganism, but not spores
• By physical and chemical agents, but used only on inanimate
objects
 ASEPSIS : Chemical agents (called antiseptics) applied on
body surface to kill or inhibit microorganisms
• prevent the entry of pathogens into sterile tissues and thus
prevents infection or sepsis
• generally not as toxic as disinfectants as diey must not
destroy too much of host tissue
 DECONTAMINATION (OR SANITIZATION) : Reduction of
pathogenic microbial population to a level at which items
are considered as safe to handle without protective attire
• reduction of atleast 1 log colony-forming unit of most of the
microorganisms, but not spores
• manual or mechanical cleaning by soap and detergents to
eliminate debris or organic mater from the medical devices
 ‘cides’ – to kill microorganisms eg: bactericide, virucide,
fungicide
 ‘statics’ – inhibit microbial growth eg: bacteriostatic,
fungistatic
FACTORS INFLUENCING EFFICACY OF
STERILANT/ DISINFECTANT
1. Organism load – Larger microbial populations > smaller
microbial populations
2. Nature of Organisms - Prions (highest resistance) >
Cryptosporidium oocysts > Bacterial spores > Mycobacteria
> Other parasite cysts (e.g. Giardia) > Small non-enveloped
viruses> Trophozoites > Gram-negative bacteria> Fungi >
Large non-enveloped viruses> Gram-positive bacteria >
Enveloped viruses
3. Concentration of the chemical sterilization or temperature
of heat sterilization
4. Nature of sterilant/ disinfectant
5. Duration of exposure
6. Temperature
7. Local environment
• pH – heat kills more readily at an acidic Ph
• Organic matter – can provide protection for microbes
• Biofilm -
PHYSICAL AGENTS
1. DRYING : does not affect many microbes and spores
2. HEAT : most common and reliable
 DRY HEAT - kills by charring, denaturation of bacterial protein, oxidative
damage and by the toxic effect of elevated levels of electrolytes
• Flaming - Long time (eg: inoculating loops or wires), short time (eg: mouth
of test tubes
• Incineration – 870-1200 degrees
• Hot air oven – electrically heated, at 160 degrees for 2 hrs (eg: glassware,
surgical instruments) , lots of precautions, spores destroyed
 MOIST HEAT - kills by denaturation and coagulation of proteins
• Temp < 100 degrees – Pasteurization (non sporing), Water bath (serum,
body fluids and vaccines), inspissation (fractional sterilization for serum
based media)
• Temp = 100 degrees – boiling, steaming, tyndallization
• Temp > 100 degrees - Autoclave
AUTOCLAVE
 Principal : similar to pressure cooker
 Components : pressure chamber (with steam jacket), lid, electric
heater
 Biological indicator : Geobacillus stearothermophilus
 Uses : method of choice for -
• Surgical instruments
• Culture media
• Autoclavable plastic cotainers
• Plastic tubes and pipette tips
• Solutions and water
• Biohazardous waste
• Glassware (autoclave resistible)
3. Filtration:
• Depth filters (candle filters, asbestos filters etc)
• Membrane filters – most widely used for bacteria
4. Radiation
• Ionizing (highly penetrable, does not heat) – X-rays, gamma
rays, cosmic rays
• Non ionizing – UV rays and Infrared

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Sterilization and Disinfection

  • 2. INTRODUCTION  STERILIZATION : Destroys or removes all living organisms including viable spores • reduction of at least 106 log colony-forming units of microorganisms and their spores • achieved by a physical agent or a chemical agent
  • 3.  DISINFECTION : Destroys or removes all/ most pathogenic organisms but not bacterial spores • reduction of at least 103 log colony-forming units of microorganism, but not spores • By physical and chemical agents, but used only on inanimate objects  ASEPSIS : Chemical agents (called antiseptics) applied on body surface to kill or inhibit microorganisms • prevent the entry of pathogens into sterile tissues and thus prevents infection or sepsis • generally not as toxic as disinfectants as diey must not destroy too much of host tissue
  • 4.  DECONTAMINATION (OR SANITIZATION) : Reduction of pathogenic microbial population to a level at which items are considered as safe to handle without protective attire • reduction of atleast 1 log colony-forming unit of most of the microorganisms, but not spores • manual or mechanical cleaning by soap and detergents to eliminate debris or organic mater from the medical devices  ‘cides’ – to kill microorganisms eg: bactericide, virucide, fungicide  ‘statics’ – inhibit microbial growth eg: bacteriostatic, fungistatic
  • 5. FACTORS INFLUENCING EFFICACY OF STERILANT/ DISINFECTANT 1. Organism load – Larger microbial populations > smaller microbial populations 2. Nature of Organisms - Prions (highest resistance) > Cryptosporidium oocysts > Bacterial spores > Mycobacteria > Other parasite cysts (e.g. Giardia) > Small non-enveloped viruses> Trophozoites > Gram-negative bacteria> Fungi > Large non-enveloped viruses> Gram-positive bacteria > Enveloped viruses
  • 6. 3. Concentration of the chemical sterilization or temperature of heat sterilization 4. Nature of sterilant/ disinfectant 5. Duration of exposure 6. Temperature 7. Local environment • pH – heat kills more readily at an acidic Ph • Organic matter – can provide protection for microbes • Biofilm -
  • 7.
  • 8. PHYSICAL AGENTS 1. DRYING : does not affect many microbes and spores 2. HEAT : most common and reliable  DRY HEAT - kills by charring, denaturation of bacterial protein, oxidative damage and by the toxic effect of elevated levels of electrolytes • Flaming - Long time (eg: inoculating loops or wires), short time (eg: mouth of test tubes • Incineration – 870-1200 degrees • Hot air oven – electrically heated, at 160 degrees for 2 hrs (eg: glassware, surgical instruments) , lots of precautions, spores destroyed  MOIST HEAT - kills by denaturation and coagulation of proteins • Temp < 100 degrees – Pasteurization (non sporing), Water bath (serum, body fluids and vaccines), inspissation (fractional sterilization for serum based media) • Temp = 100 degrees – boiling, steaming, tyndallization • Temp > 100 degrees - Autoclave
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. AUTOCLAVE  Principal : similar to pressure cooker  Components : pressure chamber (with steam jacket), lid, electric heater  Biological indicator : Geobacillus stearothermophilus  Uses : method of choice for - • Surgical instruments • Culture media • Autoclavable plastic cotainers • Plastic tubes and pipette tips • Solutions and water • Biohazardous waste • Glassware (autoclave resistible)
  • 14.
  • 15. 3. Filtration: • Depth filters (candle filters, asbestos filters etc) • Membrane filters – most widely used for bacteria 4. Radiation • Ionizing (highly penetrable, does not heat) – X-rays, gamma rays, cosmic rays • Non ionizing – UV rays and Infrared