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STERILIZATION
AND
DISINFECTION
BY- SANCHIT DHANKHAR
INTRODUCTION
• Microorganisms are the agents of
contamination, infection, and decay.
• Hence it becomes necessary to remove them
from materials and areas.
2
STERILIZATION
The process of freeing an article from
microorganisms including their spores.
DISINFECTION:
Reducing the number of pathogenic
microorganisms to the point where
they no longer cause diseases.
4
Bacteriostatic Agent:
An agent that inhibits the growth of bacteria, but does not necessarily kill
them.
5
Bactericide:
An agent that kills bacteria. Most do not kill Endospores.
Sporicide:
An agent that kills spores.
6
Methods of Sterilisation
Microbial Control
Methods
Physical Agents Chemical Agents
Mechanical Remova
Methods
7
Physical Agents
Heat Radiation
Dry Moist
Incineration
Dry Oven
Steam Under
Pressure
Boiling Water/Hot Water
Pasteurization
Sterilization
Ionizing Non Ionizing
X Ray, Cathode,
Gamma
Disinfection
UV
Sterilization Disinfection
8
Chemical
Agent
Gas
Sterilization Disinfection
Liquids
Animate
Chemotherapy Antiseptics
Inanimate
Sterilization Disinfection
9
Mechanical Removal
Methods
Filtration
Air Liquids
Disinfection Sterilization
10
Physical Methods of Sterilisation
Sterilisation By Dry Heat:
Hot Air Oven
• Kills by oxidation effects
•The oven utilizes dry heat to
sterilize articles
• Operated between 50oC to
250/300oC.
•A holding period of 160oC for
1 hr is desirable.
• There is a thermostat
controlling the temperature.
•Double walled insulation keeps
the heat in and conserves
energy, 11
Uses:
• To sterilise Forceps, Scissors, Scalpels, Swabs, glassware
• Pharmaceuticals products like Liquid paraffin, dusting powder, fats and
grease.
12
FLAMING
• Inoculation loop or Wire, the tip
of Forceps and spatulas, glass
test tube and conical flask mouths
are held in a bunsen flame till
they are red hot.
13
INCINERATION
This is an excellent method of
destroying materials such as
contaminated cloth, animal
carcasses and pathological
materials.
14
MOIST HEAT STERILIZATION
Kills microorganisms by coagulating their proteins.
15
MOIST HEAT STERILISATION IS CARRIED OUT
WITH FOLLOWING METHODS
•Temp below 100oC: “Pasteurisation”, Inspissator.
•Temperature at 100oC: Boiling.
•Steam at atmospheric pressure: Koch/Arnold’s steamer.
•Steam under pressure: Autoclave.
16
Pasteurisation
•Process of killing of pathogens in the milk but
does not sterilize it .
•Milk is heated at 63oC for 30 mins.
(HOLDER METHOD)
•At 72oC for 15-20 Sec. Rapid cooling to 13oC
(FLASH PROCESS)
17
Water Bath
18
HOT WATER BATH
• To inactivate non sporing bacteria for the preparation of vaccines -
Special vaccine bath at 60oC for one hour is used
• Serum or body fluids containing coaguable proteins can be sterilized
by heating for 1 hr at 56oC in a water bath for several successive
days.
19
Inspissator
20
INSPISSATOR
• Sterilizes by heating at 80-85oC for half an hour for 3 successive
days
• Used to sterilize media such as Lowenstein-Jensen & Loefller’s
serum
21
TEMPERATURE AT 100OC
Boiling:
Kills vegetative forms of bacterial pathogens.
• Hepatitis virus: Can survive up to 30 minutes of boiling.
Endospores: Can survive up to 20 hours or more of boiling
22
Steam Sterilizer
23
STEAM AT ATMOSPHERIC PRESSURE
• Steam is generated using a steamer (Koch/ Arnold)
• Consists of a Tin cabinet
• Has a conical lid to enable the drainage of condensed steam
• Perforated tray above ensures materials are surrounded by steam.
• For routine sterilization exposure of 90 mins is used
24
• For media containing sugar and gelatin exposure of 100oC for 20 min for 3
successive days is used
• The process is termed as
Tyndallisation /Intermittent Sterilization
25
STEAM UNDER PRESSURE - AUTOCLAVE
• Works on the principle of Steam under pressure
•Invented by Charles Chamberland in 1879.
26
AUTOCLAVE
27
• Autoclave consists of a vertical or a horizontal cylinder.
• One end has an opening which is meant for keeping materials to be sterilised.
• The lid is provided with a Pressure gauge, to measure the pressure
• A safety valve is present to permit the escape of steam from the chamber
28
• Articles to be sterilised are placed in the basket provided
• Sterilisation is carried out under pressure at 121º for 15 mnts.
29
METHODS OF TESTING THE
EFFECTIVENES OF AUTOCLAVES ARE AS
FOLLOWS:
1. BOWIE DICK TEST PACK – It is a large pack with a chemical
indicator both on outside and the inside to verify that steam has
penetrated the pack.
2. MECHANICAL- Chart and gauges usually carried out by Biomed
Engineer.
30
3. CHEMICAL- by the use of autoclave tapes, strips and card. A daily
test in an empty chamber using a heat sensitive tape. This is for
high vacuum/high pressure autoclaves.
Ex. Routine use of Browne's TST strips or tube.
31
CHEMICAL AGENTS
Chemical agents act by
• Protein coagulation
• Disruption of the cell membrane
• Removal of Sulphydryl groups
• Substrate competition
32
ALCOHOLS
• Ethanol /Isopropyl alcohol are frequently used
• No action on spores
• Concentration recommended 60-90% in water
Uses
• Disinfection of clinical thermometer.
• Disinfection of the skin – Venupuncture
33
ALDEHYDES
• Formaldehyde & Glutaraldehyde are frequently used
• Formaldehyde is bactericidal, sporicidal & has a lethal effect on
viruses.
• Glutaraldehyde is effective against Tubercle bacilli, fungi and viruses
34
USES
FORMALDEHYDE
• To preserve anatomical specimens
• Destroying Anthrax spores in hair and wool
• 10% Formalin+0.5% Sodium tetra borate is used to sterilise metal
instruments
35
USES
GLUTARALDEHYDE
• Used to treat corrugated rubber anesthetic tubes, Face masks, Plastic
endotracheal tubes, Metal instruments and polythene tubing
36
DYES
Two groups of dyes are used
Aniline dyes
Acridine dyes
37
ANILINE DYES
• Are Brilliant green, Malachite green & Crystal violet
• Active against Gram positive bacteria
• No activity against tubercle bacilli
38
ACRIDINE DYES
• Acridine dyes in use are orange in colour
• Effective against Gram positive than Gram negative
• Important dyes are Proflavine, Acriflavine,Euflavine
39
HALOGENS
• Iodine in aqueous and alcoholic solution has been used widely as a
skin disinfectant
• Actively bactericidal with moderate against spores
• Chlorine and its compounds have been used as disinfectants in water
supplies & swimming pools
40
PHENOLS
• Obtained by distillation of coal tar
• Phenols are powerful microbicidal substances
• Phenolic derivatives have been widely used as disinfectants for
various purposes in hospitals
• Eg: Lysol, cresol
41
USES
• Various combinations are used in the control of pyogenic cocci in
surgical & neonatal units in hospitals.
• Aqueous solutions are used in treatment of wounds
42
GASES
Ethylene Oxide
•Colourless ,Highly penetrating gas
with a sweet ethereal smell.
•Effective against all types of
microorganisms including viruses
and spores
43
USES
• Specially used for sterilising heart-lung
machines,respirators,sutures,dental equipments, books and clothing.
• Also used to sterilise Glass, metal and paper surfaces ,plastics,
oil,some foods and tobacco.
44
FORMALDEHYDE GAS
• Widely employed for fumigation of operation theatres and other
rooms
45
BETA PROPIOLACTONE
• Used in fumigation
• For sterilisation 0.2% BPL is used
• Has a rapid biocidal activity
• Very effective against viruses
46
SURFACE ACTIVE AGENTS AND
METALLIC SALTS
Substances which reduce the surface tension –
Surface active agents
47
• Cations are widely used in the form of quaternary ammonium compounds.
• Markedly bactericidal, active against Gram positive organisms.
• No action on spores, tubercle bacilli, viruses
48
METALLIC SALTS
• The salts of silver, copper and mercury are used as disinfectants.
• Act by coagulating proteins
• Marked bacteriostatic, weak bactericidal and limited fungicidal activity
49
Sterilisation by filtration
Filtration helps to remove bacteria from heat labile liquids such as sera and
solutions of sugar, Antibiotics.
The following filters are used
Candle filters
Asbestos filters
Sintered glass filter
Membrane filters
50
CANDLE FILTER
51
CANDLE FILTERS
• Widely used for purification of water
Two types
(a) Unglazed ceramic filter – Chamberland filter
(b) Diatomaceous earth filters – Berkefeld filter
52
SEITZ FILTER
ASBESTOS DISCS 53
ASBESTOS FILTER
• Disposable single use discs
• High adsorbing tendency
• Carcinogenic
Eg: Seitz filter
54
SINTEREDGLASS FILTER 55
SINTERED GLASS FILTER
• Prepared by heat fusing powdered glass particles of graded size
• Cleaned easily, brittle, expensive.
56
MEMBRANE FILTER
57
MEMBRANE FILTERS
• Made of cellulose esters or other polymers
Uses
• Water purification & analysis
• Sterilization & sterility testing
• Preparation of solutions for parenteral use
58
RADIATION
Two types of radiations are used
NON –IONISING
IONISING
59
Non- Ionising radiation:
• Electromagnetic rays with longer wavelength
• Absorbed as heat
• Can be considered as hot air sterilisation
• Used in rapid mass sterilisation of prepacked Syringes and catheters
Eg: UV rays
60
IONISING RADIATIONS
• X- rays, gamma rays & cosmic rays.
• High penetrative power
• No appreciable increase in the temperature – COLD STERILISATION
• Sterilise plastics Syringes, catheters, grease fabrics metal foils
61
ULTRASONIC AND SONIC VIBRATION
• Bactericidal
• Microorganisms vary in their sensitivity, hence no practical value in
sterilisation and disinfection
62
Sterilization methods
Method Mechanism of action Apparatus to be sterilized
Dry heat Oxidation of proteins Metals, Glassware, Ointment,
Oils, Waxes, Powders i.e. items
that are lacking water
Moist heat Coagulation of proteins Aqueous solutions and
suspensions, surgical dressing,
metal instruments.
Gaseous sterilization
Ethylene oxide
It is an alkylating agent. It acts
by alkylating sulfydryl-, amino-,
carboxyl- and hydroxyl- groups.
heat labile articles such as
bedding, textiles, rubber,
plastics, syringes, disposable
petri dishes, complex apparatus
like heart-lung machine,
respiratory and dental
equipments.
Formaldehyde Alkylating agent Fumigation of rooms and
cabinets
UV radiation dimer formation of pyrimidine,
nucleotide damage
Operating Rooms and T.B.
laboratories
Ionizing radiation (gamma
radiations)
Denaturation of essential cell
constituents like enzymes, DNA
sterilization of disposable plastic
syringes, gloves, specimens
containers and Petri Dishes.
Filtration Retention Of Mo’s for heat labile substances e.g.
sera, antibiotics.
63
Sterility test
Media used Test used incubation Test used Incubation
Fluid
thioglycolate
media
Membrane
filtration
30-35˚C NLT
7days
direct inoculation 30-35˚C NLT
14days
Alternate Fluid
thioglycolate
media
30-35˚C NLT
7days
30-35˚C NLT
14 days
Soyabean
casein digest
media
20-25˚C NLT
7days
20-25˚C NLT
14days
S.No. media Test organism
Fluid thioglycolate media Bacillus subtilis
Staphylococcus aureus
Pseudomonas aeruginosa
Alternative Thioglycollate Bacteroides vulgatus
Clostridium sporogenes
Soyabean casein digest media
64
THANK YOU
65

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Sterilization and disinfection- Phrmaceutical Microbiology

  • 2. INTRODUCTION • Microorganisms are the agents of contamination, infection, and decay. • Hence it becomes necessary to remove them from materials and areas. 2
  • 3. STERILIZATION The process of freeing an article from microorganisms including their spores.
  • 4. DISINFECTION: Reducing the number of pathogenic microorganisms to the point where they no longer cause diseases. 4
  • 5. Bacteriostatic Agent: An agent that inhibits the growth of bacteria, but does not necessarily kill them. 5
  • 6. Bactericide: An agent that kills bacteria. Most do not kill Endospores. Sporicide: An agent that kills spores. 6
  • 7. Methods of Sterilisation Microbial Control Methods Physical Agents Chemical Agents Mechanical Remova Methods 7
  • 8. Physical Agents Heat Radiation Dry Moist Incineration Dry Oven Steam Under Pressure Boiling Water/Hot Water Pasteurization Sterilization Ionizing Non Ionizing X Ray, Cathode, Gamma Disinfection UV Sterilization Disinfection 8
  • 11. Physical Methods of Sterilisation Sterilisation By Dry Heat: Hot Air Oven • Kills by oxidation effects •The oven utilizes dry heat to sterilize articles • Operated between 50oC to 250/300oC. •A holding period of 160oC for 1 hr is desirable. • There is a thermostat controlling the temperature. •Double walled insulation keeps the heat in and conserves energy, 11
  • 12. Uses: • To sterilise Forceps, Scissors, Scalpels, Swabs, glassware • Pharmaceuticals products like Liquid paraffin, dusting powder, fats and grease. 12
  • 13. FLAMING • Inoculation loop or Wire, the tip of Forceps and spatulas, glass test tube and conical flask mouths are held in a bunsen flame till they are red hot. 13
  • 14. INCINERATION This is an excellent method of destroying materials such as contaminated cloth, animal carcasses and pathological materials. 14
  • 15. MOIST HEAT STERILIZATION Kills microorganisms by coagulating their proteins. 15
  • 16. MOIST HEAT STERILISATION IS CARRIED OUT WITH FOLLOWING METHODS •Temp below 100oC: “Pasteurisation”, Inspissator. •Temperature at 100oC: Boiling. •Steam at atmospheric pressure: Koch/Arnold’s steamer. •Steam under pressure: Autoclave. 16
  • 17. Pasteurisation •Process of killing of pathogens in the milk but does not sterilize it . •Milk is heated at 63oC for 30 mins. (HOLDER METHOD) •At 72oC for 15-20 Sec. Rapid cooling to 13oC (FLASH PROCESS) 17
  • 19. HOT WATER BATH • To inactivate non sporing bacteria for the preparation of vaccines - Special vaccine bath at 60oC for one hour is used • Serum or body fluids containing coaguable proteins can be sterilized by heating for 1 hr at 56oC in a water bath for several successive days. 19
  • 21. INSPISSATOR • Sterilizes by heating at 80-85oC for half an hour for 3 successive days • Used to sterilize media such as Lowenstein-Jensen & Loefller’s serum 21
  • 22. TEMPERATURE AT 100OC Boiling: Kills vegetative forms of bacterial pathogens. • Hepatitis virus: Can survive up to 30 minutes of boiling. Endospores: Can survive up to 20 hours or more of boiling 22
  • 24. STEAM AT ATMOSPHERIC PRESSURE • Steam is generated using a steamer (Koch/ Arnold) • Consists of a Tin cabinet • Has a conical lid to enable the drainage of condensed steam • Perforated tray above ensures materials are surrounded by steam. • For routine sterilization exposure of 90 mins is used 24
  • 25. • For media containing sugar and gelatin exposure of 100oC for 20 min for 3 successive days is used • The process is termed as Tyndallisation /Intermittent Sterilization 25
  • 26. STEAM UNDER PRESSURE - AUTOCLAVE • Works on the principle of Steam under pressure •Invented by Charles Chamberland in 1879. 26
  • 28. • Autoclave consists of a vertical or a horizontal cylinder. • One end has an opening which is meant for keeping materials to be sterilised. • The lid is provided with a Pressure gauge, to measure the pressure • A safety valve is present to permit the escape of steam from the chamber 28
  • 29. • Articles to be sterilised are placed in the basket provided • Sterilisation is carried out under pressure at 121º for 15 mnts. 29
  • 30. METHODS OF TESTING THE EFFECTIVENES OF AUTOCLAVES ARE AS FOLLOWS: 1. BOWIE DICK TEST PACK – It is a large pack with a chemical indicator both on outside and the inside to verify that steam has penetrated the pack. 2. MECHANICAL- Chart and gauges usually carried out by Biomed Engineer. 30
  • 31. 3. CHEMICAL- by the use of autoclave tapes, strips and card. A daily test in an empty chamber using a heat sensitive tape. This is for high vacuum/high pressure autoclaves. Ex. Routine use of Browne's TST strips or tube. 31
  • 32. CHEMICAL AGENTS Chemical agents act by • Protein coagulation • Disruption of the cell membrane • Removal of Sulphydryl groups • Substrate competition 32
  • 33. ALCOHOLS • Ethanol /Isopropyl alcohol are frequently used • No action on spores • Concentration recommended 60-90% in water Uses • Disinfection of clinical thermometer. • Disinfection of the skin – Venupuncture 33
  • 34. ALDEHYDES • Formaldehyde & Glutaraldehyde are frequently used • Formaldehyde is bactericidal, sporicidal & has a lethal effect on viruses. • Glutaraldehyde is effective against Tubercle bacilli, fungi and viruses 34
  • 35. USES FORMALDEHYDE • To preserve anatomical specimens • Destroying Anthrax spores in hair and wool • 10% Formalin+0.5% Sodium tetra borate is used to sterilise metal instruments 35
  • 36. USES GLUTARALDEHYDE • Used to treat corrugated rubber anesthetic tubes, Face masks, Plastic endotracheal tubes, Metal instruments and polythene tubing 36
  • 37. DYES Two groups of dyes are used Aniline dyes Acridine dyes 37
  • 38. ANILINE DYES • Are Brilliant green, Malachite green & Crystal violet • Active against Gram positive bacteria • No activity against tubercle bacilli 38
  • 39. ACRIDINE DYES • Acridine dyes in use are orange in colour • Effective against Gram positive than Gram negative • Important dyes are Proflavine, Acriflavine,Euflavine 39
  • 40. HALOGENS • Iodine in aqueous and alcoholic solution has been used widely as a skin disinfectant • Actively bactericidal with moderate against spores • Chlorine and its compounds have been used as disinfectants in water supplies & swimming pools 40
  • 41. PHENOLS • Obtained by distillation of coal tar • Phenols are powerful microbicidal substances • Phenolic derivatives have been widely used as disinfectants for various purposes in hospitals • Eg: Lysol, cresol 41
  • 42. USES • Various combinations are used in the control of pyogenic cocci in surgical & neonatal units in hospitals. • Aqueous solutions are used in treatment of wounds 42
  • 43. GASES Ethylene Oxide •Colourless ,Highly penetrating gas with a sweet ethereal smell. •Effective against all types of microorganisms including viruses and spores 43
  • 44. USES • Specially used for sterilising heart-lung machines,respirators,sutures,dental equipments, books and clothing. • Also used to sterilise Glass, metal and paper surfaces ,plastics, oil,some foods and tobacco. 44
  • 45. FORMALDEHYDE GAS • Widely employed for fumigation of operation theatres and other rooms 45
  • 46. BETA PROPIOLACTONE • Used in fumigation • For sterilisation 0.2% BPL is used • Has a rapid biocidal activity • Very effective against viruses 46
  • 47. SURFACE ACTIVE AGENTS AND METALLIC SALTS Substances which reduce the surface tension – Surface active agents 47
  • 48. • Cations are widely used in the form of quaternary ammonium compounds. • Markedly bactericidal, active against Gram positive organisms. • No action on spores, tubercle bacilli, viruses 48
  • 49. METALLIC SALTS • The salts of silver, copper and mercury are used as disinfectants. • Act by coagulating proteins • Marked bacteriostatic, weak bactericidal and limited fungicidal activity 49
  • 50. Sterilisation by filtration Filtration helps to remove bacteria from heat labile liquids such as sera and solutions of sugar, Antibiotics. The following filters are used Candle filters Asbestos filters Sintered glass filter Membrane filters 50
  • 52. CANDLE FILTERS • Widely used for purification of water Two types (a) Unglazed ceramic filter – Chamberland filter (b) Diatomaceous earth filters – Berkefeld filter 52
  • 54. ASBESTOS FILTER • Disposable single use discs • High adsorbing tendency • Carcinogenic Eg: Seitz filter 54
  • 56. SINTERED GLASS FILTER • Prepared by heat fusing powdered glass particles of graded size • Cleaned easily, brittle, expensive. 56
  • 58. MEMBRANE FILTERS • Made of cellulose esters or other polymers Uses • Water purification & analysis • Sterilization & sterility testing • Preparation of solutions for parenteral use 58
  • 59. RADIATION Two types of radiations are used NON –IONISING IONISING 59
  • 60. Non- Ionising radiation: • Electromagnetic rays with longer wavelength • Absorbed as heat • Can be considered as hot air sterilisation • Used in rapid mass sterilisation of prepacked Syringes and catheters Eg: UV rays 60
  • 61. IONISING RADIATIONS • X- rays, gamma rays & cosmic rays. • High penetrative power • No appreciable increase in the temperature – COLD STERILISATION • Sterilise plastics Syringes, catheters, grease fabrics metal foils 61
  • 62. ULTRASONIC AND SONIC VIBRATION • Bactericidal • Microorganisms vary in their sensitivity, hence no practical value in sterilisation and disinfection 62
  • 63. Sterilization methods Method Mechanism of action Apparatus to be sterilized Dry heat Oxidation of proteins Metals, Glassware, Ointment, Oils, Waxes, Powders i.e. items that are lacking water Moist heat Coagulation of proteins Aqueous solutions and suspensions, surgical dressing, metal instruments. Gaseous sterilization Ethylene oxide It is an alkylating agent. It acts by alkylating sulfydryl-, amino-, carboxyl- and hydroxyl- groups. heat labile articles such as bedding, textiles, rubber, plastics, syringes, disposable petri dishes, complex apparatus like heart-lung machine, respiratory and dental equipments. Formaldehyde Alkylating agent Fumigation of rooms and cabinets UV radiation dimer formation of pyrimidine, nucleotide damage Operating Rooms and T.B. laboratories Ionizing radiation (gamma radiations) Denaturation of essential cell constituents like enzymes, DNA sterilization of disposable plastic syringes, gloves, specimens containers and Petri Dishes. Filtration Retention Of Mo’s for heat labile substances e.g. sera, antibiotics. 63
  • 64. Sterility test Media used Test used incubation Test used Incubation Fluid thioglycolate media Membrane filtration 30-35˚C NLT 7days direct inoculation 30-35˚C NLT 14days Alternate Fluid thioglycolate media 30-35˚C NLT 7days 30-35˚C NLT 14 days Soyabean casein digest media 20-25˚C NLT 7days 20-25˚C NLT 14days S.No. media Test organism Fluid thioglycolate media Bacillus subtilis Staphylococcus aureus Pseudomonas aeruginosa Alternative Thioglycollate Bacteroides vulgatus Clostridium sporogenes Soyabean casein digest media 64