This document discusses various methods of sterilization. It defines sterilization as the complete killing of microorganisms, while disinfection is the destruction of pathogenic organisms. There are physical and chemical methods of sterilization. Physical methods include heat (dry and moist), filtration, radiation, and ultrasound. Moist heat using an autoclave at 121°C for 15 minutes is the most reliable sterilization method. Chemical sterilization agents include alcohols, aldehydes, halogens, phenols, and metallic salts. The key factors affecting sterilization are temperature, time, and the type of material being sterilized. Proper sterilization is important in fields like bacteriology, surgery
The above PPT includes different methods of sterilization- Dry heat, Moist heat, Radiation and Chemical methods. It also includes principle and working of hot air oven and autoclave.
it is related with medical laboratory instrumentation and explains in very good way that what is hot air oven and its principle, working and all about it
Sterilization Process and methods of sterilizationShahnawaz Ahmad
Presented by Shahnawaz Ahmad.
Various methods of sterilization used in microbiology or other field.
contents ;
terms used in sterilization
types of sterilization
physical method
chemical method
radiation
filtration
gaseous.
Sterilization (or sterilisation) referring to any process that eliminates (removes) or kills (deactivates) all forms of life and other biological agents (such as prions, as well as viruses which some do not consider to be alive but are biological pathogens nonetheless), including transmissible agents (such as fungi, bacteria, viruses, prions, spore forms, unicellular eukaryotic organisms such as Plasmodium, etc.) present in a specified region, such as a surface, a volume of fluid, medication, or in a compound such as biological culture media
The above PPT includes different methods of sterilization- Dry heat, Moist heat, Radiation and Chemical methods. It also includes principle and working of hot air oven and autoclave.
it is related with medical laboratory instrumentation and explains in very good way that what is hot air oven and its principle, working and all about it
Sterilization Process and methods of sterilizationShahnawaz Ahmad
Presented by Shahnawaz Ahmad.
Various methods of sterilization used in microbiology or other field.
contents ;
terms used in sterilization
types of sterilization
physical method
chemical method
radiation
filtration
gaseous.
Sterilization (or sterilisation) referring to any process that eliminates (removes) or kills (deactivates) all forms of life and other biological agents (such as prions, as well as viruses which some do not consider to be alive but are biological pathogens nonetheless), including transmissible agents (such as fungi, bacteria, viruses, prions, spore forms, unicellular eukaryotic organisms such as Plasmodium, etc.) present in a specified region, such as a surface, a volume of fluid, medication, or in a compound such as biological culture media
Terminology
Introduction of Disinfectants
Classification of Disinfectants
Mode of action of Disinfectants
Factors affecting Disinfection
Evaluation of Anti-microbial agents and Disinfectants
Autoclave, types of autoclave, horizontal autoclave, vertical autoclave, vacuum type autoclave, pressure cooker type autoclave. their purpose, precaution, etc....
Sterilization
It is defined as the process by which an article, surface or medium is freed of all living microorganisms either in vegetative or spore state.
Disinfection
It is destruction or removal of all pathogenic organisms or organisms capable of producing infections but not necessarily spores.
Terminology
Introduction of Disinfectants
Classification of Disinfectants
Mode of action of Disinfectants
Factors affecting Disinfection
Evaluation of Anti-microbial agents and Disinfectants
Autoclave, types of autoclave, horizontal autoclave, vertical autoclave, vacuum type autoclave, pressure cooker type autoclave. their purpose, precaution, etc....
Sterilization
It is defined as the process by which an article, surface or medium is freed of all living microorganisms either in vegetative or spore state.
Disinfection
It is destruction or removal of all pathogenic organisms or organisms capable of producing infections but not necessarily spores.
this power point is useful to understand the theorical concept of a sterilization & disinfection ,autoclave for nursing students......hope it will be useful for you.
he culture media are classified in many different ways: Based on the physical state Liquid media Solid media Semisolid media Based on the presence or absence of oxygen Anaerobic media Aerobic media Based on nutritional factors Simple media Synthetic media Complex
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Sterilization & Disinfection by Dr. Rakesh Prasad Sah
1. By Dr. Rakesh Prasad Sah
Assistant Professor, Microbiology
2. INTRODUCTION
Microorganism are present everywhere. (Air, Dust,
surfaces, of all articles, Clothes, soil, vegetables, water,
also human skin)
Cause contamination , infection & decay.
Removal of these organism by sterilization.
3. EXTREMELY IMPORTANT IN
Bacteriology - Isolation of bacteria in pure form
from the patient samples.
Surgery & invasive diagnostic procedures instruments to be
used - free from any bacteria/other microorganism.
Pharmaceutical industry - free from any bacteria/other
microorganism.
Drug to be given to patient - free from any bacteria/other
microorganism.
Food industry - free from any bacteria/other microorganism.
4. DEFINATION
STERILIZATION:-
Process of 100% killing of Microorganism either
pathogenic or non pathogenic including spores from
any article or surface is called as sterilization
DISINFECTION:- Destruction of all pathogenic organism
or organism capable of giving rise to infection.
ANTISEPSIS:- Prevention of infection by inhibiting
growth of bacteria in wounds or tissues.
NOTE:-
Bactericidal agents – cidal -
Bacteriostatic agents – static -
5. CLASSIFICATION
Physical agents Chemical agents
1- Sunlight 1- Alcohols - Ethyl, isopropyl
2- Drying 2- Aldehydes – Formaldehyde,
Glutaraldehyde
3- Dry heat – Flaming, Incineration, Hot
air oven
3- Dyes
4- Moist heat – Pasteurisation, Boiling,
steam under
• Normal pressure
• High pressure
4- Halogens
5- Filtration 5- Phenols
6- Radiation 6- Surface active agents
7- Ultrasonic & sonic vibration 7- Metallic salts
8- Gases – Ethylene oxide, formaldehyde,
BPL
6. STERILIZING AGENT,
PRINCIPLE & PROCEDURE
ITEMS STERILIZED
1. SUNLIGHT:- Ultraviolet rays &
heat.
2. DRYING:- Removes water from
bacteria (water, constitutes 4/5
wt. of bacteria & is essential for
viability & growth).
3. HEAT:- Most reliable method of
sterilization.
a. Dry heat:- Kills bacteria and
spores by
a. protein denaturation,
b. oxidative damage (oxidizing their
chemical constituents)
c. Toxic effects of elevated levels of
electrolytes.
b. Moist heat:- Steam
denaturation & coagulation of
protein.
Kills some bacteria in water, air –
exposed to direct sunlight.
Not reliable.
Spores – unaffected.
For destruction of spores.
Dry 170o c for 1 hrs.
Moist 121o c 15 lbs for 15-20
minutes.
7. ADVANTAGES OF MOIST HEAT STERILIZATION
1. Sterilization at lower temp. in shorter time.
2. Penetrating power is better.
3. Liquids chemicals – Retain their structure.
Hot air oven (Dry heat) – Charring of media, cotton.
Steam – 1600 ml steam condenses into 1ml water at 100o c
& liberates 518 calories of heat – which raises temp. of
articles.
8. FACTORS AFFECTING STERILIZATION
DURATION & TEMPATURE:- Inversely proportion.
spore destroyed - 100o c – 20 hrs.
121o c – 15 min.
SUSCEPTIBILITY TO HEAT:-
• Most vegetative bacteria, yeast, fungi, viruses killed by moist heat in 30 min at
60 - 65o c
• Spores , yeast & fungi – 5 min at 70o c.
• Bacterial spores – 15 min at 121o c.
TYPE OF MATERIAL:- Presence of organic matter reduses sterilization
process.
9. Method & items sterilization Procedure
A) DRY HEAT:-
a) Red heat:-
Inoculation loops, wires,
forceps points,
spatulas.
b) Flaming:-
Scalpel, needles, glass slides,
mouths of culture tube can
be immersed in spirit & then
burnt off.
Held in Bunsen burner flame till – Red hot.
Passed a few times thru the flame.
c) INCINERATION:-
Soiled dressing, animal,
carcass, pathological
material.
Plastics, PVC polythene.
Polysterene material,
Burnt directly in incinerator chamber.
”
Emit dense black smoke, Hence destroyed
by autoclaving.
12. Hot Air Oven
Principle :
Based on the principle of Dry heat sterilization.
Microbes killed by
a. Denaturation of protein,
b. oxidative damage (oxidizing their chemical
constituents)
c. Toxic effects of elevated levels of electrode.
Working :
Oven is electrically heated and fitted with a fan to ensure
adequate & even distribution of hot air in the chamber. It is
also fitted with a thermostat that maintains the chamber air at
choosen temperature.
Material should be washed & dried.
Openings of tubes flask should be plugged with aluminum foil.
Arrange in basket.
Keep in hot air oven proper distribution/ No over loading start
power supply & check temperature.
13. Temperature and time : 160o c for 2 hr,
1700 for 1 hr,
1800 for 30 mins
Uses
Glassware – Test tubes, flask, glass syringes, pipettes.
Liquid paraffin, dusting powder, greases.
Sterilization Control :
• Paper strip impregnated with 106 spores of Cl. tetani (Non toxic keep
in oven with other material).
• Browne’s tube green colour.
Precautions
Material should be washed & dried.
No overloading
Arranged in a manner which allows free circulation of hot air.
Petridishes and pipettes should be wrapped in paper.
Test tubes, flasks should be fitted with cotton plugs.
start power supply & check temperature.
Put off power supply & Cool to R.T.
14. Method & items sterilization Procedure
B) MOIST HEAT:-
a) Temp. below 100o c:-
i. Pasteurisation of milk (Mycobacter, Brucella,
Salmonella - Destroyed).
ii. Vaccine bath – Vaccine preparation of non
sporeing bacteria by heat inactivation of
bacterial suspension.
iii. Inspissator – Serum & Egg containing media
sterilized (Lowenstein- Jensen & loeffler’s serum
slope).
63o c for 30 min. (Holder method)
72o c for 15-20 sec. (Flash method) followed by
cooling quickly at 13o c or lower.
60o c for 1 hrs.
Heating at 80-85o c for 30 min. on 3 successive
days. Temp. of 80o c for 5-10 min. destroys vegetative
forms of bacteria, yeast & moulds.
• Poliovirus - 60o c for 30 min.
• HBV - 60o c for 10 hrs.
b) Temp. at 100o c:-
i. Boiling – Not recommended for surgical or
invasive procedures.
ii. Steam at atmospheric pressure(100oc) –
Culture media damaged at higher temp. are
sterilized by this method. Koch’s or Arnold’s
steam sterilizer. (Sugar media – Lactose,
Glucose, Mannitol, sucrose).
Boiling for 10-30 min vegetative form killed almost
immediately at 90-100o c does not destroy spores.
Expose to steam at 100o c for 20 min. on 3
successive days.
Tyndallisation/ Fractitional sterilization.
• Vegetative cells killed first group.
• Spores if present germinate.
• Vegetative cells killed in further exposure.
16. Method & items sterilization Procedure
c) Temp. above 100o c:-
i. Autoclave:-
Principle:- Water boil when its vapour pressure
equals surrounding atmosphere. When
pressure inside closed vessel is increased
the
(Boiling point) temp. also increased. Steam
condenses on cooler articles gives up
latent heat. 1600 ml steam at 100o c &
atmosphere pressure . Condenses into 1ml
water at 100o c & gives 518 calories of heat.
Moist heat kills the bacteria by coagulation &
denaturation of proteins & kills spore also.
Autoclave:- Different types
• Laboratory autoclaves.
• Hospital autoclaves.
Sterilization controls:-
i. Paper strip impregnated with 106 spores of
Bacillus stearothermophilus kept along with other
material.
ii. Autoclave tapes – become dark coloured.
iii. Thermo couples.
All surgical item like face masks, rubber gloves,
gowns, caps, drapes.
Surgical instruments like artery forceps, scissors are
wrapped in cotton cloth & packed properly kept in SS.
Drum.
Bacteriological culture media in flask or TT. openings
plugged by cotton & wrapped.
Holding time & temp. 121o c at 15 lbs pressure for 20
minutes.
17. Autoclave
Principle :
Based on the principle of Moist heat sterilization.
Microbes killed by
a. Denaturation & coagulation of proteins and enzymes
b. Degradation of nucleic acid
c. Disruption of cell membrane.
Water is boiled to produce steam comes into main
chamber. Hot saturated steam continues to enter inside the
chamber until desired temperature is attained.
According to boyle’s law, vol. of saturated steam kept
constant, temperature α pressure. Thus, treatment of desired
temperature & pressure usually 1210C at 15psi (pound per
square inch) is attained 15-20mins.
1600 ml of steam (at 1000C at atm pressure) cooler surface
condense to 1 ml of water(at 1000C) releases
518 calories of heat.
18. Procedure :
All surgical item like face masks, rubber gloves, gowns, caps,
drapes.
Surgical instruments like artery forceps, scissors are wrapped in
cotton cloth & packed properly kept in Drum.
Bacteriological culture media in flask. openings plugged by
cotton & wrapped.
Holding time & temp. 121o c at 15 psi pressure for 20 minutes.
Sterilization controls:-
i. Paper strip impregnated with 106 spores of Bacillus
stearothermophilus kept along with other material.
ii. Autoclave tapes – Red colour become black coloured.
iii. Thermocouple – record tempr by potentiometer.
iv. Browne’s tube – Red solution turns to Green.
19. Uses:
To sterilize culture media, rubber material, gowns,
dressing, gloves etc
Useful for materials which cannot withstand the
higher temperature of hot air oven.
22. FILTRATION
Used to sterilization heat labile liquids like :-
Antibiotic solution, sera , sugars,
To obtain bacteria free filtrates of toxins & bacteriophages.
To obtain bacteria scanty in fluids.
1) Candle filters:- Different grades of porosity
• Uses:- Purification of water for industrial & drinking purpose.
• Types:-
i. Unglazed ceramic filters – eg:- Chamberland filter.
ii. Diatomaceous earth filters- eg:- Berfeld filter.
2) Asbestos filters:- Disposable single use discs. Eg:- Seitz filter.
3) Sintered glass filters:- Made of Powered glass particles.
4) Membrane filters:- Made of Cellulose esters (commonly used) .
i. Purification & analysis of water.
ii. Sterilization of parenteral use solution.
Note:- Average pore diameter – 0.22 µm commonly used.
24. 4) Air Filters :-
filters are used to deliver clean bacteria free air to a
cubicle or a room.
High efficiency particulate air (HEPA) filters
Eg. Laminar air flow (0.3µm).
25. STERILIZATION BY RADIATION
NON IONIZING RADIATION IONIZING RADIATION
MOA: - Damage DNA. MOA :- Denaturation of bacterial
protein & interference with DNA
replication.
Electromagnetic rays with wavelength
longer than visible light is used.
1) Infrared radiation:- Rapid mass
sterilization of glass syringes.
2) Ultraviolet radiation:- Disinfection of
closed area.
• Entry ways
• Operation theater
• Wards
• Inoculation hoods
• Virus labs
Ultrasonic & sonic vibrations
X-rays, gamma rays, cosmic rays,
• Short wave length
• High penetrative power
• No increase in temp. (Cold
sterilization)
Gamma radiation used for sterilization:-
• Plastic, syringes, swabs, culture
plates, catheters on large scales
•Cold sterilization.
Bactericidal effect.