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Sterilization techniques
Sterilization
 Sterilization is the process by which an object becomes free from all the microorganisms.
 By sterilization, pathogenic organisms are destroyed.
Purpose
 To keep the supplies/articles free from pathogens.
 To make complete destruction of microorganisms.
 To sterilize instruments and equipment used in the surgical practice.
 To keep the articles in such a condition that they are ready for use at any time.
 For the safety of the patients.
Methods of sterilization
 Natural method
 Physical method
 Chemical method
 Radiation or ultraviolet light sterilization
Natural Sterilization
 Used to sterilize contaminated linen and bedpans.
 Direct sunlight will have an affect on acid –fast microorganism.
 Place the linen or bedpans in direct sunlight for 6 hours for 2 consecutive days.
Physical methods of sterilization
 Boiling
 Autoclaving
 Hot air oven
Boiling (moist heating)
Boiling an instrument/article immersed fully in boiling water (100° C) for 10 minutes will kill most of
the pathogenic organisms.
General Instructions
• The articles should be clean.
The articles should be fully immersed in water.
Close the sterilizer lid tightly. Note the time after the water has started to boil.
Boil it for 7 to 10 minutes. Remove the articles with chattel forceps.
Precautions
Do not pick articles in between, when the boiling is in
process. Do not boil sharp instruments such as scissors, knives, needles, etc. Because boiling blunt
them.
Advantages and disadvantage
Advantages
Boiling can be used in the home environment and other situation.
It is one of the economic ways of sterilizing articles.
Disadvantages
Some bacteria and viruses and all spores are resistantto boiling.
Boiling method cannot be used for the articles which may be destroyed by moisture and heat.
Autoclaving
 Autoclaving is the most common method used for sterilizing surgical instruments.
 It accomplishes sterilization dependably without damage to most of the instrument.
 It is the best, safest and effective method of sterilization.
 It destroys the spore forming microorganisms.
 In this method high temperature, pressure and humidity is used to destroy the bacteria.
Mechanism of Autoclave
 In autoclaving the sterilization is done by steam under pressure. In an autoclave, water boils and its
vapor pressure equals that of the surrounding atmosphere.
 When pressure increases inside a closed vessel, the temperature at which boils also increases.
Saturated steam has better penetrating power.
 When steam comes into contact with a cooler surface, it condenses into water and given up its
latent heat to that surface.
 Temperature: 121°C
 Pressure: 15 pounds per square inch (PSI) Time: 15 to 45 minutes.
Instruments Used for Sterilization

 Surgical instruments
 Syringes and needles Linen including gowns .
 Masks
 Abdominal swabs and dressing.
Hot air oven

 High temperature and comparatively long exposure times are required for hot air oven. Various
types of powders, glass materials, etc. Are sterilized by this method.
Mechanism of hot air oven
 It works on the principle of sterilization by dry heat. Temperature: 160°C
 Time: One hour Articles sterilized include glassware, forceps, scissors, scalpels, syringes, liquid
paraffin and dusting powder.
 Advantages
 All types of microorganisms including spores are kille
 by this method. It is the safest method of sterilization.
 Disadvantage
 It is costly method of sterilization.
Chemical method
 The chemical substances known as disinfectants are used to kill pathogenic organism. It is also called as
cold sterilization.
 Mechanism of Chemical Disinfectants A chemical disinfectant acts by coagulating the bacte protein or by
changing the composition of protein so th
 it is no longer exist in the same form .
 Commonly Used Disinfectants
 Phenol
 Lysol
 Formalin
 Dettol
 Alcohol.
Advantages and disadvantage
 Advantages
 This method is used to sterilize instruments which are damaged by heat and metallic objects prone to
corrosion.
 It is an easy method.
 Disadvantages
 A disinfectant cannot destroy the spores. Disinfectants are used in injuries to skin and the articles.
Radiation method of sterilization
 Radiation or ultraviolet light sterilization: This method is expensive but nowadays it is used for the
sterilization of plastic items such as disposable saline set, catheter, Ryle’s tubes, etc.
 Gas sterilization: Ethylene oxide gas is employed as a sterilizing agent in especially designed
chambers in which temperature and humidity can be controlled and from which air can be
evacuated.
 An exposure period of 3 to 6 hours is needed. Other gases employed for sterilization are
formaldehyde and beta propiolactone
 Articles Sterilized
 Surgical instruments with optical lenses.
 Tubing and plastic parts of heart-lung machines.
 Ventilator tubes.
 Disposable syringes.
 Pillows and mattresses.
 Advantages
 Exposure to formaldehyde gas under conditions of controlled humidity, temperature and the time exposure will destroy all
vegetative forms of bacteria, viruses and most of the spores.
 The best results can be obtained with high concentration
 of gas humidity above 60% and temperature not less than 180° C.
 Disadvantages
 Ethylene oxide has a pungent smell. It is an irritant to eye, mucous membrane and skin.
Radiation method
 The two types of radiation are non-ionizing radiation and ionizing radiation.
 Non-ionizing radiation methods are infrared and ultra- violet radiation.
 Ionizing radiation methods include X-rays, gamma rays and cosmic rays, are highly lethal to the
DNA and other vital cell constituents.
Advantages and disadvantages

 Advantages
 Instruments which are covered in plastic packs or aluminum foils can be sterilized by this method.
 Instruments like disposable syringe, catheters, hypo- dermic needles and sharp instruments that
cannot withstand heat, can be sterilized by this method.
 Disadvantages
 Since radiation in a straight line does not penetrate, only the surface of an object in straight line is
irradiated.
 The bacteria in shadows are unaffected, so all thesurfaces should be exposed to the radiation.

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sterilization techniques.pptx

  • 2. Sterilization  Sterilization is the process by which an object becomes free from all the microorganisms.  By sterilization, pathogenic organisms are destroyed.
  • 3. Purpose  To keep the supplies/articles free from pathogens.  To make complete destruction of microorganisms.  To sterilize instruments and equipment used in the surgical practice.  To keep the articles in such a condition that they are ready for use at any time.  For the safety of the patients.
  • 4. Methods of sterilization  Natural method  Physical method  Chemical method  Radiation or ultraviolet light sterilization
  • 5. Natural Sterilization  Used to sterilize contaminated linen and bedpans.  Direct sunlight will have an affect on acid –fast microorganism.  Place the linen or bedpans in direct sunlight for 6 hours for 2 consecutive days.
  • 6. Physical methods of sterilization  Boiling  Autoclaving  Hot air oven
  • 7. Boiling (moist heating) Boiling an instrument/article immersed fully in boiling water (100° C) for 10 minutes will kill most of the pathogenic organisms. General Instructions • The articles should be clean. The articles should be fully immersed in water. Close the sterilizer lid tightly. Note the time after the water has started to boil. Boil it for 7 to 10 minutes. Remove the articles with chattel forceps. Precautions Do not pick articles in between, when the boiling is in process. Do not boil sharp instruments such as scissors, knives, needles, etc. Because boiling blunt them.
  • 8. Advantages and disadvantage Advantages Boiling can be used in the home environment and other situation. It is one of the economic ways of sterilizing articles. Disadvantages Some bacteria and viruses and all spores are resistantto boiling. Boiling method cannot be used for the articles which may be destroyed by moisture and heat.
  • 9. Autoclaving  Autoclaving is the most common method used for sterilizing surgical instruments.  It accomplishes sterilization dependably without damage to most of the instrument.  It is the best, safest and effective method of sterilization.  It destroys the spore forming microorganisms.  In this method high temperature, pressure and humidity is used to destroy the bacteria.
  • 10. Mechanism of Autoclave  In autoclaving the sterilization is done by steam under pressure. In an autoclave, water boils and its vapor pressure equals that of the surrounding atmosphere.  When pressure increases inside a closed vessel, the temperature at which boils also increases. Saturated steam has better penetrating power.  When steam comes into contact with a cooler surface, it condenses into water and given up its latent heat to that surface.  Temperature: 121°C  Pressure: 15 pounds per square inch (PSI) Time: 15 to 45 minutes.
  • 11. Instruments Used for Sterilization   Surgical instruments  Syringes and needles Linen including gowns .  Masks  Abdominal swabs and dressing.
  • 12. Hot air oven   High temperature and comparatively long exposure times are required for hot air oven. Various types of powders, glass materials, etc. Are sterilized by this method.
  • 13. Mechanism of hot air oven  It works on the principle of sterilization by dry heat. Temperature: 160°C  Time: One hour Articles sterilized include glassware, forceps, scissors, scalpels, syringes, liquid paraffin and dusting powder.  Advantages  All types of microorganisms including spores are kille  by this method. It is the safest method of sterilization.  Disadvantage  It is costly method of sterilization.
  • 14. Chemical method  The chemical substances known as disinfectants are used to kill pathogenic organism. It is also called as cold sterilization.  Mechanism of Chemical Disinfectants A chemical disinfectant acts by coagulating the bacte protein or by changing the composition of protein so th  it is no longer exist in the same form .  Commonly Used Disinfectants  Phenol  Lysol  Formalin  Dettol  Alcohol.
  • 15. Advantages and disadvantage  Advantages  This method is used to sterilize instruments which are damaged by heat and metallic objects prone to corrosion.  It is an easy method.  Disadvantages  A disinfectant cannot destroy the spores. Disinfectants are used in injuries to skin and the articles.
  • 16. Radiation method of sterilization  Radiation or ultraviolet light sterilization: This method is expensive but nowadays it is used for the sterilization of plastic items such as disposable saline set, catheter, Ryle’s tubes, etc.  Gas sterilization: Ethylene oxide gas is employed as a sterilizing agent in especially designed chambers in which temperature and humidity can be controlled and from which air can be evacuated.  An exposure period of 3 to 6 hours is needed. Other gases employed for sterilization are formaldehyde and beta propiolactone
  • 17.  Articles Sterilized  Surgical instruments with optical lenses.  Tubing and plastic parts of heart-lung machines.  Ventilator tubes.  Disposable syringes.  Pillows and mattresses.  Advantages  Exposure to formaldehyde gas under conditions of controlled humidity, temperature and the time exposure will destroy all vegetative forms of bacteria, viruses and most of the spores.  The best results can be obtained with high concentration  of gas humidity above 60% and temperature not less than 180° C.  Disadvantages  Ethylene oxide has a pungent smell. It is an irritant to eye, mucous membrane and skin.
  • 18. Radiation method  The two types of radiation are non-ionizing radiation and ionizing radiation.  Non-ionizing radiation methods are infrared and ultra- violet radiation.  Ionizing radiation methods include X-rays, gamma rays and cosmic rays, are highly lethal to the DNA and other vital cell constituents.
  • 19. Advantages and disadvantages   Advantages  Instruments which are covered in plastic packs or aluminum foils can be sterilized by this method.  Instruments like disposable syringe, catheters, hypo- dermic needles and sharp instruments that cannot withstand heat, can be sterilized by this method.  Disadvantages  Since radiation in a straight line does not penetrate, only the surface of an object in straight line is irradiated.  The bacteria in shadows are unaffected, so all thesurfaces should be exposed to the radiation.

Editor's Notes

  1. Sterilization Defination- Sterilization is the process by which an object becomes free of all the microorganisms.