This document discusses various sterilization methods used in hospitals including physical, chemical, and radiation-based methods. Physical sterilization methods include heat sterilization using dry heat like hot air ovens or moist heat like autoclaves. Chemical sterilization uses disinfecting agents like alcohols, aldehydes, and phenols. Radiation sterilization employs ionizing radiation from X-rays or gamma rays and non-ionizing radiation like UV rays. Proper sterilization is essential for destroying microorganisms on medical equipment and surfaces to prevent contamination and infection in hospitals.

1. Sterilization AND METHODS OF
Sterilization USED IN
HOSPITALS
PRESENTED BY :- MRS KIRTI GAUR

2. Microorganism are responsible for
contamination and infection. They are
present all around. The aim of
sterilization is to remove destroy them
from materials or from surfaces.

3. Sterilisation
It is a process by which a n article, surface or medium is
made free of all microorganisms either in the vegetative or
spore form.
Disinfection
It means the destruction of all pathogens or organisms
capable of producing infections but not necessarily spores.
All organisms may not be killed but the no. is reduced to a
level that is no longer harmful to health.
Antiseptic
These are chemical disinfectants which can safely be
applied to living tissues and are used to prevent infection by
inhibiting the growth of microorganisms.
Asepsis
The technique by which , the occurrence of infection
into an uninfected tissue is prevented.

4. 1. Sterilisation of materials, instruments used in
surgical and diagnostic procedure.
2. For media and reagents used in the
microbiology laboratory.
3. In food and drug manufacturing to ensure
safety from contaminating organisms. d
diagnostic procedures

5. STERILIZATION
Physical
Method
Sunlight
Heat
Dry heat
Hot air oven
Incineration
Flaming
Red hot
Moist heat
At temperature below
100° C .
At temperature of 100° C
At a temperature 100° C
(under pressure)
Ozone Filtration Radiation
Non ionizing
radiation
UV rays
Ionizing
radiation
X-ray
gamma rays
Chemical
method
Alcohols
Aldehydes
Phenols
Halogens
Oxidising
agents
Salts
Surface active
agents
Dyes
Vapour phase
disinfections

6. A. Physical Methods
1. Sunlight
Sunlight has an active germicidal effect due to its
content of ultraviolet rays. It is a natural method of
sterilization in cases of water in tanks, rivers and
lakes.
2. Heat
Heat is the most reliable and commonly employed
method of sterilization. It should be the method of
choice unless contraindicated. Two types of heat
are used, dry heat and moist heat.

7. The following procedures are used for
sterilization by dry heat.
(i) Red heat
(ii) Flaming
(iii) Incineration
(iv) Hot air oven
(i) Red heat :- Inoculation wires or loops, tips of
forceps and needles are held in the flame of a
Bunsen burner till they become red hot.

8. (ii) Flaming :- Glass, slides and mouths of culture
tubes are passed through bunsen flame
without allowing them to become red hot.
(iii) Incineration
By this method, infective material is reduced to
ashes by burning. Instrument named
incinerator may be used for this purpose.
Soiled dressing animal carcasses, bedding and
atholog1ca materials are dealt with this
method.

9. (iv) Hot air oven
It is most widely used method of
sterilization by dry heat. The
oven is electrically heated and is
fitted with a fan to ensure
adequate and even distribution of
hot air in the chamber. It is also
fitted with a thermostat that
maintains the chamber air at a
chosen temperature.
Temperature and time
160°C for two hours (holding
time) is required for sterilization
(previously it was 160°C for one
hour). However, alternative
temperatures and holding time
include 170°C for one hour and
180°C for 30 minutes.

10. Moist heat of sterilization may be used at
different temperatures as follows.
(i) At a temperature below 100°C
(ii) At a temperature of 100°C
(iii) At a temperature above 100°C

11.  Pasteurization:- It is method for control of
microorganisms from beverages like fruit and
vegetable juice, beer and dairy products such
as milk.
 Waterbath :- It is used for disinfection of
serum, body fluids and vaccines.
 Inspissations:- It is a process of heating an
article on 3 successive days at 80-85˚C for 30
minutes.

12.  Boiling:- Boiling of the items in water for 15
minutes may kill most of the vegetative forms
but not the spore, hence not suitable for
sterilization of surgical instruments
 Steaming:- The steam sterilizer are useful for
those media which are decomposed at high
temperature of autoclave.
 Tyndallization:- It is ( named after John
Tyndall ) involves steaming at 100˚C for 20
minutes for 3 consecutive days

13.  Autoclave functions similar to a pressure
cooker and follows the general law of gas.
 Water boils when its vapour pressure equals
that of the surroundings atmosphere. So when
the atmospheric pressure is raised the boiling
temperature is also raised.
 At normal pressure, water boils at 100˚C . But
when pressure inside a closed vessel increases,
the temperature at which water boils also
increases

14. Autoclave components are of three parts:-
 Pressure chamber
 A lid
 Electrical heater
Pressure chamber consists of:-
▪ It is a large cylinder (vertical or horizontal) in
which the materials to be sterilised are placed. It is
made up of gunmetal or stainless steel and places
in a supporting iron case.
▪ A stream jacket (water compartment)
▪ The lid is fastened by screw clamps and rendered
air tight by an asbestos washer.

15. The lid bears the following:-
▪ A discharge tab for air.
▪ Pressure guage
▪ A safety valve
An electrical heater is attached to the jacket that
heats the water to produce steam

16. Autoclave is particularly useful for media
containing water that cannot be sterilised by heat.
It is the method of choice for sterilising the
following:-
Surgical instruments
Culture media
Autoclave plastic containers
Plastic tubes and pipette tips
Solutions and water
Biohazardous waste
Glassware(autoclave resistible)

17.  The following precautions should be taken
while using an autoclave:-
 Autoclave should not be used for sterilising
waterproof materials such as oil and grease or
dry materials such as glove powder.
 Material should not touch the sides or top of
the chamber.
 The clean items and the wastes sould be
autoclaved seperately.
 Polythylene drays should not be used as they
may melt and cause damage to the autoclave.

18. Low Temperature sterilisation by ozone
Ozone steriliser uses oxygen, water and
electricity to produce ozone within the steriliser
and provide sterilisation without producing
toxic chemicals. It runs at lower temperature
i.e. 25°C-35°. In this device, oxygen molecules
(O2) are separated into atomic oxygen (O) in
the presence of intense electrical field. This
atomic oxygen(O) combines with other oxygen
molecules (O) to form ozone (O3).The ozone
provides a sterility assurance of 10ˉ6 in
approximately 4 hours.

19.  Filtration is an excellent way to remove the
microbial population in solutions of heat-labile
materials like vaccine, antibiotics, toxins, serum
and sugar solution as well as purification of air.
 Types of filters
(i) Candle filters e.g. Berkefeld , Chamberland filter
(ii) Asbestos disc filters e.g. Seitz filter
(iii) Sintered glass filters
(iv) Membrane filters
( v ) Air filters
(vi) Syringe filters

20. Two types of rations are used for sterilisation ionizing and non-
ionizing.
1. Ionizing Radiation:- It is used ionizing radiation , X-Ray,
gamma rays and cosmic rays.
Mechanism:- It causes breakage of DNA without temperature
rise hence this method is also called as cold sterilsation.
Ionizing radiation is an excellent agent for
sterilsation/disinfection. It penetrates deep into the object.
2.Non-ionizing Radiation
Examples of non-ionizing radiation include infrared and
ultraviolet radiations.
It is used for disinfection of clean surface in operation
theaters, laminar flow as well as for water treatment.

21.  A variety of chemical agents are used as antiseptics and
disinfectants.
 Alcohols
Ethyl alcohol and isopropyl alcohol are the most frequentlyused.
They act by denaturingbacterial proteins. They rapidly kill
bacteria includingtubercle bacilli but they have no sporicidal or
virucidal activity.
 Aldehydes
FORMALDEHYDE
Uses
(i) Preservation of tissue for histological examination.
(ii) To sterilisebacterialvaccines.
(iii)To preparetoxoid from toxin.
(iv) For killingof bacteriplculturesand suspen sions.
(v) For destroyinga nthrax spores in hair and wool.