tedRr-FOSUOP-2017AUG
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The concept of asepsis and its role in the Spores form part of the lifecycles of many
prevention of infection was put forward nearly bacteria, plants, algae, fungi and some protozoa.
2 centuries ago. The general principles for asepsis
were laid down by Hungarian obstetrician, Lgnaz
Semmelweiss in Europe in early 1850s and Oliver Disinfection: Disinfection describes a process that
Holmes in USA. These principles were accepted after eliminates many or all pathogenic microorganisms,
Joseph Listers studies on prevention of wound except bacterial spores, on inanimate objects.
infection carried out between 1865-91. Lister,
working on antisepsis, initially used phenol (dilute
carbolic acid) for contaminated wounds, later
applied it in all surgical wounds, also in operating METHODS OF STERILIZATION
room by nebulization of the solution. Further The various methods of sterilization are:
developments occurred with the introduction of
steam sterilization surgical masks, sterile gloves, 1. Physical Method
sterile gowns and drapes etc.
a. Thermal (Heat) methods
b. Radiation method
Sterilization: c. Filtration method
1
Sterilization is the process of killing all 2. Chemical Method
microorganisms (bacterial, viral, and fungal) with the
use of either physical or chemical agents. a. Antibiotics
b. Disinfection
Sterilization is making a substance free from all c. Antisepsis
microorganisms both in vegetative and spore d. Gaseous method
forming states.
Precautions:
Heat
Process:
The proper time and temperature for oven
sterilization is 180 for 2 hours. Instruments
should be dry before sterilization since water
will interfere with the process.
exposure to hot dry air (l 30-l 70C) for 2-4 hr
in a hot-air oven. All items should be sealed
before sterilization but not in paper, as it
decomposes at 170C.
Materials should be properly arranged to
allow free circulation of air
Advantages: Incineration/ flaming/ burning
They do not require water and there is not much Flaming is done to loops, forceps, scalpels and
pressure build up within the oven, unlike scissors. It is done by leaving the loop or other
an autoclave, making them safer to work with. instrument in the flame of a Bunsen burner or
alcohol lamp until it glows red, ensures that any
Suitable to be use in a laboratory environment.
infectious agent gets inactivated. This is commonly
They are much smaller than autoclaves but can used for small metal or glass objects, but not for
still be as effective. large objects.
(Inoculating loop is better dipped in disinfectant first
There is a thermostat controlling the before flaming to prevent spattering)
temperature.
Usually glass objects are dip in 70 % or a higher
Uses The benefit of dry heat includes good concentration of ethanol and merely touch the
penetrability and non-corrosive nature object briefly to the Bunsen burner flame, but not
hold it directly to the flame. The ethanol will ignite
Dry heat destroys bacterial endotoxins (or
and bum off in a few seconds. 70 % ethanol kills
pyrogens) which are difficult to eliminate by
many but not all, bacteria and viruses, and has the
other means and this property makes it advantage that it leaves less residue on the object
applicable for sterilizing glass bottles which are than a use of gas flame. This method works well for
to be filled aseptically glass spreaders.
Effective method of sterilization of heat stable
articles Flaming the Loop
The articles remain dry after sterilization Flaming the loop
helps to prevent
only method of sterilizing oils and powders. contamination of
the bacteria.
When flaming the
Disadvantages loop, make sure
that all of the wire
As they use dry heat instead of moist heat, has been heated to
some organisms like prions, may not be redness.
killed by them every time.
only to the THERMO STABLE PRODUCTS
Cannot be used for plastic ware, however,
certain plastic wares can also be heat
sterilized (Instructions of the manufacturer Incineration
must be read before doing this)
Since air is poor conductor of heat, hot air It is a process that involves the combustion
has poor penetration. of organic substances contained in waste
Cotton wool and paper may get slightly materials.
charred and Glasses may become smoky Items: contaminated cloth, animal carcasses
Takes longer time compared to autoclave. and pathological material. PVC, polythene can
be dealt.
Pasteurization (for milk) (For example, heating is less efficient in foods that
are more viscous, and fats in food can have a
protective effect on microorganisms.)
Louis Pasteur found a practical method of
Holding period: 63C, 30 minutes (holder
preventing the spoilage of beer and wine. Pasteur
method); Eg: mycobacteria, brucellae,
used mild heating, which was sufficient to kill the
salmonella.Coxiellaburnetti, relatively heat
organisms that caused the particular spoilage
resistant, may survive the holder method.
problem without seriously damaging the taste of the
product. The same principle was later applied to High temperature short-time (HTST):
milk to produce what we now call pasteurized milk. temperatures of at least 72C, for only 15
seconds; is applied as the milk flows
continuously past a heat exchanger. In
The intent of pasteurization of milk was to eliminate addition to killing pathogens, HTST
pathogenic microbes. It also lowers microbial pasteurization lowers total bacterial counts,
numbers, which prolongs milk's good quality under so the milk keeps well under refrigeration.
refrigeration. Many relatively heat-resistant
72C, 15-20 minutes followed by cooling
(thermoduric) bacteria survive pasteurization, but
quickly to 130c or lower.
these are unlikely to cause disease or cause
refrigerated milk to spoil. ultra-high-temperature (UHT) treatments
(140C for less than a second). It can then be
Uses: milk, ice cream, yogurt, beer
stored for several months without
Testes to check Pasteurization: refrigeration
Advantages:
Disadvantage:
Steam sterilization
Disadvantages:
boiling is ineffective against prions and many
bacterial and fungal spores Steam at atmospheric pressure for 90 min.
Process: Advantages:
1) Steam heating to 100 C for 15-30 min Media such as TCBS, DCA and selenite broth
Vegetative cells are destroyed but endospores
are sterilized by steaming
survive (most of the vegetative bacteria, molds and
mold spores are Killed) Sugar and gelatin in medium may get
2) Incubate at 30C-37C overnight decomposed on autoclaving; hence they are
Most bacterial endospores germinate
exposed to free steaming for 20mnts for a pressure gauge,
three successive days. a safety valve and a discharge tap.
The articles to be sterilized must not be
tightly packed. The lid is closed but the
discharge tap is kept open and the water is
heated.
As the water starts boiling, the steam drives
air out of the discharge tap.
Water boils when its vapour pressure equals
the surrounding atmosphere. Thus, when
pressure inside closed vessels increases, the
temperature at which water boils increases
too.
The pressure inside is allowed to rise up to
15 lbs per square inch.
At this pressure the articles are held for 15
minutes, after which the heating is stooped
and the autoclave is allowed to cool.
When pressure gauge shows the pressure
equals to atmospheric pressure, the
Above 100 c discharge tap is opened to let the air in. The
lid is then opened and articles removed.
Autoclave/ pressure cooker
.
Advantage of WET HEAT METHODS
Uses: decontamination of laboratory waste and the more penetrative power than dry air
sterilization of laboratory glassware, media, and moistens the spores [moister is essential for
reagents, dressings, instruments, laboratory ware, coagulation of proteins],
media and pharmaceutical products
Radiation surfaces and some transparent objects. Many
objects that are transparent to visible
Energy transmitted through space in a variety of light absorb UV. UV irradiation is' routinely used to
forms is generally called Radiation. sterilize the interiors of biological
safety cabinets between uses, but is ineffective in
Electromagnetic radiation can interact with
shaded areas, including areas under.
matter in one of 2 general ways:
dirt (which may become polymerized after
I. IONIZING RADIATIONS [X-ray and -rays] prolonged irradiation so that it is very difficult to
remove). It also damages many plastics, such as
II. NON-IONIZING RADIATION [UV light] polystyrene foam.
Method of sterilization using radiation such as
Electron Beam
electron beams, X- rays, gamma rays or subatomic
particles can be practiced.
Electron beam processing is also commonly used
for medical device sterilization. Electron beams use
I. IONIZING RADIATIONS
an on-off technology and provide a much higher
Ionizing rays are of two types, dosing rate than gamma or X- rays. Due to the
higher dose rate, less exposure time is needed and
particulate and thereby any potential degradation to polymers is
reduced. A limitation is that electron
electromagnetic rays. beams are less penetrating than either gamma or x-
rays.
-rays
Gamma rays are very penetrating and are Irradiation with X- rays or gamma rays does not
commonly used for sterilization of disposable make materials radioactive. Irradiation with
medical equipment, such as syringes, needles, particles may make materials radioactive, depending
cannulas and IV sets. upon the type of particles and them energy, and the
type of target material: neutrons and very high-
energy particles can make materials radioactive, but
X-ray have good penetration, whereas lower energy
particles (other than
X- rays, High-energy X- rays are a form of ionizing neutrons) cannot make materials radioactive, but
energy allowing to irradiate large have poorer penetration.
packages and pallet loads of medical devices. Their
penetration is sufficient to treat multiple pallet loads
of low-density packages with very good dose
uniformity ratios. X- ray sterilization is an electricity
based process not requiring chemical nor MODE OF ACTION:
radioactive material. High energy and high power X-
rays are generated by an X- ray machine that can be Gamma rays and X rays which have energies
turned off for servicing and when not in use. of more than about 10ev is passes through a
cell they create free hydrogen radicals and
some peroxides which in turn can cause
different kinds of intracellular damage.
II. NON-IONIZING RADIATION [UV light]
Ionizing radiation produce relatively little
Nonionizing radiation has a wavelength longer than heat in the materials being irradiated, thus it
that of ionizing radiation, usually greater than about is possible to sterilize heat-sensitive
1 nm. substances in food and pharmaceutical
IR also non-ionizing radiation industries and the process is called Cold
sterilization
UV light
Ultra violet in-addition (UV, from a germicidal
lamp) is useful only for sterilization of
Less energetic radiations like UV light does Requires very qualified personnel
not ionize, it is absorbed quite specifically by
Another potential problem is that UV light
different compounds and cause Mutation by
can damage human eyes, and prolonged
forming DIMERS or engages in a variety of
exposure can cause burns and skin cancer in
chemical reactions not possible for
humans.
unexcited molecules.
Advantages:
Microwaves
The food industry has recently renewed its
interest in the use of radiation for food Very little effect on microbes
preservation.
Microwave ovens kill vegetative pathogens
It is useful for disinfecting surfaces, air and by heating
liquids.
Solid foods heat unevenly
Clean process
Dry process
Disadvantage:
Lengthy process
Filtration Different types of filters are:
A laminar flow cabinet or laminar flow closet or Sonication is the act of applying sound energy to
tissue culture hood is a carefully enclosed bench agitate particles in a sample, for various purposes.
designed to prevent contamination of
In the laboratory, it is usually applied using an
semiconductor wafers, biological samples, or any
ultrasonic bath or an ultrasonic probe, colloquially
particle sensitive device. Air is drawn through a HEP
known as a sonicator.
A filter and blown in a very smooth, laminar flow
towards the user. The cabinet is usually made of Ultrasonic cleaner is the device which penetrates
stainless steel with no gaps or joints where spores the high frequency ultrasound energy deep into the
might collect. cracks, holes and the recesses to clean and remove
all the traces of tightly fit germs and greasy
Such hoods exist in both horizontal and vertical substance and pigments which are
configurations, and there are many different touched to clean in a normal way. It is the
types of cabinets with a variety of airflow patterns technology that covers the whole range of devices
and acceptable uses. Laminar flow cabinets may and cleanses with a challenge.
have a UV-C germicidal lamp to sterilize the shell
and contents when not in use. (It is important to They use the cavitations process, where the
switch this light off during use, as it will quickly give bubbles are created by the sound waves in order to
any exposed skin sunburn and may cause cataracts). clean the surface of the products placed in the tank.
The releasing bubbles act in the form of sponge to
remove the settled dirt on the tattoo
equipment, surgical devices and other items which
need to be sterilized immediately after its use.
Bleach
Chlorine bleach is another accepted liquid sterilizing
agent. Household bleach consists of 5 .25% sodium
hypochlorite. It is usually diluted to 1/10
immediately before use.
Biguanides No activity against spores and poorly
effective against viruses and fungi
Biguanides have a broad spectrum of
activity, with a mode of action primarily The recommended optimum concentration
affecting bacterial cell membranes. They are of ethanol is 70%
especially effective against gram-positive
bacteria.
The best known biguanide is chlorhexidin, Mercury (HgCl2, Greeks & Romans
which is frequently used for microbial for skin lesions);
control on skin and mucous membranes. copper sulfate (algicide)
The chemically reactive gases such as Action is due to its alkylating the amino,
formaldehyde, (methanol, H.CHO) and carboxyl, hydroxyl and sulphydryl groups in
ethylene oxide (CH2)2O possess biocidal protein molecules.
activity. Ethylene oxide is a colorless,
Also on DNA and RNA.
odorless, and flammable gas.
Items: heart-lung machines, respirators, sutures,
The mechanism of antimicrobial action of
dental equipment, books, clothing.
the two gases is assumed to be through
alkylations of sulphydryl, amino, hydroxyl Formaldehyde gas:
and carboxyl groups on proteins and amino
groups of nucleic acids. This is widely employed for fumigation of OT
and other rooms.
Antibiotics
Natamycin (pimaricin) is an antifungal antibiotic relatively painless (usually used with sedation) and
approved for use in foods, mostly cheese quick procedure
Hygroinycine: Antibiotic produced eliminates risk of complications from anesthesia and
by Streptomyces hygroscopicus. It is surgery
an aminoglycoside that kills bacteria, need for post-procedure care and observation is
fungi and higher eukaryotic cells by minimal
inhibiting protein synthesis considered safe in most cases