Disinfection & Sterilization: DR: Dina Ramadan
Disinfection & Sterilization: DR: Dina Ramadan
Disinfection & Sterilization: DR: Dina Ramadan
Dr : Dina Ramadan
Microbiologist In Central Health Laboratory Ministry of Health Cairo-Egypt Quality Manager
Definitions
Disinfection:
It is a procedure intended to reduce microorganisms as far as possible (but not bacterial spores) by physical and chemical means
Sterilization:
the complete removal or destruction of all forms of microbial life including bacterial spores Remember : No absolute assurance that there is 0 microorganism
Other Definitions
Disinfection
The use of a physical or chemical procedure to eliminate pathogenic microorganisms on inanimate objects
Sterilization
The use of a physical or chemical procedure to destroy all microbial life, including large numbers of highly resistant bacterial spores.
Chemical Disinfectant
Alcohols
There are two water-soluble alcohol can be used in lab: ethyl alcohol and isopropyl alcohol. Concentration required : 60-90% in water Mode of its action : it denaturing bacterial proteins its Flammable, Can be removed from disinfected articles by flaming.
Alcohols
Higher concentrations are less effective as the action of denaturing proteins is inhibited without the presence of water
Hypochlorite's
it has broad spectrum antimicrobial effect inexpensive and fast acting, It is recommended for disinfection of counter tops and work surfaces,
Chlorine
It is very effective against vegetative bacteria and viruses like HBV and HIV viruses, therefore its use is recommended at 1:10 dilution for disinfection of blood spills
not
Phenol
It effective against bacteria (especially gram +ve bacteria) and enveloped viruses. They are not effective against non enveloped viruses and spores. This compounds is used for decontamination of the hospital environment, including laboratory surfaces.
Yet no substitute for washing hands Do not forget to Wash Your Hands
Immediately
on arrival at work After handling specimens After removing gloves After using the toilet Before leaving work
Sterilization
1.
2. 3.
Heat Sterilization
It is the simplest, most effective and inexpensive method. Types of heat sterilization :
a) b)
Mechanism of Action
DRY HEAT:
MOIST HEAT:
1. 2.
3.
1.
2.
3.
Protein denaturation & coagulation Latent heat liberated when steam condenses on cooler surface Hydrolysis & breakdown of bacterial proteins
Disadvantages:
Non stainless steel metal items corrode may damage plastic and rubber items
Dry-Heat Sterilization
Heating at atmospheric pressure and often use a fan to obtain uniform temperature by circulation. Heat at 180 for half hour , 170 for 1 hr., or 160 C for 2 hrs.
Time (minutes)
120 140 150 160 170 180 480 180 150 120 60 30
Temperature (C)
Dry-Heat Sterilization
Advantages:
It is effective and safe for metal instruments because the process does not dull instrument edges or rust/corrode the instruments.
Disadvantages:
Chemical Sterilization
The chemical compounds used can be: a) Gas Sterilization b) Liquid Sterilization Generally, chemical sterilization procedures have the disadvantages of presenting health hazards to users (e.g. poisonous, flammable, )
Gas Sterilization
The gas used in this procedure is ethylene oxide. Keep objects in constant atmospheric humidity. Heat to temperatures between 30 and 60 C,for a period of 10 hrs. Residual ethylene oxide must be ventilated It is used for sterilizing endoscopes and ansthetic apparatus.
Liquid Sterilization
Can be performed with buffered glutaric aldehyde. Procedure:
Immerse object in liquid for several hours. Rinse with sterile water after end of procedure. It used in hospitals for sterilization of surgical instruments, rubber or plastic equipment which cannot be heat sterilized
Radiation Sterilization
Provides effective way of sterilization when using non ionizing radiation in high doses (Gamma radiation ).
it is clean process dry process the object full exposure from all directions
IR RAYS ( infra red) are used for rapid mass sterilization of pre packed items such as syringes, catheters etc.
Asepsis
Sterilization Disinfection
Heat
Chemical
Radiation
Heat
Chemical
Steam
Gas
Gamma
Boiling water
Phenol
Dry heat
Ethylene oxide
70% Alcohol
Formalin
Hexachlorophene
Liquid
Glutaric Aldehyde
In summary
Sterilization and disinfection are costly and time consuming process However, it is an essential in all health care facilities to avoid infection. It depends the material and users of instrument. Staff should keep in mind that contaminated instrument present risk to the sample as well as the user himself.
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