Chemical methods of sterilization and disinfection Flashcards
Chemical methods
- Antiseptics - Skin, mucous membranes
- Disinfectants
- Environment
- Types: Alcohol, Chloride and chlorine-based compounds, Iodine-based compounds, Aldehydes, Peroxide based compounds, Surfactants (tensids), Acids and alkalis, Miscellaneous
- Ideal disinfectant: Wide spectrum, Quick, Irreversible effect, Long lasting, Contamination has no negative effect, Not toxic, water-soluble, Not corrosive, cheap, Not flammable, Easy to use, odorless, Stable, Cleans, No environmental problems
Alcohols
- ethyl-, isopropil-alcohol,
- mixture of ethyl-and isopropyl-alcohol etc.;
- disinfection based on water extraction
- greater effect on the Gram-negative vegetative bacteria
- used in combination with other disinfectants
- used for skin disinfection
Chlorine based compounds in general
- at room temp: yellow-greenish, suffocating, oxic gas
- water soluble, forms hypochloric acid (HOCl) which dissociates into HO and active chlorine
- active chlorine: strong germicide effect, penetrates cell membrane, destroys cellular enzyme
- highly volatile -> increased temp reduces capacity, over 30-40oC no capacity
- organic materials decrease capacity
- corrosive - metal, rubber, plastic
Sodium hypochloride
- very common
- 5-15% active chlorine and 1-3% sodium hydroxide
- NaOH gives stability to active chloride BUT corrosive on metals, skin irritation
- conc. 3-5% -> vegetative form of bacteria and all viruses BUT not destroy: acid fast bacteria, spores (over 15% conc), fungi, parasites
- pH range 5-7 -> chlorine is most volatile
- suppressed by the presence of organic materials
- storing conditions: in dark, closed containers, low temp
- DO NOT MIX: NH3, formaldehyde
Calcium hypochlorite
- solid
- CaHOCl + CaCl + Ca(OH)2–> chlorinated lime (bleach powder)
- > white, greyish, chlorine smelling, crumbling, hydroscopic powder, active chlorine: 25-35%
- use: 2% - virus, bacteria vegetative form/ 20% - spores
- no effect against fungi and parasites
- disinfection of wells, other water resources and surfaces
Kloramin-T / Toluol
◦ whitish powder with chlorine odor
◦ Active chloride: min.25%
◦ Effect: bactericide, virucide, High cc sporocide too,
- No effect against fungi and parasites
Sodium dichloro-isocyanurate (NaDCC or SDIC)
◦ colourless, water-soluble solid
◦ strong chlorine odour
◦ 1 tablet to 10l water
◦ Effect is 30sec, in the presence of organic/inorganic contamination too
◦ Effect: bactericide, virucide, High cc sporocid and fungicid too
Iodine based compounds
• Iodophores→ iodine + organic substrate (surface active materials) which contain also
◦ + phosphoric acid→ solubilising the iodine (detergent)
◦ +buffers→↓pH
◦ +polyvinyl-pyrolidine→ bind up to 30% of iodine
• Disinfection: Iodine released from complex→ oxidizes function groups of germs
• Iodine content of the commercially available iodofores: 0.5-1.7%
• dark brown -light yellow (depends on active iodine content)
• Surface friendly, powerful cleaning effect, pH3-4
• Iodophors: Iodine complexed with an organic substrate (Incosan-W, Wescodyne, Iosan)
‣ 3-5% destroys vegetative forms of G+ and G-germs/ 6-10% sporocide effect/ 10% fungicidal effect
• Povidone Iodine - Betadine (pavidone-iodine)
Iodine based compoundes Pros and Cons
- advantage: Bactericidal, viricidal, and fungicidal
- disadvantage: Occasional skin sensitivity, Partially inactivated by organic debris, Less residual activity than chlorhexidine, Poor sporicidal activity
Aldehydes
- Efficient, broad spectrum
- CHO- radicals → destroy cell wall
- Germicidal
- Formaldehyde
- Formalin
- Glutaraldehyde
- Other aldehyde based disinfectants: paraformaldehyde, glioxal, lysoform etc.
Formaldehyde
◦ at room temp: characteristically stinky
◦ Excessively irritant
◦ suffocating, cough evoking
◦ colorless gas which attacks all mucosal membranes
Formalin
- commercially available form of formaldehyde
- 35-37% water solution of the gas that contains further 10% methylalcohol and contaminants (formic acid, acetone etc)
- disinfection of surfaces
- water solution
- in form of gas
Disinfection with watery solution of formaldehyde (formalin)
◦ usual concentration: 1-6%
◦ Temp dependencies
‣ optimum: 30-35oC
‣ below 20oC quick decrease
‣ below 13oC no disinfection capacity
‣ over 35oC quick volatilization, quick decrease
◦ pH optimum: pH2.4-4.0
◦ organic materials do not hinder its disinfection efficiency
◦ concentrations: vegetative forms: 1-3%, spores: 6%, acid-fast: 6-10%, moulds: 5%, viruses: 3-5%
Disinfection with formaldehyde gas
◦ generation of gas from the watery solution:
‣ by heating
‣ by aerosol generators
‣ by oxidizing materials (e.g. potassium permanganate)
◦ microclimatic requirements:
‣ more than 20 oC is needed
‣ optimum humidity: 80-90%
◦ optimum gas concentration in the air: 0.1-0.2%
◦ WARNING: in 7-73% conc formaldehyde forms EXPLOSIVE MIXTURE WITH AIR!
◦ Formaldehyde gas can be neutralized with ammonium gas
Glutaraldehyde
◦ Light yellow, slightly acidic liquid (25% Glutaraldehyde + ethanol)
◦ Activation with base (opt.pH8), Stable for 2weeks
◦ 2% bactericid, sporocid, virucid, fungicid
◦ Not paraziticid!
◦ Not corrosive,
◦ Toxic Sodium bisulfitede activates