Sterilization And Disinfection Flashcards
– the process by which most bacterial forms in non-living objects are destroyed, without necessarily destroying saprophytes and bacterial spores
DISINFECTION
refers to the use of chemical agents on skin or living tissues to inhibit or eliminate disease producing microorganism
Antisepsis
a gradual process and the kinetics of death are exponential
Heat
the relationship between sterilization and the temperature of exposure is expressed in terms of
Thermal death time
the time required to kill a suspension of microorganism at a predetermined temperature in a specified environment
Thermal death time
MECHANISMS OF THERMAL INJURY
- strand breaks in the bacterial DNA
- Loss of integrity of the membrane
- Denaturation of proteins
- Oxidative damage
- elevated levels of electrolytes
Preferred over dry heat because of its more rapid killing action
Moist heat
In moist heat
destroyed at 120 0C for 4 mins or 5.5 hrs at 100 0C
Endospores
Kills all vegetative forms of microorganisms at 80 – 100 C but not bacterial spores
Boiling
- Used to sterilize materials that would be damaged by autoclaving
- The material to be sterilized is exposed to live steam for 30 mins for 3 consecutive days
FRACTIONAL STERILIZATION (TYNDALLIZATION)
- used in the processing of milk, foods and other beverages
- only inactivate disease producing microorganisms
Pasteurization
Expose milk at high temperature of _________followed by rapid cooling
60-65c
-Used in the sterilization of surgical instruments and bandages, culture media and other contaminated
materials
Steam under pressure (auto calving)
- STEAM UNDER PRESSURE (AUTOCLAVING)
- the steam is confined in a closed vessel pressure
reaches 15 psi 121 0C
How many minutes to sterilize the material in autoclave
15-20 minutes
- requires higher temperature and longer period of exposure
- effectiveness depends on the ability of heat to penetrate the material to be sterilized
Dry heat
Most widely used type of dry heat
hot air oven
Dry heat use to sterilize
powders,
oils,
jellies and
glassware
Other useful forms of dry heat
a. incineration
b. open flame
oDeprive the organism of moisture
oBacterial spores are not destroyed
oUsed in the preservation of foods
Desiccation or drying
oNot reliable because spores are not destroyed
oMany microorganisms can survive low temperatures
Freezing
– a technique of preserving microorganisms by rapid freezing and dehydrating it in high vacuum and stored under vacuum in sealed ampule in cold storage
LYOPHILIZATION
A.ULTRAVIOLET LIGHT (UVL)
oMost effective wavelength =
240-280 nm
Ultra violet oOptimum wavelength
260nm
Radiation mechanism of actions
disrupts H bonds in microbial cell
formation of thymine dimers
lethal frameshift mutations
oUsed in sterilization of enclosed areas
Ultra violet light
oHas greater penetrating ability than UVL
oPotentially hazardous to human cells
Ionizing radiation
Ionizing radiation mechanism of actions
formation of free radicals
chemically interact with proteins & nucleic acids
cell death
oForm of mechanical sieving physical separation of microorganisms from the fluid
Filtration
oUtilizes cellulose ester filters
Filtration
Filtration
o0.22 um pore size – can filter almost all microorganisms EXCEPT
viruses,
Mycoplasma,
Chlamydia &
Rickettsia
oBased on the principle of osmosis
Osmotic pressure
Mechanism of action of osmotic pressure
When the concentration of the solution surrounding the bacterial cell is altered collapse of the bacterial cell or may become
turgid
Mechanism of ultrasonic vibration
passage of sound through the liquid produce alternating pressures cavities form in the liquid cavities grow in size burst cells disintegrate
FACTORS AFFECTING DISINFECTION
- Concentration of chemical agent
- Time
- Temperature
- pH
- Nature of the medium
- Nature of the organism
used as the standard in the evaluation of new chemical agents
Phenol
designed to determine the ratio of the highest dilution that will kill the organism within a specified time to the greatest dilution of phenol showing the same result
Dilution test
MECHANISMS OF ACTION OF CHEMICAL AGENTS
Interfere with normal membrane function release of small metabolites and interfere with active transport and energy metabolism
Damage of the cell membrane
– quarternary ammonium compounds
- cause disruption of membrane & loss of membrane permeability
- denatures proteins
- most effective at alkaline pH
Cationic agents
- cause disruption of lipoprotein framework of the membrane
- most effective at acid ph
- e.g. soaps & detergents
Anioinic agents
- cause leakage of cell contents
- includes phenol and cresol
Phenolic compounds
highly toxic to human cell
Phenol
– phenol derivative
- less toxic & more potent than phenol - e.g. lysol & creolin
Cresol
disorganize lipid structure by penetrating into the hydrocarbon region
Alcohol
AGENTS THAT DENATURE PROTEINS
a. acids & alkalis – alters the pH of the organism’s environment
b. alcohol & acetone
c. phenol & its derivatives
poison the enzyme activity by forming mercaptides with the SH groups of cysteine residues
Heavy metals
useful as antiseptics but not as disinfectants
Mercurials
bactericidal
Silver compounds
used in Crede’s prophylaxis
Silver nitrate
used in burn patients
Silver sulfadiazine
inactivates enzymes by converting functional SH groups to oxidized S-S form
Oxidizing agents
Oxidizing agents includes
- Halogens
2. Hydrogen peroxide
Halogens
Iodine
Chlorine
– considered the best antiseptic
- bactericidal, sporicidal, fungicidal, virucidal & amoebicidal
Iodine
– used as water disinfectant
- used in sanitizing food & dairy processing equipments
Chlorine
– weak antiseptic
- used in cleansing of wounds, surgical devices & contact lenses
Hydrogen peroxide
- used in the treatment of dermatologic lesions
- used in staining bacteria
Dyes
a. – highly selective for gram (+) bacteria
e. g. crystal violet, malachite green
triphenymethane dyes
A kind of dye used as wound antiseptics
acridines
Alkylating agents
Formaldehyde
Glutareldehyd
Ethelyne oxide
- sporicidal
-used in preserving specimens &in the preparation of vaccines- used to destroy M. tuberculosis in sputum & fungus in athlete’s foot
- used in the treatment of
textiles
Formaldehyde
- sporicidal
- 10 times more effective than formaldehyde
- used as cold sterilant for surgical instruments especially respiratory therapy instruments
Glutaraldehyde
- sporicidal
- used in gaseous sterilization of materials that would be damaged by heat like polyethylene tubes, electronic & medical equipments, biologicals & drugs
- slow acting
Ethylene oxide
– the process of completely destroying all microbial forms, including bacterial spores
STERILIZATION