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Department of Microbiology & Parasitology - Elrazi College. Definitions . Sterilization: is complete killing, or removal, of all living organisms (including spores) from a particular location or material . Disinfection:
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Definitions • Sterilization: • is complete killing, or removal, of all living organisms (including spores) from a particular location or material. • Disinfection: • is the killing of many, but not all microorganisms , or it is the destruction of pathogenic microorganisms by processes that fail to meet the criteria for sterilization. • Asepsis: • describes processes designed to prevent microorganisms from reaching a protected environment by application sterilization and disinfection procedures and protocols..
Sterilization • by physical methods • Heat: • Dry Heat. • Moist Heat. • Radiation: • Filtration: • by chemical methods:
Sterilization by physical methods • Dry heat: • Red heat (flaming): Sterilize the metal objects like bacteriologic loops
Sterilization by physical methods • Dry heat: • Hot air oven: Temperature used 170º C for 1 hour or 160°C for 2 hours. applicable to metals and laboratory glassware
Sterilization by physical methods • Dry heat: • Incineration: Get rid of all disposal products in hospitals
Sterilization by physical methods • Moistheat: • Pasteurization is the use of heat at a temperature sufficient to inactivate important pathogenic organisms in liquids (milk) but at a temperature below that needed to ensure sterilization. • 74°C for 3 to 5 seconds (flash method). • 62°C for 30 min (holder method). • Organisms transmitted through consumption of milk: • brucella sp. • Listeria monocytogenes. • coxiellaburnetii • mycobacterium bovis.
Sterilization by physical methods • Moist heat: • At 100ºC is called Boiling not efficient for eradication of endospores.
Sterilization by physical methods • Moist heat: • Autoclave: • steam under pressure to raise the temperature to 121° C at 15-17 pounds psi for 10-15 minutes. • suitable for eradication of endospores.
Sterilization by physical methods • Autoclave: Tests for efficiency Chemical Chemical tapes Bowie Dick tapes Braun’s tubes
Sterilization by physical methods • Principle: • Prepare spore in tubes which contains (sugar & indicator). • After autoclaving the tubes were incubated for 48 hrs. • The change in colour of the indicator means that the spore had germinate and utilize the sugar so the process is failed • Autoclave: Tests for efficiency Biological Spores of Bacillus stearothermophilus
Sterilization by physical methods • Autoclave: Tests for efficiency Physical Graphs Digital
Sterilization by physical methods • Tyndallization: • Induction of the bacterial spore to develop into vegetative bacteria; that can be then killed by heating. • Method: • Repeated & alternating cooling & boiling of the medium will induce the spores to germinate into heat sensitive vegetative cells. • Subsequent rounds of heating will sterilize the medium from the spores
Sterilization by physical methods • Filtration: • a pore size of 0.2 μm (retain all bacteria and spores). • physically trapping particles larger than the pore size. • retaining smaller particles via electrostatic attraction of the particles to the filters. • Used for sterilization of solution like serum. • Membrane filter. • Syringe filter. • Asbestos filter.
Sterilization by physical methods • Filtration: HEPA filter High Efficient Particulate Air filter
Sterilization by physical methods • Radiation: • Ionizing Radiation. • causes direct damage to DNA. • produces toxic free radicals and hydrogen peroxide from water within the microbial cells. • Used to sterilize plastic equipments like syringe , gloves and catheters
Sterilization by physical methods • Radiation: • Ultra-Violet radiation: • Short wavelength 280 nm UV ray inhibit DNA replication (forming thymine dimers). • For sterilization of operating theatre and theatre equipments.
Sterilization by Chemical methods • Gaseous sterilization: • Ethylene oxide: • used in hospitals for sterilization of heat-sensitive materials like surgical instruments and plastics. • It kills by alkylating both bacterial proteins and nucleic acids. • Explosive and mutagen. • Formaldehyde: • available as a 37% solution in • water (Formalin). • denatures proteins and nucleic acids. • Glutaraldehyde: • more effective than formaldehyde and is less toxic. • used to sterilize respiratory therapy equipment.
Chemical: Disinfectants • Disinfectants: Chemicals used to decrease the chance of the micro-organisms to cause an infection. • Antiseptics: disinfectant agents that can be used on body surfaces such as the skin or mucous membrane to reduce the numbers of normal flora and pathogenic contaminants
Disinfectants Ethyl alcohol 70% (isopropyl alcohol) • acts by disrupting the lipid structure in membranes and denatures proteins. • antiseptic to clean the skin prior to venipuncture.
Disinfectants • Phenolics disinfectants; • Phenol: • Disinfectants, not used today. • Hexachlorophene: • Antispetic,effectiveness for skin flora and Gram positive cocci. • Chlorhexidine: • Antiseptic, broader activity and less toxic.
Disinfectants • Glutaraldehyde • decontaminate laboratory rooms
Chlorine • is a powerful oxidizing agent. • used as a disinfectant to purify the water supply and to treat swimming pools, home and in hospitals. • hypochlorite (bleach, Clorox):
Disinfectants • Iodine: • the most effective skin antiseptic used in medical practice. • Iodine forms: • Tincture of iodine (2% solution of iodine and potassium iodide in ethanol) is used to prepare the skin prior to blood culture. Irritant. • lodophors : • complexes of iodine with detergents. • frequently used to prepare the skin prior to surgery. • less irritating than tincture of iodine.,
Groups of disinfectants: • Parachlorometaxylenol (PCMX): • antibacterial action is due to disruption of cell membrane potentials