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STERILIZATION AND
DISINFECTIONS

BY:
DR. NEHAL NOUH
   Sterilization: is defined as the process where all the
    living microorganisms, including bacterial spores are
    killed.

   Disinfection: is the process of elimination of most
    pathogenic microorganisms (excluding bacterial spores)
    on inanimate objects.

   Chemicals used in disinfection are called disinfectants.

   Sterilization is an absolute condition while disinfection
    is not.
METHODS OF STERILIZATION:
 The various methods of sterilization are:
1- Physical Methods:
   a. Radiation method .
   b. Filtration method .
   c. Thermal (Heat) methods:
                        I- Dry Heat.
                       II- Moist Heat.
2- Chemical Method:
  By using chemicals.
1- PHYSICAL METHODS OF STERILIZATION:

 a. Radiation:
 Since radiation does not generate heat, it is
  termed "cold sterilization". In some parts of
  Europe, fruits and vegetables are irradiated to
  increase their shelf life up to 500 percent.

   Two types of radiation are used, ionizing and
    non-ionizing.
I- Non-ionizing rays:
   Non-ionizing rays are low energy rays with poor
    penetrative power and with wavelength longer
    than the visible light.

 Mechanism of action:
1- UV rays inhibits DNA replication.
2- Since UV rays don’t kill spores, they are
  considered to be of use in surface disinfection.
   Advantages: UV rays are employed to disinfect
    hospital wards, operation theatres, virus
    laboratories, corridors, etc.

 Disadvantages:
1- low penetrative power.
2- Organic matter and dust prevents its reach.
3- Rays are harmful to skin and eyes.
4- It doesn't penetrate glass, paper or plastic.
II- Ionizing rays:
 ionizing rays are high-energy rays with good
  penetrative power .
 These high-energy radiations damage the nucleic
  acid of the microorganism which kill all bacteria,
  fungi, viruses and spores.
 It is used commercially to sterilize disposable
  petri dishes, plastic syringes, antibiotics,
  vitamins, hormones, glasswares and fabrics.
 Examples: X- rays, Gamma rays.
b- Filtration Sterilization :
 Filtration process does not destroy but removes
  the microorganisms.

   Used in the treatment of heat sensitive injections
    and ophthalmic solutions, biological products and
    air and other gases for supply to aseptic areas.

   Application of filtration for sterilization of gases:
    HEPA (High efficiency particulate air) used in
    Laminar air flow cabinets.
 There are two types of filters used in filtration
  sterilization:
(a) Depth filters: They are made of diatomaceous
  earth, unglazed porcelain filter, sintered glass or
  asbestos.

(b) Membrane filters: These are porous membrane
  made of cellulose acetate, polycarbonate or some
  other synthetic material.
Fluids are made to transverse membranes by
  positive or negative pressure or by centrifugation.
c- Heat:
   I- Dry Heat:
 Heat sterilization is the most widely used
 and reliable method of sterilization,
 involving destruction of enzymes and other
 essential cell constituents.

 Thismethod of sterilization can be applied
 only to the thermostable products.
1- Red heat:
By holding articles in Bunsen flame till they
  become red hot (bacteriological loops, straight
  wires)
2- Flaming:
 This is a method of passing the article over a
  Bunsen flame, but not heating it to redness
  (scalpels, mouth of test tubes, flasks, glass
  slides).
 Even though most vegetative cells are killed,
  there is no guarantee that spores too would die on
  such short exposure.
3- HOT AIR OVEN:
    Used for sterilizing materials that must remain dry e.g. antibiotic
     powders
    Hot air circulating ovens are used for this purpose.
    Articles sterilized: Metallic instruments (like forceps, scalpels,
     scissors) glasswares (such as petri-dishes, pipettes, flasks, all-
     glass syringes), and some pharmaceutical products.
 A temperature of 160-170oC for 2-3 hours is used commonly.

 Precautions:

  1- Articles to be sterilized must be perfectly dry before placing
   them inside to avoid breakage.
  2- The hot air oven must not be opened until the temperature inside
   has fallen below 60oC to prevent breakage of glasswares.
 Advantages:
1- It is an effective method of sterilization of heat
  stable articles. The articles remain dry after
  sterilization.
2- This is the only method of sterilizing oils and
  powders.
 Disadvantages:
1- Since air is poor conductor of heat, hot air has
  poor penetration.
2- Cotton wool and paper may get slightly charred.
3- Glasses may become smoky.
4- Takes longer time compared to autoclave.
   LABORATORY HOT AIR OVEN:

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Sterilization and disinfections

  • 2. Sterilization: is defined as the process where all the living microorganisms, including bacterial spores are killed.  Disinfection: is the process of elimination of most pathogenic microorganisms (excluding bacterial spores) on inanimate objects.  Chemicals used in disinfection are called disinfectants.  Sterilization is an absolute condition while disinfection is not.
  • 3. METHODS OF STERILIZATION:  The various methods of sterilization are: 1- Physical Methods: a. Radiation method . b. Filtration method . c. Thermal (Heat) methods: I- Dry Heat. II- Moist Heat. 2- Chemical Method: By using chemicals.
  • 4. 1- PHYSICAL METHODS OF STERILIZATION: a. Radiation:  Since radiation does not generate heat, it is termed "cold sterilization". In some parts of Europe, fruits and vegetables are irradiated to increase their shelf life up to 500 percent.  Two types of radiation are used, ionizing and non-ionizing.
  • 5. I- Non-ionizing rays:  Non-ionizing rays are low energy rays with poor penetrative power and with wavelength longer than the visible light.  Mechanism of action: 1- UV rays inhibits DNA replication. 2- Since UV rays don’t kill spores, they are considered to be of use in surface disinfection.
  • 6. Advantages: UV rays are employed to disinfect hospital wards, operation theatres, virus laboratories, corridors, etc.  Disadvantages: 1- low penetrative power. 2- Organic matter and dust prevents its reach. 3- Rays are harmful to skin and eyes. 4- It doesn't penetrate glass, paper or plastic.
  • 7. II- Ionizing rays:  ionizing rays are high-energy rays with good penetrative power .  These high-energy radiations damage the nucleic acid of the microorganism which kill all bacteria, fungi, viruses and spores.  It is used commercially to sterilize disposable petri dishes, plastic syringes, antibiotics, vitamins, hormones, glasswares and fabrics.  Examples: X- rays, Gamma rays.
  • 8. b- Filtration Sterilization :  Filtration process does not destroy but removes the microorganisms.  Used in the treatment of heat sensitive injections and ophthalmic solutions, biological products and air and other gases for supply to aseptic areas.  Application of filtration for sterilization of gases: HEPA (High efficiency particulate air) used in Laminar air flow cabinets.
  • 9.  There are two types of filters used in filtration sterilization: (a) Depth filters: They are made of diatomaceous earth, unglazed porcelain filter, sintered glass or asbestos. (b) Membrane filters: These are porous membrane made of cellulose acetate, polycarbonate or some other synthetic material. Fluids are made to transverse membranes by positive or negative pressure or by centrifugation.
  • 10. c- Heat: I- Dry Heat:  Heat sterilization is the most widely used and reliable method of sterilization, involving destruction of enzymes and other essential cell constituents.  Thismethod of sterilization can be applied only to the thermostable products.
  • 11. 1- Red heat: By holding articles in Bunsen flame till they become red hot (bacteriological loops, straight wires) 2- Flaming:  This is a method of passing the article over a Bunsen flame, but not heating it to redness (scalpels, mouth of test tubes, flasks, glass slides).  Even though most vegetative cells are killed, there is no guarantee that spores too would die on such short exposure.
  • 12. 3- HOT AIR OVEN:  Used for sterilizing materials that must remain dry e.g. antibiotic powders  Hot air circulating ovens are used for this purpose.  Articles sterilized: Metallic instruments (like forceps, scalpels, scissors) glasswares (such as petri-dishes, pipettes, flasks, all- glass syringes), and some pharmaceutical products.  A temperature of 160-170oC for 2-3 hours is used commonly.  Precautions: 1- Articles to be sterilized must be perfectly dry before placing them inside to avoid breakage. 2- The hot air oven must not be opened until the temperature inside has fallen below 60oC to prevent breakage of glasswares.
  • 13.  Advantages: 1- It is an effective method of sterilization of heat stable articles. The articles remain dry after sterilization. 2- This is the only method of sterilizing oils and powders.  Disadvantages: 1- Since air is poor conductor of heat, hot air has poor penetration. 2- Cotton wool and paper may get slightly charred. 3- Glasses may become smoky. 4- Takes longer time compared to autoclave.
  • 14. LABORATORY HOT AIR OVEN: