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STERILIZATION

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STERILIZATION METHODS

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WHAT IS STERILIZATION?

Sterilization can be defined as a process by which all viable


forms of micro-organisms(such as fungi, bacteria, viruses) are
removed or destroyed.
Micro organisms are present at everywhere. Since they cause
contamination, infection, and decay, it becomes necessary to
remove or destroy them from materials or from areas.
Sterilization procedures used is should be simple but effective
and of relatively short duration.
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METHODS OF STERILIZATION

(1)Physical
(2)Chemical
(3)Filtration (Mechanical)
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• Physical methods
1) Sunlight
2) Drying
3) Heat:- i) Moist heat
ii) Dry heat
4) Radiation

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1) Sun light - It is responsible for spontaneous sterilization in
natural conditions.
In tropical countries, the sunlight is more effective in killing
germs due to combination of ultraviolet rays and heat.
By killing bacteria suspended in water, sunlight provides
natural method of disinfection of tanks and lakes.
2) Drying - Moisture is essential for growth of bacteria.
 Drying in air has dangerous effect on many bacteria.
 However, spores are unaffected.
 Therefore, it is not satisfactory method for sterilization.
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3) Heat sterilization- it has also two type
A)Dry heat sterilization- In dry heat sterilization, dry heat is used for
sterilizing different materials. Heated air or fire is used in this process.
As compared to the moist heat sterilization, the temperature is higher.
The temp. is maintained for almost an hour to kill the most difficult of the
resistant spores.
Dry heat sterilization also have 4 type:- 1) Hot air oven
2) Red hot sterilization
3) Flaming
4) incineration 1/18/2019 8
1) Hot air oven:- Hot air ovens are electrical devices which use dry
heat to sterilize. They were originally developed by pasteur.
 Generally, they can be operated from
50 to 300 °C, using a thermostat to control
the temperature. ... An air circulating fan
helps in uniform distribution of the heat.
2) Red hot sterilization:- Sterilization by
holding them in
Bunsen flame till they become red hot. It use for
bacteriological loops, straight wires, tips of
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forceps & spatulas
3) Flaming:- This is a method of passing article
over a flame, but not heating it to redness.
Use- scalpels, mouth of test tubes,
flask, glass slide & coverslips
4) Incineration:- Incineration is a waste treatment process that
involves of organic substances contained in waste materials.
This method also burns any organism to ash.
It is used to sterilize medical and other
biohazardous waste before it is discarded
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with non-hazardous waste
B) Moist heat sterilization :- Moist heat method is used for heat
sensitive materials and materials through which steam is permeable.
culture media is also sterilized through moist heat sterilization.
It has also 3 types:- 1) Below 100°C 2) Above 100°C 2) At
100°C

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4) Radiation sterilization:- It has 2 types.
A) Non-ionizing(Hot sterilization):-
i) Infrared rays- used for rapid mass sterilization of prepacked items
such as syringe, catheters( a thin tube that is put into the body in
order to remove liquids)
ii) U.v. rays- used for disinfecting enclosed area such as entry ways,
operation theatres & labs.

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B) Ionizing(Cold sterilization):-
i)Gamma rays & X-rays:- Used for sterilizing plastics,
syringes, swabs, animal feeds, oils, greases, fabric & metal foils
Advantages of radiation sterilization:- clean & dry
process, ensure full exposure of object from all direction.
Disadvantages:- posses threat to human,
lengthy process, requires very qualified person

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Chemical methods
1) Gaseous sterilization:- i) Ethylene oxide
ii) Formaldehyde gas
2) Liquid sterilization:- i) Alcohol
ii) Phenol

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1) Gaseous sterilization
i. Ethylene oxide:- EtO sterilization is mainly use to sterilize medical &
pharmaceutical products that can not support conventional high
temperature steam sterilization- such as devices that incorporate
electronic components, plastic packaging or plastic container.
 This method uses automatic device filled with ethylene oxide gas
at temperature below 100°C to sterilize complex & delicate material.
 EtO destroys microorganism by chemically reacting with nucleic
acid.
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 Advantages :- Fully automatic, high efficiency, 100% result
 Disadvantages:- Complex and time consuming process, carcinogenic
safety concern
ii. Formaldehyde gas:- Another low temperature method for sterilizing
heat sensitive items is formaldehyde sterilization. Formaldehyde is an
organic chemical compound which is a by-product of the metabolism of
many organisms and is commonly found in fresh air, rainwater, foods,
industrial products and fabrics.
It is considered even more dangerous than EtO and is therefore less
commonly used for sterilization. 1/18/2019 16
Formaldehyde sterilization is used where sterilization by steam or
high temperature is not possible
Formaldehyde is soluble in water and its inactivation power is greatly
improved by the presence of humidity. It is most commonly used as a
disinfectant, but sometimes formaldehyde is used as a sterilizing
agent. The process is known as low temperature steam and
formaldehyde (LTSF)
In countries such as united kingdom, germany, sweden, denmark and
norway sterilization by LSTF is accepted, but not common. On the
other hand in several countries formaldehyde as a sterilizing agent is
discouraged. LTSF has not been FDA cleared for use in healthcare
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facilities in the USA.
Advantages:- Very reactive molecule, Faster cycle time compared
to EtO, cost per cycle is lower than EtO, after sterilization most
loads are available for immediate use
Disadvantages:- The vapour is extremely irritating to the eyes,
weak penetrating power compared to EtO, operates on a higher
temperature than EtO, formaldehyde residue can remain on the
sterilized goods if the rinsing phase is not 100% efficient. This can
be harmful for the patients

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2) Liquid sterilization
i) Alcohol:- Alcohols are effective disinfectants for many reasons.
They evaporate quickly, without leaving a residue. They are capable
of dissolving lipids, which makes them effective against lipid-wrapped
viral cells such as HIV and hepatitis A. They are inexpensive and
relatively easy to handle, although their vapors are flammable.
Ethanol and isopropyl alcohol are both members of the alcohol
family and have similar disinfectant properties. Ethanol is the type of
alcohol present in alcoholic beverages. Isopropyl alcohol is also
known as isopropanol, 2-propanol or rubbing alcohol. When used as
disinfectants, both are typically at a concentration of 70 percent
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in
water
.
ii) Phenols:- Phenol is one of the oldest antiseptic agents.
phenols acts by damaging cell membrane thus releasing cell contents
& causing lysis.
phenols is commonly found in mouth washes, scrub soaps, & surface
disinfectants.
phenols are used for decontamination of the hospital environment,
including laboratory surfaces, & non critical medical items.
Examples:-

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Filtration (Mechanical) methods
 Filtration sterilization used for heat sensitive materials to sterilize.
 Filtration process does not destroy but removes the microorganisms.
 Filtration allows for the exclusion of organisms based upon size.
Procedure:- The solution to be sterilized is passed through the filter
and collected in the sterile receiver by the application of positive
pressure to the nonsterile compartment or negative pressure to the
sterile slide.

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Mode of action
The filters are thought to function by one or usually a combination
of the following:
1. Sieving or screening
2. Entrapment
3. Electrostatic attraction
When a particle is larger than the pore size of the filter the particle
is retained on the filter- this known as sieving or screening

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Entrapment occurs when a particle smaller than the size of the pore
enters into the pore channel and lodges onto the curves of the
channel while passing through it.
In Electrostatic attraction Particles are attracted & absorbed at the
surface of the filter bed which is oppositely charged.
 There are 4 types of filters:-
1. Membrane filters
2. Sintered or Fritted glass filters
3. Seitz filters
4. Ceramic filters 1/18/2019 26
1) Membrane filters:- They are made of cellulose-derivative
(acetate or nitrate). They are very fine. They are fixed in some
suitable holders.
 Nominal pore size is 0.22 ± 0.02mm or less is required.
 The membranes are brittle when dry. In this condition they can be
stored for years together. They become very tough when dipped in
water.
 They are suitable for sterilizing aqueous and oily solutions but not
for organic solvents such as alcohol, chloroform etc. 1/18/2019 27
 They are sterilized by autoclaving or by ethylene oxide gas. They
can not be sterilized by dry heat as they decompose above 130°C.
 Membrane filters are generally blocked by dirt particles and
organisms. Pre-filtration (through glass-fibre paper prefilter) reduces
the risks of membrane filter.
Examples:- i) MF-Milipore - it is a mixture of cellulose esters
ii) Sartorius regular – it is made of cellulose nitrate

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2) Sintered (or Fritted) glass filters:-
 Borosilicate glass is finely powdered in a ball-mill and the particles
of required size are separated.
 This is packed into disc mounted and heated till the particles get

fused. The disc thus made have pore size of 2 mm and are used
for filtration.
 They are cleaned with the help of sulfuric acid.

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3) Seitz filters:-
 It consists of two parts.
 Lower part filled with a perforated plate over which compressed
asbestos pad is placed.
 Upper part has a valve through which pressure can be applied.
 Both parts joined together by winged nuts.
 The main advantage of this filter is that no risk of
contamination & easy to use.
 For viscous solution they are more suitable.
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4) Ceramic filters:-
Ceramic water filters are an inexpensive and effective type of water
filter, that rely on the small pore size of ceramic material to filter dirt,
debris, and bacteria out.
However, filters are typically not effective against viruses since they
are small enough to pass through to the "clean" side of the filter.
 Ceramic filtration does not remove chemical contaminants.
However, some manufacturers (especially of ceramic candle filters)
incorporate a high-performance activated carbon core inside the
ceramic filter that reduces organic and metallic contaminants.1/18/2019 29
The two most common types of ceramic water filter are pot-type
and candle-type filters.

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 REFRENCES:-
 Principle and practice of disinfection and sterilization by
A P Fraise
 Wikipedia
 www.study.com

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