Sterilization: is a process by which an article, surface or medium is rid
of all living microorganisms including spores. Classification Physical agents Sunlight - UV rays and heat has germicidal activity Drying - Spores are unaffected Heat - Most reliable, certain and rapid method of sterilization Filtration - Used for biological fluids Radiation - Ionizing and non-ionizing Chemical agents Phenols and cresols Halogens Metallic salts Aldehydes Alcohol Dyes Vapour-phase disinfectants Surface- active disinfectants
Moist heat sterilisation
Moist Heat: Kills microorganisms by coagulating their proteins Moist heat is more effective than dry heat Temp below 100oC At 100oC Above 100oC At temperature below 100oc
Heat labile fluids may be disinfected
Vaccine bath: Vaccines may be inactivated in a water bath at 60oc for one hour Serum bath: Heat labile fluids such as serum may be disinfected by heating at 56oc Household utensils and patients clothing may be disinfected by washing at 70oc-80oc Pasteurization Developed by Louis Pasteur to prevent the spoilage of beverages Holder method: 63oc for 30 minutes Flash method: 72oc for 20 seconds followed by rapid cooling at 13oC
By this method nonsporing organisms like Mycobacteria, Brucella
and Salmonellae are destroyed Coxiella burnetti (Q fever) not destroyed by Holder method Ultra High TemperaturePasteurization (UHT) Milk is treated at 140oC for 3 seconds and then cooled very quickly in a vacuum chamber Advantage: Milk can be stored at room temperature for several months Inspissation 80-850 C for 30 mins , 3 consecutive days Egg or serum containing culture media Lowenstein Jensen medium & Loefflers serum slope At 100oc Boiling: Boiling at 100oc for 10 to 30 mins At this temp vegetative bacteria and some spores are killed Metal, glass & rubber items are boiled, dried cooled and used Free steam Steam at normal atm pressure is at 100oc It has latent heat which on condensing on the article to be sterilised releases its latent heat
One single exposure to steam for 90min ensures
complete sterilization Tyndallization An exposure of 100oc for 20 minutes on three consecutive days First exposure to steam kills all vegetative bacteria and any spores present will germinate and will be killed on subsequent occasions Media containing sugar and gelatin Arnold steam sterilizer Above 100oc It provides greater lethal action of moist heat It is quicker in heating up the exposed articles It can penetrate easily porous material such as cotton wool stoppers, paper, cloth wrappers, bundles of surgical linen and hollow apparatus Dry Heat Sterilization Heat: Kills microorganisms by denaturing their enzymes and other proteins Red Heat - inoculating loops and wires, points of forceps and spatulas Flaming- scalpel blades, needles, mouth of culture tubes, glass slides and cover slips
Incineration: Rapidly destroys contaminated material i.e. soiled
dressings, disposable items and biological waste Hot air oven Principle: Dry heat -killing effect is due to protein denaturation, oxidative damage and toxic effect of elevated levels of electrolytes Used for glass ware like glass syringes, test tubes, petridishes, pipettes, and flasks, metal instruments such as forceps, scissors and scalpels Oils, jellies and powders and swab sticks packed in test tubes Precautions Should not be overloaded Substances to be sterilized should be absolutely dry Holding time at 160o C for 1hour Oven should be allowed to cool for 2 hours before opening to prevent cracking of glassware Articles like rubber goods, fabrics, inflammable or volatile substances should not be placed inside Sterilization control Autoclave Principle Water boils when its vapour pressure equals that of surrounding atmosphere
When pressure inside a closed vessel , the temp at which water
boils also Saturated steam has greater penetrating power When steam comes into contact with a cooler surface, it condenses to water and gives up its latent heat to that surface. Uses Sterilisation by steam under pressure (autoclaving) is suitable for culture media aqueous solutions, dressing materials, linen, gloves etc Satisfactory sterilization can be achieved at 15 pounds pressure per square inch at 121oc for 20 min Diagram
Sterilization controls Biological control Bacillus stearothermophilus Chemical control Brownes tube Thermocouple