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Methods of Sterilization
Physical Methods of Microbial Growth:
Heat (Moist Heat, Dry Heat)
Low Temperatures
Filtration
Radiation
Gaseous
Chemical Methods
Alcohols
Aldehydes
Biguanides:
Halogens: Hypochlorites
Halogens: Iodine
Phenol & Phenolics
Quaternary Compounds
Heat: Heat Kills microorganisms by denaturing their enzymes and other proteins.
Thermal Death Point (TDP): Lowest temperature at which all of the microbes in a
liquid suspension will be killed in ten minutes.
Thermal death time (TDT): Shortest time needed to kill all organisms in a
suspension at a specified temperature under specific conditions.
Decimal reduction time (D value): The time required to reduce a population of
microbes by 90% at a specified temperature and specified conditions.
Z-value: it is defined as number of degrees temperature change required to achieve
a ten fold change in D-value. e.g, if D-value for Bacillus stearothermophilus spores at
110oC is 20 minutes and they have Z-value of 9oC, this means that at 119oC D-value
would be 2 minutes and at 128oC the D-value would be 0.2 minutes.
Moist Heat
The mechanism of killing by moist heat is a combination of protein/nucleic acid
denaturation and membrane disruption. Effectiveness mainly dependent on type of
cells present as well as environmental conditions (type of medium or substrate).
Bacterial spores much more difficult to kill than vegetative cells.
Methods of Moist Heat:
Boiling at 100C: Vegetative cells are killed almost immediately at 90-100 oC, but
the sporing bacteria require prolonged periods of boiling. It is generally used to
disinfect drinking water but unsuitable method for heat sensitive chemicals & many
foods
Autoclaving/pressure canning:
Temperatures above 100C achieved by steam under pressure.
The principle of the autoclave or steam sterilizer is that water boils when its vapour
pressure equals to the surrounding atmosphere. Hence when pressure inside a closed
vessel increases, the temperature at which water boils also increases.
Saturated steam has penetrative power. When steam comes in to contact with a
cooler surface it condenses to water and gives up its latent heat to that surface (1600
ml steam at 100 oC and at atmospheric pressure condenses in to water 1 ml of water
at 100 oC and releases 518 calories of heat). Most procedures use 121.1C, achieved
at approx. 15-psi pressure, with 15 - 30 min autoclave time to ensure sterilization.
Holding time
(minutes)
15
10
03
Disadvantages:
1. During autoclaving, the pH of aqueous solutions changes due to water loss.
2. Oils do not get sterilized in autoclave as they are hydrophobic in nature and do
not allow the steam to penetrate it.
Autoclaves,
or
steam
sterilizers
essentially consist of following:
1.A cylindrical or rectangular chamber,
with capacities ranging from 400 to
800 liters.
2.Water heating system or steam
generating system
3.Steam outlet and inlet valves
4.Single or double doors with locking
mechanism.
5.Thermometer or temperature gauge
6.Pressure gauges
Operation
For porous loads (dressings) sterilizers
are generally operated at a minimum
temperature of 1340C, and for bottled
fluid, sterilizers employing a minimum
temperature of 1210C are used. Ensure
that there should be sufficient water in
the autoclave to produce the steam.
The stages of operation of autoclaves
include air removal, steam admission
and sterilization cycle (includes heating
up, holding/exposure, and cooling
stages).
Dry Heat: practically the temperature of dry heat ranges from 160oC to several
thousand degrees Celsius. Microbes are generally more resistant to dry heat than
moist heat. This is because of less penetration and diffusion of dry heat compared
to moist heat. Dry heats kill microbes by oxidation effects.
Direct Flaming: Used to sterilize inoculating loops and needles. Heat metal until it
has a red glow.
Incineration: Effective way to sterilize disposable items (paper cups, dressings)
and biological waste.
Hot Air Sterilization: Hot air oven is equipment for dry heat sterilization by hot
air under atmospheric pressure. Hot air is circulated within compartment making
contacts with the items and transferring the heat. Dry heat is transfers heat less
effectively to a cool body, than moist heat.
The longer period and higher
temperature are required because the heat in water is more readily transferred to a
cool body than is the heat in air.
The most common conditions used for sterilization using dry heat as follows:
Temperature
160 oC
170 oC
180 oC
Hot-air oven
Dry heat sterilization is usually carried out in a hot air oven, which consists of the
following:
1.An insulated chamber surrounded by an outer case containing electric heaters.
2.A fan
3.Shelves
4.Thermocouples
5.Temperature sensor
6.Door locking controls.
Operation
7.Articles to be sterilized are first wrapped or enclosed in containers of cardboard,
paper or aluminum.
8.Then, the materials are arranged to ensure uninterrupted air flow.
9.Oven may be pre-heated for materials with poor heat conductivity.
10.The temperature is allowed to fall to 400C, prior to removal of sterilized
material.
Application of hot air sterilization:
.To sterilize needles, porcelain and metal equipments.
.To sterilize oils and fats, including oily injections.
.Various powders can be sterilized by this method eg: talc
Disadvantages:
.Not suitable for aqueous solutions, plastic, papers and cloths.
.It takes longer time compared to autoclaving.
Gaseous Sterilization:
Ethylene oxide (ETO) is the most commonly used form of chemical sterilization.
Due to its low boiling point of 10.4C at atmospheric pressure, EtO behaves as a gas
at room temperature. EtO chemically reacts with amino acids, proteins, and DNA to
prevent microbial reproduction. The sterilization process is carried out in a
specialized gas chamber. After sterilization, products are transferred to an aeration
cell, where they remain until the gas disperses and the product is safe to handle.
Ethylene oxide can be used with a wide range of plastics (e.g. petri dishes, pipettes,
syringes, medical devices, etc.) and other materials without affecting their integrity.
Ozone sterilization has been recently approved for use in the U.S. It uses oxygen
that is subjected to an intense electrical field that separates oxygen molecules into
atomic oxygen, which then combines with other oxygen molecules to form ozone.
Ozone is used as a disinfectant for water and food. It is used in both gas and liquid
forms as an antimicrobial agent in the treatment, storage and processing of foods,
including meat, poultry and eggs. Many municipalities use ozone technology to purify
their water and sewage. Ozone is used to disinfect swimming pools, and some
companies selling bottled water use ozonated water to sterilize containers.
Low Temperature Gas Plasma (LTGP) is used as an alternative to ethylene oxide.
It uses a small amount of liquid hydrogen peroxide (H2O2), which is energized with
radio frequency waves into gas plasma. This leads to the generation of free radicals
and other chemical species, which destroy organisms.
Methods
Heat sterilization
Mechanism
Destroys
bacterial
endotoxins
Merits
Most widely used
and reliable method
of
sterilization,
involving
destruction
of
enzymes and other
essential
cell
constituents.
Gaseous sterilization
Alkylation
Penetrating ability of
gases
Radiation sterilization
Ionization
of It
is
a
useful
nucleic acids
method
for
the
industrial
sterilization of heat
sensitive products.
Filtration sterilization
Does
not
destroy
but
removes
the
microorganisms
Demerits
Can be applied only to
the
thermostable
products
Applications
Dry heat is applicable for
sterilizing
glassware
and
metal surgical instruments
and moist heat is the most
dependable
method
for
decontamination
of
laboratory waste and the
sterilization
of
laboratory
glassware,
media,
and
reagents.
Gases being alkylating Ethylene oxide gas has been
agents are potentially used widely to process heatmutagenic
and sensitive devices.
carcinogenic
Undesirable
changes Radiation
sterilization
is
occur
in
irradiated generally applied to articles in
products, an example the dry state; including
is
aqueous
solution surgical instruments, sutures,
where
radiolysis
of prostheses,
unit
dose
water occurs.
ointments, plastics
Does not differentiate This method is Sterilizing
between viable and grade filters are used in the
non viable particles
treatment of heat sensitive
injections and ophthalmic
solutions, biological products
and air and other gases for
supply to aseptic areas.
Disinfectant
Category
Sample
Trade Names
Alcohols
Aldehydes
Biguanides:
Halogens:
Hypochlorites
Bleach
Halogens:
Iodine
Betadyne
Providone
Ethyl alcohol
Isopropyl alcohol
Formaldehyde
Glutaraldehyde
Chlorhexidine
Mechanism
of Action
Precipitates
proteins
Denatures lipids
Denatures
proteins
Alkylates
nucleic acids
Advantages
Fast acting
Leaves no
residue
Disadvantages
Phenol &
Phenolics
Chlorocresol,
triclosan,
Hexachlorophane
Denatures
proteins
Alters cell wall
permeability
Alters
membrane
permeability
Denatures
proteins
Denatures
proteins
Broad
spectrum
Broad
spectrum
Broad spectrum
Short contact
time
Inexpensive
Stable in
storage
Relatively
safe
Rapid
evaporation
Flammable
Carcinogenic
Mucous
membranes and
tissue irritation
Only use in
well ventilated
areas
Only
functions in
limited pH
range
(57)
Inactivated
Can cause skin
by QACs
and
Requires
eye irritation
frequent
application
Corrosive
Stains clothes
and treated
surfaces
Vegetative
Bacteria
Effective
Effective
Effective
Inactivated by
sunlight
Requires
frequent
application
Corrodes
metals
Mucous
membrane
and tissue
irritation
Effective
Effective
Effective
Mycobacteria
Enveloped
Viruses
Non-enveloped
Viruses
Spores Variable
Fungi
Effi cacy with
Organic Matter
Effi cacy with
Hard Water
Effi cacy
with Soap/
Detergents
Effective
Effective
Effective
Effective
Variable
Limited
Effective
Effective
Limited
Effective
Variable
Effective
YESGram Positive
LimitedGram
Negative
Variable
Variable
Variable
Effective
Limited
Effective
Limited
Variable
Not Effective
Not Effective
Effective
Reduced
Effective
Effective
Reduced
Not Effective
Limited
?
Variable
Effective
Rapidly reduced
Not Effective
Variable
Effective
Not Effective
Variable
Inactivated
Reduced
Effectiv
Limited
Effective
Rapidly
reduced
?
Effective
Inactivated
Reduced
Inactivated
Inactivated
Effective
Effective
Inactivated
Quaternary
Compounds
Bezylkonium
Chloride
Denatures
proteins
Binds
phospholipids
of cell membrane
Stable in storage
Non-irritating to
skin
Effective at high
temperatures and
high pH (9-10)
Evaluating a Disinfectant:
Disinfectants are evaluated for its efficacy. Most commonly used methods for the
evaluation of disinfectants are:
Phenol Coefficient test
The filter paper method
Phenol Coefficient test: Water soluble disinfectants are tested using phenol as a
standard. The concept was originated by Rideal and Walker in 1903 and now being
used as a mean to evaluate water soluble disinfectants having similar nature as that
of phenol. It expresses the disinfection ability of a given substances as compared to
the activity of pure phenol.
Test Organism: Salmonella typhi, Staphylococcus aureus or Bacillus subtilis can also
be used.
A series of dilutions of phenol and the experimental disinfectant are prepared in
sterile tubes.
Viable test bacteria (Staphylococcus aureus or Salmonella typhi )are inoculated into
each tube and incubated at 37 C.
After exposure for 5, 10, and 15 minutes, samples of inoculated tubes are transferred
into fresh culture medium or plated on agar plate that do not have disinfectant and
incubated for 48 hours.
The broth culture tubes are evaluated for growth by turbidity.
The dilutions of the test disinfectant that show growth in 5 min but not in 10 min and
the dilution of phenol having the same effect is to be considered for calculating the
phenol coefficient.
Record the presence (+) or absence (-) of growth of the microorganisms in
subcultures after an interval of 5, 10 and 15 minutes in a tabular form:
Disinfectant
1:10 1:70
1:80
Phenol
1:90
Presence of growth
in subcultures
i.e., nutrient broth
Exposure
time
(min)
5
10
15
+
+
1:100
1:400
Test
+
1:450
Example:Suppose
tets chemical +dilution +
of 1:450 - showed no
growth at 10 minutes
but growth at 5 minutes; and phenol of 1:90
1:500
the