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Important in:
1. Laboratory work with pure cultures requires the use of apparatus and culture
media that is sterile
General definitions:
Sterilization is the process of killing all of the microorganisms in all its forms in a
preparation/article such as lab media, surgical instruments and equipment. A sterile
environment is free of life of every kind.
Bactericidal agents effectively kill bacteria, and no growth is seen after the removal
of the agent.
Bacteriostatic agents inhibit bacterial multiplication; growth is seen after the agent
is removed.
Pasteurization is the rapid heating and cooling of milk and other liquid products to
kill pathogens, such as Mycobacterium, Brucella and Listeria.
Damage of DNA
Protein denaturation
Disruption of cell membrane or wall
Chemical antagonism
1. Heat
2. Ionizing radiation
3. Filtration
4. Sterilant gases
5. Sterilant liquids
HEAT
Moist heat is more effective than dry heat because it kills micro-organisms by
coagulatin and denaturing their enzymes and structural proteins, a process in which
water participates. It is therefore necessary for all parts of the load to be in contact
with water molecules or steam. Sterilization requires moist heat at 121C for 15
minutes, usually using an autoclave. Steam is non-toxic and non-corrosive, but for it
to be effective, it must hold all the water that it can carry in the form of transparent
vapour.
There are sterilizers for porous load(dressings, wrapped instruments and wrapped
gowns and drapes); sterilizers for fluids in sealed containers;sterilizers for
unwrapped instruments; and laboratory sterilizers (culture media, glassware and lab
equipment).
Red heat is a form of dry heat, such as sterilizing inoculating wires using the flame
of a Bunsen burner, avoiding splattering.
Flaming is used for scalpels and the necks of flasks and test tubes.
Hot air sterilizers are used to process materials which can withstand high
temperatures, but will be affected by steam. (powders, microsurgical instruments)
IONIZING RADIATION
Ionizing radiation, including x-rays and gamma rays are lethal to all cells. Bacterial
species difer intheir sensitivity to ionizing radiation, and spores are generally more
resistant. This is used in the large-scale sterilization of plastic syringes and
catheters. It uses a linear accelerator or cobalt-60.
GASEOUS PROCESSES
FILTRATION
DISINFECTION
Moist heat is the method of first choice. Washing of laundry or eating utensils in
water at 70-80C for a few minutes will kill most non-spore forming micro-organisms.
Steam at 73C for thermolabile reusable equipment is also used. Exposure to boiling
water for 20 minute achieves disinfection, and may be used for emergencies.
Ultraviolet radiation using mercury lamps at 240-280nm may be used for treatment
of air, water and lab cabinets.
Gases such as formaldehyde may be used for complex heat –sensitive equipment
like anaesthetic machines and incubators.
Filtration of air removes micro-organisms from critical sites such as the operating
room, and for the labs handling pathogenic organisms. A high-efficiency particulate
air (HEPA) filter achieves 9.997% arrestance to particles of 0.5 m, and can produce
a sterile air.
Disinfection by Chemicals