Microsoft Word - Cold Sterilization Unidad 4

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    COLD STERILIZATION

    A-CHEMICAL AND GAS STERILIZATIONChemicals used for sterilization include the gases ethylene oxide and

    formaldehyde, and liquids such as glutaraldehyde. Ozone, hydrogen

    peroxide and peracetic acid are also examples of chemical sterilization

    techniques. These techniques, however, do not offer the same degree of

    sterility assurance as heat methods, and are generally reserved for

    temperature sensitive items.Ethylene oxide (ETO) is the most commonly used form of chemical

    sterilization. Due to its low boiling point of 10.4C at atmospheric pressure,

    it behaves as a gas at room temperature. It reacts chemically 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, as it is toxic,

    mutagenic, and carcinogenic.

    ETO does not penetrate glass, metals and crystals. It is used for cellulose and

    plastics irradiation, usually in sealed packages. 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. It is

    suitable for all antibiotics and hormones, surgical dressings and thermolabile

    powders.

    An ethylene oxide

    sterilization gas chamber.

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    Ozone sterilization 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.

    An ozone sterilizer for use in the hospital or other medical environment.

    B-RADIATION STERILIZATION

    Irradiation: usually destroys or distorts nucleic acids.

    Ultraviolet light is commonly used to sterilize the surfaces of

    objects, although x-rays, gamma radiation and electron beam radiation are

    also used.

    I) Ultraviolet lamps:

    Are used to sterilize workspaces and tools used in microbiology laboratories

    and health care facilities. Also used for sterilization of air. UV light at

    germicidal wavelengths (two peaks, 185 nm and 265 nm) inhibits DNA

    replication (even though the organism may not be killed outright, it will not

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    be able to reproduce). However, since microorganisms can be shielded from

    ultraviolet light in fissures, cracks and shaded areas, UV lamps should only

    be used as a supplement to other sterilization techniques.

    An ultraviolet sterilization cabinet.

    II) Ionizing radiation:

    Gamma radiation and electron beam radiation are forms of ionizing radiation

    used primarily in the health care industry. Ionizing radiation work by

    splitting genes resulting in cell death.

    a- Gamma rays, emitted from cobalt-60, are similar in many ways to

    microwaves and x-rays. Gamma rays are highly effective in killing

    microorganisms and do not leave residues or have sufficient energy to

    impart radioactivity. Suitable for sterilization of deep articles.

    b- Electron beam (e-beam) radiation, a form of ionizing energy, is generally

    characterized by low penetration and high-dose rates. E-beam irradiation is

    similar to gamma radiation in that it alters various chemical and molecular

    bonds on contact. Beams produced for e-beam sterilization are concentrated,

    highly-charged streams of electrons.

    E-beams are for sterilization of items ranging from syringes to

    cardiothoracic devices.

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    C-STERILIZATION BY FILTRATIONFiltrationinvolves the physical removal (exclusion) of all cells in a liquid

    or gas. It is especially important for sterilization of solutions which would be

    denatured by heat (e.g. antibiotics, injectable drugs, amino acids, vitamins,

    etc.). Portable units can be used in the field for water purification and

    industrial units can be used to "pasteurize" beverages. Essentially, solutions

    or gases are passed through a filter of sufficient pore diameter (generally

    0.22 micron) to remove the smallest known bacterial cells.

    Advantages:1- removes rather than destroys microorganisms i.e. both living and dead

    cells are removed

    2- does not affect the physical or chemical integrity of the sterilized material3- have an important role in sterility testingDisadvantages:

    1-bacterial toxins are not removed2- requires highly trained staffTypes:

    1- Depth filters:made of sintered glass or ceramic (granular) or asbestos orcellulosic fibers (fibrous). Retains or traps MO within the filter matrix.

    2- Screen filters: either membranous (thin film of cellulose ester) ornucleopore (thin film of plastic). Retain MO on the surface.

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    A typical set-up in a microbiology laboratory for filtration sterilization of medium

    components that would be denatured or changed by heat sterilization. The filter is placed

    (aseptically) on the glass platform, then the funnel is clamped and the fluid is drawn by

    vacuum into a previously sterilized flask. The recommended size filter that will exclude

    the smallest bacterial cells is 0.22 micron.

    STERILIZATION OF AIR

    Sterile air (less than 2 colonies/cubic feet) is required for:

    1- Aseptic area for aseptic filling of sterile pharmaceuticals2- Biotechnology in fermentation processesMethods of air sterilization:

    1- Treatment with chemicals: by spraying of gases or fluids such asformaldehyde or lactic acid

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    2- UV irradiation: used mainly to maintain sterility of air or reduce the levelof contamination in hospitals

    3- Filtration: used for sterilization with efficiency 99.9%. Depends on theuse of several types of filters:

    a- Cotton or glass wool fibrous pads filtersb- Cellulose paper filtersc- Cartridge multitube membrane filterd- High efficiency particulate air (HEPA) filters

    ASEPTIC AREA

    Special room or area having the following features:

    1- Kept under slight positive pressure2- Smooth walls, ceiling and floor to prevent accumulation of particles3- Windows are double glass4- Doors are double with air lock5- Sterile air supply6- UV irradiation when out of work7- Persons should be free from infection and must wear sterile clothes8- Air must be routinely analyzed9- Entry should be through the following sequence:

    - black area: non sterile- gray area: intermediate for washing and changing- white area: aseptic area

    MICROBIAL ANALYSIS OF AIR

    1- Settling plates: Petri dishes with agar left open and then incubated andcolonies are counted. This method is slow and not very accurate.

    2- Agar impinges: by the use of air sampler, where controlled volume of airis forced to pass through a slit, below which a revolving small nutrient

    agar plate is placed.