Microsoft Word - Cold Sterilization Unidad 4
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Transcript of 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.