1 sterilization and disinfection chapter 12. 2 terminology disinfection- reduction of number...

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1 STERILIZATION AND DISINFECTION CHAPTER 12

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Page 1: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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STERILIZATION AND DISINFECTION

CHAPTER 12

Page 2: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Terminology

Disinfection- reduction of number

– Disinfectant used on inanimate objects (most do not kill spores)

– Antiseptic can be used on skin

Sterilization (Autoclave)20 mins at 121 degrees and 18 PSI

Page 3: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Chemical Antimicrobials Potency

Phenol coefficient

Filter paper method

Use dilution test

mic: minimum inhibitory conc

Page 4: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Microbial Sidebar 27-2

Page 5: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Disinfectant Selection Criteria Time of action

Safety

Microbe range

Penetration

Preparation

Cost

Odor

Page 6: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Mechanisms of Action Protein damage

Page 7: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Mechanisms of Action

Membrane damage

Other

Page 8: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Disinfectant Types Soaps/detergents

Acids/Alkalis

Heavy Metals

Halogens

Such as mercury

Such as iodine, bromineand chlorine

Page 9: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Disinfectants (cont.) Alcohols

Phenolics

Oxidizers

Alkylating agents

Dyes

Peroxides

Page 10: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Alkylating agents

Ethylene oxide

Page 11: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Physical Antimicrobial Agents Heat Application

– Dry Heat

– Moist Heat

– Pasteurization

171 deg, 1 hr

62.9 for 30 mins

Page 12: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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The Autoclave

Page 13: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Fig. 27-1

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Time (min)

Su

rviv

al f

ract

ion

(lo

g s

cale

)

20 30 40 50

60°C

70°C

50°C

Decimalreductiontime (D)

100

10

1

0.1

Page 14: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Fig. 27-3

Tem

per

atu

re (

°C)

100

110

120

130

Total cycle time (min)

0 10

Temperatureof object beingsterilized

20 30 40 50 60

Temperatureof autoclave

Sterilization time

Autoclave time

Stopsteam

Beginpressure

Flowingsteam

Steam supplyvalve

Steam enters here

Thermometerand valve

Steamexhaustvalve

Chamberpressuregauge

Air exits through vent

Jacket chamber

Steam exhaust

Door

Page 15: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Physical Antimicrobial Methods

Refrigeration/Freezing

Dessication

Freeze-drying

Page 16: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Physical Antimicrobial Methods

Radiation

Filtration

0.45 micron

Page 17: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Fig. 27-4

Page 18: 1 STERILIZATION AND DISINFECTION CHAPTER 12. 2 Terminology Disinfection- reduction of number –Disinfectant used on inanimate objects (most do not kill

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Physical Antimicrobial Methods

Osmotic Control

Sugar or salt