aseptic & antisepic techniques
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ASEPTIC & ANTISEPIC TECHNIQUES. Begashaw M (MD). DEFINITIONS. Aseptic technique : prevention of microbial contamination of tissues & sterile materials by excluding, removing or killing microorganisms - PowerPoint PPT PresentationTRANSCRIPT
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ASEPTIC & ANTISEPIC TECHNIQUES
Begashaw M (MD)
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DEFINITIONS Aseptic technique: prevention of microbial
contamination of tissues & sterile materials by excluding, removing or killing microorganisms
Disinfection: killing or removal of sufficient microbes to render an inanimate object safe for its intended purpose
Antiseptics: Chemicals which can be applied to living tissues to kill or inhibit the growth of microbes
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CHOICE OF ANTISEPTIC Ideal antiseptic:a. spectrum of activity broadb. resistant to inactivation by organic
materialsblood & fecesc. no toxicity or allergic reaction, non –
stainingd. inexpensive
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Source of infection
• patient• Staff• operation room• instruments
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Route of infection
Personal contactAirborne
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Preventative Measures-patient
Short hospital stay preoperatively Shower a day before surgery Treatment of any infectious site before surgery Aseptic methods Special preparations - bowel preparation for
colonic surgery use of antiseptic solution Prophylactic antibiotics
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Operating Theater Staff Wear clean clothes, shoes or covers,
mask & cap Scrubbing for at least 5 min dry with sterile towel & apply 70%
alcohol Put on sterile gloves & gowns
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Scrubbing & gowning
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Gloving
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Gowning
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Gloving
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Patient
Clean the operation field with antiseptic - Chlorohexidine & 2.5% Iodine for
adults- 70% alcohol for children- Povidone Iodine for all ages if available cover with sterile drapes
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Draping
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Operating Roomnumber of personnel reducedadequate ventilationwindows should be open to allow ingress
of fresh outside air & escape of anesthetic gases
Keep all doors closed except as needed for passage of equipment & personnel
Clean operating rooms between operations
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Instruments Sterilization: - is a process by which
inanimate objects are made free of all microorganisms
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Sterilize:Chemical
High-pressure steamDry heat
17
Decontaminate
Clean
Dry/Cool and Store
High-Level Disinfect:
BoilSteamChemical
Aseptic Instrument Processing
Instrument Processing
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Effectiveness of Methods for Processing Instruments
Method Effectiveness(kill or remove
microorganisms)
End Point
Decontamination Kills HBV and HIV and most microorganisms
10-minute soak
Cleaning (water only) Up to 50% Until visibly clean
Cleaning (water and soap)
Up to 80% Until visibly clean
Sterilization 100% High-pressure steam, dry heat, or chemical
High-Level Disinfection
95% (does not inactivate some endospores)
Boiling, steaming, or chemical for 20 min
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Autoclaving
preferred method uses steam at a pressure of 750 mmHg
above atmospheric pressure & temperature of 120 degree Celcius for 15-30 mins
steam is helpful for penetration even into spores
Appropriate indicators needed
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Dry heat
poor alternativesuitable for metal instrumentsuses a temperature of 170 degree
celcius for 2 hrs
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Alcohols ethyl, isopropyl Acts by denaturing proteins Broad spectrum-gram-positive & gram-negative rapid action short acting moderately expensive most active against bacteria at 70% concentration Is bactericidal Also fungicidal & virucidal
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Chlorhexidine
Good activity against staphylococci & streptococci
moderate activity against gram negative bacteria
persistent action-up to 6 hrsmoderately expensivenon-toxicunpleasant taste
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Iodine
Lugol’s solutionBroad spectrumCheapStainsHypersensitive
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Povidone iodine
Broad spectrum -spore forming organisms -both gram-positive &
gram-negativemoderately expensivesome hypersensitivity skinrapid inactivation by blood