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Sterilization Concepts Sterilization – removal of all living cells from an object, Factors that affect cell death Time, number of cells, type f i i th d including viruses, spores, viroids and prions Aseptic technique – techniques with sterile solutions of microorganism, method of killing, concentration or intensity, temperature, pH, presence of organic -static – bacteriostatic, fugistatic (growth-inhibiting) -cide – bactericide, algicide, fungicide (killing) presence of organic material, biofilm, development of resistance Level of risk – probability of sterility Killing kinetics Killing kinetics TDP – thermal death point: the lowest temperature at which all the bacteria in a population will be killed within 10 minutes be killed within 10 minutes TDT – thermal death time: the length of time before all microorganisms in a population will be killed at a certain will be killed at a certain temperature D-value and Z-value

Sterilization - LTH · • Sterilization – removal of all ... • Hexachlorophene: commercial disinfectant, antiseptic, ... • Benzyl alcohol, injection solutions

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Page 1: Sterilization - LTH · • Sterilization – removal of all ... • Hexachlorophene: commercial disinfectant, antiseptic, ... • Benzyl alcohol, injection solutions

SterilizationConcepts• Sterilization – removal of all

living cells from an object,

Factors that affect cell deathTime, number of cells, type f i i th d

g j ,including viruses, spores, viroids and prions

• Aseptic technique – techniques with sterile solutions

of microorganism, method of killing, concentration or intensity, temperature, pH, presence of organic

• -static – bacteriostatic, fugistatic (growth-inhibiting)

• -cide – bactericide, algicide, fungicide (killing)

presence of organic material, biofilm, development of resistance

u g c de ( g)• Level of risk – probability of

sterility

Killing kineticsKilling kinetics• TDP – thermal death point: the

lowest temperature at which all the bacteria in a population will be killed within 10 minutesbe killed within 10 minutes

• TDT – thermal death time: the length of time before all microorganisms in a population will be killed at a certainwill be killed at a certain temperature

• D-value and Z-value

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Decimal reduction time (D or D value)time required to kill 90% of microorganisms or spores intime required to kill 90% of microorganisms or spores in

a sample at a specific temperatureN0

Nt=N0xekt

k, slope

t

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Z valueincrease in temperature required to reduce D by 1/10

Z = t1-t2 / logDt1-logDt2

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The Bacterial EndosporeThe Bacterial Endospore

formed b some bacteria• formed by some bacteria (Bacillus and Clostridium)

• normally formed when• normally formed when growth ceases because of lack of nutrients

• Dormant (no metabolism)

• resistant to numerous• resistant to numerous environmental conditions– heat– radiation– chemicals– desiccation

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Control of Microorganisms by Physical and Chemical Agents

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PasteurizationPasteurization• LTH low temperature holding• LTH, low temperature holding,

63oC, 30 min

• HTST, high temperature short ti 72oC 15time, 72oC, 15 sec

• UHT, ultra high temperature, 140-150oC, 1-3 sec

• controlled heating at temperatures well below boiling

• used for milk, beer and other beverages

d t t ili b t• process does not sterilize but does kill pathogens present and slow spoilage by reducing the total load of organisms present

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The Autoclave or Steam SterilizerThe Autoclave or Steam Sterilizer

m st be carried o t• must be carried out above 100oC which requires saturated steam under pressurep

• carried out using an autoclave

• effective against all types of microorganisms including spores

• degrades nucleic acids, denatures proteins, and disrupts membranes

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RadiationRadiationUltraviolet (UV) RadiationUltraviolet (UV) Radiation• limited to surface

sterilization because it does not penetrate glass, dirt films water and otherfilms, water, and other substances

• has been used for water treatment

Ionizing Radiation• penetrates deep into

objects• destroys bacterial

endospores; not always effective against viruse

• used for sterilization and pasteurization of antibiotics, hormones, sutures, plastic disposable supplies, and food

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Filtration• reduces microbial population or sterilizes solutions of heat-

sensitive materials by removing microorganisms• also used to reduce microbial populations in air

depth filters– thick fibrous or granular filters that remove

microorganisms by physical screening, entrapment, and/ormicroorganisms by physical screening, entrapment, and/or adsorption

membrane filters– porous membranes with defined pore sizes that remove

microorganisms primarily by physical screeningmicroorganisms primarily by physical screening

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Phenol• Causes lysis of cells, destroys the cell membrane and

denatures proteinsff• The effect increases with increasing temperature and

decreasing pH• Bactericide: 1-2% solution• Skin irritant, corrosive,• Modification of phenol with chlorine and methyl groups has

resulted in disinfectants with reduced skin irritation and corrosive properties and increased antimicrobial activity.

• The effect is impeded by organic materialThe effect is impeded by organic material.• Hexachlorophene: commercial disinfectant, antiseptic, the

antimicrobial effect persists for an extended time, e.g. when used to wash the skin

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Alcohol• Bactericidal and fungicidal but NOT sporicidal

Denatures proteins and destroys membranes (lipids)• Denatures proteins and destroys membranes (lipids)• Ethanol: 70% solution most effective• Isopropanol: 70% solution most effective

P ti ti b tit ti f l h l• Preservative, aromatic substitution of alcohol• Phenyl alcohol, eye drops, contact lens solutions• Benzyl alcohol, injection solutions

O i id (E d )• Organic acids: (European code no.)Sorbic acid (E200)Benzoic acid (E210)

d i f dused in foods

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Halogen compoundsHalogen compounds• Strongly oxidizing f fi l t• Strongly oxidizing• denatures proteins• bactericide, fungicide • Cl, chlorine gas

• any of five elements: fluorine, chlorine, bromine, iodine, and astatine

• iodine and chlorine areg• I, iodophors (a combination

of iodine and surfactants)

• 1 µg/ml is used to disinfect

• iodine and chlorine are important antimicrobial agents

• 1 µg/ml is used to disinfect water

• Mechanism:Cl2 + H2O HCl + HOCl

chloramines R - SO2NCl2(chlorophors) give off Cl slowly,e.g. halazone tablets for water purificationOrganic material reduces the effect.

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FormaldehydeFormaldehyde• highly reactive molecules, sporicidal• Mechanism: causes binding of amino groups

between proteins, cross-binds DNA/RNA, alkylating• Boiling point –19C

N t l i t t t 80 C• Note: polymerises at temperatures < 80C• Very effective, 3-10 mg/l is bactericidal, compared

with ethylene oxide 500-1000 mg/lPoor penetration usually used for surface• Poor penetration, usually used for surface disinfection

• Formalin, 37% formaldehyde in water + 10% methanol (to prevent polymerisation)methanol (to prevent polymerisation)

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Quaternary ammonium compounds

• detergents that have antimicrobial activity and are• detergents that have antimicrobial activity and are effective disinfectants– organic molecules with hydrophilic and

hydrophobic endshydrophobic ends– act as wetting agents and emulsifiers

• cationic detergents are effective disinfectants• Effective against G+ bacteriaEffective against G bacteria• Alkali solution improves the effect• Soap (anionic detergents) reduces the effect

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Ethylene oxideEthylene oxide• used to sterilize heat-sensitive materials, microbicidal and

sporicidalsporicidal• Boiling point 10.7C, Very good penetration• Used with CO2, freon etc. to avoid explosions, > 3% ethylene

oxide in air is explosive!M h i th l id lk l t h d l b l d• Mechanism: ethylene oxide alkylates hydroxyl, carbonyl and sulfhydryl amino groups of enzymes etc.

• Effect depends on – gas pressure g p– exposure time– temperature– type of microorganism or spore

i t t t ( ti 28 33%)– moisture content (optimum 28-33%)

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Heavy metalsHeavy metals

• e g ions of mercury • Silver nitrate (AgNO3)• e.g., ions of mercury, silver, arsenic, zinc, and copper

• effective but usually

• Silver nitrate (AgNO3) (1% solution) is sometimes used to disinfect the eyes of effective but usually

toxic• combine with and

inactivate proteins; may l i it t t i

newborn babies.

• Copper sulphate (C SO4) f i id dalso precipitate proteins

• Mechanism: react with sulfhydryl groups in proteins

(CuSO4) fungicide and algicide, agricultural uses

proteins