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32 Cards in this Set

  • Front
  • Back

Sterilization

- complete removal/killing of all microbial life forms

Disinfection

- removal/killing of pathogenic microorganisms but necessarily bacterial or other spores

Disinfectants

- applied to inanimate objects

Antiseptics

- applied to living tissue

1. Types of organisms


2. Number of organisms


3. Concentration of disinfectant


4. Amount of organic soil present


5. Nature of the surface to be disinfected


6. Temperature and pH process


7. Length of contact time


8. Type of water available


9. Biofilms


10. Disinfectant compatibility

Factors that influence the degree of killing

1. Bacterial spores (MOST RESISTANT)


2. Mycobacteria


3. Naked viruses


4. Fungi


5. Vegetative cells


6. Enveloped viruses (LEAST RESISTANT)

Types of organisms acdg to resistance to killing

Critical materials

- invade sterile tissues


- requires sterilization

Semicritical materials

- come in contact with mucuos membranes


- requires high level disinfection

Noncritical materials

- come in contact with intact skin


- require intermediate level to low level disinfection

High level disinfection

with sporocidal activity

Intermediate level disinfection

tubercolocidal but not sporocidal

Low level disinfection

non-sporocidal and non-tubercolocidal

Incineration (870c - 980c)

materials are burned to ashes

Autoclaving

- heat under pressure


- all microorganisms are destroyed including spores

-Pressure: 15 psi


-Temp: 121 c


-Duration: 30-60 mins (15 mins if soiled)



Pressure, Temperature and Duration for autoclaving

Oven (dry heat)

- usually employed for glassware


- requires longer time and higher temperatures

Boiling

only disinfection is achieved (tubercolocidal)

Pasteurization

usually employed in the food industry

Vat Pasteurization

63c for 30mins

Flash Pasteurization

72c for 15secs

Filtration

- used for liquid and air via thin membrane filters


- applied to heat sensitive solutions like vaccines and antibiotics

Ionizing radiation

- gamma rays or electron beams


- used by the medical industry to sterilize disposable supplies

Non-ionizing radiation

- uses ultraviolet rays to disinfect surfaces

Alcohols

- the two most commonly used are isopropyl and ethyl (70%)


- denatures proteins

Aldehydes

- chemical method used for "cold sterilization"


- used at a concentration of 2%

Iodine

mainly used as antiseptics

Heavy metals

- action is primarily bacteriostatic


- slowly bactericidal

Detergents

- quaternary ammonium compounds

Benzalkonium chloride

- most common detergent in a medical setting

Ethylene Oxide

- alkylates nucleic acids in the spore and vegetative cell


- used for materials that cannot withstand steam sterilization


- most common antiseptic in gaseous form

Air

What do HEPA filters sterilize?

Bacteriostatic

Antibiotics are most frequently used at what level of killing?