(A) Moist heat sterilization:
Autoclave: The object to be sterilized is exposed to
saturated steam under 1 Atmosphere pressure at a minimum temperature of 121°C
for 15 minutes where microorganisms are destroyed by cellular protein
coagulation. It is a device to sterilize equipments and supplies by subjecting
them to high-pressure saturated steam at various temperatures and times (Table
2.6). Two types of autoclaves are used likely portable autoclaves and
stationary autoclaves. A stationary autoclave is used as a large-scale
sterilizer.
Table: Working conditions of an Autoclave at various
temperatures and times
Temperature (degree C) |
Pressure (lb/sq.inch) |
Time (Minutes) |
115-118 |
10 |
30 |
121-124 |
15 |
15 |
126-129 |
20 |
10 |
135-138 |
30 |
3 |
Working of Autoclave: 3 All autoclaves operate on similar principles that they share with a common kitchen pressure cooker - the door is locked to form a sealed chamber, and all air within the chamber is replaced by steam. The steam is then pressurized to reach the desired sterilization temperature and time, before exhausting the steam and allowing the goods to be removed. The various phases of a sterilization cycle are given below (Fig).
1. Purge Phase: Steam flows through the sterilizer
beginning the process of displacing the air; temperature and pressure ramp
slightly to a continuous flow purge.
2. Exposure (Sterilization) Phase: During this phase,
the autoclaves’ control system is programmed to close the exhaust valve causing
the interior temperature and pressure to ramp up to the desired set point. The
program then maintains the desired temperature (dwells) until the desired time
is reached.
3. Exhaust Phase: The pressure is released from the
chamber through an exhaust valve and the interior is restored to ambient
pressure, although contents remain relatively hot.
Fig: Phases of sterilization cycle
(B) Dry heat sterilization:
Hot air oven: It is an electrical device, and uses
dry heat to sterilize. It was originally developed by Pasteur. Generally, it
can be operated from 50 to 300°C, using a thermostat to control the
temperature. It requires direct heat at different times and temperatures (Table).
Table: Working condition of hot air oven
Temperature (degree C) |
Time (Minutes) |
170 |
60 |
160 |
120 |
150 |
150 |
140 |
180 |
Working: The working of the hot air oven is based on
the hot air inside the chamber of the oven by forced circulation. When hot air
reaches the top of the chamber, it is circulated back to the bottom by a fan
installed inside the chamber, and hence the optimum amount of heat is achieved
gradually inside the hot air oven. After heating the content of the oven for
two hours at 160°C, the articles are allowed to remain there, till the
temperature comes down to 40°C. The sterilized materials are then removed from
the oven.
Pharmaceutical Applications:
1. It is mainly used for the sterilization of glassware such
as pestles and mortar, Petri dishes, flasks, pipettes, bottles, test tubes,
etc.
2. It is used for the sterilization of powders such as sulfacetamide,
sulphadiazine, kaolin, zinc oxide, starch, etc.
3. Injections where fixed oils are used as the vehicle, are
sterilized by the dry heat method like, injections of progesterone, injection
of testosterone propionate, and injections of oestradiols dipropionate.
4. It is also used for the sterilization of scalpels,
scissors, spatula, blades, and glass syringes.
5. The chemicals, and glassware in laboratories, research
institutions, industries, hospitals, and R&D centers use hot air ovens that
are suitable for temperatures up to 250°C.
6. Hot air ovens are suited to various applications like
heating, drying, sterilizing, and baking.
Microwave: Electromagnetic radiation is transmitted in waves or particles at different wavelengths and frequencies. This broad range of wavelengths is known as the electromagnetic spectrum. The spectrum is generally divided into seven regions in order of decreasing wavelength and increasing energy and frequency. Electromagnetic energy in the microwave region (225 MHz to 100 GHz, especially 2,450 MHz) is extensively used as an alternative energy source for sterilization. In a microwave oven, heat is a byproduct and is controlled by temperature probes where sterilization is also achieved at 40°C.
Sterilization methods are carried out with the use of
microwaves where a bactericidal solution is used for heating. The technique is
being promoted for use with dental instruments and relies on heating a solution
of a quaternary ammonium compound (benzalkonium chloride) to approximately
100°C. At present, these processes are applicable only to unpackaged
instruments. Dry spores of Bacillus subtilis and B. niger are treated with heat
simultaneously in a convection dry-heat oven and a microwave oven.
Principle: Microwaves are radio waves and the
commonly used radio wave frequency is roughly 2,450 megahertz (2.4 gigahertz).
These waves are absorbed by water and other nutrients and then converted
directly into atomic motion and motion is converted into heat.
Working: The microwaves are generated in a microwave
by a device called a magnetron, which converts electricity from the power
outlet into microwaves. These microwaves are absorbed by water molecules from
the inside materials, which are rotated by the electric field from the
microwaves. As these molecules rub against each other, they heat up, and then
they heat up molecules around them (Fig).
Fig: Working of microwave
(C) Colour-coded biomedical waste bags:
Various colored coded bags are used for particular materials
for disposal. They are discussed below (Table).
Table: Functions of various colored bags
Yellow
plastic bags |
For human
anatomical, animal, and microbiological waste |
Red
disinfected container or plastic bag |
Microbial
waste |
Blue or white
plastic bag |
Disposable
tubing |
Black plastic
bags |
Discarded
medicines, incineration ash |