Sterilisation Techniques Overview

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Questions and Answers

What is the minimum temperature and time required to effectively sterilize under dry heat conditions?

  • 171°C for 1 hour (correct)
  • 120°C for 16 hours
  • 180°C for 30 minutes (correct)
  • 160°C for 2 hours (correct)

What must be validated before applying a sterilization procedure in practice?

  • The sterility of the final product
  • The operational cost of the sterilization process
  • The type of microorganisms present
  • The effect of the sterilization on the product (correct)

Which of the following sterilization methods is considered the most reliable?

  • Pasteurization
  • Tyndallization
  • Autoclaving (correct)
  • Boiling

Which type of filter is known to trap particles through a maze of channels?

<p>Depth filter (B)</p> Signup and view all the answers

What is the main reason why boiling at 100°C for 10 minutes is not considered a sterilization technique?

<p>It does not kill endospores (B)</p> Signup and view all the answers

Which sterilization monitoring method changes color to indicate the appropriate conditions have been met?

<p>Autoclave tape (C)</p> Signup and view all the answers

In autoclaving, what conditions must be achieved to effectively kill spores?

<p>Steam at 121°C for 15 minutes (A)</p> Signup and view all the answers

Why does the presence of water enhance sterilization efficacy?

<p>It hydrates microorganisms, making them less resistant (D)</p> Signup and view all the answers

Which statement about sterilization monitoring indicators is correct?

<p>Biological indicators use spores to verify the sterilization process (C)</p> Signup and view all the answers

What is the primary purpose of performance qualification data in the validation process?

<p>To ensure equipment meets sterility assurance levels (C)</p> Signup and view all the answers

Which of the following materials can be effectively autoclaved?

<p>Polyethylene (C)</p> Signup and view all the answers

What does a sterilizing filter need to accomplish when challenged with Pseudomonas diminuta?

<p>Produce a sterile effluent (B)</p> Signup and view all the answers

What is a primary limitation of boiling as a disinfection method?

<p>It cannot achieve complete sterilization (C)</p> Signup and view all the answers

Which of the following is NOT a common application for non-terminal sterilization?

<p>Sterilizing reusable surgical instruments (B)</p> Signup and view all the answers

At what pressure is steam maintained in an autoclave to achieve sterilization at 121°C?

<p>15 lbs/inch² (A)</p> Signup and view all the answers

Which sterilisation technique utilizes heat as its primary principle?

<p>Terminal sterilisation (C)</p> Signup and view all the answers

Which process is NOT categorized as sterilization?

<p>Pasteurization (C)</p> Signup and view all the answers

What happens to proteins during moist sterilization that assists in killing microorganisms?

<p>They coagulate, disrupting hydrogen bonds (C)</p> Signup and view all the answers

Which of the following is a liquid chemical sterilant?

<p>Glutaraldehyde (D)</p> Signup and view all the answers

What is the main role of biological indicators in sterilisation assurance?

<p>To indicate the presence of microorganisms post-sterilisation (C)</p> Signup and view all the answers

Which statement accurately describes dry heat sterilisation?

<p>It primarily affects microorganisms through thermal damage and oxidation. (D)</p> Signup and view all the answers

What would be an inappropriate application for dry heat sterilisation?

<p>Sterilising rubber gloves (A)</p> Signup and view all the answers

Which of the following is a primary characteristic of nonterminal sterilisation?

<p>Involves immediate use of the product post-process (D)</p> Signup and view all the answers

What is the primary advantage of using gaseous sterilisation methods?

<p>They can effectively sterilise heat-sensitive materials. (C)</p> Signup and view all the answers

Which type of radiation is commonly associated with physical sterilisation?

<p>É£-radiation (B)</p> Signup and view all the answers

What is the maximum temperature at which bacterial spores have little or no activation?

<p>80 °C (B)</p> Signup and view all the answers

Which spores are usually irradicated above 80 °C?

<p>Fungal spores (C)</p> Signup and view all the answers

How long can yeast typically survive at 60 °C?

<p>20 minutes (D)</p> Signup and view all the answers

At which temperature range are viruses unlikely to survive for more than 20 minutes?

<p>55-60 °C (B)</p> Signup and view all the answers

Which type of radiation is characterized by deep penetration and negligible heating of sterilized products?

<p>Gamma radiation (B)</p> Signup and view all the answers

Which particle is known for its low penetration power despite being heavy and slow traveling?

<p>Alpha particles (C)</p> Signup and view all the answers

What is the primary application of beta particles in sterilization processes?

<p>No real application in pharmaceutical sciences (B)</p> Signup and view all the answers

What happens to energy during the emission of gamma radiation?

<p>Energy is dissipated as very short wavelength radiation. (D)</p> Signup and view all the answers

Which radiation type is negatively charged and has similar mass to an electron?

<p>Beta particles (C)</p> Signup and view all the answers

Which of the following statements is true regarding algal survival at lower temperatures?

<p>Algae may survive for several hours at 40-45 °C. (C)</p> Signup and view all the answers

What effect does dehydration have on resistance to radiation sterilisation?

<p>Dehydration increases resistance by impacting the formation of free radicals. (B)</p> Signup and view all the answers

Which range of UV wavelengths is most effective for bactericidal activity?

<p>220-280 nm (C)</p> Signup and view all the answers

How does the presence of oxygen influence radiation sensitivity?

<p>It increases sensitivity by promoting hydroperoxide radical formation. (A)</p> Signup and view all the answers

What property of ethylene oxide contributes to its hazardous nature?

<p>It is highly explosive when mixed with air in concentrations above 3.6% v/v. (B)</p> Signup and view all the answers

What is a limitation of UV sterilisation regarding moisture?

<p>Water limits UV penetration into microorganisms. (D)</p> Signup and view all the answers

Which groups on proteins are impacted by the mechanism of alkylating gases during sterilisation?

<p>Sulfhydryl, amino, hydroxyl, and carboxyl groups. (B)</p> Signup and view all the answers

What impact does freezing have on an organism's resistance to radiation?

<p>Freezing increases resistance by reducing the mobility of free radicals. (C)</p> Signup and view all the answers

In the context of gaseous sterilisation, what are the immediate risks associated with acute toxicity?

<p>Irritation of skin, conjunctiva, and nasal mucosa. (D)</p> Signup and view all the answers

What characteristic of membrane filters is crucial for effective filtration sterilisation?

<p>They must have a nominal pore diameter of 0.2-0.22 µm. (A)</p> Signup and view all the answers

Flashcards

Sterilization

A process that eliminates all forms of microbial life, including bacteria, viruses, fungi, and spores.

Heat Sterilization

A sterilization method that utilizes heat to kill microorganisms by denaturing their proteins and disrupting their cell structures

Moist Heat Sterilization

A type of heat sterilization using steam under pressure, effective against all types of microorganisms.

Dry Heat Sterilization

A type of heat sterilization using dry heat, suitable for materials that can withstand high temperatures.

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Radiation Sterilization

A sterilization method that uses high-energy radiation to damage the DNA of microorganisms, making them unable to reproduce.

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Gaseous Sterilization

A sterilization method using gases like ethylene oxide to kill microorganisms, suitable for heat-sensitive materials.

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Filtration Sterilization

A sterilization method using filters with pores small enough to trap microorganisms, removing them from liquids or gases.

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Aseptic Procedures

A set of procedures designed to prevent contamination of sterile materials and environments during preparation, handling, and administration of products.

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Boiling

Boiling water at 100°C for 10 minutes can kill bacteria, fungi, and viruses.

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Autoclaving

A highly reliable sterilization method that uses steam under pressure to achieve temperatures above 100°C.

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Autoclave

A large, specialized chamber that uses moist heat sterilization at high temperatures and pressures.

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Tyndallization

A type of heat sterilization that involves intermittent heating and cooling cycles over multiple days, typically used for liquids.

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Pasteurization

A heat treatment method that uses moderate temperatures to kill specific microorganisms, often used for food preservation.

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Electromagnetic radiation

Electromagnetic radiation used for sterilization, includes gamma rays, X-rays, and UV light.

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Particulate radiation

Particulate radiation used for sterilization, includes alpha and beta particles, positrons, and neutrons.

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Electromagnetic Radiation Sterilization

A type of radiation sterilization that involves the use of gamma rays, X-rays, and UV light to damage the DNA of microorganisms, preventing them from reproducing.

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Particulate Radiation Sterilization

A type of radiation sterilization that involves the use of particulate radiation, such as alpha and beta particles, to directly damage microorganisms.

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Alpha Particle

Alpha particles are emitted during radioactive decay; they are heavy, carry a positive charge, and travel slowly. They have low penetration power.

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Beta Particle

Beta particles are emitted during radioactive decay; they are negatively charged and have a mass similar to an electron. While they have stronger penetrating power than alpha particles, they can be stopped by thin aluminum.

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Gamma Radiation

Gamma radiation is emitted after alpha and beta particles are released during radioactive decay. It carries no mass or charge and travels at the speed of light. It is highly penetrative, causing minimal heating of the sterilized product, and does not induce radioactivity.

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Gamma Radiation Sterilization

A technique that utilizes the penetration power of gamma radiation to sterilize medical supplies and pharmaceuticals.

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Genetic Control of Radiation Resistance

The resistance to radiation is determined by the genetic makeup of the organism.

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Oxygen Effect on Radiation Sensitivity

The presence of oxygen increases the sensitivity of organisms to radiation due to the formation of reactive oxygen species.

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Dehydration and Radiation Resistance

Dehydration increases resistance to radiation by decreasing the formation of free radicals, which are highly reactive molecules that damage cells.

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Freezing and Radiation Resistance

Freezing increases radiation resistance by reducing the mobility of free radicals, thereby decreasing their ability to damage cells.

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Organic Molecules and Radiation Protection

Certain organic molecules, like those containing sulfhydryl groups, can protect organisms from radiation damage.

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Effective UV Wavelength for Sterilization

The bactericidal effect of ultraviolet radiation is most potent at wavelengths between 220 and 280 nanometers, which can damage DNA.

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Mechanism of UV Sterilization

UV radiation works by creating crosslinks between adjacent pyrimidine bases in DNA, disrupting its structure and function.

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Ethylene Oxide Sterilization Mechanism

Ethylene oxide, a common gaseous sterilant, works by alkylating vital cellular molecules, like proteins and nucleic acids, disrupting their function.

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Applications of Gaseous Sterilization

Gaseous sterilization methods are often used for heat sensitive medical equipment, such as surgical instruments, because they can sterilize at lower temperatures.

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Filtration Sterilization - Pore Size

Membrane filters with pore sizes of 0.2-0.22 µm are commonly used to remove bacteria and other microorganisms during filtration sterilization.

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What is non-terminal sterilization?

A type of sterilization that doesn't involve destroying the product but removes microbes from it, typically used with heat-sensitive products.

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What are depth, surface, and membrane filters used for?

They are used to sterilize various materials, including liquids, gases, and air, and are chosen based on the specific application.

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What is validation in sterilization?

A process of ensuring a sterilization method effectively eliminates all microbes and is safe for use.

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What is performance qualification data?

This process ensures the equipment consistently achieves the required sterility level.

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What is Autoclave tape?

Temperature-sensitive indicator that changes color when exposed to a specific temperature, used to verify proper sterilization conditions in autoclaves.

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What are biological indicators?

These indicators are used to verify the efficacy of sterilization processes by monitoring the survival of microorganisms.

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What is a self-contained indicator?

This indicator includes a spore strip, a growth medium, and a color-changing chemical reagent, which indicates growth of the spore, indicating the failure of a sterilization process.

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Study Notes

Sterilisation Techniques

  • Sterilisation is an essential process for creating sterile dosage forms, and for reprocessing medical devices.
  • There are several types of sterilisation processes, each with its own advantages and disadvantages, but steam sterilisation is the most common method.
  • Users must understand the technology, its activity, and limitations, and follow appropriate guidelines.
  • Validation of the sterilisation process is very important.

Learning Objectives

  • Understanding commonly employed sterilisation techniques and their applications.
  • Critical evaluation of different sterilisation techniques.
  • Describing the role of sterilisation assurance and the application of biological indicators.

Sterilization Technologies

  • Terminal Sterilization:
    • Heat: Steam, Dry heat
    • Radiation: Accelerated electrons, gamma rays
    • Chemical: Ethylene oxide, Low-temperature steam formaldehyde, Gas plasma, Glutaraldehyde, o-phthalaldehyde, formaldehyde, peracetic acid, hydrogen peroxide
  • Nonterminal Sterilization (Filtration):
    • Aseptic procedure, membrane filters

Physical Sterilisation - Heat Sterilisation

  • Moist Heat:
    • Steam sterilisation:
      • Boiling (100°C for 10 minutes): Kills vegetative bacteria, fungi, and viruses, but not endospores.
      • Autoclaving (121 °C for 15 minutes): Most reliable sterilisation method, steam at high pressure.
      • Tyndallization: Series of treatments with moist heat, to kill vegetative and spore-forming bacteria.
      • Pasteurization: Mild heat treatment to kill pathogenic bacteria, but not sterilise completely.
  • Dry Heat:
    • Dry heat sterilisation:
      • High temperatures (160-180°C): Used for materials not damaged by high heat, such as glassware, metal instruments and powders.

Physical Sterilisation - Radiation

  • Electromagnetic Radiation:
    • gamma rays, X-rays, UV.
    • High penetration power, wave length of radiation
  • Particulate Radiation:
    • α-particles, β-particles, Neutrons.
    • Low penetration power, radioactive elements, nuclei disintegration

Physical Sterilisation - UV

  • Bactericidal activity; 220-280 nm
  • Excites electrons non ionising radiation.
  • Used for destruction of microorganisms on surfaces and in the air
  • Formation of crosslinks between adjacent pyrimidine bases in DNA
  • UV wavelengths have limited penetration power. Cell aggregates, wet vs dry state, proteins limit penetration.

Chemical Sterilisation - Gaseous Sterilisation

  • Alkylating Gases: E.g., Ethylene oxide (EO)
    • Low-temperature steam formaldehyde (LTSF)
    • Gas plasmas: Used for the sterilisation process
  • Applications: Re-usable surgical instruments, medical, diagnostic and electrical equipments, surface sterilisation of powder.

Chemical Sterilisation - Gaseous Sterilisation - Limitations

  • Potentially mutagenic and carcinogenic.
  • Acute toxicity, including skin, conjunctiva and nasal mucosa irritation.
  • Strict control of atmosphere needed to protect personnel.
  • Highly explosive above 3.6% in air.
  • Resistance in dried state because of protection by inclusion in crystalline or dried organic deposits.

Non-terminal Sterilisation - Filtration

  • Membrane filters (0.2-0.22 µm nominal pore diameters): Used for sterilising products sensitive to heat & radiation.
  • Filter medium are sterilised by steam treatment.

Validation of Sterilisation Process

  • Sterility of a product cannot be guaranteed by testing, so a validated process is needed.
  • Documentation of the process is very important (e.g. commissioning data, performance qualifications data).
  • Physical, chemical and biological indicators are used to validate the process (e.g., autoclave tape, temptubes, spore tests).

Validation of Sterilisation Process - Process Indicators

  • Spores added to a carrier (e.g., disk, strip).
  • Spore suspension inoculated on/into the product to be sterilized.
  • Self-contained indicators (e.g. 3Mâ„¢ Attestâ„¢ indicators)

Selection of Sterilisation Process

  • Considerations:
    • Type of product/preparation (volume, composition).
    • Possible damage to the preparation/product (heat, radiation, corrosiveness).
    • Possible damage to the product/container (water ballasting, moisture, glass breaking, change in composition, corrosiveness).
    • Other considerations (toxicity, safety, level of bioburden, sterilisation regimen, cost).

Process Summary

  • Sterilisation is essential for sterile dosage forms & medical devices/products.
  • Different processes have advantages and disadvantages, steam sterilisation is a reference standard.
  • Users need to understand sterilisation technology, its activities and limitations; follow guidelines & validate processes.
  • Failure in process validation can result in potentially fatal consequences.

References

  • Pharmaceutics (Aulton, 2007)
  • Hugo and Russell's pharmaceutical microbiology (Denyer et al., 2004)
  • EMA guideline (2017)

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