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PRELIMINARY
1.1 Background
Sterilization is an act for a killer (chemical / physical) process all forms of microorganisms
include endospores. In the health field a sterile state is a major condition of success or failure of
our work within take action on the pesien. Knowledge of the basic principles of sterilization and
disinfection is needed to do work in the medical field to be responsible.
1.2 Aim
This paper aims to provide more understanding about sterilization and disinfection for students.
CHAPTER II
LITERATURE REVIEW
2.1 Some Understanding
1. Sterilization is an action to process (chemical / physical) that killing all forms of
microorganisms including endospores sterilization paper
5. Germicides is a substance that can kill microbial (germ = germs). Substances that can kill
bacteria called baktericida. Substance that can kill fungi called fungicida. Substances that can
kill virus called virucida. Bacteriostatics are inhibiting substances growth and bacterial
proliferation.
Heating can kill bacteria as it can agglomerate (coagulation) protoplasm. Coagulation of this
protoplasm will be faster if there is more water. Therefore, sterilization with steam hot water
will be faster when compared to using hot air dry.
· Various kinds of sterilization with heating
:
a) Inbreeding (by direct fire)
In this microbiology laboratory is used to make sterile needle inoculation, pipettes and so on.
In life everyday eg burning pin before dipakia spikes or pus. This method can also be used for
sterilize knife operation in circumstances emergency that contaminated because it has been in
contact with sufferers or animals infected, often burned to eliminate source transmission
disease.
b) Dry heat
Sterilization with oven is about 60- 180 0 C is suitable for the dry heat sterilization tools made
of glass for example erlenmeyer, test tube, etc.
c) Heating with running water vapor
The principle is the same as a cormorant for Cook rice. This way first done by Robert Kock. In
a way this too, just kill the bacteria form vegetative. In the laboratory this way is used to create
a sterile test tube, the object glass, to kill pathogenic microbes, before the tools are washed in
order no endanger. Duration heating is one hour, whereas for kill form spores it takes 2 -16
hours.
d) Hot steam
This concept is similar to steaming. Water-containing materials are more appropriate use this
method not to dehydration occurs.
How to use this method are:
v Preparation:
a) Washing hands
b) Use of gloves adjusted needs
a. Sterile gloves
b. DTT gloves
c. Clean gloves
d. Household gloves
c) Use mask
d) Dressing customized needs
a. Sterile
b. Non sterile
c. Skort
e) Use of protective goggles
f) Use of boots / shoes closed
g) Hood
h) Duk
v Tools preparation:
a) Stacking pot
b) Stove
c) Duk
d) Correct
e) Place of sterile equipment
f) Examples of tools that should be in DDT
a. Handscoon
b. Kassa
c. Anatomical tweezers, chirurghis
d. Anatomical clamps, chirurghis
e. Bak instruments
f. Speculum
v UAP sterilization steps:
a) Prepare yourself
b) Set up the tool
c) Wash rinse tool that will be in sterilization
d) Prepare a stove and a pot already in water
e) Wait until it boils
f) Insert the tool into a saucepan already boiling
g) After the tool is steamed for
a. 121 ° C at 106 kPa pressure
b. 20 minutes for no tool wrapped up
c. 30 minutes for the tool in wrap in dry using sterile duk.
h) Store in a sterile place
i) Washing hands.
e) Hot pressurized steam Tool
called autoclave.
The sterilization step with autoclave ie:
v Preparation:
a) Washing hands
b) Use of gloves
customized needs
· Sterile gloves
· DTT gloves
· Clean gloves
· Household gloves
c) Use mask
d) Dressing customized needs
· Sterile
· Non sterile
· Skort
e) Use of protective goggles
f) Use of boots / shoes closed
g) Hood
h) Duk
v Tools preparation
a) Autoclave
b) Correct
c) place of sterile appliance
v Sterilization steps with autoclave
a) prepare yourself
b) prepare tool
· Wash, rinse and dry
· Turn on the autoclave
· Before sterilizing using an autoclave check the state of the parts of the autoclave.
· Look at the amount of water in an autoclave. If water is lacking of the specified limits, then
can be added water to the limit the. Use the results water distillation, to avoid the formation of
crust and rust.
· Enter equipment and materials. If sterilizing the bottle is closed threaded, then the cap
should be relaxed.
· Close Autoclave with last meeting tighten the bolt to prevent it steam coming out of the
lips autoclaves. Security valves do not tightened first.
· Turn on the autoclave, first first time at least 15 minutes at a temperature of 121 ° C
· Wait until the water boils so steam meet compartment autoclave and pressed Exit
from valve security.Later valve security closed (tightened) waiting to done. Time calculation
15 minimize the practice of gripping ai 2 atm.
· If the alert alarm is complete reads, then wait for the pressure in the compartment down
to equal to the air pressure at environment (the needle on preisure gauge pointed to numbers
zero) .Then valves safety opened with use the span and remove autoclave content carefully
heart.
· Store the tool in a sterile place
· Washing hands.
Image autoclave
b. UV radiation
Ultra Violet rays can also be used for sterilization process for example to kill microbes which is
attached to the interior surface of Safety Cabinet with irradiated UV lamp.
3. Chemical sterilization, usually using compound
CHAPTER III
COVER
3.1 Conclusion
Sterile is free from any microbial either pathogen or not whereas. Sterilization is an action for
the (chemical / physical) process killing all forms of microorganisms including endospores.
Disinfection is an act of killing organisms pathogens (except bacterial spores) by physical /
chemical means to do against objects mati.Misalnya on the floor of the room, operating table,
and so forth. Substance which is used is called disinfectant. Antiseptic is defined as a chemical
used to kill pathogenic microbes present in body tissues to prevent the occurrence sepsis or
infection. The action is called antisepsis, for example removing the skin will be injected with
cotton alcohol (ethanol) 70%. Ansepsis is to prevent the growth or activity of good
microorganisms by inhibiting or killing in the paki for chemical substances live tissue.
3.2 Suggestions
With this paper we look forward to all candidates health can know more about sterilization and
more professional in dealing with his patients later.
BIBLIOGRAPHY
1. www.google.com
2. Entjang, Indang. 2003. Microbiology and Parasitology. PT Citra Aditya Bakti: Bandung.
3. Sujudi. 2003. Textbook of Medical Microbiology. PT Bina Rupa Aksara: Tanggerang