In: Nursing
discuss the importance of correct chemical solution for disinfection. 2-3 paragraphs.
1) Ans)Disinfectants are chemical agents designed to inactivate or destroy microorganisms on inert surfaces. Disinfection does not necessarily kill all microorganisms, especially resistant bacterial spores; it is less effective than sterilization, which is an extreme physical or chemical process that kills all types of life
The proper use of medical disinfectants can help contain and
prevent the spread of harmful bacteria and viruses. Many infectious
diseases can be halted in their tracks by the proper use of medical
disinfectant products, and by the routine disinfection and
sterilization of medical devices.
Infectious diseases such as tuberculosis, mucormycosis
(a flesh-eating fungal infection), and AIDS are mostly caused by
pathogens including bacteria, fungi and viruses
Disinfection is the process of eradicating pathogens on the environmental surfaces, reusable medical devices and other inanimate objects. It can be accomplished by using chemical or physical agents. Increasing clinical evidences have shown proper disinfection able to disrupt the transmission pathways, which is further linked to reduced HAIs. Those evidence based infection prevention studies warrants the importance of proper disinfection of environmental surfaces and reusable medical devices in hospitals.
Chemical Disinfectants
Alcohol
Chlorine and chlorine compounds
Formaldehyde
Glutaraldehyde
Hydrogen peroxide
Iodophors
Ortho-phthalaldehyde (OPA)
Peracetic acid
Peracetic acid and hydrogen peroxide
Phenolics
Quaternary ammonium compounds
Alcohol:
Alcohols (ethanol, isopropanol)
Ethanol or isopropanol in concentrations of 70% - 95% are good
general-use
disinfectants. They are most effective against lipophilic viruses,
less effective against non-lipid viruses, and ineffective against
bacterial spores. Because of their quick evaporation rate, it may
be difficult to achieve sufficient contact time.
Chlorine compounds (household bleach – 5.25%
sodium hypochlorite)
Chlorine-containing solutions have universal disinfectant activity.
With proper
concentration and sufficient contact times, hypochlorite solutions
can be considered
chemical sterilants since they will inactivate bacterial spores.
The downside is that
chlorine compounds are quickly inactivated by excess organic
materials and are
corrosive to metals and tissues. Consequently their use in labs has
some limitations. In solutions of 50-500 ppm available chlorine,
they are effective against vegetative bacteria and most viruses.
Bacterial spores require concentrations of 2500 ppm with extended
exposure time. Household bleach (5.25% sodium hypochlorite) diluted
1:100
with water yields a disinfectant solution containing to 525 ppm
available chlorine; a 1:10 dilution yields 5000 ppm available
chlorine. Since the free chlorine is inactivated by light and air,
disinfectant chlorine solutions are best made fresh before
use.
Formalin Formalin is a 37% solution of formaldehyde gas in water.
Diluted to 5% formaldehyde it is an effective disinfectant; at 0.2%
- 0.4% it can inactivate bacteria and viruses. Unlike chlorine,
formalin does not corrode stainless steel. It has a pungent,
irritating odor; exposures must be limited due to its toxicity and
carcinogenicity.
Glutaraldehydes These agents are closely related to formaldehyde
but seem to be more biologically
active.
Glutaraldehydes are effective against all types
of bacteria, fungi, and viruses.
With sufficient contact time they kill bacterial spores. While
glutaraldehyde vapors are
less irritating than formaldehyde (formalin), they remain
irritating to the eyes, mucous
membranes, and upper respiratory tract. Exposures should be
minimized by confining use to a properly functioning chemical fume
hood.
Phenols
Phenol solutions have been used for many years as a disinfectant.
Their usefulness in
laboratories is limited, however, because they leave a sticky
residue on surfaces
following treatment. Concentrated phenol is a highly toxic,
corrosive substance that is
easily absorbed through the skin. Use of appropriate personal
protective equipment is essential.
Disinfectants work by destroying the cell wall of microbes or
interfering with their metabolism. Sanitizers are substances that
simultaneously clean and disinfect..
Disinfectants are frequently used in hospitals, dental surgeries,
kitchens, and bathrooms to kill infectious organisms.