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Microbiologic evaluation of a hydrogen peroxide sterilization system
D L Wilkins1, P Y Chung, P Y Tsuchiya
1Department of Ophthalmology, Loma Linda University, CA 92354.
Summary
Chemical sterilization using hydrogen peroxide is effective for medical instruments. A 30-percent hydrogen peroxide solution, with or without an acetone rinse, effectively kills Bacillus subtilis spores.
Area of Science:
- Microbiology
- Sterilization Science
- Chemical Disinfection
Background:
- Traditional heat sterilization methods may damage delicate instruments.
- Chemical sterilization offers an alternative for heat-sensitive medical devices.
- Assessing the efficacy of chemical agents against bacterial spores is crucial for infection control.
Purpose of the Study:
- To evaluate the sporicidal efficacy of 30-percent hydrogen peroxide and acetone at different temperatures.
- To determine the sterilization time required for Bacillus subtilis on various surfaces.
- To establish the D-values and z-values for Bacillus subtilis in hydrogen peroxide.
Main Methods:
- Testing sterilization effectiveness against Bacillus subtilis spores on glass slides and commercial biological indicators.
- Utilizing 30-percent hydrogen peroxide and acetone at 25°C and 60°C.
- Calculating D-values and z-values for Bacillus subtilis in 27-percent hydrogen peroxide.
Main Results:
- Acetone alone demonstrated no sporicidal activity.
- Glass slides treated with hydrogen peroxide were sterile within 5 minutes.
- Biological indicator discs required 25 minutes at 25°C and less than 3 minutes at 60°C for sterilization.
- The D-value of Bacillus subtilis in 27-percent hydrogen peroxide at 25°C was 2 minutes.
Conclusions:
- A 30-percent hydrogen peroxide solution is an effective sporicidal agent.
- Combining 30-percent hydrogen peroxide with an acetone rinse offers a viable alternative to heat sterilization for delicate instruments.
- Optimized sterilization times can be achieved at elevated temperatures (60°C).