Staining and Fixation Techniques in Microbiology
Staining and Fixation Techniques in Microbiology
Raji Notes
Staining
Staining methods are used to elevate the visibility and highlight specific
morphological structures of the microorganisms. It is also used to preserve them.
Before staining, the specimen is smeared and fixed by the method of fixation.
Fixation is a method in which the complete structures of the cells or microorganisms
are fixed in the positions and are preserved.
Inactivation of enzymes, which cause cell morphological disruption.
Cell structure gets rigid in form, which helps it to remain stationary during
staining & observation.
Usually, microorganisms are killed & attached strongly to the slide during the
fixation process.
Smear preparation:
Smears should be spread evenly covering an area of about 15–20 mm diameter on a slide.
1. An evenly spread smear should be prepared covering area of 15-20mm diameter.
2. Avoid thick and dense smear because thick smear prevents light penetration to
visualize the morphology of cell.
3. A good smear is one that, when dried, appears as a thin whitish layer or film. The
print of textbook should be legible through the smear.
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4. Different techniques are used for smear preparation depending upon culture
media.
A. Broth culture:
Resuspend the culture by tapping the tube with your finger.
Depending on the size of the loop, one or two loopfuls should be applied to the
centre of the slide with a sterile inoculating loop and spread evenly over an area
about the size of a dime.
Set the smears on the laboratory table and allow to air-dry
B. Culture plates:
Organisms cultured in a solid medium produce thick, dense surface growth and are
not amenable to direct transfer to the glass slide.
These cultures must be diluted by placing one or two loopfuls of water on the centre
of the slide in which the cells will be emulsified.
Transfer of the cells requires the use of a sterile inoculating loop or a needle.
Only the tip of the loop or needle should touch the culture to prevent the transfer of
too many cells.
Suspension is accomplished by spreading the cells in a circular motion in the drop of
water with the loop or needle. This helps to avoid cell clumping.
The finished smear should occupy an area about the size of a nickel and should
appear as a translucent, or semi-transparent, confluent whitish film
Air dry:
Smear should be allowed to dry completely at room temperature at safe place
Fixation of smear:
The purpose of fixation of smear is to preserve and prevent smear being washed
away during staining.
Smears are fixed by heat, alcohol and occasionally by other chemical
1. Heat fixation:
After smear is air dried completely, rapidly pass the 3-4 times through flame of
Bunsen burner or sprit lamp.
Avoid too much heating.
After heat fix, allow the smear to cool before staining.
2. Alcohol fixation:
Allow smear to air dry completely.
Fix the smear with one or two drops of 70% alcohol, and leave it for 2 minutes until
the alcohol dries up.
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(b) Differential Staining: A stain which imparts different colours to different bacteria is
called differential stain (which contains more than one stain). Ex: Gram’s stain, Acid fast
staining, Special stains.
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Fig:
Simple Staining
Differential Technique
Gram Staining
Danish physician Hans Christian Gram developed the Gram staining method in 1884. Gram
staining procedure uses four chemicals; crystal violet, iodine, alcohol, and safranin, to stain
bacteria
Gram staining is still the cornerstone of bacterial identification and taxonomic division. This
differential staining technique separates most bacteria into two groups based on cell wall
composition.
Gram-positive bacteria- stains purple
Gram-negative bacteria-stains red/pink
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Nearly all clinically important bacteria can be visualized using the Gram staining technique,
the only exceptions being those organisms; It is the type of differential staining that is used
to differentiate the bacteria majorly into two groups, i.e. gram-positive and gram-negative
based on cell-wall difference and by the sequential application of crystal violet, iodine,
alcohol and safranin.
The principle of gram staining relies on the reaction of a bacterial cell with the Gram
stain, which finally differentiates the bacteria into gram-positive and gram-negative.
First, the Crystal violet dissociates into CV+ and Cl– that further penetrates the
bacterial cell and stains the cell violet. Then, the Iodine (I or I-3) is added, which
interacts with the CV+ and forms Crystal Violet-Iodine (CV-I) complex. This CV-I
complex forms within the cell wall and the cell cytosol or cytoplasm. After that, the
decolourizing agent, i.e. Ethanol interacts with the lipid content of the bacteria, and
this treatment is the important step to differentiate both gram-positive and gram-
negative cell.
In the gram-negative cell, the outer membrane that contains the lipopolysaccharide is
dissolved by ethanol. As a result, the peptidoglycan layer gets exposed. The gram-
negative cell consists of thin peptidoglycan cross-linkages, by which the CV-I
complex is washed out of the cell.
Oppositely, a gram-positive cell has highly crossed-linked or thick peptidoglycan.
This peptidoglycan layer gets dehydrated by the addition of decolourizing agent
(Ethanol), which tightens the peptidoglycan layer. This dehydration or tightening of
the peptidoglycan layer traps the CV-I complex strongly within the cell.
After decolourization, the gram-negative cells lose the colour of the primary stain
and stain pink when treated with a positively charged counterstain, i.e. Safranin. In
gram-positive bacteria, the cell retains the colour of the primary stain, i.e. Crystal
violet and appears violet in colour.
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1. Fixation of clinical materials to the surface of the microscope slide either by heating or
by using methanol. (Methanol fixation is recommended rather than heat fixation. Methanol
fixation preserves the morphology of host cells and bacteria. Heating the slide causes cell
distortion, could increase cell debris, and may cause erroneous Gram stain results.).
2. Application of the primary stain (crystal violet). Crystal violet is a dark blue to purple
dye. It stains all cells blue/purple.
3. Application of mordant: The iodine solution (mordant) is added to form a crystal violet-
iodine (CV-I) complex; all cells continue to appear blue.
4. Decolourization step: The decolourization step distinguishes gram-positive from gram-
negative cells. The organic solvent such as acetone or ethanol extracts the blue dye
complex from the lipid-rich, thin-walled gram-negative bacteria to a greater degree than
from the lipid-poor, thick-walled, gram-positive bacteria. The gram-negative bacteria
appear colourless, and gram-positive bacteria remain blue.
5. Application of counterstain (safranin): The red dye safranin stains the decolorized
gram-negative cells red/pink; the gram-positive bacteria remain blue.
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The use of acid-alcohol in the technique earned it the name Acid-Fast Stain and the
application of heat in the technique gives it the name the hot method of Acid-Fast staining
which is a synonymous name for the Ziehl-Neelsen Staining technique. This technique is
used on microorganisms that are not easily stained by basic stains such as Negative staining
or Gram staining. One of the most complex micro-organisms that require harsh treatment of
the Ziehl-Neelsen compounds is the Mycobacterium spp.
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Observation
After performing acid-fast staining, we could observe the following changes, as you could
see in the figure below. Without staining, the bacteria appear colourless. So, it becomes
necessary to stain the bacteria to identify and classify them based on their physical and
chemical differences. On primary staining, the Ziehl-Neelsen carbol fuschin stains both the
acid-fast bacteria and non-acid fast bacteria to appear red.
In the decolourization stage, non-acid fast bacteria lose the colour of the primary stain or
appear colourless, whereas acid-fast bacteria appear red. Finally, the colourless non-acid fast
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bacterial cells take up the colour of methylene blue and appear blue. Oppositely, the acid-
fast bacteria will remain red even after the counterstaining.
Table: Observation of Acid Fast & Non-Acid Fast Staining
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Sterilisation
Microorganisms play an important role in causing infection and contamination. Therefore,
Sterilization is an important technique in microbiology which helps to remove or destroy
microorganisms from materials or surfaces.
Sterilization is the complete removal of microorganisms from an object or surfaces.
Sterilization is obtained when microorganisms are subjected to antimicrobial agents for
sufficient time and at optimum conditions.
History of sterilization
LOUIS PASTEUR of France was among the first to use sterilization techniques, he
developed the steam sterilization, hot air oven and the autoclave. Pasteurization was
a method developed by him to rid of bacilli from milk.
JOSEPH LISTER applied Pasteur’s work and introduced antiseptic technique in
surgery (1867). He is the father of antiseptic surgery.
Methods of Sterilisation
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II. Drying: Moisture is essential for growth of bacteria. Drying in air has deleterious effect
on many bacteria. However, spores are unaffected. Therefore, it is not really unreliable.
III. Heat
Heat is a mostly used method of sterilization. Moreover, it is a highly effective and most
reliable process. There are two major methods of using heat in sterilization which are dry
heat and moist heat. The principle behind both of these methods is similar. Dry heat
induces the denaturation of protein, oxidative damage and toxic effect due to the high
level of electrolytes. Moreover, the dry heat can also damage the DNA of the
microorganism. As a result, the microorganism got killed. Moist Heat kills the
microorganisms by denaturation and coagulation of proteins. There are several factors
that can influence the heat killing procedure. Such as
Temperature and Duration: The duration and temperature are inversely connected to
each other. Therefore, in the case of the long duration of heat provided for sterilization,
the temperature will be reduced while in case of high temperature the duration will be
reduced.
Characteristic of the Microorganism: Microorganisms can be present in both vegetative
and spore form. Spore forms are generally heat resistant. Therefore, the sterilization
process will vary on the basis of the characteristic of the microorganism.
Type of Material: Organic substances often provide protection to the vegetative and
spore form of microorganisms which reduces the lethal property of heat. Apart from
that, the materials containing the substances are also needed to be heat stable for proper
sterilization.
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b) Flaming
Glass slides, scalpels, and mouths of culture tubes or conical flasks are passed
through Bunsen flame without allowing them to become red hot.
Flaming is a type of dry sterilization that involves exposure of metallic objects
to flame for some time where the flame burns microbes and other dust
presents in the instrument.
In the case of flaming, the instrument is dipped in alcohol or spirit before
burning it in a gas flame.
This process doesn’t ensure sterility and is not as effective as red-hot
sterilization.
Fig: Flaming
c) Incineration
This procedure is used to reduce the infective material into ashes by burning.
The incinerator is used for the process. Soiled dressings, animal carcasses,
bedding, and pathological materials are dealt with this method.
Incineration is the process of sterilization along with a significant reduction in
the volume of the wastes. It is usually conducted during the final disposal of
the hospital or other residues.
The scraps are heated till they become ash which is then disposed of later.
This process is conducted in a device called incinerator.
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Fig: Incinerator
Mechanical parts
Coat/Cabinet: The external shield is built of aluminium or stainless steel,
which resists mechanical shocks and oxidation. It also insulates the internal
environment from the external surroundings and prevents heat loss.
Fibreglass: The space between the outer cabinet and inner chamber is filled
with thick glass wool insulation. Two types of fiberglass are present,
namely, brown fiberglass and yellow fiberglass. The latter is less dangerous
compared to the former. Brown glass causes inflammation in the respiratory
system, while yellow glass causes skin sensitivity. Thus, it is preferred to
use hand gloves while dealing with it. It also functions to prevent heat loss
from the inside of the device to the outside.
Chamber: The rectangular-shaped chamber is made of aluminium or
stainless steel, which has space for ribs to keep shelves at the desired levels.
Shelves (Mesh): These are objects holding plates and are made of
aluminium. Depending upon the number and size of objects, as well as the
oven capacity, their number may vary. When they are placed on the ribs, the
movement of air is facilitated by lifting some areas. Also, some shelves may
contain openings for aeration.
Motorized fans/ blower: The fan is driven by the motor and is used to
distribute hot air inside the chamber evenly.
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Door: A single door on one side is fitted on the heavy hinges. The presence
of an asbestos door gasket on the side is used to decrease heat loss during
the operation.
Electric parts
Power supply: The power supply is done with the use of a 220V-50Hz
transformer and rectifier.
Heater: With the passage of electric current through a conductor, heat is
generated following the rise of temperature. The heating element has three
main features: high resistance, electrical insulation, and high thermal
conductivity. The different types of heaters used in hot air ovens are One
side circular type heater, One side U type heater, One side wave type heater,
One side square type heater, Three sides type heater, and Four sides type
heater. The heater operates at temperatures from 50 to 300 degrees Celsius.
Thermostat: It is a heat sensor connected directly to a heater and can resist
extreme heat with a high negative temperature coefficient. It facilitates users
to obtain the desired temperature in the hot air oven and prevent
temperature overshoot.
Temperature indicator: Either a thermometer or thermocouple can be used
to determine the internal temperature of the oven.
Timer: There may be two types of timers: Electrical or Mechanical, which
can operate for 5-60 minutes given the time period for sterilization.
Fuse: Fuse functions to prevent electrical damage due to high current
during short circuits or high loads.
Control Panel: It is the region that allows the user to control different
parameter settings such as temperature, time, etc., as well as has an
indicator power lamp (usually green), indicator heater lamp (usually red),
and switch knob.
Procedure
Here are the steps of operating a hot air oven:
The oven is plugged into the socket and switched on.
The oven is preheated for 30 minutes before placing the items on the trays or
shelves.
The temperature gauge is set at the desired time, depending on the volume
of the contents to be sterilized.
The items are loaded on the shelves (appropriate spacing should be
maintained between the articles on the trays for efficient heat circulation).
The door is closed by fastening the screws provided, after which the
temperature begins to rise.
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Application
It is used for sterilization of laboratory equipment such as glassware (flasks,
pipettes, Petri-plates, and test tubes), culture media, metal items (forceps,
spatula, scalpel, scissors), non-volatile compounds (zinc and starch powder,
sulphonamide), and other materials that contain oils.
It can be employed for testing food items, pharmaceutical products and
other consumable materials in order to ensure their temperature stability
during the shelf life.
It can be used in research settings in the field of biology, chemistry and
material science.
It can be used in heat treatment and drying of samples, such as metals,
alloys, soil, and other materials.
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The dry heat does not corrode or rust metals or other sharp articles.
It is smaller in size and is convenient to work on.
Less pressure built in it ensures safety during operation.
It is non-toxic. No harmful chemical residues will be discarded.
The dry heat can penetrate deeply into thick objects such that it helps to
achieve an in-depth sterilization effect.
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ii) Inspissation: Heating at 80-85° C for half an hour daily on three consecutive
days. Serum or egg media are sterilized.
ii) Tyndallization: Exposure at 100° C for 20-45 minutes for followed by incubation
at 37°C overnight. Repeated for another 2 successive days. Used for sterilizing
sugars, gelatin, & serum containing media. The vegetative bacteria are killed in the
first exposure and the spores that germinate by next day are killed in subsequent
days. The success of process depends on the germination of spores.
iii) Steam sterilizer: Koch’s and Arnold’s steam sterilization is usually used for
media which can easily decompose due to the high temperature in the autoclave.
Those media are kept on a perforated tray and steam at 100o C and at atmospheric
pressure passes through the media for 90 minutes. It is an effective method to kill
vegetative cells.
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3) Above 100°C
(i) Autoclave
An autoclave is a machine that provides a physical method of sterilization by killing
bacteria, viruses, and even spores present in the material put inside of the vessel
using steam under pressure. Autoclave sterilizes the materials by heating them up to
a particular temperature for a specific period of time. The autoclave is also called a
steam sterilizer that is commonly used in healthcare facilities and industries for
various purposes. The autoclave is considered a more effective method of
sterilization as it is based on moist heat sterilization.
Principle
The autoclave works on the principle of moist heat sterilization where steam
under pressure is used to sterilize the material present inside the chamber.
The high pressure increases the boiling point of water and thus helps achieve
a higher temperature for sterilization.
Water usually boils at 100°C under normal atmospheric pressure (760 mm of
Hg); however, the boiling point of water increases if the pressure is to be
increased.
Similarly, the high pressure also facilitates the rapid penetration of heat into
deeper parts of the material, and moisture present in the steam causes the
coagulation of proteins causing an irreversible loss of function and activity of
microbes.
This principle is employed in an autoclave where the water boils at 121°C at
the pressure of 15 psi pound per square inch or 775 mm of Hg.
When this steam comes in contact with the surface, it kills the microbes by
giving off latent heat. (Latent heat is defined as the heat or energy that is
absorbed or released during a phase change of a substance. It could either be
from a gas to a liquid or liquid to solid and vice versa. Latent heat is related
to a heat property called enthalpy)
The condensed liquid ensures the moist killing of the microbes.
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Parts of Autoclave
(a) Pressure Chamber
The pressure chamber is the main component of a steam autoclave consisting
of an inner chamber and an outer jacket.
The inner chamber is made up of stainless steel and the materials to be
sterilized are kept in it.
The outer jacket is filled with steam to reach the sterilization temperature.
The size of the pressure chamber ranges from 100 L to 3000 L.
(b) Lid
The purpose of the lid is to seal off the outside atmosphere and create a
sterilized condition on the inside of the autoclave.
The lid is made airtight via the screw clamps and asbestos washer.
The lid consists of various other components like:
(c) Pressure gauge
A pressure gauge is present on the lid of the autoclave to indicate the pressure
created during sterilization. It also assures the safety of the autoclave and the
working condition of the operation.
(d) Pressure releasing unit/ Whistle
Is present on the lid of the autoclave and the whistle controls the pressure inside
the chamber.
(e) Safety valve
A safety valve is present on the lid of the autoclave, which is crucial in cases
where the autoclave fails to perform its action or the pressure inside increases
uncontrollably.
The valve has a thin layer of rubber that bursts itself to release the pressure and
to avoid the danger of explosion.
(f) Steam generator/ Electrical heater
An electrical steam generator or boiler is present underneath the chamber
that uses an electric heating system to heat the water and generate steam in
the inner and the outer chamber.
The level of water present in the inner chamber is important as if the water is
not sufficient; there are chances of the burning of the heating system.
Similarly, if the water is more it might interfere with the trays and other
components present inside the chamber.
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Fig: Autoclave
Advantages of Autoclave
Nontoxic to patient, staff, environment
Cycle easy to control and monitor
Rapidly microbicidal
Least affected by organic/inorganic soils among sterilization processes listed
Rapid cycle time
Penetrates medical packing, device lumens
Disadvantages of Autoclave
Deleterious for heat-sensitive instruments
Microsurgical instruments damaged by repeated exposure
May leave instruments wet, causing them to rust
Potential for burns
Applications
They are used to decontaminate specific biological waste, sterilize media,
instruments, and lab ware.
Regulated medical waste that might contain bacteria, viruses, and other
biological materials is recommended to be inactivated by autoclaving before
disposal.
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(a) X-rays
X-ray and gamma rays are the commonly used ionizing radiation for
sterilization.
X-rays are lethal to microorganisms.
They have considerable energy and penetration ability.
X-rays have been widely employed experimentally to produce microbial
mutants.
However, they are impractical for purposes of controlling microbial
populations because
(1) They are very expensive to produce in quantity and
(2) They are difficult to utilize efficiently, since radiations are given off in all
directions from their point of origin.
These are high energy radiation which causes ionization of various
substances along with water.
The ionization results in the formation of a large number of toxic O2
metabolites like hydroxyl radical, superoxide ion, and H2O2 through
ionization of water.
These metabolites are highly oxidizing agents and kill microorganisms by
oxidizing various cellular components.
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Non-ionizing radiation
Infrared radiation and UV radiation comes under this of radiation. Infrared radiation
is used for mass sterilization of syringes and catheters. UV radiation with a
wavelength of 240 nm to 280 nm has bactericidal capacity. The UV radiation causes
protein denaturation and interferes with DNA replication of bacteria. UV radiations
are used for sterilization of close areas, surfaces, operation theatres, laminar airflow,
etc.
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Disadvantages
Possess threat to human, lengthy process, requires very qualified person
i. Ethylene oxide
EtO sterilization is mainly use to sterilize medical & pharmaceutical products that
cannot support conventional high temperature steam sterilization- such as devices
that incorporate electronic components, plastic packaging or plastic container.
This method uses automatic device filled with ethylene oxide gas at temperature
below 100°C to sterilize complex & delicate material. EtO destroys microorganism by
chemically reacting with nucleic acid.
An ethylene oxide sterilizer consists of a chamber of 100-300-Litre capacity and
surrounded by a water jacket. Air is removed from sterilizer by evacuation,
humidification and conditioning of the load is done by passing sub-atmospheric
pressure steam, then evacuation is done again and preheated vaporized ethylene
oxide is passed.
After treatment, the gases are evacuated either directly to the outside atmosphere or
through a special exhaust system.
Ethylene oxide gas has been used widely to process heat-sensitive devices, but the
aeration times needed at the end of the cycle to eliminate the gas made this method
slow.
Advantages
Fully automatic, high efficiency, 100% result
Disadvantages
Complex and time-consuming process, carcinogenic safety concern
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2) Liquid sterilization
i) Alcohol: Alcohols are effective disinfectants for many reasons. They evaporate quickly,
without leaving a residue. They are capable of dissolving lipids, which makes them
effective against lipid-wrapped viral cells such as HIV and hepatitis A. They are
inexpensive and relatively easy to handle, although their vapours are flammable.
Ethanol and isopropyl alcohol are both members of the alcohol family and have similar
disinfectant properties. Ethanol is the type of alcohol present in alcoholic beverages.
Isopropyl alcohol is also known as isopropanol, 2-propanol or rubbing alcohol. When
used as disinfectants, both are typically at a concentration of 70 percent in water.
ii) Phenols: Phenol is one of the oldest antiseptic agents. Phenols acts by damaging cell
membrane thus releasing cell contents & causing lysis. Phenols are commonly found in
mouth washes, scrub soaps, & surface disinfectants. Phenols are used for
decontamination of the hospital environment, including laboratory surfaces, & non
critical medical items.
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Procedure: The solution to be sterilized is passed through the filter and collected in the
sterile receiver by the application of positive pressure to the nonsterile compartment or
negative pressure to the sterile slide.
Mode of action the filters are thought to function by one or usually a combination of the
following: 1. Sieving or screening 2. Entrapment 3. Electrostatic attraction. When a
particle is larger than the pore size of the filter the particle is retained on the filter- this
known as sieving or screening
Entrapment occurs when a particle smaller than the size of the pore enters into the pore
channel and lodges onto the curves of the channel while passing through it. In
Electrostatic attraction Particles are attracted & absorbed at the surface of the filter bed
which is oppositely charged. There are 5 types of filters:
1. Membrane filters 2. Sintered or Fritted glass filters 3. Seitz filters 4. Filtration
sterilization of gases 5. Candle filters
Membrane filters are plastic membranes based on cellulose acetate, cellulose nitrate,
or mixed cellulose esters with pore sizes in the micron or submicron range. They are
very thin, about 120, µ and must be handled carefully. They act like a sieve, trapping
particulate matter on their surface. Several grades of filters are available with pore
sizes ranging from 0.010 ± 0.002 µ to 5.0 ± 1.2 µ. Filters with pore sizes from 0.010 to
0.10 µ can remove virus particles from water or air. Filters with pore sizes from 0.30
to 0.65 µ are employed for removing bacteria. Filters with the larger pore sizes, viz.
0.8, 1.2, and 3.0 to 5.0 µ are employed, for example, in aerosol, radioactivity, and
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particle sizing applications. The entire assembled unit is sterilized either by steam
under pressure or by ethylene oxide. Membranes may be sterilized separately by
steam under pressure or ethylene oxide. The filter unit is assembled under aseptic
conditions. Filtration process is carried out by creating suction with the help of
suction pump. Most bacteria are trapped by filter and filtrate must be collected into a
sterile flask.
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1. Physical Indicators
(i) Moist Heat
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2) Chemical Indicators
Chemical monitoring of the sterilization process involves change in chemical
or physical properties of the chemical monitors by sterilization process.
The most common used chemical monitors are as follows,
o Brown’s Tubes
o Witness Tubes
o Heat Sensitive Tape.
o Royce Sachet
o Chemical Dosimeters.
(i) Brown’s Tubes
Commonly used for heat processes
These are small tubes containing reaction mixture and an indicator.
Exposure to high temperature causes a colour change in the tube from red,
yellow, brown to green showing a specific temperature.
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Small strips of the tape are applied to the items before they are placed into the
autoclave.
The tape is similar to masking tape but slightly more adhesive, to allow it to
adhere under the hot, moist conditions of the autoclave.
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3. Biological Indicators
It consists of a suitable microorganism deposited on a carrier and placed in
load.
After sterilization they are collected and checked for viable microorganisms
indicating effectiveness of the sterilization process.
The microorganism to be used should possess following abilities,
Highly resistant to the sterilizing agent.
Genetically stable.
Non-pathogenic.
The viability of the organisms, storage condition, incubation and culture
conditions must be standardized before the use.
The organisms usually used are spores as they are tougher life forms.
Most common biological indicators and sterilization processes are as follows,
Table: Biological Indicator
Sterilization Process Species Used
Autoclaving at 121°C Bacillus stearothermophilus
Clostridium sporogenes
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