(Infection Control)

(Infection Control)

3
1. Critical Items

2. Semicritical Items
(mucous membrane)
3. Noncritical items

(Cleaning)
(Cleaning)


(manual washing)
(automatic washers)

(Disinfection)
3
1. (High-Level Disinfection)
ethylene oxide,
(Autoclave)
(Glutaraldehyde,
Chlorine Dioxide, Hydrogen Peroxide Peracetic Acid )
2. (Intermediate Disinfection)
(70-90%
ethanol isopropanol) Chlorine Compounds, Phenolic
Iodophor

3. (Low-level Disinfection)


Noncritical items

1. Alcohol:
(Intermediate Level Disinfectant) 2
Ethyl alcohol (Ethanol) Isopropyl alcohol


ethyl alcohol 70% isopropyl
alcohol 90%
(Surface disinfectant)

2. Chlorine Chlorine Compounds:

Staphylococcus aureus, Salmonella choleraesuis
Pseudomonas aeruginosa
0.5% sodium hypochlorite

3. Glutaraldehyde: chemical
sterilant pseudomonas

6-10
4. Hexachlorophene:

5. Iodophors: antiseptic disinfectant Povidone-Iodine

Betadine Iodophors

6. Phenolic Compounds :
Phenolic Lysol

 12

Alcohol

Intermediate

Aldehyde
Formaldehyde

High

Glutaraldehyde

Intermediate to High

Cidex, Aldecyde 28

Chlorhexidine

Low

Hibitaine, Hibiscrub

Alcohol+Chlorhexidine

Intermediate

Hibisol, Desmanol

Halogens

Hypochlorite

Intermediate to High

Chloramine

Intermediate to High

Chlorox

Iodine
Tinture

Intermediate

Iodophors

Intermediate

Hydrogen peroxide

Povidine, Betadine

Low to High

Phenolic
Cresol

Low to Intermediate

Lysol

Chloroxylenol

Low

Dettol

Very Low

Cetavion

Very Low

Zephiram, Bactyl

Low

Savlon

Low

Resiguard

Quaternary
ammonium
Cetrimide
Benzalkonium
chloride
QACs+Diquanide
Cetrimide+
Chlorhexidine
Benzalkonium+Picloxy
dine
: . (2533).
. ( 1). :
. 14

 (Sterilization)


critical semicritical items
1. (Physical method)
1.1 (Thermal or Heat sterilization)
- (Moist heat)
- (Hot air Dry heat)
- (Boiling)
1.2 (Ionizing radiation)
2. (Chemical method)
2.1 Ethylene oxide gas
2.2 Chemical sterilant
1.
1.1
1.1.1 (Moist heat)

autoclave
(Temperature)



121 132
(Pressure)
15 121
32 134

(Time)
30 121 15
5 132
27
(Moisture)

1.1.2 (Dry heat)

160-180 1-2

1.1.3 (Boiling) 100

30

1.2 (Ionizing radiation) (gamma rays)

2.
1. Ethylene Oxide (EO)
EO
49-60 (120-140 )
3-6
2. Peracetic acid
20-30
3. Glutaraldehyde 2%
30
6-10