Download as pdf or txt
Download as pdf or txt
You are on page 1of 7

Biosafety and Waste Management in Molecular Laboratory

THE LABORATORY QUALITY SYSTEM


3 Forms:
• Sterilization – Removal or Destruction of all forms of life,
including bacterial spores.
• Killing all types of microorganisms.
Examples:
o Autoclaving
o Gamma Radiation (for heat sensitive; e.g., Pasteur
pipette; requires a facility for radiation containment)
o Hydrogen Peroxide Gas
o Ethylene Oxide
o Incineration
• Disinfection – Removal, inhibition, or killing of
microorganisms including potential pathogens by using
chemical agents usually on inanimate objects; does not
remove all bacterial spores.
• Only kill the vegetative organisms but not bacterial
Why is Safety Important? spores; only reduces the microbial contamination
• Antisepsis – Antimicrobial substances typically applied in
• Coming in contact with human blood or blood products the skin to reduce possibility of sepsis formation or
(plasma, serum, etc.), or with certain chemicals used in the putrefaction.
laboratory, is potentially hazardous. o Injection sites (Germicidal solutions)
• What’s inside the laboratory should remain inside, without o 70% Ethanol
any leakage. o Iodine Tincture (Iodine + Alcohol)
• Coming in contact with human blood or blood products o Iodophor (Iodine + Detergent)
(plasma, serum, etc.), or with certain chemicals used in the o Hydrogen Peroxide
laboratory, is potentially hazardous. o Used in living tissues
• Safety involves taking precautions to protect you and • Question: Alcohol, 70% ethanol. Is it a disinfectant or an
coworkers against infection, injury or poisoning. antiseptic solution?
• Answer: Both
• Ratio: Alcohol can be used in the skin and for inanimate
objects.
HAND HYGIENE
• Iodine: Only an antiseptic solution.
*The first important to prevent any contamination is through
Proper Hand Hygiene. STANDARD PRECAUTIONS
*If working with your bare hands you are at risk of contracting • Previously called as Universal Precautions (with blood
any disease, especially the Respiratory Infections: Influenza, only)
colds, CoronaVirus. Other Infectious Agents: Salmonella • Include all body fluids, except for sweat. Regardless of the
*Before wearing gloves, we must practice proper hand presence of blood or not, as long as it is a body fluid, it is
hygiene. considered as infectious.
*It is better to use liquid soap, rather than bar soap, because • Treat all as infectious.
there is a lesser chance to transfer the infectious • Minimum infection prevention practices that apply to all
agents. patient care, regardless of suspected or confirmed infection
• Persons must wash their hands after working potentially status of the patient, in any setting where health care is
hazardous materials and before leaving the Laboratory. delivered (CDC)
• Lather and Scrub: 20 seconds a) Avoid touching eyes, nose, or mouth with gloved or
• Rinse: 10 seconds unwashed hands
• Do not use Hand Dryers! b) ALL SPECIMENS shall be treated as infectious
• Performance of entire handwashing: 40-60 seconds c) Avoid wearing jewelry
d) Refrain from using mobile electronic devices inside the
DECONTAMINATION Laboratory
• Decontamination – Process of removing or neutralizing e) Keep work area tidy, clean, and free of cluster and
chemical or Biological Agents so that they no longer pose a materials not necessary for the work being done
hazard. (https://ncbi.nlm.nih.gov)
DECONTAMINATION/DISINFECTION
*Germicidal solution
*Before starting any molecular techniques; you must
decontaminate.
• Use of decontamination solutions with proven activity
against enveloped RNA viruses
➢ 70% Ethyl Alcohol
➢ 10% Sodium Hypochlorite: Spills (1:10)
➢ can increase up to (1:5) dilution.
➢ 1% Sodium Hypochlorite: General Surface
Decontamination
• Contact Time of Bleach: 10-15 minutes
• All surfaces and equipment must be decontaminated
before and after usage.

CHEMICAL AGENTS
Efficacy is based on different factors:
• Organic Load (active component)
➢ type of chemical agent that we are using
➢ Sodium hypochlorite (active component of bleach),
ethanol
• Microbial Load
➢ Type of Organism
➢ Condition of surface to be decontaminated
➢ Disinfectant concentration, pH, temperature, contact
time, environmental humidity

SODIUM HYPOCHLORITE
*Also known as household bleach. Sodium hypochlorite is the
active component of the chlorine/ bleach that we are using. If
mixed with incompatible chemicals, it can produce toxic by-
products and gases. It should be diluted first in water.
*It is routinely used in the laboratory to decontaminate surfaces
and to inactivate vegetative bacteria, fungi, lipid and non-lipid
viruses.
• Contact Time: 10-15 Minutes
o Exposure to air (↓ free Chlorine concentration due to
• Bought in concentrations of 5-8.25%, most common:
Chlorine evaporation)
5.25%; (amount of sodium hypochlorite in the bleach.)
o Storage in direct sunlight and varying temperatures
*It is highly corrosive and reactive. Thus, it must be diluted.
(NaOCl solutions can be stored up to 6 months if this
• Preparation: 1:10 or 1:100
is followed!)
o At least 5000 ppm (parts per million), no more than
• Bleach loses 20-50% of its concentration (deteriorates)
10,000 ppm Chlorine for decontamination
after 6 months
• CORROSIVE: Needs to be washed after (Steel); It is an
• Different Cleaning Jobs Require Different Bleach Solutions:
oxidizer (can cause damage to living tissues).
• General lab use: Hypochlorite Solutions
• DO NOT AUTOCLAVE BLEACH SOLUTIONS!
*Example: Prepare 50 ml of 1:10 and 1:100 dilution.
o toxic fumes; damaging to lungs when inhaled.
*10% of 50 mL= 5 mL of NaOCl and 45 mL of water
• Effect: Oxidative effect of Hypochlorous acid
• Avoid the following:
LYSOL
*Phenolic compounds, very active vegetative bacteria and lipids
containing viruses. But cannot kill spores.
• 2 Active Ingredients: Benzalkonium Chloride or Hydrogen
Peroxide
*Even if these two active ingredients are antiseptic, it cant
be used in the skin as it contain other ingredients such as
phenol, an organic solvent that can cause obvious damage
in the skin (corrosive) and is carcinogenic.
• KNOWN EFFECTIVE AGAINST MANY
MICROORGANISMS
Effects:
o Benzalkonium Chloride: Disruption of cell membrane
ALCOHOL (create a hole), resulting in leakage of cell contents.
• Best preparation: 60-90% Alcohol (↑ Water conc while o Hydrogen Peroxide: Degrades Organic compounds by the
maintaining high Alcohol concentrations ↑ contact time of highly reactive Hydroxyl radical (-OH). It results to oxidative
Alcohol to microorganism) burst.
o For highest effectiveness- 70% (achieved the required
contact time of 2-5 minutes) SPILL CONTROL
o 95% (lesser contact time since highly • General Steps:
concentration=highly volatile) 1) Add concentration bleach (>5.25% available Chlorine) to a
• If used as a disinfecting agent: final concentration of 10% Bleach (1:10; can also use 1:5,
– Without Bleach:2-5minutes depending on the severity)
– With Bleach: No need for contact time 2) Let the solution sit for 30-60 minutes (variable; depends on
• Bactericidal, Fungicidal, Virucidal, non-Sporicidal the amount of spill: smaller spills=10-15 minutes).
– Lipid containing- easy to kill 3) Larger volumes may require longer contact times.
– Lipophobic (non-lipid)- variable. 4) Dispose of the solution down the sanitary sewer.
• Allowed to evaporate from the surface to which they were
applied to achieve maximum effectivity. INACTIVATION METHOD FOR PRIONS
• Effect (not commonly used): Cause *It is a combination of chemical disinfection and
denaturation/aggregation of protein and dissolution of lipid autoclaving.
membrane • Instrument: (applied to reusable apparatus such as test
• Should not be used as a lone decontaminant for tubes)
MOLECULAR TESTING (sodium hypochlorite or Lysol is ➢ Immerse in 1N NaOH or 2.5% NaOCl for 1 hour;
used) – causes aggregation of nucleic acids not eradicating remove and rinse in water, and then transfer to an open
them pan and treat in a gravity displacement (121C) or porous
load (134 C) autoclave for 1 hour.
ULTRAVIOLET LIGHT • Surfaces:
*Disinfectant only; not sterilization procedure ➢ Spray or pour 1N NaOH or 2.5% NaOCl on surface and
*Comparing UV Light (longer wavelength=low energy=lesser let sit for 1 hour. Ensure surfaces stay wet for the entire
penetration) to Gamma Rays (shorter wavelength= high period. Surfaces should be clean of any gross
energy=penetrate through walls). contamination as organic material can reduce the
*It can kill organisms floating in the air. Example: As a Room effectiveness of the solutions.
Disinfectant: Exposing laboratory rooms with UV light to destroy
the bases of the nucleic acid of the organisms floating in the air. INACTIVATION OF MICROORGANISMS:
• A type of non-ionizing radiation that causes damage to ❖ AUTOCLAVE
cellular DNA by producing Thymine dimers *Most effective method of sterilizing laboratory equipment
– Most lethal wavelength: 260nm especially for liquid handling products (e.g., glasswares).
– Longer wavelength (>1 nm) and low energy • Principle: Steam under pressure (boiling point of water
• Microorganisms are destroyed when water is passed under increases as the pressure increases)
the UV Lamps • Fastest and simplest method of sterilization – all organisms
• Quality Control Indicator: Bacillus pumilus (except Prions) and spores are killed within 15 minutes.
o (+) growth: incomplete disinfection • Example culture media in Bacteriology.
o (-) growth: complete disinfection • Biological Indicator: Geobacillus stearothermophilus
• Disadvantage: Can only destroy those under its direct • Properties: psi: pounds per square inch
contact. Eyes and skin (reddening, sunburn, and skin o 121C, 15 psi, for 15 minutes: Media, Liquids, Utensils,
cancer). Glass Pipettes, and Instruments for Assay (to be used
*Wears out overtime. Has little to no effect on RNA. materials)
o 132C, 15 psi, 30-60 minutes: Decontaminating Medical
Wastes (used materials/contaminated=higher
temperature, longer time)
QUALITY CONTROL FOR AUTOCLAVE
❖ Biological Indicator: BIOSAFETY MANAGEMENT
➢ After autoclaving, incubate the tubes at 37 C for 24 hours. *Managerial factors: Responsibility of the head of the
➢ No color change if sterilization is complete= laboratory to ensure. Concrete plan, protocol, employees
VIOLET/PURPLE should be well aware.
➢ Turns color YELLOW if growth happens=contaminated 1) Ensure the development and adoption of a biosafety
❖ Autoclave Tape: management plan and a safety or operations manual.
➢ Turns black (dead) if Sterilization is complete 2) Ensure that regular training in laboratory safety is provided-
➢ Geobacillus stearothermophilus: spore forming organism Biosafety seminar (3 days)
(inactivated= non-infectious 3) Personnel should be advised of special hazards, and
required to read the safety or operations manual and follow
BIOSAFETY CABINET standard practices and procedures
• Calibrated and Certified before use 4) There should be an arthropod and rodent control
programme.
• Practice proper usage, placement, and decontamination
➢ can be a vehicle of disease transmission
(UV light)
5) Appropriate medical evaluation, surveillance and treatment
• The Biosafety Cabinet is a requirement to process
should be provided for all personnel in case of need, and
infectious specimens.
adequate medical records should be maintained. (Annually)
*Commonly used: Class II
• Active or Passive immunization
*Highest Level of Containment: Class III
*Providing clean recirculating air inside • Hep B Vaccine
• Active: own forming of Ab
HOW BIOSAFETY CABINETS PROVIDE • Passive: Immunoglobulin
CONTAINMENT/ PROTECTION • Example, Needle prick: Hep B Ig and Anti-tetanus
*Exhaust system: The air coming inside and outside is
already clean. HEALTH AND MEDICAL SURVEILLANCE
1) HEPA Filter – Standard for Biosafety 1) Provision of active or passive (Ig already) immunization
➢ High Efficiency Particulate Air Filter where indicated.
➢ 99.97% efficiency at 0.3 microns (pore size) *Usually, when there is an accident, medtechs or interns
➢ Made from Pleated borosilicate glass, arranged in are given with HbIg and anti-tetanus as passive
random fibers immunization.
*Trap all known infectious agent; ensures that the air that 2) Facilitation of the early detection of laboratory- acquired
will be discharged is microbe-free. infections.
2) ULPA Filter 3) Exclusion of highly susceptible individuals (e.g., pregnant
➢ 99.999% efficiency at 0.12 microns women or immuno-compromised individuals) from highly
➢ Ultra-Low Penetration Air Filter hazardous laboratory work.
*The amount of air that is filtered is extremely low. 4) Provision of effective personal protective equipment and
3) SULPA Filter procedures (by the laboratory).
➢ 99.9999% efficiency at 0.12 microns
• Super Ultra-Low Penetration Air Filter APPLY SAFETY PRACTICES THROUGHOUT THE TESTING
• Curtain of Air” at the opening- protection of the product. PROCESS
• Laminar flow of the filtered air within the BSC- Protection of 1) Before Testing (Pre-analytical)
the personnel o Specimen collection
o Specimen preparation
• Filtration of exhausted air- protection of the environment.
o Specimen transport
*There are holes at the bottom, and if you pat your hands,
*Prevent contamination
you can feel that the air is pulled downward. Thus, there is
2) Testing (Analytical) -Testing
a tendency that the room air coming inside will be pulled
*Must apply safety rules (standard precaution)
downwards (negative pressure) and will go to the blower.
3) After Testing (Post-analytical) -Disposal
The air from the front portion of the blower is pushed, will
➢ clean working area; yellow bag
the air from the back portion is pulled. As the blower pulls
the air (negative pressure; red arrow), the air will be
DEVELOP PERSONAL SAFE WORK HABITS
pushed (positive pressure; pink arrow; still contaminated)
on the filters. The air will either go outside or will go inside • Wash hands before and after entering the lab
again. • Change gloves frequently
• Wear lab coat or apron
• Dispose of contaminated sharps and waste immediately
after testing
• Pipetting by mouth is strictly forbidden
• Never eat, drink or smoke at the test site
• Keep food out of the laboratory/testing site refrigerator
MAINTAIN CLEAN AND ORDERLY WORK SPACE BIOLOGICAL WASTE
• Keep work areas uncluttered and clean • Exposure: Ingestion, Inoculation, Tactile Contamination,
• Disinfect work surfaces daily Aerosolization, Inhalation of Infectious materials
• Restrict or limit access when working • Blood (yellow bag)
• Keep supplies locked in a safe and secure area o HBV, HCV, HIV
• Keep emergency eye wash units in working order and within o Blood-borne pathogens
expiry date o Inactivated and Autoclaved (if incinerated, no needed
to inactivate)
PROPER DISPOSAL OF BIOWASTES • Swabs
• Good Safety Practices o Respiratory infections/
➢ Identify Hazards o Inactivated (Heat, Chemical) and Autoclaved before
➢ Implement safety strategies to contain hazards (must disposal
inactivate waste before disposal) • Tissues
➢ Audit existing practices to determine whether new ones o Should be fixed with a fixative
are needed o Unfixed tissues must be inactivated and autoclaved
• Other body fluids
➢ Sputum: Tuberculosis, other respiratory infections –
Inactivated and Autoclaved

PREVENTION
• Gloves – Primary barrier protection
➢ Not reused or washed for reusing
• Masks/Respirators, Protective Eyewear, Face Shield– for
exposure from splashes to the mouth, eyes, nose
*Depends on the biosafety level (e.g., BSL-3:N95; BSL-
4:respirators)
• Decontaminate work area regularly

CHEMICAL HAZARDS
• Stored in certain sections of the Laboratory
➢ Not in use, packaging with leakage or corrosion:
Replaced
➢ Water reactive chemicals: No contact with water
*Acids and bases must be separated.
• MATERIAL SAFETY DATA SHEET (MSDS) – Document
that gives detailed information about a material and about
any hazards associated with the material or latest: Material
Safety Sheet (MSS)
*Included here are the composition, preparation, and
antidote of the chemical. Inventory of chemicals must
be done.

HANDLING CHEMICALS
• How to properly handling different kinds of chemicals in the
workplace

CHEMICAL HAZARDS IN THE GENOTYPING LABORATORY


Why is it hazardous?
• Ignitable
• Corrosive
• Reactive
• Toxic
Examples
*From left to right: Flammable, Carcinogenic, Toxic, Corrosive
*CMRA Chemicals (Carcinogenic, Mutagenic, Respiratory,
Allergenic): must be careful in handling chemicals with this label.
• Check label for substance verification
• Chemical-resistant gloves
• Containers held away from the body during transferring
• Do not heat with direct flame

• ACID TO WATER (to prevent sudden reaction)


• Do not touch, taste, or smell chemical
• Use a Laboratory Chemical Hood. 1) Evacuate Room and notify others to leave the room and
• Clean spills properly and promptly, dispose accordingly. post a warning sign for No entry
2) Remove all contaminated clothing and /or lab coat and
place in a biohazard bag
CHEMICAL HAZARDS IN THE GENOTYPING 3) Wash all exposed skin with antiseptic soap and water
LABORATORY (running water for 15 minutes)
Examples: 4) Inform supervisor
• Guanidinium thiocyanate (GITC)- commonly used in lysis 5) Decontaminate the area: Assemble clean-up materials
buffers ➢ Large spill - Cover with paper towels and soak with
➢ used in DNA RNA isolation/extraction 10% household bleach and allow to stand for 10-30
➢ carcinogenic and corrosive minutes
➢ Strong denaturing agent ➢ Small spill - Wipe with paper towel soaked in 10%
➢ DO NOT MIX WITH Bleach; gas production; very toxic bleach
• Ethidium Bromide (mutagen)- DNA staining in agarose *If necessary, check other neutralizer on MSDS.
gels, buffers 6) Dispose all contaminated towels in biohazard bag and
➢ as a stain or dye dispose it properly
➢ DNA; attach itself to hydrogen bonds between bases=
causing mutation or cause base changes. IN CASE OF AN ACCIDENT
• Acrylamide (neurotoxin)- part of gel electrophoresis What types of accidents can happen?
➢ Neurotoxic in its pure form (powdered or solution) ❑ Potential Injury, i.e., needlesticks, falls
➢ Polyacrylamide gel: pre-cast already; not toxic ❑ Environmental, i.e., splashes or spills
❑ Equipment damage
What should you do?
ETHIDIUM BROMIDE ❑ Report to supervisor immediately
• For Agarose Gel Electrophoresis
❑ Assess & take action
➢ Intercalating agent, Nucleic Acid stain
❑ Record using form
➢ Fluorescence: Orange
➢ Not directly mutagenic: metabolites are mutagenic ❑ Monitor situation

CARCINOGENS ACTION PLAN FOR IMPLEMENTING SAFETY PRACTICES


• Any substance that can cause cancer. • Identify hazards
➢ Changes the metabolic processes by damaging the • Establish and implement safety policies and procedures
genomes (accessible by all staff)
• Different types • Conduct safety specific training
➢ Decontaminating Agents – Dyes ❑ Must be a priority
➢ Probes and Labels ❑ Communication is key
➢ Preparing enough; we are not storing working • Perform regular audits or assessments (by laboratory head)
solutions.
POLICIES AND PROCEDURES
• Safety reminders (biohazard, chemical, physical) should be
DYES, PROBES, LABELS included in lab SOPs
• SYBR Green • Refer to general lab or institutional procedures and policies
➢ Replacement for Ethidium Bromide for safe handling and waste disposal
➢ Can still bind to DNA with high affinity to the side of
nucleic acid (minor groove) =potential carcinogen DEFINITIONS
• Acrylamide • Many different terms are used for disinfection and
➢ Used in PAGE (Polyacrylamide Gel Electrophoresis) sterilization. The following are among the more common in
➢ Cross-linking agent for gel chromatography and biosafety:
➢ electrophoresis • Antimicrobial- An agent that kills microorganisms or
➢ Can cause peripheral neuropathy, possible carcinogen suppresses their growth and multiplication.
• Phenol • Antiseptic- A substance that inhibits the growth and
➢ Used in Phenol-Acetic Acid-Urea Polyacrylamide Gel development of microorganisms without necessarily killing
Electrophoresis (PAU-PAGE) them. Antiseptics are usually applied to body surfaces
• Chloroform • Biocide- A general term for any agent that kills organisms
➢ solvent for DNA extraction; organic extraction • Chemical germicide- A chemical or a mixture of chemicals
(hazardous) used to kill microorganisms
➢ Extraction of Proteins
➢ Eye damage, fainting, life-threatening
*Both phenol and chloroform are used for DNA extraction.

IN CASE OF A SPILL OR SPLASH


*Don’t panic.

You might also like