Antisepsis, Disinfection, and Sterilization. Gerald E. McDonnell
Binding metals (like calcium and magnesium) and inhibiting their precipitation; water softening and prevention of mineral deposition
In addition to these applications, water itself is a source of microbial contamination (e.g., enteric protozoa, such as Cryptosporidium and Giardia; bacterial pathogens, such as E. coli, Legionella, and Vibrio; and toxins, such as endotoxins), requiring the use of various biocidal products and processes to render it safe for its intended use. The most important of these are the use of halogens (like chlorine and bromine [see section 3.11]), oxidizing agents (like chlorine dioxide and ozone [see section 3.13]), moist heat (boiling and steam distillation [see sections 2.2 and 5.2]), irradiation (such as UV treatment [see section 2.4]), and filtration (see section 2.5).
Water can include various dissolved and suspended contaminants, many of which have negative effects on antiseptic, disinfectant, and sterilization applications (Table 1.29).
Overall, the qualities of water used for particular applications vary, including the following:
Potable water (water that is considered safe for human consumption, which in many countries is tap water)
Pretreated water (e.g., “softened” to remove hardness due to calcium or magnesium ions)
Disinfected (e.g., by UV radiation [see section 2.4])
Filtered to remove gross particulates or pretreated to remove contaminants (e.g., with activated carbon or sodium bisulfite to remove chlorine)
Sterile filtered (to physically remove microorganisms [see section 2.5])
Purified (e.g., by reverse osmosis, deionization, and distillation [see sections 2.5 and 5.2])
TABLE 1.29 Examples of common water contaminants and their effects
Contaminant | Examples | Concerns |
Inorganic salts | Hardness (dissolved compounds of calcium and magnesium) | Inhibits activities of cleaners and biocidal products; can also cause the buildup of scaling over time or “spotting” on a surface |
Heavy metals (metallic elements with high atomic weights, e.g., iron, chromium, copper, and lead) | Can inhibit the activities of cleaners and biocidal products; cause damage to some surfaces (e.g., corrosion); in some cases, toxic and bioaccumulative | |
Organic matter | Trihalomethanes | Toxic chlorine disinfection byproducts |
Proteins, lipids, polysaccharides | Can leave harmful residues, including protein toxins and endotoxins (lipopolysaccharide [see section 1.3.7]); can also reduce the effectiveness of biocides | |
Biocides | Chlorine, bromine | Can cause corrosion and rusting on surfaces (in particular, when carried in steam) |
Microorganisms | Pseudomonas,Salmonella, and oocysts of Cryptosporidium | Biofilm formation and biofouling; deposition onto surfaces or products and cross-contamination |
Dissolved gases | CO2, Cl2, and O2 | Can cause corrosion and rusting (in particular, when carried in steam); noncondensable gases, like CO2 and O2, can inhibit the penetration of steam in sterilization processes. |
In some applications, the quality of water required will be specified, including microbiological and chemical limits that should be considered to ensure the safety and effectiveness of biocidal products and processes.
FURTHER READING
American National Standards Institute. 2006. Sterilization of Health Care Products—Vocabulary. ISO/TS 11139:2006. American National Standards Institute, Washington, D. C.
American National Standards Institute. 2000. Sterilization of Health Care Products—General Requirements for Characterization of a Sterilizing Agent and the Development, Validation and Routine Control of a Sterilization Process for Medical Devices. ISO 14937:2000. American National Standards Institute, Washington, D. C.
Ascenzi, J. M. 1996. Handbook of Disinfectants and Antiseptics. Marcel Dekker, New York, N. Y.
Block, S. S. 2001. Disinfection, Sterilization, and Preservation, 5th ed. Lippincott Williams & Wilkins, Philadelphia, Pa.
Collier, L., and J. Oxford. 2000. Human Virology, 2nd ed. Oxford University Press, New York, N. Y.
Flick, E. W. 1999. Advanced Cleaning Product Formulations, vol. 5. Noyes Publications, Norwich, N. Y.
Fraise, A. P., P. A. Lambert, and J.-Y. Maillard. 2004. Russell, Hugo and Ayliffe’s Principles and Practice of Disinfection, Preservation and Sterilization, 4th ed. Blackwell Publishing, Malden, Mass.
Greenwood, D., R. Slack, and J. Peutherer. 2002. Medical Microbiology, a Guide to Microbial Infections: Pathogenesis, Immunity, Laboratory Diagnosis and Control. Churchill Livingstone, New York, N. Y.
Holt, J. G., N. R. Krieg, P. H. A. Sneath, J. T. Staley, and S. T. Williams (ed.). 1994. Bergey’s Manual of Determinative Bacteriology, 9th ed. Williams & Wilkins, Baltimore, Md.
Hurst,