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infection control

Sterilization and Disinfection Methods

Sterilization destroys all microorganisms including spores, while disinfection reduces them. Nurses select the correct method for instruments and equipment.

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Key Points to Know

What you must know about Sterilization Methods

1

Sterilization destroys ALL microorganisms, including bacterial spores.

2

Disinfection reduces the number of microorganisms but may not kill all spores.

3

Autoclaving (moist heat under pressure) is the most common and reliable sterilization method.

4

A standard autoclave operates at about 121°C at 15 psi for around 15–20 minutes.

5

Other methods include dry heat, chemical sterilants, and gas (ethylene oxide) for heat-sensitive items.

6

The Spaulding classification categorises items as critical, semi-critical, or non-critical.

NMCN Exam Tips

How this topic appears in the NMCN exam

Sterilization kills ALL organisms including spores — disinfection does not.

Autoclaving is the most reliable sterilization method.

Remember ~121°C, 15 psi, ~15–20 minutes for autoclaving.

Critical items (entering sterile tissue) must be sterilized.

Practice Question

Test yourself

Which method is considered the most reliable for sterilizing surgical instruments in the hospital?

A.Wiping with alcohol
B.Boiling in water for 5 minutes
C.Autoclaving (steam under pressure)✓ Correct
D.Soaking in soapy water

Explanation

Autoclaving uses moist heat (steam) under pressure (about 121°C at 15 psi) and is the most reliable and widely used method of sterilization, destroying all microorganisms including resistant bacterial spores.

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