Quantitative evaluation of prion inactivation comparing steam sterilization and chemical sterilants: proposed method for test standardization - 18/08/11
Summary |
Prions are notoriously resistant to inactivation. To prevent accidental transmission of variant Creutzfeldt-Jakob disease (vCJD), various decontamination procedures have been adopted for re-usable medical devices by the authorities of countries at risk. As the vCJD agent in humans has a wide tissue distribution, practical methods of prion decontamination urgently need to be standardized, as do other sterilization and disinfection procedures (European Committee for Standardization). This article proposes a method using a quantitative murine model, combining observations of the decrease in the infection rate, the increase in the incubation period and a simultaneously performed chemical protein fixation control. In terms of practical application, autoclaving at 134°C for 18min or 121°C for 30min, and 1N sodium hydroxide for 15min reduced the transmission of infectivity by a factor of at least 106. Partial efficacy can also be identified by the methodology, particularly for liquid cold sterilants such as glutaraldehyde and peracetic acid solutions.
Le texte complet de cet article est disponible en PDF.Keywords : Disinfectants, Glutaraldehyde, Inactivation, Peracetic acid, Prion, Steam, Sterilization
Plan
Vol 64 - N° 2
P. 143-148 - octobre 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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