Steam sterilization: fundamental aspects and technical resources to reduce water consumption

Authors

  • Paulo Roberto Laranjeira
  • Jeane Aparecida Gonzalez Bronzatti
  • Rafael Queiroz de Souza
  • Kazuko Uchikawa Graziano

DOI:

https://doi.org/10.5327/Z1414-4425201700020009

Keywords:

Vapor, Água, Esterilização.

Abstract

Objective: To discuss the fundamentals of steam sterilization and the technical resources that can be used for a reduction of water consumption
in the sterilization process. Method: Review of literature and technical and international standards related to the principles of construction, operation,
and use of sterilization equipment by saturated steam under pressure. Results: The reduction in water consumption can be obtained by preferential
acquisition of equipment with free water pumps, shutdown of the source of steam-generating power when the equipment is not in use, use of equipment
with built-in degassers, assembly of the load in a way to facilitate vapor penetration and reduction of drying time, re-adjustment of the depth of
the vacuum to the low time of use of the vacuum pump, and the preventive maintenance of the steam line traps. In addition, a pretreatment system can
reduce the waste from reverse osmosis water treatment systems for steam generation. Conclusion: Knowledge of the fundamentals of sterilization by
saturated steam under pressure allows an implementation of measures for a reduction of water consumption in the sterilization process.

Author Biographies

Paulo Roberto Laranjeira

 Engenheiro Elétrico, Doutorando da Escola de Enfermagem da USP, São Paulo, SP

Jeane Aparecida Gonzalez Bronzatti

Enfermeira, Doutoranda da Escola de Enfermagem da USP, São Paulo, SP

Rafael Queiroz de Souza

Enfermeiro, Mestre e Doutor em ciências, Escola de Enfermagem da USP, São Paulo, SP

Kazuko Uchikawa Graziano

Enfermeira. Professor Titular Sênior do Departamento de Enfermagem Médico-Cirúrgica da Escola de Enfermagem da Universidade de São Paulo e Coordenadora Pedagógica do Curso MBA/CME – INESP, São Paulo-SP, 

References

Perkins JJ. Principles and methods of sterilization in heath science.

Springfield: Charles C. Thomas; 1983.

Rutala WA, Weber DJ. Healthcare Infection Control Practices Advisory

Committee. Guideline for disinfection and sterilization in healthcare

facilities [internet]. Atlanta: Center for Diseases Control and Prevention.

HICPAC; 2008 [cited 2015 jul 27]. Available from: http://www.cdc.

gov/ncidod/dhqp/pdf/guidelines/Disinfection_Nov_2008.pdf

Joslyn LJ. Sterilization by heat. In: Block SS. Disinfection, sterilization,

and preservation, 5th ed. Philadelphia: Lippincott Williams & Wilkins;

p. 695-728.

A ssociação Brasileira de Normas Técnicas (ABNT). NBR ISO 17665-

: Esterilização de produtos para saúde - Vapor – Parte 1: Requisitos

para o desenvolvimento, validação e controle de rotina nos processos

de esterilização de produtos para saúde. Rio de Janeiro: ABNT; 2010.

L ewin SZ. Chemical instrumentation: Vacuum pumps. Journal of

Chemical Education. 1959;36(7):A391-A446.

Jackson ML, Collins WD. Scale-up of a venturi aerator. I&EC Process

Design and Development. 1964;3(4):386-393.

E uropean Committee for Standardization. Sterilization – Steam

Sterilizers – Large Sterilizers. European Standard EN 285, European

Committee for Standardization, Brussels; 2009.

Stewart BM. The production of high-purity in the clinical laboratory

water. Laboratory Medicine. 2000; 31(11):605-12.

A ssociação Brasileira de Normas Técnicas (ABNT). NBR ISO 17665-

: Esterilização de produtos para saúde - Vapor – Parte 2: Guia de

aplicação da ABNT NBR ISO 17665-1. Rio de Janeiro: ABNT; 2013.

Morrissey RF, Phillips GB. Sterilization technology – A pratical guide

for manufactures and users of health care products. New York: Van

Nostrand Reinhold; 1993.

Graziano KU, Lacerda RA, Turrini RTN, Bruna CQM, Silva

CPR, Schmitt C, Moriya GAA , Torres LM. Indicators for

evaluation of processing dental-medical-hospital supplies:

elaboration and validation. Rev Esc Enferm USP. 2009;43(n.

esp 2):1174-80.

A ssociation of Perioperative Registered Nurses (AORN).

Perioperative Standards and Recommended Practices. Denver:

AORN; 2013.

Reichert M, Young JH. Sterilization technology for health care facility.

Maryland: Aspen Publication; 1993.

Published

2017-06-09

How to Cite

Laranjeira, P. R., Bronzatti, J. A. G., Souza, R. Q. de, & Graziano, K. U. (2017). Steam sterilization: fundamental aspects and technical resources to reduce water consumption. Revista SOBECC, 22(2), 115–120. https://doi.org/10.5327/Z1414-4425201700020009

Issue

Section

Revisão narrativa/crítica