Processo de esterilização em autoclave: Guia completo de parâmetros, ciclos e validação

1. Autoclave Sterilization Fundamentals

Key Microbial Destruction Metrics:

• D-value represents the time duration necessary to decrease microbial population by 90% when exposed to certain temperatures

• Example: Geobacillus stearothermophilus D₁₂₁ = 1.5-2.0 minutes

• Z-value represents the temperature shift required to achieve a 90% change in the D-value.

• Typical z = 10°C for steam sterilization

Sterility Assurance Level (SAL): [ SAL represents a probability of one viable microorganism surviving among one million attempts.]

2. Critical Process Parameters

Material Compatibility Guidelines:

• Textile porous loads need long drying durations exceeding 45 minutes when heated to 80°C.

• For liquids, implement a slow exhaust cycle to stop boiling over.

• Pre-vacuum cycles with more than three pulse phases are necessary for hollow devices.

3. Step-by-Step Sterilization Cycle

Phase 1: Preparation

1. Limpeza

• Remove bioburden with enzymatic detergents (pH 6.5-7.5)

• Perform a rinse with ASTM Type I water which maintains conductivity below 1 μS/cm.

2. Embalagem

• Use medical-grade paper/plastic pouches (ISO 11607 compliant)

• Apply 5mm seal margins to packages and attach corresponding LOT identifiers.

3. Carregamento

• Maintain 2.5cm spacing between items

• Position pouches print-side up

Phase 2: Sterilization Cycle

1. Remoção de ar

• Gravity displacement: 3-5 air purges

• Pre-vacuum: 0.8-1.0 bar negative pressure

2. Fase de aquecimento

• Ramp rate: ≤1°C/second to prevent thermal shock

• Hold until coldest chamber point reaches setpoint

3. Tempo de exposição

• Start timing when all probes ≥setpoint temperature

• Minimum dwell time based on load type:

• Metal instruments: 3 mins @134°C

• Textiles: 15 mins @121°C

4. Cooling/Drying

• Gradual pressure release (0.5 bar/min)

• Vacuum-assisted drying to ≤3% moisture content

Phase 3: Post-Process Handling

1. Arrefecimento

• Ambient cooling racks (stainless steel 304)

• Time-out period: 30 mins before handling

2. Armazenamento

• Controlled environment: 23°C ±2°C, 30-60% RH

• Products remain stable for 180 days once wrapped but last only 24 hours when unwrapped.

4. Validação e controlo

Physical Monitoring:

• Data loggers utilize 12 or more thermocouples for mapping cold spots within the chamber.

• Pressure transducers measure 0-5 bar pressure levels and deliver results with 0.1% accuracy.

Indicadores químicos:

Indicadores biológicos:

• Spore strips: Geobacillus stearothermophilus ATCC 7953

• Incubation: 56-60°C for 7 days (extended readout)

• The acceptable standard requires no positive growth after 20 tests.

Revalidation Requirements:

• Annual requalification (ISO 17665)

• After major repairs or relocation

• When changing load configurations

5. Common Sterilization Failures & Solutions

Conclusão

The autoclave sterilization process requires precise adherence to validated time-temperature-pressure parameters through physical, chemical, and biological monitoring. Facilities achieve dependable microbial inactivation and maintain material integrity by operating ISO 17665-compliant cycles and following strict equipment calibration schedules. Real-time wireless monitoring and AI-powered cycle optimization represent emerging technologies that will transform sterilization best practices during the next decade.

FAQs

Q1: What duration is required for completing a standard autoclave sterilization process? A: Standard autoclave cycles take between 40 to 90 minutes and incorporate heating along with exposure and drying stages. Emergency instruments require flash cycles that complete within 3 to 10 minutes.

Q2: What temperature kills spores in autoclaves? A: Geobacillus stearothermophilus spores need a minimum of 121°C for 15 minutes to be destroyed. At 134°C the necessary exposure time is reduced to just 3 minutes.

Q3: Can you autoclave plastic items? A: The only plastic materials suitable for autoclave processes are heat-resistant types such as polypropylene (PP) and PTFE. Check material SDS for maximum tolerated temperatures.

Q4: How often should biological testing be performed? A: Medical devices must undergo weekly testing according to AAMI ST79 requirements. Testing intervals in labs should be set to either monthly or after every 40 cycles.

Q5: Why is steam quality critical in autoclaving? A: Steam below 97% dryness level decreases heat transfer effectiveness and results in wet packs. Monitor steam quality quarterly via thermochemical tests.