What is an aseptic technique?
Aseptic technique is a healthcare procedure carried out to prevent infections caused by pathogens or to remove existing pathogens.
Controlling infectious diseases requires two complementary strategies: prevention and treatment. Aseptic techniques help prevent or eliminate pathogens in line with the phrase "prevention is better than cure". When infections occur, specific medicines such as antibiotics, antifungals, and antivirals are used to treat them based on the causative pathogen.
Five main aseptic techniques. Sterilisation, boiling, use of antiseptics, use of disinfectants, and use of radiation.
Methods of Sterilisation
Sterilisation is the process of killing or eliminating microorganisms from an object or a particular surrounding.
Methods of sterilisation and examples.
| Method |
Example |
| Heat |
Autoclave — temperatures above \(130\text{ }^\circ\text{C}\) kill microorganisms and their spores. |
| Chemical substances |
Soap. |
| Radiation |
Ultraviolet (UV) rays. |
| High pressure |
Pressure cooker. |
| Filter |
Micron filter — used to filter fine particles and microorganisms measuring \(0.1\text{ }\mu\text{m} - 10\text{ }\mu\text{m}\) from liquids or water. |
Boiling
Boiling water at a temperature of \(100\text{ }^\circ\text{C}\) is used to kill vegetative microorganisms on everyday objects such as milk bottles, injection needles, and dental equipment. Boiling does not destroy bacterial spores.
Antiseptics vs Disinfectants
Comparison between antiseptics and disinfectants.
| Feature |
Antiseptic |
Disinfectant |
| Application Site |
Applied directly on living human skin or wounds. |
Applied on non-living objects (e.g., bed sheets, toilets, swimming pools). |
| Purpose |
Prevents pathogenic infections. |
Kills microorganisms, especially pathogens, on surfaces. |
| Suitability for Skin |
Safe for skin and wounds. |
Not suitable for skin or wounds (can cause tissue damage). |
| Examples |
Acriflavine (yellow medicine), povidone, 70% isopropyl alcohol (IPA). |
Bleach, hydrogen peroxide, liquid chlorine. |
| Action |
Acriflavine and povidone kill microorganisms; proflavine blocks/prevents microbial growth; 70% IPA acts as an antiseptic and sterilising agent. |
Destroys pathogens on inert surfaces. |
Radiation
Ionising radiation includes ultraviolet (UV) rays, X-rays, and gamma rays. These rays penetrate microbial cells and destroy them. Ultraviolet rays from UV lamps are used to disinfect operating theatres.
Antibiotics and Antibiotic Resistance
Antibiotic is a medicine used specifically to treat infections caused by bacteria. Antibiotics are not effective against viral infections such as the common cold, cough, or flu.
Antibiotic resistance occurs when bacteria develop the ability to survive exposure to antibiotics designed to kill them, making the medicine ineffective.
Causes of antibiotic resistance:
- Excessive use of antibiotics.
- Inaccurate use of antibiotics (e.g., prescribing them for viral infections such as colds, sore throats, and fever).
- Not completing the full course or not taking antibiotics according to the prescribed schedule.
Danger: Leaves individuals vulnerable to severe, untreatable bacterial infections ("superbugs").
Experiment 1.3 — Action of Antibiotics on Bacteria. The higher the concentration of antibiotic, the lower the growth of bacteria. The area of the clear region (zone of inhibition) increases as the concentration of penicillin increases. The control is a filter paper disc soaked in distilled water (0% antibiotic).
Historical fact. Sir Alexander Fleming discovered the first antibiotic from the fungus Penicillium sp.
Methods of Treating Infectious Diseases
Infectious diseases, causative pathogens and appropriate treatments.
| Infectious Disease |
Causative Pathogen |
Pathogen Group |
Treatment Class |
Example Medicine |
| Pneumonia |
Streptococcus pneumoniae |
Bacterium |
Antibiotic |
Penicillin |
| Athlete's foot |
Trichophyton rubrum |
Fungus |
Antifungal |
Clotrimazole |
| Shingles |
Varicella-zoster |
Virus |
Antiviral |
Acyclovir |