Dr Ravi Gupta & Dr Sonali Shamdasani
Sterilisation, one of the mainstays of medical science, has been about aback centuries from the Egyptians appliance angle or tar in the embalming action till today. It is an capital action to sanitise medical devices. The acceptable adjustment of sterilisation of reusable accessories included baking (syringes, needles, affection swabs etc.). However, brace of decades back, abounding of the reusable altar were replaced by the disposable items, awash as pre-sterilised accessories in closed packaging.
At present, best of the disposable medical accessories are sterilised appliance ethylene oxide (EtO). The action involves advertisement articles to EtO gas beneath exhaustion in a closed chamber. However, the gas actuality baleful and flammable, it requires lots of affirmation measures. The EtO apparatus has big-ticket accession requirements with committed bankrupt to actuate of the baneful gas which is adverse alike for the environment. Additionally it includes a continued processing time with one to six hours of acknowledgment time and 12 to 36 hours of aeration time during which the actual is apparent to calefaction and gas. Hence, it is important to ascertain the sterility affirmation akin for the abstracts sterilised with EtO with the use of biological indicators.
Electron beams were aboriginal acclimated in the 1950s to sterilise disposable healthcare articles but its acceptance as a accepted adjustment became accessible in the 1970s. E axle technology can accept a cardinal of added applications afar from its use in medical field. It is added user friendly, has no accident of toxicity to the anatomic workers. It is additionally a quicker action with no abeyant abuse to environment. At present, admitting the antecedent amount of appliance this technology is aerial but due to its appliance and account in assorted fields, the amount is acceptable to appear down.
However, it is additionally actuality acclimated in abounding added fields such as in wire and cable industries for cantankerous bond of affairs and cables. The cantankerous bond strengthens thermal and automated backdrop authoritative affairs and cables blaze resistant, blaze retardant and halogen free, authoritative these safe for use in railways, address wiring, wind comminute etc.
Furthermore, the acceptance of E axle technology in aliment industries globally, including India, for canning of aliment items such as cereals, spices, fruits, eggs etc. has revolutionised the abstraction of aliment storage. It is additionally acclimated for analysis of seeds with accelerated electrons. E axle inactivation destroys adverse bacilli that account food-borne illnesses like typhoid and diarrhoea. It is the best food-friendly adjustment of abbreviation bio-burden as it does not affect the taste, texture, or the artefact processing downstream.
Afar from actuality user affable and about safe for workers, this technology is simple to accomplish as it uses electricity. This switch-on/switch-off technology can be customised according to the admeasurement of amalgamation and the activity of electrons actuality acclimated by the machine. The action is additionally eco affable as it does not absorb water, appropriately baptize diffusion is zero. There is no accident of baptize contagion or ambiance abuse as well.
Unlike EtO and autoclaving, it does not accomplish calefaction or steam. The technology is additionally safe for accessories to be sterilised as there is no accident of any balance toxicity as in the case with EtO sterilisation.
There is a greater charge to accept this technology at a added akin as it is one of the safest methods of sterilisation that is benign for anybody and aggregate — patients, workers, added users and environment.
— Dr Gupta is Medical Superintendent and Dr Shamdasani is chief resident, Government Medical College and Hospital, Chandigarh
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