387398

Bactericidal effect of direct and indirect plasma for medical instruments: Comparative experimental study

Article

Last updated: 04 May 2025

Subjects

-

Tags

Infection prevention and control

Abstract

Background: Medical equipment must be thoroughly sterilized before use. A potentially useful method for sterilizing medical equipment is non-thermal atmospheric pressure plasma technology. Plasma can be applied directly using cold atmospheric pressure plasma jet (CAPPJ) or indirectly using a plasma-activated mist (PAMi). Aim was to assess the bactericidal effect of direct plasma (CAPPJ) and indirect plasma (PAMi) as new methods of sterilizing stainless steel compared to autoclaving, which is considered the gold standard for sterilizing heat-stable material. Method: This comparative experimental study included 36 E. coli and 30 S. aureus, strains which were isolated from various clinical specimens and identified by conventional methods. They were exposed to three different treatment methods: direct CAPPJ, indirect PAMi, and autoclaving. The time needed to reach medical sterility assurance level (SAL) was recorded for each method. Results: There was high statistically significant difference between E. coli and S. aureus bacterial counts using direct and indirect plasma at different exposure time intervals. There was a high statistically significant relation between decreasing bacterial counts and the exposure to direct plasma, indirect plasma and autoclave at different time intervals. The shortest time needed to reach SAL was recorded for direct plasma as 1.9 and 3.1 minutes for E. coli and S. aureus, respectively. Conclusion: CAPPJ and PAMi are rapid effective methods not only in eradication of the tested E.coli and S.aureus isolates but also in reaching SAL for stainless-steal medical instruments. These promising methods can save long time consumed by conventional methods for sterilization especially in emergencies.

DOI

10.21608/mid.2024.320663.2213

Keywords

Cold plasma, Bacteria, sterilization, Medical Instruments, SAL

Authors

First Name

Hanaa

Last Name

I. Abd El-Hady

MiddleName

-

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Egypt

Email

hanaa4islam@yahoo.com

City

-

Orcid

0000-0002-9934-4588

First Name

Mohamed

Last Name

El Shaer

MiddleName

-

Affiliation

Engineering Physics and Mathematics Department, Faculty of Engineering, Zagazig University, Egypt

Email

melshaer2901@gmail.com

City

-

Orcid

0000-0002-7951-5263

First Name

Hossam

Last Name

Fayed

MiddleName

-

Affiliation

Engineering Physics and Mathematics Department, Faculty of Engineering, Zagazig University, Egypt

Email

hossamelfaied@gmail.com

City

-

Orcid

0000-0002-5680-0731

First Name

Abd-Elrahman

Last Name

Metwalli

MiddleName

M.

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University, Egypt

Email

drabdelrahman_2008@yahoo.com

City

-

Orcid

0000-0001-9385-2656

First Name

Amina

Last Name

Abdelhadi

MiddleName

A.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Zagazig University, Egypt

Email

amina_ahmed_gomaa@hotmail.com

City

zagazig

Orcid

0000-0002-8339-1929

Volume

6

Article Issue

2

Related Issue

55370

Issue Date

2025-05-01

Receive Date

2024-09-13

Publish Date

2025-05-01

Page Start

885

Page End

897

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_387398.html

Detail API

http://journals.ekb.eg?_action=service&article_code=387398

Order

387,398

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Bactericidal effect of direct and indirect plasma for medical instruments: Comparative experimental study

Details

Type

Article

Created At

04 May 2025