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Essay On Prions

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Deactivation of Prions in the Healthcare Setting Prions are infectious agents composed entirely of a protein material which is transmissible to other prion proteins leading to disease in a manner that is epidemiologically comparable to the spread of viral infection. Prions composed of the prion protein are believed to be the cause of transmissible spongiform encephalopathies among other diseases. All known prion diseases are untreatable and fatal.
. Prions, however, are infectious by their effect on normal versions of the protein. Sterilizing prions, therefore, requires the denaturation of the protein to a state in which the molecule is no longer able to induce the abnormal folding of normal proteins. In general, prions are quite …show more content…

Chemical disinfectants and common thermal or ionizing treatments do not effectively denature the prion particles. Traditional means of instrument decontamination is not practical for prion-infected utensils. The recommended prion decontamination protocols for reusable surgical instruments and surfaces recommended by The World Health Organization and The Center for Disease Control and Prevention have been published and are readily available on CDC's website (http://www.cdc.gov/prions/cjd/infection-control.html) and are detailed below.
The three most stringent sterilization methods for heat-resistant instruments described in Annex III of the WHO guidelines are listed below; the methods are listed in order of more to less severe treatments. Sodium hypochlorite may be corrosive to some instruments, such as gold-plated instruments. Before instruments are immersed in sodium hypochlorite, the instrument manufacturer should be consulted about the instrument's tolerance of exposure to sodium hypochlorite. Instruments should be decontaminated by a combination of the chemical and recommended autoclaving methods before subjecting them to cleaning in a washer cycle and routine sterilization.
1. Immerse in a pan containing 1N sodium hydroxide (NaOH) and heat in a gravity displacement autoclave at 121°C for 30 min; clean; rinse in water; and subject to routine sterilization.[CDC NOTE: The pan containing

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