biosafety in lab micro diploma.pdf
TRANSCRIPT
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Ahmed Samir, Ph.DJanuary 2011
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Ahmed Samir, Ph.DJanuary 2011
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B.V.Sc 2001,
M.V.Sc. (Microbiology) 2005,
Ph.D. (Microbiology) 2008
Lecturer of MicrobiologyFaculty of Veterinary Medicine
Cairo University
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Ahmed Samir, Ph.DJanuary 2011
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Despite a greater awareness of biosafetyand biocontainment practices, handlinginfectious microorganisms remains a source ofinfection, and even mortality among laboratory
workers.
Incidences of secondary transmission ofdisease to the public, which may be due to
possible contamination of the environment orpersonnel are also occurring.
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Biosafety =
* Biological safety
* Biocontainment
* Biosecurity
How to secure
yourself againstinfections resultingfrom handling ofpotential pathogensby applying labsafe practices.
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Key Elements:
Potential pathogens
Safe lab practices
MSDS for chemicals and reagents
PPE Biohazard waste disposal
Disinfection control
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Examples of transmissible blood infections:
HIV-1, causes serious human disease.
HBV; highly infectious
Other blood-borne pathogens (BBPs):
HCV, RVF, and Brucella
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Containment Level 1(CL1), Low Risk (low
individual and community risk)
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Containment Level 2(CL2), Moderate Risk
(moderate individual risk, low community risk)
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Containment Level 2(CL2), Moderate Risk
(moderate individual risk, low community risk)
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Containment Level 3(CL3), Substantial Risk
(high individual risk, low community risk)
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Containment Level 3(CL3), Substantial Risk
(high individual risk, low community risk)
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Containment Level 4(CL4), High Risk (high
individual risk, high community risk)
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Containment Level 4(CL4), High Risk (high
individual risk, high community risk)
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Containment Level 4(CL4), High Risk (high
individual risk, high community risk)
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A list of human
pathogens
categorizedaccording to Risk
Group can be
obtained byaccessing the Web
site
bsl/-aspc.gc.ca/ols-http://www.phac
Ahmed Samir, Ph.DJanuary 2011
http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/http://www.phac-aspc.gc.ca/ols-bsl/ -
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General Safety Principlesfor Laboratories
Other typical issues will have to be studied andresolved. These include exit capacity, travel distance,number and size of fire stairs, door and wall ratings, exitsigns, exit lights, emergency power, and restroomrequirements.
For safety and ease of maintenance, it usually makessense to locate a safety shower, fire extinguisher at theentry alcove of each lab.
Warning signs with the appropriate symbols should beposted at laboratory entrances. There should be two
means of egress from each main lab. Doors should swingout of main labs for safe egress in case of emergency.
In most cases, labs should be organized with thehighest hazards (e.g., hoods) farthest from the entry doorand the least hazardous elements closest to the door.Benches should be accessible without having to cross in
front of hoods.Ahmed Samir, Ph.DJanuary 2011
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General Safety Principlesfor Laboratories
Personal items and clothing should be kept in lockers
outside the lab area. Food and drinks are prohibited in
labs, also mouth pipetting is not allowed as well. Most labs
are required to be under negative air pressure relative to
the corridor.
Floor penetrations should be avoided, if possible, to
prevent chemicals released during a spill or flood from
traveling to the floor below. Wet vacuuming should be
used instead of floor drains to contain chemical spills. (This
can also help in identifying what has been spilled on an
individual.)
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Gloves: remove before leaving the lab
Masks and Face shields: if splash is expected
Gowns & Lab coats
Shoe Covers: in intensive care units and containment
laboratories
Goggles: eyewear
General Safety Principlesfor Laboratories
Wear Personal Protective Equipment(PPE)
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General Safety Principles
for Laboratories
PPE
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General Safety Principlesfor Laboratories
Wear White Coat Disposable Gloves
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General Safety Principlesfor Laboratories
Lab Design
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Use Safety Cabinet
General Safety Principlesfor Laboratories
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Safety Showers
General Safety Principlesfor Laboratories
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Eye Wash
General Safety Principlesfor Laboratories
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General Safety Principlesfor Laboratories
Importance of labels and signsAhmed Samir, Ph.DJanuary 2011
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Waste contaminatedwith human material
(non-sharps) must beplaced in waste bags,which at regularintervals areautoclaved andincinerated.
Waste Disposal
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Sharp instruments such asscalpel blades, as well asneedles and syringes, must beplaced in rigid-walledpuncture-proof "Sharps"containers for disposal in thecontaminated waste disposalservice. Needles must be
discarded unsheathedimmediately after use.
Waste Disposal
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Waste Disposal
1. Sharps are never to be discarded directlyinto the regular trash.2. Needles are not to be clipped or bent.
3. Needles are not to be recapped by atwo-handed method.4. Disposal containers shall not be overfilled.
Guidelines for the safe handling of sharps
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Definitions
Quality Control - QC refers to the measures that must be included
during each assay run to verify that the test is working properly.
Quality Assurance - QA is defined as the overall program that
ensures that the final results reported by the laboratory are
correct.
The aim of quality control is simply to ensure that the results
generated by the test are correct. However, quality assurance is
concerned with much more: that the right test is carried out on theright specimen, and that the right result and right interpretation is
delivered to the right person at the right time
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Many laboratorians think of quality management, and the focus on
error and safety as something new and current. Nothing could be
further from the truth. While it may be true that today we have manymore organizations, information sources, and agencies available today,
the quest for quality partnerships has always been with us.
Laboratories have always depended upon guidance developing
organizations, such as CLSI (formerly NCCLS) for assistance inprocedures, and accreditation programs to challenge us.
Every laboratory knows and understands that the quality of the
laboratory is directly related to the quality and reliability of the
equipment and reagents they use, and the companies that supply them.
And the role of public demand is loud and clear. Quality is the result
of a true team effort.
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Why do laboratory errors occur?
Quality
Control &
Assessment
Poor
Workload
Management
Understaffed
Non-validated
Tests
InadequateAttention
To Detail
Time
Pressures
Poor Results
Verification
Poor
Sample Control
Poor
Quality
Management
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Variables that affect the quality
of results
The educational background and training of the
laboratory personnel
The condition of the specimens The controls used in the test runs
Reagents
Equipment
The interpretation of the results
The transcription of results
The reporting of results
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