biosafety in lab micro diploma.pdf

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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

    http://www.nukeworker.com/cgi-bin/pictures/album.pl?photo=/Point_Beach_1970_Oh_No.JPGhttp://www.magidglove.com/product.asp?pf%5Fid=461
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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.

    Ahmed Samir, Ph.DJanuary 2011

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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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    http://www.magidglove.com/product.asp?pf%5Fid=456
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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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