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J Hosp Infect. 1999 Dec;43
Suppl:S69-76.
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Inactivation of
prions by physical and chemical means.
Neuropathogenesis
Unit, Institute for Animal Health, Edinburgh,
UK.
Prions are very resistant to inactivation, and
accidental transmission has occurred through the
use of inadequate decontamination procedures.
Strong sodium hypochiorite solutions achieve
inactivation but other chlorine-releasing
compounds are less effective. 2M sodium
hydroxide leads to substantial but incomplete
inactivation; other chemical procedures such as
the use of proprietary phenolic disinfectants
are much less less effective. Infectivity can
survive autoclaving at 132-138 degrees C, and
under certain conditions the effectiveness of
autoclaving actually declines as the temperature
is increased. The small resistant subpopulations
that survive autoclaving are not inactivated by
simply re-autoclaving, and they acquire
biological characteristics that differentiate
them from the main population. Despite the
limitations of autoclaving, combining
autoclaving (even at 121 degrees C) with a
sodium hydroxide treatment is extremely
effective. Protein-fixation (e.g., by ethanol or
formalin) substantially enhances the
thermostability of these agents. This suggests
that future successful inactivation strategies
might best be developed by studying procedures
that avoid protein-fixation.
PMID: 10658760 [PubMed - indexed for MEDLINE]