How to Autoclave: The Step-by-Step Sterilization Process

An autoclave is a specialized device that achieves sterilization using high-pressure saturated steam. This process heats items above the boiling point of water, effectively killing microorganisms like bacteria, viruses, fungi, and their heat-resistant spores. The steam’s moisture efficiently transfers heat, causing microbial proteins to coagulate and break down, leading to their destruction. Autoclaves are widely used in healthcare facilities, scientific laboratories, and other settings requiring stringent sterility.

Preparing Items for Sterilization

Before placing items into an autoclave, thorough preparation is essential to ensure effective sterilization. Begin by cleaning all items to remove visible debris, as organic matter can shield microorganisms from steam penetration. For complex instruments, disassemble them into their individual components so steam reaches all surfaces. Once clean, place items into appropriate packaging, such as sterilization pouches, wraps, or containers, which are designed to allow steam penetration and maintain sterility after the cycle.

When preparing liquids like culture media or solutions, use heat-resistant glassware, such as borosilicate glass, and fill containers no more than two-thirds full to prevent boil-over. Leave caps loose or cover with foil to allow pressure equalization and steam penetration, preventing containers from shattering or exploding. For bagged items like biohazardous waste, loosely tie or tape bags to create an opening for steam. Adding a small amount of water (around 250 mL) can enhance humidity within the bag.

Operating an Autoclave

Operating an autoclave involves a sequence of steps to ensure proper sterilization. Begin by loading the chamber carefully, avoiding overcrowding, which could impede steam circulation and penetration. For bench-top units, if applicable, ensure the water reservoir is filled with deionized water to the indicated line. Before starting, it is good practice to check the drain screen for any debris that might obstruct it.

Next, select the appropriate cycle parameters, which typically include specific temperature, pressure, and time settings based on the load type. Common sterilization temperatures include 121°C (250°F) at 15 psi for 15-20 minutes, or 132°C (270°F) at 20-40 psi for shorter durations, such as 3-20 minutes. The autoclave cycle usually proceeds through a purge phase, where air is removed and replaced by steam, followed by an exposure phase where items are held at the set temperature and pressure, and finally an exhaust phase where pressure is released. Cycle indicators, such as chemical tape that changes color at 121°C, and biological indicators containing bacterial spores like Geobacillus stearothermophilus, are used to confirm that sterilization conditions have been met.

Safety When Autoclaving

Safety is important when operating an autoclave due to extreme heat, steam, and pressure. Always wear appropriate personal protective equipment (PPE), including a lab coat, heat-resistant gloves covering forearms, and eye protection, especially during unloading. Never stand directly in front of the autoclave door when opening it.

Allow items to cool inside the chamber for at least 10 minutes before fully opening the door. This allows superheated liquids to normalize and prevents steam burns or shattered glassware. Do not sterilize flammable, corrosive, toxic, or radioactive materials, as these pose severe hazards under high pressure and temperature. Never seal containers tightly, as this creates an explosion risk due to internal pressure buildup.

Materials for Autoclaving

Understanding material compatibility is important to prevent damage and ensure safety during autoclaving. Suitable materials include borosilicate glass (like Pyrex), most metals (particularly stainless steel), and specific plastics such as polypropylene (PP), which can be repeatedly autoclaved. Polycarbonate (PC) plastics are also autoclavable but may degrade after 30-50 cycles. Other compatible plastics include polysulfone (PSU) and polyetheretherketone (PEEK).

Many materials are not suitable for autoclaving. These include polystyrene (PS), low-density polyethylene (LDPE), high-density polyethylene (HDPE), polyvinyl chloride (PVC), and polyurethane, which melt, deform, or release harmful chemicals under high heat and pressure. Sharp-edged instruments can dull, and certain fabrics may be destroyed by the high heat and moisture.