Electro-elution, a novel method to remove transmissible spongiform encephalopathy-associated PrPSc from stainless steel surgical instruments

C. Plinston, K. Fernie, F.G.R. Prior, R. Smith

Research output: Contribution to journalArticle

Abstract / Description of output

Iatrogenic transmission of transmissible spongiform encephalopathies (TSEs) has been demonstrated via surgical instruments and there is concern over the efficacy of conventional decontamination techniques used to reprocess reusable instruments. This paper describes the development of a novel cleaning method, ‘electro-elution’, to remove TSE disease-specific abnormal protein PrPSc from the surface of stainless steel surgical instruments. The electro-elution process subjects the stainless steel instrument to an electrical current in the presence of an electrolytic buffer to remove protein deposits. Stainless steel discs were contaminated with infectious brain homogenate and subjected to a range of conditions to determine the ability of electro-elution to remove the deposits. To determine whether there was any residual PrPSc remaining on the disc after electro-elution, a novel detection method, ‘direct blotting’, was also developed. Direct blotting utilizes a process of passive transfer of proteins directly from the surface of the instrument to a proteophilic membrane for detection. Our study shows that electro-elution has the ability to effectively remove, and possibly degrade, disease-associated PrPSc from the surface of stainless steel surgical instruments.
Original languageEnglish
Pages (from-to)52-58
JournalJournal of Hospital Infection
Volume66
Issue number1
DOIs
Publication statusPublished - May 2007

Keywords / Materials (for Non-textual outputs)

  • Transmissible spongiform encephalopathies
  • Surgical instruments
  • Decontamination
  • Electro-elution
  • Stainless steel
  • Protein
  • Direct blotting

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