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Dentistry · Community dentistry: biological monitoring of autoclaves
Sample itemWhich organism's spores are used as the biological indicator for monitoring steam autoclave sterilisation in a dental clinic?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Geobacillus stearothermophilus
Spores of Geobacillus (Bacillus) stearothermophilus are highly resistant to moist heat, so their failure to grow after a cycle shows the autoclave is working. Spores of Bacillus atrophaeus (subtilis var. niger) are used for dry heat and ethylene oxide. Vegetative bacteria are not resistant enough to be suitable.
Option by option
A. Clostridium tetani
Clostridium tetani is a pathogen and is not used for routine monitoring.
B. Bacillus subtilis var. niger
Bacillus subtilis var. niger spores are used for dry heat and ethylene oxide.
C. Geobacillus stearothermophilus (correct)
Correct. Its heat-resistant spores monitor steam sterilisation.
D. Staphylococcus aureus
Staphylococcus aureus is a vegetative organism killed easily by heat, so it is not a suitable indicator.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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