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Microbiology · General microbiology and sterilisation: operation theatre fumigation
Sample itemAfter a cluster of postoperative wound infections, a sealed operation theatre is fumigated overnight by adding potassium permanganate crystals to a liquid placed in open trays. Which agent is released and acts as the fumigant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Formaldehyde gas
Operation theatres are classically fumigated with formaldehyde, produced by adding potassium permanganate to formalin. The room must be sealed and left for many hours, then neutralised with ammonia before reuse. Ethylene oxide is used in closed sterilising chambers for heat-labile articles, not for room fumigation.
Option by option
A. Sulphur dioxide
Sulphur dioxide comes from burning sulphur and is not the usual theatre fumigant.
B. Chlorine gas
Chlorine is released from hypochlorite or bleaching powder with acid, not from permanganate with a liquid disinfectant.
C. Ethylene oxide
Ethylene oxide is a gas supplied from cartridges for chamber sterilisation of heat-sensitive items, not generated by permanganate.
D. Formaldehyde gas (correct)
Correct. Permanganate oxidises formalin and drives off formaldehyde vapour, which kills organisms on surfaces and in air.
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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