Understanding Bowie-Dick Testing: Purpose and Usage in Daily Sterilization Practice

Today, the Bowie-Dick (BD) test is widely used and recognized as a valuable means of monitoring the performance of vacuum-assisted steam sterilizers.

By Kayla Ostrander

Today, the Bowie-Dick (BD) test is widely used and recognized as a valuable means of monitoring the performance of vacuum-assisted steam sterilizers. However, several aspects have changed since the original work was done in Britain in the early 1960s.1Bowie et al. introduced a simple test to detect inadequate air removal in prevacuum steam sterilizers, because this air could lead to sterilization failure.
They created a stack of porous towels with an indicator sheet placed at the center. When processed in an
empty chamber, the indicator experienced a color change; an uneven color change indicated residual air or poor steam penetration. Their work demonstrated that sterilizers could pass routine checks yet fail to remove air effectively, highlighting the need for daily testing. This became the foundation for the BD test, which is now used globally as the standard for monitoring pre-vacuum sterilizer performance.

Learning Objectives

  1. Explain the purpose and importance of the Bowie-Dick test in sterilization processes.
  2. Demonstrate the proper procedures for using the Bowie-Dick test effectively.
  3. Describe the necessary steps to take when a Bowie-Dick test result indicates a failure.

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Course Includes

  • 1 Lesson
  • 1 Test
  • Course Certificate
  • CBSPD

    The CBSPD (Certification Board for Sterile Processing and Distribution) has pre-approved this in-service for one (1) contact hour for a period of five (5) years from the date of original publication. Successful completion of the lesson and post test must be documented by facility management and those records maintained by the individual until re-certification is required.

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    HSPA

    HSPA (Healthcare Sterile Processing Association) has pre-approved this in-service for 1.0 Continuing Education Credits for a period of three years.

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