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71 Cards in this Set

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When did scientific study of control of microbial growth begin?

125-150 years ago

In the 1800s, what percentage of delivering mothers died of hospital acquired infection?

25%

What era is associated with the bubonic plague epidemic?

14th-17th century

What is the estimated number of deaths resulting from the bubonic plague epidemic?

40 million, or 1/3 of the population of the European continent

Etiological agent of the bubonic plague

Yersinia pestis

Vector of the bubonic plague?

Fleas, typically carried by rats

How does the bubonic plague begin?

Begins with a bite from an infected flea or exposure to an infected person, leading to bacteremia


, leading to bacteremia


Bacteremia

Bacteria multiplying in the blood stream

How does a bubonic plague infection manifest?

Bacteria localize in the lymph nodes, especially in the axillary and groin area


Hemorrhaging occurs in lymph nodes, resulting in buboes

Buboes

Black and blue swellings that occur as a result of the hemorrhaging of lymph nodes

If untreated, what is the mortality rate for the bubonic plague?

50%

Pneumonic plague

Septicemic plague that arises when a yersinia pestis infection spreads to the lungs


More contagious than the bubonic plague

What is the mortality rate of the pneumonic plague?

99%

Small pox

A disease caused by the Variola virus


After 1977, completely eradicated from nature due to vaccinations

Where does the Variola virus exist today?

2 known samples are held in the CDC in Atlanta and Vector in Russia

Types of methods of controlling microbial growth

1. Physical


2. Chemical

2

Chemical methods of controlling microbial growth

1. Sterilization


2. Disinfection


3. Degerming


4. Sanitization

Sterilization

Destroying all forms of life

Commercial Sterilization

Sufficient heat to destroy endospores of Clostridium botulinum in canned food

Disinfection

Destroying and/or inhibiting pathogens or unwanted organism

Disinfectant

Antimicrobial agent used on inanimate objects

Antiseptic

Antimicrobial agent used on living tissue

Bactericide

Killing bacteria

Bacteristatic

Inhibits bacterial growth

Algaecide

An agent that kills algae

Fungistatic

Inhibiting fungal growth

Degerming

Removal of microbes from a limited area

Sanitization

Treatment intended to lower microbial counts on eating and drinking utensils


Done by high temperature wash or by dipping into a chemical disinfectant

Yersinia pestis

A gram negative rod bacteria that is the etiological agent of the bubonic plague

What would you call using an alcohol swab to clean an injection site

Degerming

Factors that affect antimicrobial activity of disinfectants

1. The number of microbes


2. Environmental influences


3. Time of exposure


4. Microbial characteristics

How does the number of microbes affect the antimicrobial activity of a disinfectant?

The more bacteria in the beginning of the process, the harder it would be to kill the entire population

What are environmental influences that affect antimicrobial activity of disinfectants?

1. Presence of organic material such as blood, vomit, or biofilms


2. Temperature (disinfectants are more effective at warmer temperatures)

2

How does time of exposure affect antimicrobial activity of disinfectants?

Disinfectants may need extended time to affect more resistant microbes

What microbial characteristics can affect the antimicrobial activity of disinfectants?

Some microbes are more resistant to disinfection, such as Gram negative bacteria, spores, and Mycobacterium

4 most resistant types of microbes from most to least

1. Prions


2. Endospores of bacteria


3. Mycobacterium


4. Cysts of protozoans

Example of a prion?

Mad cow disease

Why are Mycobacterium resistant?

They are acid fast?

Cellular targets of antimicrobial agents

1. Alteration of membrane permeability


2. Denature enzymes and other proteins


3. Damage Nucleic Acids, altering DNA and RNA

Physical methods of controlling microbial growth

1. Heat


2. Radiation


3. Filtration


4. Refrigeration


5. High pressure


6. Desiccation


7. Osmotic pressure

7

How does heat control microbial growth?

By denaturing proteins

Thermal death point (TDP)

The lowest temperature at which all microbes and their endospores in a liquid culture are killed in 10 minutes

Thermal death time (TDT)

The minimum length of time in which all microbes and their endospores in a liquid culture are killed at a given temperature

Types of heat methods

1. Moist heat


2. Dry heat


3. Pasteurization

3

Moist heat methods

1. Boiling water


2. Autoclave

2

Effectiveness of boiling water

Kills vegetative bacterial cells, fungi, and many viruses


Not effective against some viruses and endospores

Autoclave

- Steam under pressure


- Most common method of sterilization


- water boils at 100C. Pressure increases the temp of the steam


- typically 121C at 15psi for 20 minutes

Pasteurization

A method of disinfection


Used to control Mycobacterium in milk

Microbial condition of milk post pasteurization?

<20,000 bacterial cells/mL

Disinfection

Removes unwanted organisms

Methods of pasteurization

1. Historically typical: 63C for 30 mins


2. High Temp Short Time (HTST)


3. Ultra High Temperature Treatments

HTST

High temperature short- term pasteurization: 72C for 15 seconds

Ultra high temperature treatments

140C for 4 seconds

Effectiveness of pasteurization

Thermoduric bacteria can persist

thermoduric bacteria

Not thermophiles, but can survive high temperatures

Methods of dry heat

1. Direct flaming


2. Incineration


3. Hot air sterilization

Direct flaming

Inoculating loop and needle sterilization


100% effective

Incineration

Burning


For disposable waste


100% effective

Hot air sterilization

Oven at 170C for 2 hours


Use on substances that should be damaged by moist heat

Filtration

Physically removes microbes based on their size from solutions that might be damaged by heat

For what is filtration typically used?

Culture media


Enzymes


Vaccines


Antibiotics

4

Types of radiation used to control microbial growth

1. Ionizing radiation


2. Non Ionizing radiation

2

Ionizing radiation

- gamma and x-rays


- penetrates most surfaces


- completely disrupts DNA/RNA structure

What is Ionizing radiation typically used on? What can also be used on these materials?

Substances that could be damaged by heat, such as;


- plastic petri dishes


- syringes


- catheters


- surgical gloves



The gas ethylene oxide

Non Ionizing radiation

- UV light


- does not penetrate plastic, glass, or proteinaceous matter


- causes pyrimidine dimers


- Used to reduce microbial populations

Pyrimidine dimers

Disrupt DNA at adjacent thymines

Where is non Ionizing radiation used to control microbial growth?

- hospital rooms


- operating rooms


- biotechnology work benches and fume hoods

What is a common use for high pressure?

To preserve some fruit juices

Desiccation

Absence of water


Freeze drying

Osmotic pressure

Using high concentrations of salt and sugars to create hypertonic environments

Which is the faster process of sterilization: dry or most heat? Why?

Moist. Water is a better conductor of heat than air