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54 Cards in this Set

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Physical, chemical, and mechanical methods...

To destroy or reduce undesirable microbes in a given area (decontamination)

Primary targets are microorganisms capable of causing infection or spoilage, such as...

Vegetative bacterial cells and endospores


Protozoan trophozoites and cysts


Fungal hyphae and spores, yeast


Worms


Viruses and prions

Sterilization

A process that destroys all viable microbes, including viruses and endospores

Disinfection

A process to destroy vegetative pathogens, not endospores; inanimate objects

Antiseptic

Chemicals applied directly to exposed body surfaces

Sanitation

Any cleansing technique that mechanically removes microbes

Highest resistance microbes

Prions, bacterial endospores

Moderate resistance

Psudomonas sp.


Mycobacterium tuberculosis


S. aureus


Protozoan cysts

Least resistance

Most bacterial vegetative cells


Fungal spores and hyphae, yeast


Enveloped viruses


Protozoa trophozoites

Microbial death

Permanent loss of reproductive capability, even under optimum growth conditions

Factors that affect death rate

Number of microbes


Composition of microbes in the population


Temp and pHof environment


Concentration or dosage of agent


Mode of action of the agent


Presence of solvents, organic matter, or inhibitors

Practical concerns in microbial control

Does the application require sterilization?


Is the item to be reused?


Can the item withstand heat, pressure, radiation, or chemical?


Is method suitable?


Will agent penetrate to the necessary extent?


Is the method cost- and labor-efficient and is it safe?

Cellular targets of physical and chemical agents

Cell wall and cell membrane

Cell wall

Becomes fragile and cell lyses; some antimicrobial drugs, detergents, and alcohol

Cell membrane

Loses integrity; detergents or surfactants

Cellular targets of physical and chemical agents

Protein and NA synthesis: prevention of replication, transcription, translation, peptide bond formation, protein synthesis, chloramphenicol, UV radiation, formaldehyde


Proteins: disrupt or denature proteins, alcohols, phenols, acids, heat

Methods of physical control

Heat-moist and dry


Cold temperatures


Desiccation


Radiation


Filtration

Bacterial endospores are most/least resistant and usually require temperatures above/below boiling

Most and above

Thermal death time

Shortest length of time required to kill all test microbes at a specified temp

Thermal death point

Lowest temperature required to kill all microbes in a sample in 10 minutes

Steam under pressure

Sterilization

Autoclave

15 psi/121C/10-40 minutes


Steam must reach surface of item being sterilized


Item must not be heat or moisture sensitive


Mode of action-denaturation of proteins, destruction of membranes, and DNA

Tyndallization

Intermittent sterilization for substances that cannot withstand autoclaving


Items exposed to free-flowing steam for 30-60 minutes, incubated for 23-24 hours and then subjected to steam again


Repeat cycle for 3 days


Used for some canned foods and lab media

Boiling water

Boiling at 100C for 30 minutes to destroy non-spore forming pathogens


Disinfection

Pasteurization

Heat is applied to oil potential agents of infection and spoilage w/o destroying the food flavor or value


63C-66C for 30 minutes


71.6C for 15 seconds


Not sterilization-kills non-spore-forming pathogens and lowers overall microbe count; does not kill endospores or many nonpathogenic microbes

Dry heat

Using higher temps than moist heat



Incineration

Flame or electric heating coil


Ignites and reduces microbes and other substaces

Dry ovens

150-180C


Coagulate proteins

Microbiostatic

Slows the growth of microbes


Refrigeration 0-15C and freezing 0C


Used to preserve food, media, and cultures

Desiccation

Gradual removal of water from cells, leads to metabolic inhibition


Not effective microbial control-many cells retain ability to grow when water is reintroduced



Lyophilization

Freeze drying; preservation

Ionizing radiation

Deep penetrating power that has sufficient energy to cause electrons to leave their orbit, breaks DNA


Gamma X-rays, cathod rays used to sterilize medical supplies and food products

Nonionizing radiation

Little penetrating power so it must be directly exposed


UV light creates pyrimidine dimers, which interfere with replication

Filtration

Physical removal of microbes by passing a gas or liquid through filter


Used to sterilize heat sensitive liquids and air in hospital isolation units and industrial clean rooms

Chemical agents in microbial control

Disinfectants, antiseptics, sterilants, and preservatives

Some desirable qualities of chemicals

Rapid action in low concentration


Solubility in water or alcohol, stable


Broad spectrum, low toxicity


Penetrating


Noncorrosive and nonstaining


Affordable and readily available

High-level germicides

Kill endospores; may be sterilants


Devices that are not heat sterilizable and intended to be used in sterile environments (body tissues)

Intermediate-level germicides

Kill fungal spores (not endospores), tubercle bacillus, and viruses


Used to disinfect devices that will come in contact with mucous membranes but are not invasive

Low-level germicides

Eliminate only vegetative bacteria, vegetative fungal cells, and some viruses


Clean surfaces that touch skin but not mucous membranes

Factors that affect germicidal activity of chemicals

Nature of the material being treated


Degree of contamination


Time of exposure


Strength and chemical action of the germicide



Germicidal categories

Halogens, phenolics, chlorhexidine, alcohols, hydrogen peroxide, aldehydes, gases, detergents and soaps, heavy metals, dyes, acids and alkalis

Halogens

Chlorine-Cl2, hypochlorites, and chloramines


Denature proteins by disrupting disulfide bonds


Intermediate level


Unstable in sunlight, inactivated by organic matter


Water, sewage, wastewater, inanimate objects

Iodine

I2, iodophore (betadine)


Interferes with disulfide bonds of proteins


Intermediate level


Milder medical and dental degerming agents, disinfectants, ointments

Phenolics

Disrupt cell walls and membranes and precipitate proteins


Low to intermediate level


Bactericidal, fungicidal, virucidal, not sporicidal


Example: Lysol


Ticlosan-antibacterial additive to soaps

Chlorhexidine

A surfactant and protein denaturant with broad microbicidal properties


Low to intermediate level


Hibiclens, hibitane


Used as skin degerming agents for preoperative scrubs, skin cleaning, and burns

Alcohols

Ethyl, isopropyl in solutions of 50-95%


Act as surfactants dissolving membrane lipids and coagulating proteins of vegetative bacterial cells and fungi


Intermediate level

Hydrogen Peroxide

Produce highly reactive hydroxyl-free radicals that damage protein and DNA while also decomposing to O2 gas-toxic to anaerobes


Antiseptic at low concentrations; strong solutions are sporicidal

Aldehydes

Kill by alkylating protein and DNA


Glutaraldehyde in 2% sol used as sterilant for heat sensitive instruments (high level)


Formaldehyde: disinfectant, preservative, toxicity limits use


Formalin-37% aqueous solution


Intermediate to high level

Gases and Aerosols

Ethylene oxide, propylene oxide


Strong alkylating agents


High level


Sterilize and disinfect plastics and prepackaged devices, foods

Detergents and Soaps

Quaternary ammonia compounds act as surfactants that alter membrane permeability of some bacteria and fungi


Very low level

Soaps

Mechanically remove soil and grease containing microbes

Heavy metals

Solutions of silver and mercury kill vegetative cells in low concentrations by inactivating proteins


Oligodynamic action


Low level


Merthiolate, silver nitrate, silver

Dyes as Antimicrobial Agents

Aniline dyes are very active against gram-positive species of bacteria and various fungi


Sometimes used for antisepsis and wound treatment


Low level, narrow spectrum of activity

Acids and Alkalis

Low level of activity:


Organic acids prevent spore germination and bacterial and fungal growth


Acetic acid inhibits bacterial growth


Propionic acid retards molds


Lactic acid prevents anaerobic bacterial growth


Benzoic and sorbic acid inhibit yeast