(02) Antisepsis and Sterilization Flashcards
Koch’s Postulates
- Microbe must be present in all disease cases
- Microbe must be isolated from the infected host and grown in a pure culture
- When pure culture is introduced to susceptible host the disease must be reproduced
- Microbe must be isolated from purposefully infected host
Nosocomial Infections
- assumption?
Infections whose onset and confirmation occur greater than 48 hours after hospitalization.
- Assumption is that these were acquired while in the hospital
What infections fall under the category of Healthcare-associated infections
- Nosocomial
- Infections occurring within 6-12 months of systemic antibiotic treatment
- Residence in Long-Term Care facility
- Central IV catheterization
- Urinary Cathertization
- Dialysis
How many hospital associated infections are due to:
- nosocomial infection
- antibiotic resistance
Nosocomial = 5-10%
Antibiotic Resistance = 70%
3 Reasons for high rates of Hospital Associated Infections.
- Prevalence of Pathogen
2 .Prevalence of compromised patients
- Patient to Patient transmission by hospital personnel
Differentiate disinfectants and antiseptics
- which is more harsh?
- Disinfectants are used an inanimate things
- antiseptics are used on skin
- Disinfectants are typically too harsh to use on skin
Differentiate bacteriostatic and bacteriocidal agents
Bacteriostatic
- Inhibits growth
Bacteriocidal
- Destroys or inactivates bacteria
What is the only chemical agent capable of eliminating all contamination?
Ethylene Oxide Gas
How do phenolics and alcohols aid in eliminating contamination?
- effective against?
- Ineffective against?
Action:
- Denature Proteins
- Disrupt Cell membranes
Effective against:
- Bacteria
- Enveloped viruses?
Ineffective against:
- Spores
- Protozoan cysts
- non-enveloped viruses
How do halogens work to aid in eliminating contamination?
- Effective against?
- Oxidize (iodinate or chloronate) proteins
Effective against:
- Bacteria
- Spores
- Most Viruses
How do surfactants work to aid in eliminating contamination?
- what are quats?
- Use hydrophobic and hydrophilic groups to disrupt cell membrane
- quats = Quaternary Ammonium Salts, these are largely ineffective
Hydrogen Peroxide
- how does it clean?
- NOT effective against?
- Attacks the Lipid Membrane
NOT Effective against:
- Spores
- Catalase (+) bacteria
Glyceraldehyde
- how does it work?
- what is it used for?
- Alkylating Agent
- Used to Disinfect equipment
Sterilization
- define
- best accomplished by…
Definition:
- Complete Killing or Removal of All living organisms from an item or area
Best accomplished by PHYSICAL METHODS
How would the plot of bacterial death vs. time look?
- It would be an exponential graph
**e.g. 90% (9/10) reduction of bacteria in 10 min means 99.9% (999/1000) reduction of bacteria in 30 min.