Chapter 13 Study Guide Flashcards
Involves applying chemicals to living tissue to reduce microbes
Ex. Hydrogen peroxide, isopropyl alcohol
Antisepsis
Uses physical or chemical means to reduce the number of microbes on an inanimate surface
Ex. Bleach, vinegar, heat
Disinfection
Refers to practices and procedures that prevent contamination, maintain a sterile environment, reduce risk of infection during medical and surgical procedures.
Asepsis
Rely on moist heat sterilization, they are used to raise temperatures above the boiling point of water to sterilize items such as surgical equipment from vegetative cells, viruses, and especially endospores.
Autoclave
Kills bacteria
Kills viruses
Kill fungi
Bactericide
Viricide
Fungicide
Treatments inhibit the growth of bacteria
Treatments inhibit the growth of fungi
Bacteriostatic
Fungistatic
Agents prevent further growth but do not kill the microbe
Microbiostatic
Cationic molecules that disrupt cell membranes
Example: chlorhexidine
Effective against: gram positive, gram negative, yeast, enveloped viruses
Often used as a surgical scrub and mouthwash
Not effective against naked viruses, endospores, pseudomonas aeruginosa
Bisbiquanides
A sterilization method that involves steam and pressure
Temps above boiling point
Standard conditions : 121c at 15 psi
Routine testing must be done to ensure proper testing
Autoclaving
Categories of cleanliness
Critical
Semi critical
Non critical
Risk of introducing microbes directly into the body
Ex: surgical instruments, catheters, IV fluids
Critical
Contact with mucus membranes or broken skin
Ex: endospores, respiratory therapy equipment
Semi critical
Contact skin but do not penetrate
Ex: linens, stethoscopes, crutches
Non critical
Hand washing is an example of
Physical removal of microbes
Degerming
Involves removing sufficient microbes to reduce the risk of disease transmission
Commercial dishwashers
Cleaning protocols in healthcare facilities
Sanitization
Dehydration slows cellular metabolism, used to preserve foods (dried fruits, jerky) some microbes and endospores will remain
Desiccation
Items are flash frozen under a vacuum to remove moisture
Items can be stored at room temperature
Used both for foods and to preserve microbial cultures
Lyophilization
Is an inanimate object or surface that can carry and transfer infectious microorganisms, such as door knobs, towels, or medical equipment.
Fomite
A method of disinfecting liquids (not sterilizing) using heat
High temperatures short time (HTST)
72c for 15 seconds
Ultra high temperatures (UHT)
138c for > 2 seconds
Pasteurization
Was first used by Joseph lister as a surgical disinfectant
Contains a phenol group as part of their structure
Works by denaturing proteins and disrupting membranes
Phenolic
Lysol
Phisohex
Triclosan
Examples of phenolics
Effectively kill all microbes and viruses, and with appropriate exposure time, can also kill endospores
Sterilants
A ______ environment is completely free from all living microorganisms, including bacteria, viruses, fungi, and spores.
Sterile
Common methods of sterilization
Autoclaving
Dry heat
Chemical sterilization
The complete removal or killing of all vegetative cells, endospores, and viruses from the targeted item or enviorment
Sterilization
Why is maintaining good aseptic technique critical ?
Prevents contamination of sterile surfaces
Medical procedures that carry risk of contamination must be performed in a ______, a designated area that is kept free of all vegetative microbes, endospores, and viruses
Sterile field