Chapter 7 Flashcards
Sepsis
Bacterial contamination
Asepsis
The absence of significant contamination Aseptic surgery techniques prevent the microbial contamination of wounds
Sterilization
Removing and destroying all microbial life
Disinfection
Destroying harmful microorganisms
Sanitization
Lowering microbial counts on eating utensils to save levels
Biocide
(Germicide) Treatments that kill microbes
Bacteriostasis
Inhibiting, not killing, microbes
Effectiveness of treatment depends on:
- Number of microbes
- Environment (organic matter, temperature, biofilms)
- Time of exposure
- Microbial characteristics
Actions of Microbial Control Agents
- Alteration of membrane permeability
- Damage to proteins (enzymes)
- Damage to nucleic acids
Physical method of sterilization
Chemical method of sterilization
Apply heat, radiation
Chemicals, disinfectants
To kill endospores
You need to apply temperatures higher than 100º C and pressure
Moist Heat Sterilization
- Autoclave: steam under pressure
- 121 ºC at 15 psi for 15 min
- Kills all microorganisms and endospores
- Steam must contact the item’s surface
- Large containers require longer sterilization times
- Test strips are used to indicate sterility
Dry Heat Sterilization
- Kills by oxidation
- Flaming (wire loop)
- Hot-air oven (powders, sharp instruments)
- 170º C for 2 hrs
Filtration
- Passage of substance through a screenlike material
- Used for heat-sensitive materials
- High-efficiency particulate air (HEPA) filters remove microbes >0.3µm
- Membrane filters removes microbes >0.22 µm
Physical Methods of Microbial Control
- Low temperature has a bacteriostatic effect
- Desiccation
- Osmotic pressure
Example of osmotic pressure for microbial control
Osmotic pressure uses salts and sugars to create hypertonic environment; causes plasmolysis
Dessication
Absence of water which prevents metabolism (microbial growth)
Examples of low temperature bacteriostatic effect methods
- Refrigeration
- Deep-freezing
- Lyphilization (freeze drying)
Name 3 methods of microbial control through radiation
- Ionizing radiation
- Nonionizing radiation (UV, 260 nm)
- Microwaves
Ionizing radiation
- X-rays, gamma rays, electron beams
- Ionizes water to create reactive hydroxyl radicals
- Damages DNA by causing lethal mutations
Nonionizing radiation
Damages DNA by creating thymine dimers
Microwaves
Kill by heat; not especially antimicrobial
Principles of Effective Disinfection
- Concentration of disinfectant
- Organic Matter
- pH
- Time
The Disk-Diffusion Method
- Evaluates efficacy of chemica agents
- Filter paper disks are soaked in a chemical and placed on a culture
- Look for zone of inhibition around disks
Phenol and Phenolics
- Injures lipids of plasma membranes, causing leakage
- E.g. mycobacteria contains lipis. Phenols are used to disinfect pus, saliva, and feces.
Biguanides
- Chlorhexidine
- Used in surgical hand scrubs
- Disrupt plasma membranes
Name two halogens
- Iodine
- Chlorine
Iodine (name 2 examples and function)
(Halogen)
- Tincture: solution in aqueous alcohol
- Iodophor: combined with organic molecules
- Impairs protein synthesis
Chlorine
- Oxidizing agents: shut down cellular enzyme systems
- Bleach: hypochlorous acid (HOCl)
- Chloramine: chlorine + ammonia
Alcohols
- Denature proteins and dissolve lipids
- No effect on endospores and nonenveloped viruses
- Ethanol and isoporpanol
- Require water