Control Of Microbial Growth & Tools and Techniques Flashcards
Infections that develop during the course of a hospital stay and not present at the time of admission
Nosocomial infection
Microbes present at given place and time that are undesirable or unwanted
Contaminant
Free of all microorganisms and their spores
Sterile
Agent or method used to carry out disinfection
Disinfectant
Use of chemical agents on the skin or other living tissue to eliminate or inhibit microorganisms
Antisepsis
Use of physical procedures or chemical agents to destroy, inhibit, neutralize, or remove at least most potentially infectious microorganisms
Disinfect / decontaminate
Microbial resistance to killing (from most resistant to least resistant)
Bacterial endospore Mycobacterium Protozoan cysts Non-enveloped small viruses Vegetative bacteria Fungi Enveloped viruses
(Younger cells are easier to destroy then older cells)
Factors affecting the effectiveness and choice of sterilization or disinfection method
Microbial population composition
Microbial death
Population size
Concentration/ intensity of antimicrobial
Duration of exposure
Temperature and pH
Presence of protective or neutralizing matter
Physical nature of materials being treated
Modes of action of microbial control methods
Damage to cell wall
Disrupt cytoplasmic membrane
Inhibit synthesis of proteins and nucleic acids
Alter function of proteins and nucleic acids
General methods of physical control of microorganisms
Cold temperatures
Heat
Radiation
Filtration
How can cold temperatures be a physical control?
Refrigeration
- Slow metabolism of microbes, but does not kill most microbes
Freezing
- stops metabolism, but does NOT kill microbes
How can heat be a physical control?
Heat kills the cells
Most heat is more effective than dry heat but boiling does not kill bacterial endospores
Dry heat
Most heat
Incineration
What are the conditions of dry heat?
160 to 180 C for two hours
What are the conditions for moist heat?
121 C for 15 minutes
- minimum time required to ensure killing
- Large load may require more then an hour
What are the limitations to moist heat?
- cant be used for certain thermolabile substances
- cant be used for items adversely affected by moisture
The burning of organic material destroys living cells
Incineration
How can radiation be a physical control?
Ionizing radiation- Gamma
Ionizing radiation- Electron beam radiation
Non- ionizing radiation- ultraviolet
How can filtration be a physical control?
Membrane micropore filters
High-efficiency particulate air (HEPA) filtration
Methods of chemical control of microorganisms
High- level disinfectant
Intermediate- level disinfectant
Loop level disinfectant
What may be sterilants under appropriate conditions?
High- level disinfectants
Microbial and sporocidal, although some may do so slowly; effectiveness approaches sterilization
High- level disinfectants
Effective against vegetative forms of bacteria and maybe be effective against fungi and viruses but few products will be sporocidal
Intermediate- level disinfectants
A few are antiseptics
Intermediate- level disinfectants
Usually bactericidal; not sporocidal or tuberculocidal, often not fungicidal or virucidal
Low- level disinfectants
A chemical substance of natural, semisynthetic, or synthetic origin that inhibits or kills microorganisms and which can be used to treat or control infection
Antibiotic
The antibiotic will affect only the target organism (microbe) without harming the host (patient)
Selective toxicity
What are inhibitors of cell wall synthesis?
Beta-lactam Antibiotics
Vancomycin
Bacitracin
Isoniazid (INH)
Inhibits peptidoglycan synthesis by inhibiting the formation of cross links between the polymers of the bacterial cell wall and examples
Beta- lactam
- penicillins
- cephalosporins
Binds onto the cross-link peptide, so that the link cannot be completed and peptidoglycan polymer cannot elongate
Vancomycin
Blocks phospholipid carrier that helps carry subunits of peptidoglycan across membrane to cell wall
Bacitracin
Inhibits formation of mycolic acid in cell walls of mycobacterium (tb organism)
Isoniazid (INH)
Inhibitors of protein synthesis
Chloramphenicol, clindamycin
Macrolides
Aminoglycosides
Tetracyclines
What is the principle of inhibitors of protein synthesis?
Inhibits accurate translation of mRNA or polypeptide chain formation at the ribosome
Inhibits the polypeptide elongation in translation by binding to 50S ribosome subunit and blocking peptide bond formation
Chloramphenicol, clindamycin
Binds to 50S subunit; prevents translocation
Macrolides
Inhibit translation by binding to 30S ribosomal protein causing misreading of mRNA and incomplete synthesis of protein molecules
Aminoglycosides