Exam 2 Flashcards
Factors to consider
Location, type & number of microbe, risk of infection
Why control microbial growth?
To prevent diseases,
protect the food supply,
create clean areas for research & development
Remember that not all microbes are pathogens and most are beneficial
By killing microbes
Cidal agents think “sui-“
By inhibiting microbial growth
Static agent
“inhibit” meaning that the bacteria stops growing BUT does not kill them. Static=electricity=shocks (things don’t move when they’re shocked)
Bactercidal
To kill bacteria
Sterilization
Removing all microbial life
Does not consider prions
Disinfection
Destroying harmful microbes on a surface or object
Some microbes will remain
Disinfectant
Chemicals used for disinfecting inanimate objects
Antiseptics
Destroy harmful microbes on living tissues/people
used on patients before invasive procedure
Asepsis
Free of microbial contamination
Aseptic techniques
Prevention of contamination through procedures
Decontamination
Reduces the number of pathogens to a safer level
Sanitation
Substantially reducing the microbial population to meet health standards
Pasteurization
Brief heating to reduce the number of spoilage microbes and destroy pathogens without changing the characteristics of the product
Preservation is a form of [?] method
bacteriostatic method inhibits the growth of bacteria but does not kill the bacteria
Preservation
A process of delaying spoilage
example would be refrigeration, which uses temperature to slow the growth of bacteria.
Chemical preservatives can be added to slow growth even further
Approaches to microbial growth
Depends on the situation: daily life, setting, laboratories, food production facilities, water treatment plants, and any other industries.
Daily life requirements for microbial control
Washing and soaping and scrubbing and detergent
most frequently misses spots when handwashing
under the nails, wrists, around, jewelry,
how does soap work to remove microbes during handwashing
nonpolar tails of micelle soap adhere to the dirt on the skin. Polar groups are soluble in water and help lift the dirt away from the skin
Soap is beneficial to skin microbiota because
the skin is not affected by regular use given that they reside deeper in underlying layers of skin
BSL4
lethal pathogen for which no vaccine or treatment is available
BSL-1
Microbes is not know to cause disease
Washing your hands
Soap aids in the mechanical removal of microbes
The most important step in stopping the spread of many infectious diseases
Health care associated infection HAIS
Patients are often more susceptible to infection due to their weakened condition
Patients may undergo invasive procedures cutting intact skin which exposes it to pathogens
Pathogens are more likely to be found in hospitals (feces, ventilation)
Operating rooms must be monitored
Surgical instruments must be sterilized
Prions are a relatively new concern and are very difficult to destroy
Microbial laboratory
Aseptic technique
Sterilization if materials cdc guideline
Bio safety levels range from BSL1-4 (1 microbes not know to cause disease)
(4 being lethal pathogens with no vaccine or treatment existing)
Food preparation
Perishables retain quality longer when contaminating microbes are destroyed removed or inhibited
Heat treatment (most common), irradiation (kill microbes) chemical additives (prevent growth)
Water filtration
Ensure that drinking water is free of pathogens
Uses filtration and chemical methods
Chlorine is traditionally used to disinfect water
Selection of an effective antimicrobial procedure depends on
The type and number of microbes
Environmental condition
Risk of infection
Composition of the item being treated
Length of exposure needed
Cost and availability
Toxicity
Microbes resistant to treatment
Bacterial endospore
Only extreme heat and chemical treatment destroy them
Protozoa cyst and oocytes
Resistant to disinfection but susceptible to boiling
Mycobacterium species
Pseudomonas species
Resistant to disinfectants and can even grow in some of them
Enveloped and non enveloped
Decimal reduction time
time required to kill 90% of populations under specific conditions
temperature and Ph can
influence effectiveness of disinfectants
microorganisms in [?} are more resistant to any anti-microbial treatment
biofilm
Bleach is more effective at [?] ph
low
Dirt grease and body fluids
Can interfere with heat penetration action of chemicals
Risk for infection categories for medical instruments
Critical= must be sterile (direct body tissues)
Semi critical= must be free of viruses and vegetative bacteria (contact mucous membrane but not body tissues)
Non critical= pose a low risk of transmission (contact unbroken skin only)
Actions of antimicrobial agents
alteration of membrane permeability
damage proteins
damage nucleic acids
how does heat kill microbes
the cytoplasmic membrane is disrupted/ damaged
proteins and enzymes are denatured
Heat treatment is the best
and most useful methods for microbial control
can only be used to disinfect or sterilize
Types of heat
Moist heat=destroys microbes by irreversibly denaturing their proteins
Dry heat= less efficient than moist heat at killing microbes; requires longer times and higher temperatures
Moist heat
Boiling (100C) after 5 minutes bacteria is killed
Pasteurization; heating to a high temperature for a short time// does not sterilize
Dry heat
less effective because it takes longer times and higher temperatures
Incineration= components to ashes
Hot air oven= destroy cell components and irreversibly denature proteins
Autoclave
used to sterilize surgical instruments- increase pressure raises the stream temperature
kills endospores
can destroy prions
Commercial canning
uses an industrial size autoclave called retort//designed to destroy clostridium botulinum endospores
Low temperature
inhibits growth-bacteriostatic
Desiccation
removes water, prevent metabolism,
microbes may remain visible but are dormant for years
Osmotic pressure
high sugar/salt causes plasmolysis and inhibits metabolism
Surface tension depressants
soaps, detergents (loosens contamination from surfaces
Filtration
uses a membrane filter to remove microbes
membrane filters have microscopic pores that allow liquid to pass through
in air, High-efficiency particle air (HEPA) is used to remove airborne particeles
Radiation
can be used to destroy microbes
ultraviolet, ionizing, and microwaves are types of radiation
limitations to ultraviolet radiation
bacterial endospores are resistant to UV lights
poor penetrating power- only kills microbes on the surface
must be used carefully since it can cause skin cancer and damage retina
ultraviolet radiation
destroy microbes by damaging their DNA
UV light is absorbed by microbial DNA causing thymine dimers to form in DNA
used to destroy microbes in air, water and hard surfaces
UV light is most effective in close range against exposed microorganisms
Ionizing radiation
x rays, gamma rays
damage skin cells
used to sterilize heat-sensitive materials such as foods
Microwave
low energy wave that does not have a direct effect on microbes
microwaves kill by generating heat via water molecules
cook food unevenly
High pressure processing
Types of physical antimicrobial methods
Heat treatments
Moist heat, dry heat
Filtrations
Radiation
Soap aids in
Mechanical removal of microbes thorough handwashing
Transient
Pathogens not related to our microbe
Temperatures to kill microbe
Cytoplasmic
Denatured
Autoclave
121°C at, 15 min
131°C for 1 hr for endospores
Ultra violet radiation
Alters DNA
Germicide
Chemicals used to disinfect & in some cases sterilize (kills microorganisms & inactivates viruses
Sterilants
destroy all microbes including endospores and viruses; used to treat heat-sensitive critical instruments
Disinfection
elimination of microbes from inanimate objects
Disinfectants
agent used to eliminate microbes from inanimate objects
Antiseptic
an agent that kills or inhibits growth of microbes and is non-toxic enough to use be used on human tissue
Sanitation
an agent that reduces microbial numbers to safer levels
Considerations when selecting the appropriate germicide
Toxicity )
Length of contact required (contact time)
Concentration
Types & number of microbes present
Activity in presence of organic material
Comparability with materials being treated
Residues
Cost & availability
=~
Actions of antimicrobial agents can be achieved
through physical control methods and chemical
why 100% alcohol does not work
proteins are more soluble and denature easily in alcohol mixed with water
limitations to alcohols
does not reliably destroy endospores and some non-eveloped virus
evaporates quickly, limiting contact time
can damage rubber, some plastics
Alcohol
Quickly kills vegetative bacteria & fungi
70% is used in hospitals & laboratories
Proteins are more soluable & denature more easily
Soap & water vs hand sanitizer
water reduces the amounts of all types of germs
60% hand sanitizer is recommended
Halogens
Chlorine & iodine
Common disinfectants that damage proteins & cellular components
limitations include being too irritating to the skin and mucous membrane to be used as an antiseptic
Chlorine
disinfectant
very low levels are used to disinfect drinking water
Iodine
antiseptic; kills vegetative cells, unreliable or endospores
What is added to water to disinfect
chlorine
Peroxygens
Hydrogen peroxide
Powerful oxidizer used as sterilants
Germicide on living tissue
Leaves no residue
limitations; less effective/potentially irritating gon living tissues due to catalase activity
Phonolics
Phenol one of the earliest disinfectants. kills most vegetative bacteria by destroying cytoplasmic membranes and denaturing proteins; not reliable on all viruses and endospores
positive charge of quat attracts
negative charges on cell surface of microbes
limitations to quats
can grow within the solutions
Quats
Quaternary Ammonium Compounds// destroys vegetative bacteria and enveloped viruses but is not effective on endospores
disrupts the cells membrane and negatively charged proteins
Ethylene oxide
destroys all microbes including endospores and viruses by chemically modifying proteins and nucleic acids
used to sterilize sensitive items (pacemakers, artificial hips. fabrics)
IS TOXIC
Aldehydes
capable of destroying all microbes; inactivates proteins and nucleic acids
toxicity;carcinogens
perishable products can be preserved by
chemical preservatives
low temperature storage
reducing the available water
chemicals preservatives
weak organic acids (alter membrane function lower Ph) and nitrate and nitrite (inhibit endospore germination)
Blacklights
Thawing food
some microbial cells are killed by ice crystal formation but many survive and can grow once thawed
reducing available water
adding sugar or salt which creates a hypertonic solution drawing water out of cell (plasmolysis)
drying food
stops microbial growth, but does not kill it
Discovery of antibodies
Alexander flaming identified mold
Antimicrobial medication
Drug that inhibits the growth of or kills infectious microorganisms
Antibiotics
Antiviral
Drug that
Characteristics to antimicrobial drugs
Selective toxicity to microbes
Antimicrobial action
Spectrum of antimicrobial activity
Tissue distribution, metabolism and excretion of
therapeutic index
lowest dose that is toxic divided by the therapeutic dose (high TI is less toxic)
Antimicrobial action
bactericidal: drug kills bacteria directly
bacteriostatic : inhibits bacterial growth
Selective toxicity
drugs cause greater harm to microbes than to human hosts
the spectrum of antimicrobial medication
broad-spectrum: gram-positive and gram-negative bacteria (disrupt normal microbiota. important for acute diseases
narrow spectrum: requires identification of pathogen and testing it for sensitivity
Tissue distribution, metabolism, & excretion of drugs
antimicrobial behaviors differ in the body
Route of administration
IV, IM, oral, tropical ect
Drug combinations
Antagostnic: medications interfere with each other
Synergistic: one medication enhances another
Additive: combinations that are neither are additive