Final: Ch 9: Physical & Chemical Control Flashcards
4 techniques for controlling microorganisms
sterilization
disinfection
decontamination (sanitization)
antisepsis
Sterilization
kill/remove all microorganisms (including endospores) in a material/object
ex. autoclave or chemical sterilants
Disinfection
remove vegetative bacteria (not endospores)
ex bleach, iodine, boiling
Decontamination (sanitization)
mechanical removal of microorganisms/other debris to reduce contamination to safe levels
ex. soaps, detergents
Antisepsis “degerming”
reduces the # of microbes on the human skin
decontamination on living tissues
ex. alcohol, surgical hand scrubs
Sepsis
the growth of microorganisms in the blood and other tissues
Antiseptics
chemical agents applied directly to exposed body surfaces to prevent vegetative pathogens
skin and mucous membranes, wounds, and surgical incisions
- prepping skin before surgical incisions
- swabbing an open sore
- ordinary hand washing w/a germicidal soap
Chemicals can be used to kill or inhibit microbial growth (few chemicals achieve sterility)
chemical agents are used on living tissues (as antiseptics) and on inanimate objects (as disinfectants)
3 Major principles of microbial control
- a definitive proportion of the organisms die in a given time interval
- not all microbes die immediately - the fewer organisms present, the shorter the time needed to achieve sterility
- microbes differ in their susceptibility to antimicrobial agents
- need to match antimicrobial agents appropriately
Effectiveness of control depends on (factors):
of microorganisms
target population (bacteria, fungi, spores, viruses)
temp
pH
concentration of agent
mode of action (what is it attacking?)
interfering agents (solvents, debris, saliva, blood, feces)
Microbial death
microbial death = when they are no longer reproducing (permanent loss of reproductive capability even under optimal conditions)
they can still be metabolizing and stuff but if they arent reproducing = dead
Targets to control microbial presence
injure cell wall injure cell membranes interfere w/nucleic acid synthesis interfere w/protein synthesis interfere w/protein function remove microbes
Target: Cell wall
bacteria and fungi: -block synthesis -degrade cellular components -destroy or reduce stability Agent: -chemical: penicillin, detergents, alcohols -physical: heat and radiation
Target: cell membrane
All microbes and enveloped viruses: -bind and penetrate lipids -lose selective permeability (leakage) Agent: -chemical: surfactants -physical: heat and radiation
Target: nucleic acid synthesis
irreversibly bind to DNA: -stop transcription and translation -cause mutations Agent: -chemical: formaldehyde -physical: heat and radiation
Target: protein synthesis
Binds to ribosomes: -stops translation -prevents peptide bonds Agents: -chemical: chloramphenicol -physical: heat and radiation
Target: protein function
Block protein active sites Prevent binding to substrate Dentature protein Agent: -chemical: alcohols, acids, phenolics, metallic ions -physical: heat and radiation
Physical control methods: temperature and radiation
Temp -moist heat -dry heat -cold Radiation -ionizing -ultraviolet
Killing with heat: oxidize and denature
most common method of sterilization
modes of action:
-oxidize & denature
Effectiveness varies with: kinds of microbes, their number, intensity, length of exposure, pH, moisture, nature of product
Moist heat sterilization
most common and efficient method 2 kinds: -boiling -steam sterilization (autoclave) moist heat is much hotter than dry (100 degrees in Oregon feels much hotter than in Arizona)
Boiling
effective on glassware and instruments
kills fungi, protozoa, bacteria, viruses in 10-30 min
requires 3 separate boilings to kill endospores
Pros: can use at home
Cons: messy, time consuming, materials may require drying, endospores may require longer time
Steam sterilization (autoclaving)
uses: liquids, glassware, instruments, bandages, contaminated material
steam must reach all surfaces to be effective
most efficient and convenient
kills all microbes in 15-20 min
materials may need drying