The control of Microbrial Growth Flashcards

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1
Q

Compare and contrast Sterilization vs Commercial Sterilization

A

Sterilization
-Destroys ALL forms of life (microorganism, spore and viruses; may or may not include prions)
Commercial Sterilization: Sufficient heat treatment to kill C. Botulinum endospores in canned food

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2
Q

Differentiate between Disinfection vs Antispepsis
Can a disinfectant also be an antiseptic?

A

Disinfection:
treatment used to Kill or inhibit microorganisms on INANIMATE objects
-Disinfectant: a chemical used for this purpose (ex: Bleach)
Antisepsis; treatment used to kill or inhibit microorganism on LIVING TISSUE
Antiseptic: chemical used for this purpose (ex: Mouthwash)
YES, a disinfectant can also be an antiseptic

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3
Q

what is the meaning of Cidal vs Static when discussing bacteria?

A

BacteriCidal: Kills bacteria

BacterioStatic: Inhibits bacterial growth

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4
Q

What is Degerming?

A

Degerming: removing microbes form a limited area

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5
Q

What is sanitization?

A

Sanitization: Reduce or Eliminate pathogenic agents on the surfaces

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6
Q

What is Sepsis and Asepsis?

A

Sepsis: The PRESENCE of toxin or pathogenic organism in blood and tissue
Asepsis: the ABSENCE of contamination by Unwanted bacteria

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7
Q

Explain the rate at which bacterial populations die

A

Bacterial populations die at a constant Logarithmic rate
one log decrease= 90% of population killed

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8
Q

What are the methods of controlling microbrial growth ?

A

Methods of Controlling microbrial growth:
Physical
-Heat
*Moist heat
*Pasteurization
*Dry Heat
-Filtratrion
-Cold
-High pressure
-Dessication
-Radiation

Chemical

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9
Q

What are factors that influence the effectiveness of antimicrobial treatments?

A

-Number of microbes
-Environmental influences:
1.Presence of organic matter often inhibits chemical antimicrobrials (ex: biofilm, bodily fluids)
2.Suspensions rich in fats and proteins protect microbes from heat treatments
3.Temperature (chemical reactions are temperature dependent
-Time of exposure
-Microbrial characteristics

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10
Q

What are of the actions of Microbial Control agents? What else can be damaged in the cell by these agents?

A

Actions of Microbial Control Agents:
Damage to the plasma membrane
-The plasma membrane is susceptible due to its lipid and protein components
-Increased permeability allows cellular content to leak into the surrounding medium
Damage to proteins and Nucleic acids
-Some microbial control agents damage pre-existing cellular proteins/nucleic acid by breaking both non covalent and covalent bonds
-Other agents interfere with synthesis of new DNA, RNA, and protein synthesis
The endozime Bio-clean (only enzymatic detergent designed to target and destroy pathogens) can also be damaged
REVIEW

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11
Q

How is Heat used on microorganism? Differentiate between functions of Moist vs Dry Heat

A

Heat
-Frequently used to eliminate microorganisms
-Moist heat kills microbes by denaturing proteins (enzymes)
-Dry heat OXIDIZES organic molecules–> Protein denaturation.
Also dries and can incinerate (destroy) cells.

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12
Q

define Thermal Death point (TDP), Thermal Death Time (TDT) and Decimal Reduction Time (DRT, or D value)

A

Heat resistance varies among different microbes
Thermal Death Point (TDP); is the lowest temperature at which ALL the microbes in a liquid culture will be killed in 10 minutes
Thermal Death Time (TDT): is the LENGTH of time required to kill ALL bacteria in a liquid culture at a given temperature.
Decimal Reduction Time (DRT, or D Value): is the length of time required to kill **90% of a bacterial population of a given temperature; D value

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13
Q

What are the different types of Moist Heat and how do they differ? Which method is the most effective at moist heat sterilization?

A

Types of Moist Heat
1) Boiling: 100 degrees C kills all vegetative bacterial pathogens, fungi + their spores and MOST Viruses within 10 minutes (usually faster)
-endospores can survive up to 20 hours
(fungi spores less resistant than endospores)
2) Autoclaving (sterilization by steam under pressure) is the MOST EFFECTIVE method of moist heat sterilization
-The Higher the pressure, the Higher the temperature
-Steam at a pressure of about 15 psi (121 degrees C) kills all organism and their endospores in about 15 mins.
(psi; pounds/square inch)

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14
Q

Describe the relationship between the pressure and temperature of steam at sea level. At what value of psi are most bacteria killed?

A

Pressure also allows liquids to reach 121 degrees C during Autoclaving
-Most bacteria are killed at 60,000 pounds per square inch (psi) of pressure
The higher the pressure (in psi; excess of atm pressure), the higher the temperature (degrees C)

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15
Q

How must the autoclave guage changed when operating at high altitudes? Why?

A

At higher altitudes, atmospheric pressure is less.
Hence to reach sterilizing temperatures (121 degrees C), and be able to kill bacteria, in a place like Denver, Colorado (high altitude), you will need autoclave gauge to be Higher than 15 psi (shown in table for pressure at sea level)

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16
Q

How does the Autoclave work? What are the instruments used?

A

An Autoclave
(machine that uses steam under pressure to kill bacteria)
-Air must be completely exhausted to reach the temperature expected for given pressure

(contains exhaust valve that removes steam after sterilization, safety valve, pressure gauge, operating valve: controls steam from jacket to chamber; Door, sediment screen, thermometer, pressure regulator (for steam supply), Steam supply, automatic ejector valve (closes on contact with pure steam when air is exhausted)

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17
Q

How does the container size affect the autoclave sterilization times for liquid solutions?

A

The larger the container size, and greater the liquid volume, the LONGER period of time is needed for sterilization time (using autoclave)
(smaller containers, reach sterilization temps faster)

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18
Q

When is steam sterilization most effective? Explain how dry materials are wrapped
What are other sterilization indicators are there?

A

Stream sterilization is the MOST Effective when the organisms are directly contacted by the steam or in an Aqueous liquid. If necessary, dry materials should be wrapped in Aluminum FOIL (trapping air in the bottom of a container is sometimes unavoidable.
Aluminum foil keeps the items “dry” (prevents the access of the steam) They will not be sterilized with the times/temperatures used for autoclaving.
Other sterilization technique: paper with endospores, that have organism that grow at high temps

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19
Q

What occurs in Pasteurization? What type of organisms are involved? What are the equivalent treatments used

A

Pasteurization
-Eliminates pathogens and reduces spoilage organisms (prolongs refrigerated shelf-life) without altering flavor
-Although many thermoduric (heat resistant) organisms survive, they are unlikely to cause disease or causes milk to spoil
- The concept of equivalent treatments
-Vat pasteurization/Low temperature long time
(LTLT); Pasteur’s original method ) 63 degrees Celsius for 30 mins
2) High temperature- short-time (HTST): 72 degrees C for 15 sec- used for most milk pasteurization today
products other than milk have their own pasteurization times and temperatures

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20
Q

Why do pasteurization times and temperatures vary for different food products?

A

Pasteurization times and temperatures vary for different foods b/c heating is less efficent in viscous foods (heating cream),and fats in foods are protective

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21
Q

How does dairy industry routine measure the effectiveness of pasteurization?

A

Dairy industry used PHOSPHATASE test (enzyme found in raw milk , that is destroyed with pasteurization)

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22
Q

Besides Pasteurization, how else can milk be sterilized? How does this differ in different countries?

A

Milk can be sterilized using Ultra High-Temperature : heated at 140 degrees C for 2-5 seconds
-milk is sterilized and Stored at Room Temperature (RT) for 6 moths-year

(some countries do not support use of this technique for milk products; meanwhile some countries have high percentage os using this system (countries like Belgium, Germany, Portugal use it; while Denmark and Greece do not.)

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23
Q

What are the different types of Dry Heat Sterilization? Which method has an equivalent treatment to Autoclave?

A

Dry Heat Sterilization
-Hot-Air Sterilization (put in oven)
-Direct flaming to a red glow (put over flame unit light is red hot)
-Incineration (burning)
The equivalent treatments:
Hot-Air; heat at 170 degrees C for 2 hours
Autoclave: heat at 121 degrees C for 15 mins (Heat transfer is faster in liquid)
(Hot-Air takes longer because heat transfers slower in air)

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24
Q

What methods of filtration are used to remove bacteria?

A

Filtration
-High-Efficiency Particulate Air (HEPA) filters: remove microbes > 0.3 um
(A HEPA air filter can reduce the amount of airborne allergens; do so by trapping harmful particles through a fine mesh)
-Membrane filtration: removes microbes >0.22 um (composed of nitrocellulose, cellulose acetate and other polymers) Now with 0.01 um pore size
-Filtration eliminates bacteria by separating the microbes from rest of liquid( sterilized medium)

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25
Q

What is the apparatus of membrane filtration?

A

Membrane filtration apparatus:
Flask of sample, membrane filter (agar) cap (of agar plate)
cotton plug in vacuum line: ensures sterility
vaccum line

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26
Q

In what situation is filtration the only practical way to eliminate undesirable microbes?

A

A solution that is Sensitive to heat and Needs to be sterilized

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27
Q

Explain which methods at Low Temperatures affect microbrial growth and how effective they are

A

Low Temperatures
1) Refrigeration- 0.7 degrees C is Bacteriostatic (stops growing) for most microbes
Psychrotrophs wil still grow slowly and eventually alter food
2) Deep freezing- renders microorganisms dormant , but does NOT necessarily kill them
-ice crystals formed during freezing disrupt cellular and molecular structure of cells (slow-freezing is more harmful than rapid)

-Survival after thawing depends on the microorganism and the time. (frozen 1 year, 1/3 to very few vegetative cells survive depending on strain)

(better to slowly thaw after freezing)

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28
Q

How does High Pressure affect microbial growth ?

A

High Pressure
Very High pressure (3-5 mins) (87,000 psi)
(deepest part of ocean is 16,000 psi) applied to a liquid suspension is instantly transferred equally through a sample food package in a flexible container (like fruit juices)
**Cell Death is linked to Denaturaion of various proteins, phospholipid gelation and irreversible damage resulting in loss of membrane, leakage **
-Can be used without heat and inactivates most vegetative cells (spore removal requires heat, low pH or pressure cycles)
-Colors, flavors and nutrient values retained.

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29
Q

How does Desiccation affect microorganims? What are the main two Food preserving methods? What determines Vegetative cell resistance and rank the organisms from highest to lowest resistance

A

Desiccation (process of drying organisms out; removing water (dehydration); microbes cannot grow or divide)
- **Metabolism is prevented in the absence of water, but cells can remain viable for years
-Lyophilization/Freeze drying can be uses as a food preservation method: coffee and fruit in dry cereal
-Air drying, which uses Warm air, is also used as a food preservation method: raisins, apples, etc
Vegetative cell resistance is Species Dependent
(ex; N. gonorrhea, 1 hr; M. tuberculosis , months)
Resistance: Endospores>vriuses>Vegetative cells
(endorses have highest resistance)

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30
Q

Why is bacterial viability during desiccation a concern in hospital settings?

A

Because of Dust, bedding and dressing in hospital that might contain infectious microbes in dried:
-Mucus
-blood
-urine
-pus
-feces

31
Q

How does Osmotic pressure affect Microbrial growth? Which method is it similar to?

A

Osmotic Pressure
-Same end result as dessication
-high/salt/sugar concentrations are used to create HYPERTONIC conditions; draw water out of cells (cell shrinks)
-Examples: Salt/curd meat and high sugar to preserve fruit

32
Q

Which class of microbes are generally much better at growing on low moisture/high osmolarity foods (grains and fruits)

A

MOLD

33
Q

What are the different forms of radiation and how do they affect cells? what are examples of each type of radiation?

A

Radiation
1) Ionizing radiation ( ex: X rays, gamma rays) are HIGH ENERGY Electron beams
-Ionizes water to release highly reactive Hydroxyl RADICALS (OH)
-OH
radicals react with cell components (especially DNA)
2) Nonionizing radiation (UV, 260 nm is Most Effective)
-Damages DNA (thymine dimers)
3) Microwaves kill by moisture heating; not especially antimicrobrial
(nonionizing radiation like UV and Microwaves (even lower) have LOWER energy)

34
Q

What are the radiation sources for High energy beams, gamma rays, X-rays, UV radiation and Microwaves?

A

Radiation Sources
-High energy electron beams; Accelerating electrons to high speeds in a machine
-Gamma rays: emitted by radioactive elements (Cobalt, Radium)
-X-rays: generated by aiming a high energy electron beam at a metal target
-UV radiation; sunlight (most blocked by ozones) with germicidal lamps
-Microwaves: Microwave ovens

35
Q

Would a UV germical lamp be a good method for the post office to sterilize mail? Explain why or why not?

A

NO, UV germinal lamp not good for sterilization mail because the lamp does NOT penetrate paper. (instead, it would be better for Electron beam that’s higher energy to be used)

36
Q

What type of radiation is used to sterilize disposable dental and medical supplies (plastic syringes, gloves, etc)?

A

GAMMA Radiation and HIGH energy electron beam radiation

37
Q

What does the green round symbol( with plant in middle) indicate?

A

Food has been IRRADIATED (exposed to radiation)

38
Q

What foods has the FDA approved for irradiation in the United States?

A

The FDA has approved a variety of foods for irradiation in the United States including:
-Beef and Pork
-Crustaceans (ex: Lobster, shrimp and crab)
-Lettuce and Spinach
-Poultry
-Seeds for Sprouting (ex: for alfalfa sprouts)
-Shell Eggs
-Shellfish- Molluscan (ex: oysters, clams, mussels, and scallops)
-Spices and seasonings

39
Q

Does the irradiation f food make it radioactive?

A

NO, the irradiation of food does NOT make it radioactive

40
Q

Explain the use of chemical methods to control microbes?

A

Chemical methods of control
-may be used on living and inanimate object
-FEW chemical agents achieve Sterility
-Most merely Reduce microbe populations to safe levels or remove vegetative forms of pathogens

41
Q

What are the principles of effective disinfection?

A

Principles of Effective Disinfection:
1) Gain information from label
-Organism effective against
-Disinfectant concentration
Time (Sometimes several hours)
2) Contact with microbe (is scrubbing and rinsing necessary)
3) Nature of disinfected medium
-pH
-presence of organic materials
***No single disinfectant is appropriate for all conditions **

42
Q

Which two methods are used to evaluate the effectiveness of disinfectants and antiseptics?

A

Dilution test and Disk Diffusion method

43
Q

Explain how Dilution test is used to evaluate effectiveness of disinfectant and antiseptics. What kind of microbes used this method and why.

REVIEW

A

Use Dilution Test:
-Current Stanadard
-Metal or glass rings that are dipped in test bacteria are dried
- Dried cultures are placed in the manufacturer’s recommended dilution of a disinfectant for 10 mins at 20 degrees C
-Rings are transferred to culture media and tube incubated. Survival is demonstrated by turbidity (cloudiness)
-Variations of the method are used for viruses, endospore-forming bacteria, mycobacteria and fungi. This is because viruses grow on other organisms ,and endospore forming bacteria and fungi are more resistant

44
Q

How is the Disk Diffusion method used to evaluate the effectiveness of disinfectants and antiseptics?

A

Disk Diffusion Method
-A disk of filter paper is soaked with a chemical and placed on an inoculated agar plate.
A Clear zone of inhibition indicates effectiveness
-Antibiotic disks are commercially available

45
Q

Is Chlorine more Toxic to S. aureus or P.aeruginosa?

A

S.aureus

(because the disinfectant chlorine showed clear zone of inhibition for S.aures than other microbe; proving it be more effective)

46
Q

Is Chlorine or Quit more toxic to staphylococcus aureus (based on looking agar plate, observing diffusion)?

A

You cannot tell because diffusion willy only detect size of zone inhibition (whether space is cleared by disinfectant)

47
Q

Explain how phenols are used as disinfectants. What levels are used? What are negative effects of phenols?

A

Types of Disinfectants:
Phenol (benzene ring with OH)
it is now RARELY used as antiseptic or disinfectant because it is skin irritating and has a disagreeable odor
-Often used at LOW concentrations (<1%) for its anesthetic effect in throat lozenges. Not bactericidal at this level (does not stop growth of microbes)

48
Q

How are Phenolics used as a type of disinfectant?

A

Phenolics:
-Phenol derivatives designed to reduce the irritating qualities (of Phenols) and Increase Antimicrobrial activity
-O-phenlyphenol is the active ingredient in most Lysol formulations
(phenolics have two Benzene rings attached and one OH group)

49
Q

What are Bisphenols and how are they used as disinefactants? What are two main types of Bisphenols and what products are they seen in? Why has it been prohibited in some products?

A

Bisphenols
-Contain two phenolic groups Covalently linked
-Hexachlorophene (bispehol): ingredient in the prescription Skin Cleanser pHisoHex that is used as an acne wash, a surgical soap and for nursery infections
-Triclorosan: Until recently, widely used in anitmicrobrial soap, mouthwash, toys, underwear, sponges , etc. Its use in Non-medical soap is now PROHIBITED due to concerns that bacteria may develop resistance

50
Q

What do phenols, phenolic and Bisphenols have in common? Which microorganism is susceptible?

A

Phenols, phenolics and bisphenol disrupt plasma membranes
- Mycobacteria are especially susceptible due to rich lipid content

51
Q

How are Biguanides used as Disinfectants? What is an example of a Biguanide? What kind of microbes are they effective against? Which microbes are they NOT effective for?

A

Biguanides
-primarily affect cell membranes
-Chlorhexidine is the best known: when combined with alcohol or detergent, it is commonly used to clean the skin after an injury, before surgery, or before an injection
-Effective against gram-positive and gram-negative bacteria, fungi, and developed viruses
-Does NOT work on Noneveloped viruses and spores

52
Q

How are Halogens like Iodine(I^2) used as disinfectants? How does it work What kind of products are Halogens like Iodine contained in? Give examples of these disinfectants. What is the most common commercial preparation?

A

Halogens
-Iodine (I^2)
-One of the Oldest and most effective antiseptics that is mainly used for Skin Disinfection and wound treatment
-Complexes with amino acids and unsaturated fatty acids–> impairs protein synthesis and alters cell membranes
-Availbale as a TINCTURE (in aqueous alcohol) or an IODOPHOR (iodine combined with detergen
-Iodine is slowly released from an iodophor, is less iririatingg and does NOT stain)
-Betadine (Povidine-Iodine) is the most COMMON commercial preparation
-Povidine maintains contact with surface well (wetting action)

53
Q

Explain how halogens like Chlorine (Cl^2) are used as disinfectants. What product is formed when chlorine is added to water and how is this product effective?

A

Halogens
-Chlorine (Cl^2)
-A disinfectant as a gas or in compounds such as Calcium hypochlorite [Ca (OC1)2, bleaching powder] sodium hypochlorite [NaOC1, liquid bleach]
-germicidal action due to the HYPOCHLROUS ACID that forms when chlorine is added to water;
1) Cl^2 + H2O <–> H+ + Cl- + HOCL (hypochlorous acid)
2) HOCl <–> H+ OCl- (hypochlorite ion)
-Hypochlorous acid is a strong oxidizing agent that reacts with a wide array of biomolecules (proteins, nucleic and fatty acids) and is especially effective because its Neutral Charge allows it to diffuse through membranes as rapidly as water.

54
Q

How are Alcohols (ethanols, isoporpanol) used as disinfectants?

A

Alcohols (Ethanol, Isopropanol)
-Kills predominately by denaturing proteins, but can also dissolve lipid bilayers
-Water required for denaturation
-Ethanol and isopropanol used as disinfectants at 60-95%

55
Q

What range of Ethanol concentration will be used as biocidal action against Streptococcus progenies? What range will there be growth vs no growth?

A

At range of 60-95 % ethanol concentration , you will lNOT see growth of microbes for any time of exposure to disinfectant
At 100% ethanol concentrate, there will be growth of microbe; also at 40% there will be growth and 50% concentration from 10-20 secs exposure there will be growth

56
Q

What is the role of Alcohols in tinctures? What are the most commonly used alcohol as disinfectants? Which microbes are they not effective against?

A

Alcohols
-in tinctures, they enhance the effectiveness of other antimicrobrial agents
-NOT effective against spores or non-developed viruses
-Ethanol and Isopropanol are the most COMMONLY used alcohols

57
Q

What is another name for Isopropanol? What are the ingredients of Purell hand sanitizer?

A

Isopropanol: aka as rubbing alcohol, 2-propanol, isopropyl alcohol
Purell Hand sanitizer: 70% ethanol, water, isopropanol, Carbomer, Glycerin, Tocopheryl Acetate, Propylene Glycol, Isopropyl Myrisate, Fragrance

58
Q

How are Heavy Metals used as Disinfectants ? Which Heavy metals are used? what produces contain them?

A

Heavy Metals
-Silver, Mercury, copper and Zinc are used as germicidals
-Able to exert their anitmicrobrial action through Oligodynamic action (effective at extremely low concentrations)
-Proteins are denatured when heavy metal ions combine with sulfhydryl (-SH) groups
-Zinc pyrithione in antidandruff shampoo
- 1% silver nitrate solution may be used to prevent Neonatal conjuctivitis in newborns
-Copper sulfate is an algicide (green alagae, 1 ppm)
-Silver sulfadiazine used as a topical cream on burns
(can also use copper to inhibit growth of algae on roof)

59
Q

How do surface active agents or surfactants affect micro. Give examples of each and how thy are able to be used as disinfectants

A

Surface-Active Agents, or Surfactants (lower surface tension)
-Soaps and Detergents–> Degerming: little value as an antiseptic but emulsifies oil on skin to assist in microbial removal by scrubbing.
-Acid-anionic Detergents–> Sanitizing: Anion reacts with plasma membrane-wide sprexturem- used at LOW pH- Important for cleaning dairy equipment
-Quats (Quaternary ammonium compounds) (Cationic compounds)
Bactericidial, denature proteins, disrupt plasma membrane– more effective towards gram + (POSITIVE) bacteria
Some Pseudomonas can actively grow in them.

60
Q

Compared the effectiveness of various antiseptics? Which one is the Most effective? Least effective?

A

1 % iodine in 70% ethanol (tincture of Iodine) is the MOST EFFECTIVE antiseptic (decreasing percentage of surviving bacteria to 10%)
-Soap and Water are the Least effective antiseptic (surviving bacteria only decreases to 80%)
-Aqueous zephiran (not as effective either)
-Tincture of Zephriran (more effective than aqueous zephiran, and second most effective after tincture of iodine)
soap/water < Aqueous zephiran< tincture of zephiran<Tincture of iodine

61
Q

How do chemical Food preservatives affect microbrial growth?

A

Chemical Food Preservatives:
1. Sodium Benzoate; Potassium Sorbate–> Bacteriostatic (Stop growth of bacteria) and Fungistatic in acidic foods (cheese and soft drinks)
2. Calcium propionate : preservative for bakery products. Active against bread molds and spores
3. Sulfur Dioxides: Preservative for wine and dried fruits . INHIBITS microbial growth
(119 degree angle in structure and 143.1 pm)
4.Sodium Nitrates/ Nitrites : Nitrite is active ingredient used for meat products. It selectively INHIBITS iron-containing enzymes of C.botulinum. The reaction of nitrites with amino acids produce carcinogenic products known as nitrosamines (also formed in the body by other sources)
Reduced but still used due to the value in preventing botulism.

62
Q

Explain how humans are able to eat chemical preserved foods?

A

All Chemical preservatives used in foods are Readily METABOLIZED by the Body and generally judged to be safe in foods.

63
Q

Explain how antibiotics are used for food preservation. What are examples of antibiotics used? What kind of microbes are they effective against?

A

Antibiotics for food preservation
-Use is highly regulated (low clinical value when eaten or injected)
-Two have considerable use:
-Natamycin: small molecule produced by the bacterium Streptomycin natalensis
-Nisin: 34 amino acid peptide (broad-spectrum bacteriocin) produced by the bacterium Lactococcous lactis
Natamycin is active against MOLDS and YEASTS . it is mainly used in cheese
Nisin (added to cheese) is effective against many Gram POSITIVE Organisms and Spores. It is present naturally (in small amounts) in many dairy products. Readily digested and non-toxic

64
Q

How are Aldehydes used as disinfectants? What are examples? rank the examples of aldehydes in order of highest irritation properties

A

Aldehydes
-Among the Most Effective chemical disinfectants
-Inactivate proteins by cross-linking with functional groups (- NH2 *, -OH, -COOH, -SH)
-include formaldehyde, glutaraldehyde and ortho-pthaldehyde
-Formaldehyde (gas) is most commonly used as 37% solution in water (formalin)
-Different combinations of aldehydes are used for embalming and disinefection of medical equipment
-A 2% solution of glutaraldehyde is bactericidal, tuberculocidal, and viricidal in 10 mins. Sporicidial in 3-10 hours
Almost Sterilizing (30 mins is considered max time allowed for sporicide to act)
(also glutaraldehyde used as a fixative in electron microscopy and affects amino groups and hydroxyl groups)
-A 0.5% OPA solution is a faster acting antibacterial but is NOT sporicidal
-irritation properties: Formaldehyde > glutaraldehyde>ortho-pthaldehyde

65
Q

What is the role of Gaseous Chemo-sterilants? How does it work and what are examples? What are the conditions?

A

Gaseous Chemo-Sterilants
-Toxic and explosive in air: requires a closed chamber for sterilization
-Used for heat-sensitive material
-penetrates most materials and kills all microorganisms by Alkylation of labile hydrogens and to yield chemical
radicals, which leads to crosslinking.
-Kills all microbes and endospores but requires Several Hours, Exposure (long period)
**Ethylene oxide and chlorine dioxide are the most frequently used ***

66
Q

What is Plasma Sterilization and how is it used? What is the process of Hydrogen peroxide gas sterilization ?

A

Plasma Sterilization
-Plasma is an ionized gas
-Typically, a hydrogen peroxide vapor is excited by an electrochemical field to produce UV Light and free radicals
-Can perform low-temperature sterilization (by oxidation) of almost any material and any shape with nooks and crannies in approximately 1 hour (Fast process)
-Reliable way to sterilize surgical instruments with hollow long tubes
Process of hydrogen peroxide gas Plasma Sterilization:
1. Vaccum
2. Injection
3. Diffusion
4.Plasma
5. Vent

67
Q

What is the role of Peroxygens and other forms of oxygen?

A

Peroxygens and other forms of Oxygen:
Act by oxidizing molecules inside cells:
-H2O2 disinfects inanimate objects and can then be rapidly degraded. However NOT effective for open wounds due to catalase. Sterilant-as a heated gas- can be used for room sterilization.
-Peracetic acid (0.2%) is used to disinfect food processing and medical equipment. One of the most effective liquid chemical sporicides and can be used as STERILANT**
-Benzoyl peroxide: is the main ingredient of over the counter acne medication
-Ozone (O3) is generated by passing oxygen through high-voltage electrical discharges. Is more effective than Chlorine in water disinfection, but difficult to maintain residual activity in water. **
Sterilant in Industrial settings
*

68
Q

Which kind of microorganisms are resistant to disinfectant and antiseptics?

A

-Gram NEGATIVE bacteria are generally more RESISTANT than gram-positive bacteria to disinfectants and antiseptics (Clostridium and Burkholderia especially)
-Mycobacteria, endospores and protozoan cysts are very Resistant than enveloped viruses to disinfectants and antiseptics
-Non-enveloped viruses are generally more RESISTANT than enveloped viruses to disinfectants and antiseptics

69
Q

Describes the order of microbes from more resistant to least resistant

A

Most resistant
Prions > Endospores of bacteria> Mycobacteria> Cysts of protozoa>Vegetative Protozoa> Gram-negative bacteira> fungi, including most fungal spores>Viruses without envelopes> gram-positive bacteria> Viruses with lipid envelopes (LEAST Resistant)

(Viruses with lipid envelopes are least resistant)
(prions most resistant)
remember that microbial control methods, especially biocides are NOT uniformly effective against all microbes
-(compounds discussed in chapter not useful in treatment of disease)

70
Q

Discuss the effectiveness of chemical antimicrobials against Endospores and mycobacteria

A

Effectiveness of chemical antimicrobials against Endospores and Mycobacteria:

Chemical Agent Endospor Mycobacteria
1.Mercury No Activity No activity
2. Phenolics Poor Good
3. Bisphenols No Activity No activity
4.Quatenary
Ammonium No Activity No Activity
Compounds
5. Chlorines Fair Fair
6. Iodine Poor Good
7. Alcohols Poor Good
8. Glutaraldehyde Fair Good
9. Chlrohexidine NO activity Fair

71
Q

Which chemicals are will have NO Activity (effectiveness) on endospores or mycobateria

A

Mercury, Bisphenols and Quaternary Ammonium compounds

72
Q

Which chemicals have poor effectiveness against Endospores but good effectiveness for mycobacteria?

A

Phenolics, Iodine, Alcohols.

73
Q

Discuss prion control? What occurs? How does it work?

A

Look in textbook