unit 9 (antimicrobial methods and eukaryotic microorganisms) Flashcards
two factors that influence the level of cleanliness required for a particular fomite
application for which the item will be used, level of resistance to antimicrobial treatment by potential pathogens
sterilization definition
the complete removal or killing of all vegetative cells, endospores, and viruses from the targeted item or environment
sterilization can be accomplished through
physical means: high heat, pressure, or filtration and chemical means
sterilants definition
chemicals that can be used to achieve sterilization
aseptic technique definition
involves a combination of protocols that collectively remain sterility, or asepsis, thus preventing contamination of the patient with microbes and infectious agents
antisepsis definition
reduces microbial load on skin or tissue through application of antimicrobial chemical
sepsis definition
a systemic inflammatory response to an infection that results in high fever, increased respiratory and heart rates, shock, and possibly death
sterile field definition
a designated area that is kept free of all vegetative microbes, endospores, and viruses
disinfection definition
reduces or destroys microbial load of an inanimate object through application of heat or antimicrobial chemicals
ideal characteristics for disinfectants/antimicrobials
fast acting, stable, easy to prepare, inexpensive, and easy to use
disinfection is not sterilization because
some microbes remain, endospores tend to survive even when all vegetative cells have been killed
what are antiseptics
chemicals safe for use on living skin or tissues
critical items definition
must be sterile because they will be used inside the body, often penetrating sterile tissues or the bloodstream
semi-critical items definition
items that do not need to be sterilized but require a high level of disinfection because they come in contact with mucous membranes or nonintact skin but do not penetrate tissues
noncritical items definition
items that need to be cleaned but not highly disinfected because they come in contact with, but to not penetrate, intact skin
degerming definition
microbial numbers are greatly reduced by gently scrubbing living tissue with a mild chemical
sanitization definition
cleansing of fomites to remove enough microbes to achieve levels deemed safe for public health.
-cide or -cidal refers to
physical and chemical methods of microbial control that kill the targeted microorganism
-stat or -static refers to
physical or chemical methods that do not kill the organism, but stop their growth
factors that determine whether a particular treatment is -static or -cidal
types of microorganisms targeted, the concentration of chemicals used, and the nature of the treatment applied
microbial death curve
how degree of microbial control is evaluated, describes the progress and effectiveness of a particular protocol
decimal reduction time (DRT) definition
the amount of time it takes for a specific protocol to produce a one-order-of-magnitude decrease in the number of organisms, or death to 90% of the population
factors that contribute to the effectiveness of an antimicrobial protocol
length of exposure, amount of microbes, susceptibility of microbe to antimicrobial, concentration of antimicrobial, temperature, conditions that limit the contact between the agent and the microbe
physical methods of control examples
heat, cold, pressure, desiccation, radiation, sonication, filtration