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23 Cards in this Set

  • Front
  • Back
antiseptic
chemical agent used to kill microorganisms on skin, mucou membranes, or other living tissue
aseptic (asepsis)
absence of microorganisms
usually applied to procedures in operating rooms or microbiology labs which involve preventing microorganisms from reaching a protected environment
bactericidal
capable of killing bacteria
bacteriostatic
capable of inhibiting bacterial growth
multilication resumes after removal of bacteriostatic agent
disinfectant
any substance used on inanimate objects to kill or inhibit growth of microorganisms
endospores or viruses may not be destroyed
disinfectants rreduce or inhibit growth, but do not sterilize
germicide
a chemical agent that kills microorganisms
a bactericide kills bcteria, a sporicide kills endospores, a fungicide kills fungi, a virucide kills viruses, and an amebacide kills amoeba and other protozoans
septic (sepsis)
presence of unwantd microorganisms
usually of pathogens in living tissue
sterilization
process of destroying all forms of microbial life
bacteria, endospores, viruses, fungi

must kill spores to be sterilized
mechanisms of actions of physical & chemical agents
membrane damage

protein denaturation & modification

nucleic acid damage
physical control includes
heat
filtration
radiation
heat
moist
- 100 C
- autoclave: 121C, 15 lb/in2, 15 min

pasteurization: flash
- 71.5 C to 74 C; 15-30 seconds
- food borne illnesses arise from plants if inadequate procedure

not sterilizing procedures
filtration
liquids: 0.22-0.45 um pores: heat labile liquid

air: high efficiencyy particulate air (HEPA) filters
- 99.97% for >0.3 um
radiation
ionizing : x rays, gamma rays, high energy electrons
- DNA & protein damage
- free radicals (OH)

nonionizing: UV; 260 nm breaks H bonds in DNA b/w T:A
- thymine dimers

microwaves
- heat water; boiling kills vegetative cells
chemical control includes
surfactants

phenol & phenolics


alcohols

heavy metals & their salts

halogens

hydrogen peroxide

alkylating agents
surfactants
soaps: cleansing agents, net negative charge like bacteria

detergents: polymyxins in triple Abs on skin is similar action
- anionic: laundry detergents; not good at killing bacteria
- cationic: quaternary ammonium compounds with long phobic tail and net positive charge to penetrate bacterial membrane and be bactericidal
phenol & phenolics
denaturation of proteins; membrane leakage

phenol decreases infections in surgery

other phenolics include
- hexylresorcinol: can cause neural damage
- hexachlorophene
- chlorhexidine
- triclosan

doesn't kill spores
alcohols
ethyl: hand sanitizers

isopropyl
heavy metals & their salts
silver: inactivattes enzymes of bacteria
not much effect on viruses

Abs, eye drops, washes, dressings, catheters, tubing, air handling systems
decreases hospital infections
halogens
iodine: 2 modes of action
- binds to tyrosine in proteins and disturbs bacterial enzymes
- oxidizes sulfhydryl groups: form disulfide bonds & distrubs bact enzyme functions
== tincture: 2% I2 + K iodide in alcohol
== iodophor: I2+ carrier (cationic detergent or other organic carrier); ex: Wescodyne, betadine (povidone-iodine)

chlorine: oxidative activity that unfolds & irreversible aggregates proteins
- gas
- sodium hypochlorite: bleach is sporicidal
- chlorine dioxide (gas): how they sterilized building after anthrax in mail
- Chloramine: in water supplies; hot tubs
hydrogen peroxide
oxidizing agent

aqueous solution: e% H202 is cleansing; >35% is sporicidal

vaporized: plasma gas sterilization
- H202 gas ; sterilizes equipment that you can't autoclave
alkylating agents
aldehydes
- formaldehyde: good as preservative, disinfectent, carcinogenic, sporicidal, acts on amino, sulfhydryl groups, covalently links amino groups & inactivates proteins
- glutaraldehyde: disinfectent of heat sensitive instruments; same mode of action
ethylene oxide gas
heat sensitive materials
- very effective, can be exposed at high concentrations, treat heat sensitive instruments to sterilize
- kills bacteria, viruses & spores
- cyclic structure
sporicidal agents
Glutaraldehyde
formaldehyde
iodine compounds
chlorine compounds
H202 >35%
ethylene oxide

at low concentrations generally sporostatic, higher concentrations is sporicidal
also time dependent