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Approaches to control:




List 4 Physical Methods

1. Heat




2. Irradiation




3. Filtration




4. Mechanical removal

Approaches to Control:




List 1 Chemical Methods and what it depends on...

- antimicrobial chemicals




Depends on:


-circumstances


-degree of control required




(may be a combination of both)

List the 6 methods of controlling microbes:

1. Sterilization




2. Disinfection




3. Decontamination




4. Sanitizing




5. Pasteurization




6. Preserving

Which ones have to to with food?

Pasteurization




Preserving

Which ones have to do with cleaning (sort of)

Disinfection




Decontamination




Sanitizing

What is sterilization?

removal of all microorganisms

Sterilization is free of microbes including _____________ and ____________




(but does not consider _____________)

viruses; endospores




prions

Disinfection is:

the elimination of all or most pathogens




(some viable pathogens may remain)

Decontamination is:

reducing pathogens to levels considered to be safe to handle

Sanitizing is:

substantially reduced microbial population that meets accepted health standards




(not a specific level of control)

Pasteurization is:

brief heating to:




-reduce number of spoilage organisms




-destroy pathogens

Preserving is:

Process of delaying spoilage of foods and other perishable products

Situations where you might use:




Sterilization:

-surgery




-some lab procedures




*autoclaving

Situations where you might use:




Disinfection:

Disinfectants:




-used on inanimate objects (ex. countertops)




-cide = to kill




-may be called biocides, germicides, bactericides




Antiseptics:




-used on living tissue





Situations where you might use:




Decontamination:

If you have hazardous waste / materials




-Example: Anthrax, Asbestos

Situations where you might use:




Sanitizing:

Examples -




-we sanitize dishes when we use a dishwasher




-baby bottles and accessories are sanitized in a machine

Situations where you might use:




Pasteurization:

-Food (milk, some eggs, some vinegar)




-inanimate objects


*often used for heat-sensitive materials that cannot withstand prolonged exposure to high temperatures

Situations where you would use:




Preservation

Food!




* conditions may require adjustment




* add bacteriostatic (growth-inhibiting) preservatives




*can, freeze, salt-cure, dry/dehydrate

Microbial control methods are highly variable.




Effectiveness of treatment depends on:




(list 4 things)

1. # of microbes




2. Environment (organic matter, temperature, biofilm?




3. Time of exposure




4. Microbial characteristics

Actions of Microbial Control Agents:




Three ways to harm them:

1. alteration of membrane permeability




2. damage to proteins (enzymes)




3. damage to nucleic acids

What is the most important step in stopping the spread of many infections diseases

washing hands with soap

What type of removal action is washing your hands with soap?

mechanical removal

What is the more effective hand-drying method:




Paper towels or hot-air dryer?

paper towels

What is a nosocomial infection?

hospital-related...




usually picked up in the hospital





What are three reasons why nosocomial infections are common in hospitals?

1. Patients are more susceptible to infection




(compromised immune systems, invasive procedures, etc.)




2. Pathogens are more likely found in hospital settings


-(feces, urine, respiratory droplets, bodily secretions)




3. hospitals have high concentrations of antibiotics ----> resistant pathogens

In the Microbiology Lab:




Name 2 areas in which microbial contamination needs to be eliminated:

1. experimental samples




2. environment

What two things / methods are necessary for growth and to prevent contamination of samples, self, and lab?

1. aseptic technique




2. sterile media

Contaminated materials are decontaminated by putting them in an __________.

Autoclave

An autoclave uses high pressure saturated STEAM.




Temp =




Time =

121 d. Celsius




15 - 20 min.

CDC guidelines:




Biosafety Levels range for:

BSL 1- microbes not known to cause disease




to




BSL 4 - lethal pathogens for which no vaccine or treatment exists

Perishables -




retain quality longer when contaminating microbes are either (3 things)

1. destroyed




2. inhibited




3. removed

Perishables:




What is the most common and reliable mechanism?

Heat




*can alter flavor and appearance of products

Irradiation has been approved to treat certain ___________.

foods

Chemical additives can prevent

spoilage

Water Treatment Facilities use _________________ to disinfect water.

chlorine

Selection of antimicrobial procedure:




-Complicated...




-Ideal method does not exist




-Each has drawbacks and procedural parameters




Choice depends on: (4 things)

1. type and # of microbes




2. Environmental conditions




3. Risk of infection




4. Composition of infected item

What is the most critical consideration when choosing an antimicrobial procedure?

Is it resistant?

Why is this microorganism difficult to get rid of?




What are the means you could use to do so?




Bacterial endospores

-highly resistant




-only destroyed by extreme heat or extreme chemicals

Why is this microorganism difficult to get rid of?What are the means you could use to do so?




Protozoan cysts & oocysts

-resistant to disinfectants




-excreted in feces




-cause diarrheal disease if ingested

Why is this microorganism difficult to get rid of?What are the means you could use to do so?




Mycobacterium species

-waxy cell wall makes it resistant to many chemical treatments




Ex. - leprosy (Hansen's disease)

Why is this microorganism difficult to get rid of?What are the means you could use to do so?




Pseudomonas species

-resistant to (and can actually grow in) some disinfectants




(smells like Juicy Fruit gum)

Why is this microorganism difficult to get rid of?What are the means you could use to do so?




Naked Viruses

-no lipid envelope




-more resistant to disinfectants

What affects the TIME it takes for heat and chemicals to kill microorganisms?

population size

Larger populations of microbes require ____________ time to destroy

more

Removing organisms by _______ reduces time it takes to kill them.

washing

What is the Decimal reduction time




(aka. D value)




And what does it do?

-Time it takes to kill 90% of population under specific conditions




-gauges commercial effectiveness

Environmental Conditions:




What things can interfere with heat penetration and action of chemicals?




three things

1. pH




2. temperature




3. organic materials

Most chemicals are more effective at a ____________ temp and ________ pH.

higher temp




lower pH

Risk for Infection:




Medical instruments are categorized according to risk for transmitting infectious agents.




Define critical items:




Define Semi-critical instruments:

Critical: come in contact with body tissue


-must be sterile


-needles and scalpels, etc.




Semi-Critical: contact mucous membranes but do not penetrate body tissue


-must be free of viruses and vegetative bacteria


-few endospores blocked by mucous membranes


-includes endoscopes and trach tubes

Non-Critical instruments include:

stethoscope




BP cuff, etc.

Composition of the item:




Some sterilization and disinfection methods are inappropriate for certain items:




1. Heat is inappropriate for:




2. Irradiation provides alternative, but damages some types of:




3. Moist heat, liquid chemical disinfectants cannot be used to treat:

1. plastics




2. plastic




3. moisture-sensitive material

What type of test method tests disinfectants and antiseptics?

Use-Dilution test




(metal cylinders dipped in test bacteria, dried, placed in disinfectant.)

What test method evaluates the efficacy of chemical agents (antibiotics)

Disk-Diffusion

What type of organisms would you use filtration on?

Guardia




(filtration retains bacteria)

Heat as a control:




Benefits of heat treatment:

-reliable


-safe


-relatively fast


-inexpensive


-non-toxic

Heat can be use to _____________ or to ____________.

sterilize




disinfect

Heat methods include (2)

1. moist heat




2. dry heat

Moist heat irreversibly _____________ __________.

denatures proteins

Moist Heat:




Boiling destroys most microorganisms and viruses.




What does boiling NOT sterilize?

endospores

Moist Heat:




Pasteurization reduces ___________ and increases ______________.

microorganisms




shelf-life

Moist Heat:




Pasteurization:




HTST =




UHT =

HTST = High-Temp/Short-Time




UHT = Ultra High Temp (Ultra pasteurization)

Moist Heat:




An autoclave uses __________ ____________ to sterilize

pressurized steam

Does autoclaving kill endospores?

YES, it does!

Can autoclaving destroy prions?

They believe so at 132 d. Celsius for 1 hour

Dry Heat:




Is it more or less effective than moist heat?

LESS effetive

Dry heat requires ____________ time and _________ temperatures.

more time




higher temps

Dry Heat:




Incinerator is a method of dry heat _____________.

sterilization

Dry Heat:




Incinerators:




1. How do they work?




2. What are they used for?

1. oxidizes cell to ashes




2. to destroy:




-medical waste


-animal carcasses


-sterilize lab inoculation loop

Irradiation works by destroying:




(Ionizing)

DNA




(removes electrons from atoms)

Irradiation is used to sterilize heat-sensitive materials including:




Irradiation is IONIZING radiation (like X-rays)

-medical equipment


-surgical supplies


-medications




-some food

High Pressure Pasteurization is used in the production of commercial _____________.




It destroys microbes by ___________ ___________.

foods




denaturing proteins

Ultra-Violet Radiation is ______________ radiation

non-ionizing

How does UV radiation affect microorganisms?

-destroys microbes directly




-damages DNA

Where is UV Radiation used?

to destroy microbes in:




-air


-water


-on surfaces

What limits the effect of UV radiation?

-thin films or coverings




(because UV radiation has poor penetrating power)

How do alcohols affect microbes?

-kill enzymes by desiccation (coagulate essential proteins)




-kill vegetative bacteria and fungi




*NOT reliable against endospores & some naked viruses

Alcohols are commonly used as: (2)

1. antiseptics




2. disinfectants

Limitations of alcohol: (2)

1. evaporates quickly (limits contact time)




2. can damage rubber, plastics, etc.

What are the classes of chemical agents used in controlling microbes?

1. alcohol


2. aldehydes


3. biguanides


4. ethylene oxide


5. halogens


6. metal compounds


7. ozone


8. peroxygens


9. phenolic compounds


10. quaternary ammonium compounds

Which gaseous sterilant is used on surgical equipment?

Ethylene oxide

What are the dangers of working with this reagent?

Ethylene oxide is mutagenic and potentially carcinogenic

What is a common halogen often used in the home, food industry, hospital, and lab environment?

Chlorine




(other one is iodine)

What class is Chlorohexidine ad most antiseptics (including mouthwash) in?

Biguanides

What metal compound is still sometimes used as an antiseptic?

silver (silver nitrate eyedrops, silver sulfadiazine)

Miscellaneous:




Food preservation:




Refrigeration inhibits growth of pathogens and spoilage organisms by:

slowing or stopping enzyme reactions




(psychrophilic and psychrotrophic organisms can still grow)

Freezing preserves by:

stopping all microbial growth




*many can still survive and can grow once thawed

Is Staph aureus effected by a salty environment?

Staph aureus loves a high salt environment and is happy there...




Therefore it can still grow in foods that have been preserved by salting

How does salting of food preserve it?

increases environmental solutes...




-causes cellular plasmolysis (shrinkage of bacterial cell as water leaves)