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142 Cards in this Set
- Front
- Back
man that came up with aseptic procedures
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Joseph Lister
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From Hungary, Switzerland, works in a hospital, saw that nurses working in necropsy room and delivery room were transferring diseases
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Ignaz Semmelweiss
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what kind of acid is used to sterilize surgical procedures
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carbolic acid
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heat, irradiation, filtration, and mechanical removal are all what types of control mechanisms
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physical
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use of antimicrobial hemicals is what type of control mechanism
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chemical
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man that came up with aseptic procedures
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Joseph Lister
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From Hungary, Switzerland, works in a hospital, saw that nurses working in necropsy room and delivery room were transferring diseases
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Ignaz Semmelweiss
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what kind of acid is used to sterilize surgical procedures
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carbolic acid
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heat, irradiation, filtration, and mechanical removal are all what types of control mechanisms
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physical
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use of antimicrobial chemicals is what type of control mechanism
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chemical
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removal of all microorganisms, absolutely free of microbes, endospores, and viruses
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sterilization
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eliminates most pathogens, some viable microbes may still exist
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disinfection
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used to disinfect inanimate objects and surfaces
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disinfectants
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used to disinfect living tissues
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antiseptics
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brief heat treatment used to reduce organisms that cuase food spoilage
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pasteurization
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treatment to reduce pathogens to a level considered safe
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decontamination
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mechanism used to decrease number of microbes in an area, particularly the skin
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degerming
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implies a substantially reduced microbial population- this is not a specific level of control
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sanitized
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process used to delay spoilage of perishable items- often includes addition of growth-inhibiting ingredients
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preservation
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agents that kill vegetative cells, but not necessarily endospores
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bactericidal
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agents that preent or retard the multiplication of bacteria but not necessarily kill cells
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bacteriostatic
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disinfectants that kill endospores (2)
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sterilants and sporocides
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what is the single most important step to achieving control of microbial growth
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wash yo hands
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a disease acquired in the hospital
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nosocomial infection
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what is used to prevent contamination in microbiology labs?
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biological safety cabinets
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what treatment is most common and most reliable for treating food
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heat
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is irradiation approved to treat all foods?
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no, only certain foods
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what is a concern in canned foods (anaerobe)
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clostridium botulinum
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what is generally used to disinfect water
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chlorine
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what organism is not easily eliminated with chlorine?
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Cryptosporidium sp.
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we were therefore buried with him through baptism into death in order that, just as christ was raised from the dead through the glory of the Father, we too may live a new life.
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Romans 6:4
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5 factors that determine choice of procedure
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Type, Number, Environment, Risk, Composition of item (CRENT)
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most critical consideration to selecting antimicrobial procedure
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type of microorganism
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resistant to heat, drying, and numerous chemicals
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bacterial endospore
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generally excreted in feces and cause diarrheal disease
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protozoan cysts and oocysts
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cell wall structure initiates resistance (waxy wall)
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Mycobacterium species
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can grow in the presence of many chemical disinfectants
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pseudomonas species
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more resistant to chemical killing
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viruses
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no membrane or envelope
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naked virus
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which is easier to treat, a porous material (styrofoam) or a non-porous material (stainless steel)
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non-porous
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time required to kill 90% of population under specific conditions
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D value or decimal reduction time
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most chemicals are effective at higher temperatures and lower pH: T of F
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T
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effectiveness of antimicrobials can be hampered by the presence of organic material: T or F
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T
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organic materials interfere with the penetration of antimicrobial agents: T or F
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T
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come in contact with body tissues: needles and scalpels
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critical items
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contact mucous membranes but do not penetrate body tissues: endoscope
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semicritical items
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contact unbroken skin only: show little risk of transmission: stethoscope
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non-critical instruments
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two methods of heat as control
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moist heat, dry heat
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destroys bacteria through irreversible coagulation of proteins
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moist heat
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boiling, pasteurization and pressurized steam are all forms of what kind of heat
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moist heat
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is boiling an effective means of sterilizing?
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no!
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HTST
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high temp short time
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heated to 72C and held for 15 seconds
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HTST
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heated to 140 or 150C, held for several seconds then rapidly cooled
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UHT (ultra-high temp)
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most pasteurization protocols use what
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HTST
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does pasteurization sterilize?
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no
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Brucella abortus
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Bang's disease in humans
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Listeria monocytogenes
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dangerous to pregnant women
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salmonella typhi
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typhoid fever
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pressurized steam used to sterilize: heated water goes to steam goes to increased pressure
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autoclave
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achieves sterilization at 121C and 15psi in 15 minutes
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autoclave
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sterilizes at 135C and 15psi in 3 minutes
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flash autoclaving
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what are destroyed at 132C and 15 psi for 4.5 hours
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prions
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requires longer times and higher temperatures for sterilization (200C for 1.5 hours vs. 121 C for 15 minutes)
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dry heat
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oxidizes cells to ashes, used to destroy medical waste and animal carcasses
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incineration (dry heat)
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heat sensitive materials require other means of microbial control (3)
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filtration, irradiation, high-pressure treatment
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membrane filters allow liquids to flow through, trapping microbes on filter
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membrane filtration
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energy released from waves, shorter wavelength=high frequency=more energy
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radiation
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two types of radiation
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ionizing and non-ionizing
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range of wavelength
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electromagnetic spectrum
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radiation able to strip electrons from atoms
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ionizing radiation
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3 types of ionizing radiation
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gamma radiation, X rays, electron accelerators
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causes damage to DNA and potentially plasma membrane
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ionizing radiation
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used to sterilize heat resistant materials: medical equipment, surgical supplies, medication
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ionizing radiation
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ultraviolet radiation
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non-ionizing radiation
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only type of radiation to destroy microbes directly; damages DNA
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non-ionizing radiation (ultraviolet radiation)
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non-ionizing radiation causes what
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thymine dimers
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limitation of ultraviolet radiation
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poor penetrating power
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used to destroy microbes in air, drinking water, and surfaces
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ultraviolet radiation
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used in pasteurization of commerical foods, does not use high temperatures
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high pressure processing
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destroys microbes by denaturing proteins and altering cell membrane permeability
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high pressure processing
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high pressure processing employs pressures up to ___ psi
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130,000
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physical means of microbial growth (4)
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Temperature, Filtration, Irradiation, High pressure (without heat)
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chemicals react with what three vital cell molecules
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proteins, DNA, cell membrane
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chemical agents are grouped according to what
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potency
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medically related chemicals regulated by who
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FDA
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disinfectant chemicals regulated by who
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EPA
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destroys all microorganisms
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sterilants
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destroy viruses and vegetative cells, but not endospores
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high-level disinfectants
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kills vegetative bacteria and fungi, most but not all, viruses
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intermediate-level disinfectants
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removes fungi, vegetative bacteria and enveloped viruses, not mycobacteria, naked viruses, or endospores
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low-level disinfectants
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toxicity, activity in presence of organic materials, compatibility with material being treated, residue, cost and availability, storage and stability, and environmental risk are all factors to consider when selecting what
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appropriate chemical
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mode of action: coagulation of proteins and essential enzymes, damage to lipid membranes
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alcohols
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commonly used as an antiseptic and disinfectant
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alcohols
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limitations: evaporates quickly, limited contact time, may damage rubber or plastics
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alcohols
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solutions of 60-80% isopropyl or ethyl alcohol kill vegetative bacteria and fungi
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alchohols
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destroy organisms by inactivitng proteins and DNA
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aldehydes
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2% glutaraldehyde solution
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most widely used liquid sterilant
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what is used as an alternative to 2% glutaraldehyde
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orthophthalaldehyde
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used to kill bacteria and inactivate viruses, also used for specimen preservation, made from formaldehyde
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formalin
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mode of action: oxidizing proteins and other cell components
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halogens
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safest and most useful halogen
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clorox
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halogens include what two elements
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chlorine and iodine
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halogen that destroys all types of organisms and viruses, used as disinfectant, caustic to skin and mecous membranes, replaced by chlorine dioxide in many applications
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chlorine
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halogen that kills vegetative cells, not reliable with endospores, used in tincture or iodophores on skin
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iodine
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most effective member of biguanides
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chlorhexidine
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extensively used in antiseptics (and in pools), relative low toxicity, destroys wide range of organisms
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chlorhexidine
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useful gaseous sterilant, destroys microbes including endospores and viruses
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ethylene oxide
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mode of action: reacts with proteins; useful in sterilizing heat or moisture sensitive items
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ethylene oxide
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limitations: mutagenic and potentially carcinogenic
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ehtylene oxide
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T or F: ethylene oxide destroys materials sensitive to heat
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true
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compounds that combine with enzymes and proteins (binding with sulfhydryl groups) interfering with function
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metal compounds
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used as disinfectant, cream used to prevent secondary infections, also available on bandages for wound care
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silver
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form of reactive oxygen, will bind to and disrupt biological molecules resulting in death
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ozone
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Osub3 unstable form of oxygen, powerful oxidizing agent
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ozone
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ozone is used as an alternative to what as a disinfectant for drinking and waste water
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chlorine
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includes hydrogen peroxide H2O2 and peracetic acid (peroxyacetic acid)
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peroxygens
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powerful oxidizing agents; readily biodegradable, less toxic than ethylene oxide and glutaraldehyde
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peroxygens
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living tissue produces what enzyme that turns hydrogen peroxide into oxygen and water
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catalase
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more potent than hydrogen peroxide, effective on organic material, can be used on a wide range of materials
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peracetic acid
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used as disinfectant, leaves no residue, doesn't damage most materials, hot solutions used in food industry, vapor-phase can be used as a sterilant
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hydrogen peroxide
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carbolic acid aka ____
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phenolics
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one of the earliest disinfectants, now has limited use, active ingredient in Lysol
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phenolics
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mode of action: destorys plasma membrane, denatures proteins; kills most vegetative cells, can kill Mycobacterium at high concentrations, not reliable on all groups of viruses
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phenolics
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triclosan and hexachlorophene phenols used where
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soaps and lotions
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who pioneered the use of carbolic acidto reduce infections during operations
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Dr. Joseph Lister
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Quats
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Quaternary Ammonium Compounds
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cationic detergents have what kind of charge
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positive
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cationic detergents; nontoxic- used to disinfect food prep. surfaces
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quaternary ammonium compound
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mode of action: reduces surface tension; aids in removal of dirt and organic matter, facilitates mechanical removal of organisms
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quats
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positive charge attracts ____ to negative charge of cell surface; reacts with membrane: destroys vegetative bacteriaand enveloped viruses, not effective on endospores, mycobacteria, and naked viruses
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quats
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formaldehyde, quats and phenols are chemical used as what
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preservatives
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benzoic, ascorbic and propionic acids are all weak organic acids used as what
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preservatives
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mode of action: alter cell membrane function, interfere with energy transformation
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chemical preservatives
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nitrates and nirites used in what
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processed meats
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inhibits germination of endospores and growth of vegetative cells; has been shown to be potent carcinogen by formation of nitrosoamines
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nitrates and nitrites
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low temperatures will be able to slow down or stop enzymatic reactions of ________ and _________ but some _________ will still be able to grow
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mesophiles, thermophiles, psychrophiles
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decrease water availability by 2 ways
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salting or drying
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addition of salt increases environmental solutes and cuases what
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cellular plasmolysis
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staphylococcus aureus can survive in what extreme condition
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high salt
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lyophilization
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freeze drying
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widely used process to preserve food like coffee, milk, and meats
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lyophilization
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