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142 Cards in this Set

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