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55 Cards in this Set

  • Front
  • Back
sterilization:
the destruction or removal of ALL microbes.
*suffix*

-static
an agent that inhibits growth, but does not kill.
*suffix*

-cidal
an agent that kills.
aseptic:
an environment or procedure free from contamination.
disinfection:
the use of chemical or physical agents to kill or inhibit the growth of microorganisms.

*does not always kill all microbes
disinfectant:
a chemical that is used on an inanimate object.
antiseptic:
a chemical that is used on skin and tissue.
What are some important things to note about disinfectants/antiseptics?
some disinfectants are also antiseptics.

just don't want a chemical to kill tissue, so some can't be.
degerming:
the removal of microbes from a surface by mechanical means.

Ex. alcohol swab before injections
sanitation:
disinfection of places or things used by the public.

used to reduce # of pathogens. not the same thing as sterilization.
pasteurization:
using heat to kill pathogens: used in the food industry.

does not completely sterilize
What are the targets of disinfectants and antiseptics?
-plasma membrane
-proteins
-cell wall
-nucleic acids
surfactants:
disrupt the plasma membrane.

made of polar molecules with hydrophobic and hydrophilic regions.
heat and strong solvents:
break hydrogen bonds.

this denatures proteins.
metallic ions:
inhibit enzymatic function by blocking the active site

Ex. silver ions
radiation:
interferes with DNA and RNA function

causes mutations which can permanantly inactivate nucleic acids.
which factors affect the rate of microbial death?
-number of microbes
-duration of exposure to agent
-temperature
-environment of the microbes
-endospore formation
What is clinically relevant about the microbial environment?
they are associated with organic material (gross) which inhibits access of the antimicrobial agent.
What is important about endospore formation?
*may be the most important factor affecting rate of microbial death

these organisms are NOT susceptible to most chemical agents.
What are the three major methods for controlling microbial growth?
-chemical
-physical (heat/radiation)
-mechanical (filtration/degerming)
increase in concentration =
an increase in potency

except for alcohol. it needs to have some water in order to denature proteins.

ex. 100% ethanol is LESS effective than 70% ethanol.
What are some ways of evaluating antimicrobial chemical agents?
-phenol coefficient
-disk method
-use dilution method
Who first used phenol as a disinfectant?
Joseph Lister

-in 1867-
describe the phenol coefficient
a way to compare disinfectants

1.0 = same effectiveness as phenol

> 1.0 = greater efficiency

< 1.0 = lesser efficiency
describe the disk method
tiny disks of filter paper are soaked in the agent and placed on an inoculated agar plate. Inhibition of growth around the disk is called the zone of inhibition.
What are some limitations of the disk method?
-sizes of the zones are not comparable because they may reflect a difference in concentration and diffusion rate.
-cannot distinguish between microbicidal and microbistatic.
What should one consider when selecting an antimicrobial agent?
-is it reactive against all organisms without destroying tissue?
-is it effective in the presence of organic material?
-is it stable, and hopefully inexpensive?
Chemical agents are...
used more frequently than physical means

ineffective against protozoan cysts and bacterial endospores.
What are eight major categories of chemical agents?
-phenol and phenolic compounds
-alcohols
-halogens
-oxidizing agents
-surfactants
-heavy metals
-aldehydes
-gaseous agents
Phenol and phenolic compounds.

-use/properties?-
-effective in presence of organic material
-commonly used as disinfectants in hospitals.
phenol and phenolic compounds

-examples?-
-Lysol
-triclosan
alcohols

-use/properties?-
-disinfectant AND antiseptic
-used as degerming agent before injections
alcohols

-examples?-
-isopropanol (rubbing alcohol)
-ehanol
halogens

-use/properties?-
some are disinfectants and some are antiseptics
halogens

-examples?-
-iodine- one of the oldest antiseptics
-tincture (iodine + alcohol)
-iodophore (iodine + organic) it is slow releasing and less irritating.

-chlorine- swimming pools/ bleach
oxidizing agents

-examples?-
-hydrogen peroxide: household antiseptic (not very effective)

-ozone: hot tubs/ water supply
surfactants

-use/properties?-
-soap: good degerming, but not so good antimicrobial

-detergent: may have antimicrobial, more soluble, no soap scum

*soap makes water wetter*
surfactants

-examples?-
-QUATS: quaternary ammonium compounds

pseudomonas can still grow in this! eek
heavy metals

-use/properties?-
used to be used in eyes of newborns to prevent gonorrhea

still used in surgical dressings and burn creams

bacteriostatic
heavy metals

-examples?-
silver nitrate
gaseous agents

-use/properties?-
for things that are sensitive to heat or chemicals

explosive, poisonous
gaseous agents

-examples?-
ethyline oxide
(dentists use it)
aldehydes

-use/properties?-
disinfectants NOT antiseptics

innactivate proteins and nucleic acids
irritate mucous membranes
aldehydes

-examples?-
-formaldehyde: used to disinfect isolation rooms/surg. equipment /dialysis machine

-glutaraldehyde
What are the two ways to use heat for killing microbes?
Dry heat: oven/flame/incinerator - for glass or powders

moist heat: more penetrating - boiling won't kill endospores
What are the three ways of using moist heat?
-boiling
-pressurized steam (autoclave) kills endospores
-paseurization
How does an autoclave work?
pressurized steam: it can be heated higher than boiling water

don't put things that are sensitive to heat or moisture in autoclave.
How does an autoclave kill endospores?
it heats up to 121 degrees and 15 pounds per square inch. endospores die within 15 minutes.
What are some other methods of controlling microbial growth?
-filtration
-radiation
-non-ionizing radiation (UV light)
What is filtration used for?
to sterilize air or liquids
How is non-ionizing radiation used?
germicidal lamps

surfaces only

damages skin and eyes
Why is ionizing radiation safe?
the radioactive substance does not actually touch the foods. they do not become radioactive. that's just silly.
Why are antibiotics important?
they have drastically reduced the number of deaths due to infection.
How many antibiotic prescriptions are written in america each year?
an estimated 80 million
how much antibiotic is produced each year?
12500 tons

with 25-50% being fed to livestock to increase weight gain.