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67 Cards in this Set

  • Front
  • Back
What is sterilization?
Destruction of all viable organisms
What is disinfection?
The killing OR inhibition of ogranisms on inanimate objects
What is sanitization?
Reduction of microbials to a level that is deemed safe
What is antiseptics?
A chemical agent that kills or inhibits growth on living tissue
What is chemotherapy?
Use of chemicals to kill or inhibit growth WITHIN host tissue
Term for killer?
Term for inhibitor?
Cidal agents
Static agents
A germicid can kill a pathogens and non-pathogens, but NOT necessarily ______.
endospores
What are examples of germicides? (killers)
bactericides
fungicides
viricides
Are microorganisms killed instantly?
No
Population death usually occurs ______.
exponentially
How do we measure the efficiency of a killing agent?
1. The time it takes to kill off at least 90%
2. All "viable, but not culturables" must be dead
Name six "conditions" that influence an antimicrobials effectivness
1. Population size
2. Population composition
3. Concentration of agent
4. Duration of exposure
5. Temperature
6. Local environment
How does population size influence the effectivness?
Larger populations take longer to kill
How do population composition influence the effectivness?
Different organisms have different sensitivity to a particular agent
How does the concentration of the agent influence effectivness?
Higher concentrations kill more rapidly
How does the duration of exposure influence effectivness?
The longer the exposure, the more that are killed
How does temperature influence effectivness?
Higher temps usually increase killing
Give some example of how the "local environment" can influence effectivness.
1. Organisms with biofilms will be less susceptible
2. pH levels
Name the three "physical" control methods.
1. Heat
2. Filtration
3. Radiation
Name the four "heat" methods to control bacteria
1. Moist heat
2. Steam sterilization
3. Pasterurization
4. Dry Heat sterilization/incineration
List characteristics of "moist heat" control
1. Destroys viruses, fungi and bacteria
2. Boiling does not destroy endospores
3. Degrades and denatures nucleic acids
List characteristics of "steam sterilization" control
1. Must be above 100 degrees C
2. Autoclave is used
3. Effective against spores!
List characteristics of "pasteurization" control
1. Controlled heating well BELOW boiling
2. Used for milk, beer, etc
3. Does not sterilize, but reduces total load of organisms
List characteristics of "dry heat sterilization" control
1. Least effective
2. Requires higher temp and longer exposure
3. Oxidizes cell and denatures it
What is a great example of dry heat incineration?
Those heat-burner things we use in lab to burn our loops before innoculating
Why would we use "filtration" as a means of control?
For heat-sensitive materials
What do we use "filtration" control for?
1. To reduce microbial population
2. To reduce populations in the air
How do we "filter" liquids?
Through membrane filters (physical filters that remove microorgansims)
How do we filter organisms within the air?
1. Surgical masks
2. Cotton plugs
3. HEPA filters
How do we use "radiation" as a control?
1. 260 wavelength is usally lethal to all bacteria
2. UV is limited: does not penetrate glass, dirt, water, etc
3.
What type of "radiation" control DOES penetrate deep into objects?
Ionized (gamma) radiation
What are the three "chemical" control agents?
1. Disinfection
2. Antisepsis
3. Sterilization
List 3 characteristics of chemical agent controls
1. Must be effective against wide variety of organisms at LOW concentrations
2. Effective in the presence of organic matter
3. Overuse can create resistance
List characteristics of "phenolics" - a chemical control
1. Used in labs and hospials
2. Denatures proteins in cells
3. Can cause skin irritation
List characteristics of "alcohols" - a chemical control
1. Most widely used
2. Most common: ethanol and isoproanol
3. Can't kill spores
What are halogens and name 5 of them.
Antimicrobial agens lethal to oganisms
Iodine, Chlorine, Bromine, Flurine, Astatine
What is significant about the halogen iodine
It can kill spores at high concentrations
What is significant about the halogen chlorine?
1. Disenfects water
2. Chlorine gas is sporicidal
What is significant about "aldehydes" - a chemical control?
1. Sporicidal
2. Inactivates nucleic acids and proteins
Why do we use sterilizing gases?
1. For heat-sensitive materials
2. Sporicidal
How are antimicrobial agent's effectvness evaluated?
1. By US federal agencies
2. FDA
3. Phenol Coefficient Test
4. Use dilution testing
What is another way to control bacteria other than "physical" and "chemical"?
Biological control
In general, what is biological control?
1. Emerging field showing great promise
2. Predation - using one organism to kill another
What are chemotherapeutic agents?
1. Chemicals used to treat disease
2. Destroys microbes
3. Most are antibiotics
Regarding antimicrobial drugs, what is the difference between therapeutic dose and toxic dose?
Therapeutic - dose required for clinical treatment
Toxic - level at which drug is too toxic for patient (sideffects occur)
What is a narrow-spectrum drug? Broad-spectrum drug?
Narrow: attacks only specific pathogens
Broad: attacks many pathogens
What are the two ways in which antimicrobial drugs are EXPRESSED?
1. Minimal inhibitory concentration
2. Minimal lethal concentration
What are the 3 ways we can determine antimicrobial activity?
1. Dilution tests
2. Kirby Bauer disk diffusions (from lab)
3. E-test
What are disk diffusion tests?
We did these in lab (observed "clear" zones)
What is the E Test?
Similar to disk diffusion, but uses strips rather than disks.
Strip contains gradient of an antibiotic (fig 34.4 slide)
What are the 4 antimicrobial "modes of action"? In other words, how they effect cells?
1. Inhibitors of cell wall synthesis
2. Protein synthesis inhibitors
3. Metabolic antagonists
4. Nucleic acid inhibition
Give two examples of a cell wall inhibitor
1. Penicillins
2. Cephalosporins (used for people whom are allergic to penicillins
Why are there so few effective antifungal drugs?
Because eukaryotic fungal cells and human cells are very similar
What are some factors that influence whether antimicrobial drugs will be effective?
1. Can it reach it's intended destination
2. Concentration w/out being toxic
Drug resistance: once it originates, resistance is not easily transmitted to other bacteria. T or F?
False
Resistance mutants arise ______.
spontaneously
What is a very serious threat to human health?
Drug resistant organisms
What are ways in which an organism "resists" a drug?
1. Prevents entrance to cell
2. If entered, can pump it out
3. Inactivates the drug
4. Uses alternate metabolic pathways
How is resistance transmitted from bacteria to other bacteria?
1. Immunity genes
2. Horizontal gene transfer
3. Resistance plasmids
What is D Value?
The time required to kill 90 percent of the organism
What is the D Value period for "sterilization"
7 log Deaths
What are the 5 types of "temperature" control methods?
1. Dry Heat
2, Moist Heat
3. Fractional Sterilization
4. Pateruization
5. Low Temp
What are the other 4 types of control methods?
1. Dessication - used to preserve food
2. Radiaiton
3. Filtration - HEPA, depth and membrane filters
4. Osmotic pressure
List 4 "ideal" characteristics of an antimicrobial chemical agent
1. Capacity to penetrate
2. Inexpensive
3. Soluable in water
4. Selective toxicity
What are the 11 "groups" of chemical agents?
acids, bases, phenols, alcohols, halogens, heavy metals, aklylating agents, oxidizing agents, dyes, detergents, ammonium compounds
MIC?
MBC?
Miniumun Inhibitory Concentration
Miniumun Bacteriocidal Concentration
Name several properties of an "ideal" chemotherapeutic agent
1. Nontoxic to host
2. Shows activity in low concentrations
3. Leaves host defenses unaltered
4. Remains stable