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112 Cards in this Set
- Front
- Back
Sepsis
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refers to microbial contamination.
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Asepsis
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is the absence of the significant contamination.
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Aseptic surgery techniques
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prevent microbial contamination of wounds
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Steralization
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removal of ALL microbial life including SPORES.
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Commercial Steralization
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Killing C. botulinum endospores
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Disinfection
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removal of vegetative (normal, non-spore) pathogens
Killing pathogens on inanimate (non-moving) objects. |
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Antisepsis
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Removal of pathogens from LIVING TISSUE.
Disinfectant for external skin, mouth and vagina. |
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Degerming
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Removal of microbes from limited area
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Sanitazation
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Lower microbial counts on eating utensils
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Biocide/Germicide
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Kills (cide) microbes.
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Bacteriostasis
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Slows down (stasis) growth and reproduction, inhibits but does not kill microbes.
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Physical methods of killing/removing bacteria
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Heat
Radiation Filtration |
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To sanitize
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to remove pathogens from inanimate object, and it can be ether mechanical (whipeing) or chemical cleaning. When you do not need to sterilize or disinfect.
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Aseptsis
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Prevents contamination of OBJECT by microbes. (Used in medicine)
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Contamination
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Presence of living microbes on an object.
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Infection
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Presence of living, multiplying microbes in host tissues. It is often pathogenic (disease causing)
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If there is less microbes present they get killed faster or slower.
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faster
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Microbes can be harder to kill in certain ________.
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Environments
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Microbial characteristics like heat tolerance determine speed of ______ when treated.
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deth
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Damaged microbial membrane results in
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leakage of cellular contents and inhibition of cell growth.
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In proteins heat and chemicals break down ______ and _______ bonds in enzyme structure resulting in inactivation
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hydrogen and covalent
inactivation |
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Heat, radiation or chemicals damage _______ acids inhibiting cell _______
and metabolism. |
nucleic
replication |
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Physical methods of microbial control
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Heat
Radiation Filtration |
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Thermal death point (TDP)
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lowest temperature at which all cells in culture are killed in 10 minutes.
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Thermal death time (TDT)
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Minimal time to kill all cells in a culture at a given temperature.
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Decimal Reduction Time (DRT)
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How may minutes it takes to kill 90% of a population at a given temperature.
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Thermal Death Time (TDT)
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Minimal time to kill ALL cells in a culture at a given temperature.
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Factors influencing Heat Sterilization
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Length of exposure
Temperature Is wet or dry heat used |
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Mechanism of action: HEAT
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Inactivates enzymes
Causes structural changes Oxidizes causing membrane disruption |
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"Moist" heat
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Effective qickly against most pathogens.
100*C 10-30minuts Disinfectant: Spores and some viruses are still resistant. Safe for CLEAN instruments that DO NOT penetrate tissue. For soiled items add detergent. |
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Pasteurization
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Kills non-spore forming pathogens (T.B., Brucella, Salmonella, Streptococcus) and reduces spoilage organisms and pathogens (Lactobacilus and Streptococcus).
63*C for 30min High temperature for SHORT time 72*C for 15 sec. Ultra HIGH temperature 140*C for <1 sec. (sterilization of milk) |
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Thermoduric
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Non-disease causing organisms that survive pasteurization.
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Autoclave
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Steam under pressure.
15psi 121*C for 15 minutes or more depending on a volume. |
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Steam in autoclave
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Displaces air and penetrates. It is CRITICAL to package autoclave properly.
Trapped (airlocks) air is not replaced by steam and reduces the effectiveness of temp and pressure. |
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Moist heat denatures _____
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Proteins
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Dry heat sterilization kills by ____
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oxidation
(Flaming, Incineration, Hot-air sterilization (oven is most desired)) Hot air 170*C for 2 hours. |
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Filtration removes _______
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Microbes
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Low temperature inhibit microbial ______
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growth
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Example of low temperature treatments.
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Refrigeration
Deep Freezing Lyophilization |
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High pressure denatures ___.
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proteins
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Desiccation prevents_____.
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metabolism
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Drying out is called _____
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Desiccation
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Osmotic pressure cause ______.
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Plasmolysis
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Plasmolysis
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Breakdown inside a microbe
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HEPA filters
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High efficiency Particle Air Filters remove airborn microbes and filter particles that are >0.3 micrometars.
Used in operating and clean rooms. Used in rooms of burn and immunocompromised patients. |
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Membrane filters are made of ________________ and have _________ ________ pore size.
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cellulose nitrate or synthetic polymers and have very small pore size
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Viruses are ______ of all "microorganisms".
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smallest
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Filter sterilization can be use to sterilize _____ or energy _______ materials such as __________ and _______.
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heat
bacterial media (agar) drug solutions. (Agar is put through the filter first t make sure that all microorganisms are out.) |
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POINT MUTATIONS
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involve changes in only one of few nucleotides (component of nucleic acid)
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UV and Ionizing radiation
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is what we are most interested in.
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Gama Ray ionizing radiation steralization is used to sterilize_____ and _____.
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Food and plastics.
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Electron Beam steralization by ionizing radiation is uzed for __________.
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Pharmaceuticals.
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*****Ionizing radiation can_______*********
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break down DNA/RNA
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Creates free radicals
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Ionizing Radiation
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Gamma rays, X-rays and electron beams
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Cause break in two DNA strands and result in delentions (nucleotide) and translocation (movement of nucliotide to different spot)
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Free radicals
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are high energy radiation in which energy can be:
Absorbed by atoms added to electrons or electrons are ejected from atoms which leaves ionized atoms and unpaired electrons. |
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(T) Can break both phosphodiester bonds of DNA helix.
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Free radicals
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Ultraviolet light
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Blueish light used to kill off some circulation bacteria.
It has poor penetration (table/bench tops and small samples of liquid) |
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Pyrimidine dimers
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caused by ultraviolet light are part of the nucleotide and cause errors during DNA repair.
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Intense exposure to UV light causes
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Direct molecular damage.
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Radiation damages _____
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DNA
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Ionizing radiation includes:
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X rays, Gamma rays and Electron beams)
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Non-ionizing radiation includes:
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UV light
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Microwaves kill by:
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Heat, but are not especially antimicrobial.
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Principles of effective disinfection include:
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Concentration of disinfectant
Organic matter pH Time |
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In order to evaluate disinfectant use:
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Dilution test
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Dilution test
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1. Metal rings are dipped in test bacteria and dried.
2. Dried cultures are placed in disinfectant for 10 min at 20*C 3. Rings are transferred to culture media to determine weather bacteria survived treatment. |
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Pseudomonos
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Very important in nosocomial infections.
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Types of disinfectants:
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Phenols
Phenolics (Lysol) Bisphenols Hexachlorophone Triclosan |
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Phenolics (Lysol)
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injures lipid plasma membrane and results in leakage of cell.
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Bisphenols
Hexachlorophone and Triclosan |
Disrupt plasma membranes
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Bigunides (Chlorhexidine)
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(A lot of disinfectant soaps) Have broad spectrum activiti. Used for microbial control on skin and mucus membranes.
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Disrupt plasma membranes by blocking lipid synthesis
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Biguanides (Chlorohexidine)
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Halogens (Iodine and Chlorine)
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Oxidizing agents (disinfectant)
Iodine (I2) impairs protein synthesis and alters plasma membrane. |
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Idophore
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Variation of Iodine. Halogen, +organic molecule from which iodine is released slowly, thus non-staining and non-irritating.
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Bleach
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Hypochlorous acid (HOCl)
(Halogen (Chlorine)) |
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Alcohol, Ethanol and Isopropanol
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Disinfectants that denature proteins and dissolve lipids.
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Hevy Metals (Ag, Hg and Cu)
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Disinfectants with oligodynamic action. They denature proteins by combining with protein SH groups.
Silver nitrate: used to treat eyes of newborns Mercuric chloride: bacteriostatic |
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Chemical food preservatives
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Organic acids
Nitrates Antibiotics |
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Organic acids
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Food preservatives that inhibit metabolism or integrity of microbial plasma membrane.
Controls molds and bacteria in food and cosmetics. |
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Organic acids include
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Sorbic acid
Benzoic acid Calcium propionate |
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Nitrates
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Prevent endospore germination
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Antibiotics
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Nisin and natamycin prevent spoilage of cheese.
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Nisin And Natamycin
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Prevent spoilage of cheese.
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Aldehyde
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very effective antimicrobials that inactivate proteins by cross-linking them with functional groups.
Eg.(Glutaraldehyde (cold liqid steralizing agent) and formaldehyde) |
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Gaseous Sterilants
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Used to sterilize closed chambers without heat by denaturing proteins.
Eg. Ethylene oxide |
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Ethyline oxide
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Gaseous sterilant that denatures proteins, used to sterilize closed chambers WITHOUT heat.
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Peroxygens
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Oxidizing agents (O3 or ozone),
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H2O2 (ammonium) is
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Peroxygen that is effective disinfectant for inanimate objects like contact lenses.
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Peracetic acid
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Peroxygen that is very effective liquid chemical sporicide (considered STERILANT)
It leaves NO TOXIC RESIDUE and is NOT affected by organic matter. |
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Most resistant infectious proteins
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Prions
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Mycobacteria
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have thick waxy wall
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Phenolics are good for treatment of
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Mycobacteria
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Alchocols are good for treatment of
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Mycobacteria
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Glutaraldehyde is fair in treating _______ and good in treating ________.
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Endospores
Mycobacteria. |
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Modes of sterilization (review)
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Dry heat
Moist heat Chemicals (Gases, Liqids) Radiation Filtration |
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Boiling
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100*C for 10 minutes will kill most pathogenic microbes and is the MOST RELIABLE METHOD OF DISINFECTING (not sterilizing) instruments and apparatus.
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Halogens-Iodine in 70% alcohol
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is most effective skin germicide but may cause severe reaction and stainin
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Iodophors
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Iodine and non-ionic detergents- less toxic and irritating disinfectant.
Eg. Betadine |
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Chlorine
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Used in disinfecting drinking water, swimming pools and bedpans.
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Phenolic Compounds
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Disinfects instruments, utensils, sinks, toilets, floors.
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Excrata-chlorinated phenolic-hexachlorophane (T)
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Phenolic compound used as a protective hand wash in O.R.
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Alcohol-Isopropyl Alcohol 70% is
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effective skin germicide
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Oxidizing agent disinfectant
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hydrogen peroxide
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Hydrogen Peroxide
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an antiseptic which liberates oxygen bubbles when in contact with organic material.
It helps MECHANICALLY loosen slough and pus in a wound. |
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Heavy metal disinfectant/antiseptic
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Silver Nitrate
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Silver nitrate
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Heavy metal used on burns but may cause indelible staining of linen.
Previously used in newborns |
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Drying
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many microbes are killed by drying but spores can withstand drying process.
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UV light
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may kill some airborne microbes in O.R.
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Formeldehyde
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terminal room fumigation, also means of disinfecting mechanical apparatus such as patient ventilators.
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Iodophors
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Iodine and non-ionic detergents that are less toxic and irritating.
Eg. Betadine |
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Filtration (review)
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pharmaceutical fluids and lab media (agar) are passed through a filter removing microbes.
Air in O.R. is filtered Face mask filters out microbes but a WET mask ALLOWS MICROBES to pass through. |