-
why do we need to control the growth of microbes outside our body?
to prevent food spoilage, to prevent new infections inside our body
-
physical or chemical method that kills or removes ALL microbes in/on inanimate object
sterilization
-
Is it possible to sterilize living organisms
no
-
standard methods dont kill this microbe
prions
-
an environment or procedure (aseptic technique) free of pathogens
aseptic
-
Use of Physical or Chemical agents called Disinfectants to Kill or Inhibit VEGETATIVE pathogens on Inanimate objects
disinfection
-
Use of Chemical agents called Antiseptics to Kill or Inhibit VEGETATIVE pathogens on Body
antisepsis
-
Neither Disinfectants nor Antiseptics kill
spores
-
Many Disinfectants are just Antiseptics that are more concentrated or applied for
longer
-
Reduces pathogens to meet public health standards, ex: restrooms, public toilets
sanitzation
-
Type of Disinfection or Antisepsis
using Physical Scrubbing with or without chemicals, ex: hand washing, alcohol swabbing
degerming
-
bacteriocides kill bacteria
Fungicides kill fungi
Virucides
kill viruses
Sporicides kill all = sterilize
cide, idal
-
Will inhibit growth temporarily
Example: refrigeration
stasis, static
-
reduction in the number of microorganisms and viruses, particularly potential pathogens, on living tissue ex: iodine, alochol
antisepsis
-
refers to an environment or procedure free of pathogenic contaminants ex: prep of surgical field, flame sterilization of lab equipment
aseptic
-
use of heat to destroy pathogens and reduce the number of spoilage microorganisms in food and beverages, ex: milk and juice
pasteurization
-
suffixes that indicate destruction of a type of microbe
cide, cidal
-
suffixes indicating inhibition, but not complete destruction, of a type of microbe
stasis, static
-
permanent loss of reproduction
microbial death
-
can be used to measure efficacy of an antimicrobial agent
microbial death rate
-
What % of culture dies per
time period?
Cells in a culture die at a constant rate for a particular microbe & set of conditions
-
what are the four general targets of antimicrobial agents
cell wall, cell membrane, RNA/DNA, denature protiens
-
what is the most resistant microbe and the most susceptible
prion, enveloped viruses
-
the higher the load(number of microbes) the
longer it takes to destroy them
-
chemical disinfectants generally work best at
higher temp
-
effect efficacy of heat and chemicals
pH levels
-
organic matter( rats, feces, vomit, blood, saliva, biofilm secretion) can inhibit some what
antimicrobial agents
-
for evaluating effectiveness of Disinfectants & Antiseptics
in use test
-
two main types of microbial control
chemical, physical
-
-
denatures proteins, disrupts membranes, cell walls, nucleic acids
heat/sterilize
-
shortest time to to sterilize liquids at a specific temp
thermal death time (TDT)
-
lowest temp to sterilize a liquid in 10 min
thermal death point
-
time to kill 90% of microbe population at a particular
Decimal reduction time (D)
-
used to measure effectivness of heat sterilization
Decimal reduction time (D)
-
moist heat more effective at same temp than
dry heat
-
dry heat kills by:
- dehydration(H20 necessary for metabolism), incineration(reduces to ashes and gas)
-
dry heat also kills by
denaturing proteins, oxidizes molecules
-
denaturing enzymes stops
metablosim
-
dry heat makes enzymes
lose 3D structure and or/active site
-
100 degrees celsius, not spororcidial, drinking water, baby materials, food untensils
boiling water
-
121 degrees C, psi 15, yes sporocidial, heat and moisture resistant materials
autoclave steam w/pressure
-
not sporocidial, fresh beverage, milk, juice, beer, wine
pasteurization
-
140 degrees C, most efficient, is sporocidial, can store at room temp indefinitely
ultra high temp sterilization
-
171 degrees C/340 for 1 hour, is sporoicidal, glassware, metals, powders, oils
ovens
-
great than a 1000 degrees C, is sporoicidal, metals, glass, needles, dressings, animal carcasses
incineration
-
-
0-7 degrees C, not sporoicidal, slows metabolism, faculative psychrophile can grow in this environment(listeria, yersinia)
refrigeration
-
below 0 degrees C, not sporocidial, no water available
freezing
-
dehydration by sun, oven, not sporocidial, preserve fruit, beans, grains, nuts, peas, yeast
desiccation
-
freezing in liquid N or dry ice, dehydration by sublimation, not sporocidial, preserve food and microbes, prevents ice crystals from damaging cells
lyophilization(freeze drying)
-
hypertonic solutions of sugar or salt, cells dehydrate, honey, jerky, jams, jellies, salted fish, pickels
osmotic pressure
-
not microbicidial, fluid passed through membrane filer w/pores that exclude microbes and particulates, heat sensitive liquids: serum, vaccines, enzymes, eye solutions, liquid vitamins, media, air: surgical masks, HEPA filiters, can sterilize/sporocidial
membrane filitration
-
ejects orbital electrons from atom
ionization
-
sporocidial, protein damage, DNA mutations, chemical changes in organelles, produces toxic substances, used in: heat/chemical sensitive materials, food, water, medical supplies: vaccines, instruments, gloves, heart valves for grafting, us mail
cathode-ray, gamma-ray, x-ray
-
what method of handling microbes prevents infection of tissues
aseptic technique
-
Which molecule looks like a substrate and sits in the active site of an enzyme?
structural analog
-
Which antimicrobial agent inhibits DNA gyrase?
fluoroquinolone
-
_________ are beneficial microbes that compete with pathogens for resources.
probiotics
-
an adaptive response where the population contains higher numbers of microbes that are not killed by the drug.
Drug resistance
-
Electrons are ejected from atoms in cells when organisms are exposed to
gamma and x-rays
-
A prescription of two drugs can show synergism in their effect against microbes
microbial drug resistance
-
Which is effective against spores?
formaldehyde
-
Which antimicrobial agent is the best hope for combating the avian flu virus?
Tamiflu (oseltamivir)
-
Pathogen A is more
resistant to an tetracycline disc on a Kirby-Bauer diffusion susceptibility
plate compared to pathogen B. Pathogen A will have a(n) ___________ zone
of inhibition compared to pathogen B.
smaller
-
what affects dissinfection
- the pH
- the concentration of agent and time applied
- the type of microbe present
- the presence of organic matter
-
kills microbes by producing toxic free radicals
hydrogen peroxide
-
gaseous chemosterilant used in chemiclave
ethylene oxide
-
used to disinfect drains, cesspools, and animal quarters
phenolics
-
heavy metal toxic to humans in minute amounts
mercury
-
UV 260 nm, excites, not ejects orbital electrons from atom
non-ionizing radiation
-
sporocidial or microbistatic, pyrimidine dimers, abnormal replication and transcription, in air: food prep, hospitals, schools, dental offices, liquid: water, juice, sewage treatment
non-ionizing radiation
-
characteristics of a good germicide
a chemical agent that destroys pathogens in general
-
rapid action and long lasting, soluble in h20 and alochol(stable), kills variety of microbes but non-toxic to humans or animals, resists inactivation by organic matter, non-corrosive or non-staining, inexpensive and avaiable
good germicide
-
Kills variety microbes but non-toxic to humans or animals
selective toxicty
-
removal of prions on medical instruments, can sterilize
enzymes
-
disinfectants and treatment of infectious diseases
antimicrobials
-
sterilization of heat and water sensitive objects, can sterilize
gaseous agents(ethylene oxide, propylene oxide)
-
soaps, degerming, detergents, antiseptic
surfcants
-
chemically altered phenol
phenolics
-
denatures proteins and disrupts cell membranes, original surgical antiseptic
phenol
-
denature proteins and disrupts cell membranes, disinfectants, antiseptics, and as a solvent in tinctures
alochols
-
presumably denatures proteins, disinfectants, antiseptics, water purification
halogens
-
•Denatures proteins (requires H20, so 70 - 90% alcohol better than 100%), Biodegradable, doesn’t increase bacterial resistance, Not good for bacterial endospores, fungal spores, non-enveloped viruses, Skin antiseptic Disinfectant for electrodes, face masks, thermometers
alochols
-
halogens
do not sterilize
-
Antiseptic
on skin before surgery, treat burns
Disinfectant for plastics, rubber,
cutting blades, thermometers
iodine
-
•Disinfection drinking water,
pools, sewage, food equipment
chlorine
-
halgoens
denature proteins
-
Disinfection
of Hot tubs, pools, cooling towers
bromine
-
•Disrupts
metabolism in dental biofilms
flourine
-
surfacants
no sterilization
-
lower surface tension of water to make it a better solvent
surfacants
-
•Surrounds grease & oils so can be
washed away
soaps
-
•Antimicrobial
because disrupts membranes
•Disinfect &
sanitize floors, restrooms, eating utensils, clothing, food-processing
equipment
•Colorless, tasteless & mostly
harmless to humans
•Inhibited by organics, soaps
Quaternary ammonium Detergents
-
-
•Surgical dressings, burn creams
•Incorporated into plastics or steel
for toilet seats, catheters, stethoscopes, refrigerator doors
silver
-
•Interferes w/chlorophyll in algae
•Pools, fish tanks, water storage,
reservoirs
copper
-
oxidizing agents
can sterlize
-
•Effective against anaerobes
•Surfaces,
invasive instruments, food packaging
•Catalase
released from damaged human cells breaks it down into water & O2
gas
hydrogen peroxide
-
•Surfaces, food & medical
equipment
•Not
affected by organics, no toxic residue
peracetic acid
-
-
Denatures proteins, inactivates nucleic acids
aldehydes
-
•Medical & dental instruments
•More effective, expensive & less
irritating than formaldehyde
glutaraldeyde 2% liquid
-
sterilant for instruments, dialysis machinesIn embalming fluidIrritates mucous membranes; carcinogenic
Formaldehyde
37% in H2O = formalin
-
gaseous ethylene oxide
can sterilize
-
Penetrate paper/plastic, diffuse into cracks
•Denature Proteins & DNA
gaseous ethylene oxide
-
Hospital & Dental instruments, NASA spacecraft, heart valves, plastics, pillows, mattresses Sugar, dried foods, drugs
gaseous ethylene oxide
-
•Use in Chemiclave because can be explosive,
poisonous – need to flush with air
ethylene oxide
-
gaseous halogen
can sterilize
-
Denature proteins by disrupting S-S bridges & H bonds
gaseous halogen
-
gas used to sterilize after 2001 anthrax spores mailed to U.S. Senate offices
chlorine dioxide
-
-
Tears, saliva: digests peptidoglycan cell wallCheese & wine making, sterilizing medical equipment
lysozyme
-
Removes prions on medical instruments
prionzyme
-
Generic term for drugs that act against disease
Chemotherapeutic agents
-
Drugs that treat infectious disease (caused by microbial pathogens)
antimicrobials
-
Antimicrobials naturally produced by a microbe to destroy another microbe
antibiotics
-
Chemically altered antibiotics
Semisynthetics
-
Completely synthesized in a lab
Synthetics
-
penicillium, cephalosporium
fungi genera
-
bacillus, strepomyces
bacteria genera
-
As first proposed by Ehrlich’s “Magic Bullet”,successful drugs must have
selective toxicty
-
must be more toxic to pathogen than to host
drug
-
are tough to treat because they are animals
helminths
-
Hardest to get Selective Toxicity for viruses because they use our
enzymes
-
inhibition of cell wall synthesis
mechanism of action of antimicrobial drug
-
inhibition of pathogen's attachment to, or recognition of host
mechanism of action of antimicrobial drug
-
inhibition of DNA/RNA synthesis
mechanism of action of antimicrobial drug
-
inhibition of metabolic pathway
mechanism of action of antimicrobial drug
-
disruption of cytoplasmic membrane
mechanism of action of antimicrobial drug
-
inhibition of protein synthesis
mechanism of action of antimicrobial drug
-
Are Antibiotics and Semisynthetics that inhibit synthesis of new bacterial cell walls
Beta-lactam drugs
-
Some bacteria have Beta-lactamases =
Penicillinases
-
Are enzymes that destroy Beta-lactam ring so drug loses
effectiveness
-
Bind to & inhibit enzymes that cross-link NAMs with peptide bridges in new peptidoglycan
beta-lactam drugs
-
Only effective on growing or reproducing bacteria
beta-lactam drugs
-
Cells die due to effects of osmotic pressure when walls weakened; more effective on Gram (+)
beta-lactam drugs
-
are Antibiotics & Semisynthetics
Penicillin's
-
drawbacks to Penicillins
allergies, microbial resistance
-
Discovered as antibiotic
Most are now semisynthetic
Cephalosporin's
-
Majority (~1/3) of all antibiotics administered
Injected into muscle or vein because
absorbed poorly when taken orally
Resistant to many penicillinases
Can cross blood-brain barrier
cephalosporins
-
Directly interfere w/peptide cross bridges between NAMs in Gram(+)
For penicillin allergic patients
For MRSA = methicillin resistant S.aureus
Can be toxic to kidneys
Vancomycin
-
Blocks transport of NAG & NAMs from cytoplasm
Major ingredient (with polymyxin
& neomycin) in Neosporin,
Triple antibiotic ointments
bacitracin
-
Change shape of 30S subunit or block tRNA docking site
Streptomycin, Gentamicin, Neomycin
Aminoglycosides
-
Block tRNA docking site
Tetracyclines
-
Prokaryotes
& Mitochondria have
70S Ribosomes
-
Eukaryotes have 80S, so can get some
selective toxicty
-
Antibacterial
good against G(-)
Used topically
Toxic to kidneys
Polymyxin
-
Antifungal
Binds to ergosterol
Polyene amphotericin B
-
Antifungal
Inhibit
synthesis of ergosterol
azoles
-
inhibit enzymes in the Folic Acid Synthesis pathway
Sulfonamide & Trimethoprim
-
(Sulfa drugs) are synthetic & the 1st modern antimicrobial – 1935
Sulfonamides
-
Sulfonamide & Trimethoprim are
structural analogs
-
the more drug in the body, the fewer normal substrates are processed by the enzyme
competitive inhibition
-
Bacteria is then inhibited because it lacks
folic acid
-
Inhibit DNA Gyrase, used for coiling/uncoiling replicating DNA
Fluoroquinolones
-
Plasmodium causes
malaria
-
Plasmodium eats
hemoglobin
-
makes toxic hemes as waste; needs to detoxify heme to survive
plasmodium (hemoglobin)
-
Inhibits heme detoxification & Ca2+ transport
Artemisinin
-
Inhibits heme detoxification raises pH in food vacuoles, interfere w/ETC, increase Oxygen free radicals
possible mode of action for quinolines
-
uses Reverse Transcriptase enzyme (humans don’t have it) to make dsDNA from ssRNA
HIV
-
Reverse Transcriptase Inhibitors stop this enzyme from functioning
NON-nucleoside
-
used against HIV Reverse transcriptase
AZT (Azidothymine)
-
used against Herpes
Valtrex (Valacyclovir)
-
Nucleotide/nucleoside analogs are nonfunctional
structural analogs of nucelotides
-
When incorporated into viral DNA / RNA will block
replication, transcription, translation
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