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sepsis
microbial contamination
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aseptic
- an environment or procedure that is free of contamination by pathogens
- antimicrobial chemicals, expected to destroy pathogens but not to achieve sterilization
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disinfectant
non-living surface
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sterilization
removal of all microbial life (heat, filtration)
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sanitization
for untensils
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other types
bacteriostatic (inhibits bacterial reproduction), bactericidal (kills bacteria), fungicide, sporicide, germicide
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effectiveness of antimicrobial treatment depends on:
- bacterial populations subjected to heat or antimicrobial chemicals die at a constant rate
- effectiveness depends on number of microbes, environment, time of exposure, and microbial characteristics
- evaluation of antimicrobial efficacy:
- microbial death rate
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action of antimicrobial agents
- alteration of cell walls and membrane
- alter permeability
- breakdown lipid components
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action of antimicrobial agents
- damage to protein structure
- disrupts structural proteins
- denatured enzymes cause a decrease in cellular activity
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action of antimicrobial agents
- damage to nucleic acidsloss of genetic information leads to a decrease in metabolic activity
- can produce fatal mutants
- can halt protein synthesis through action on RNA
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the slection of microbial control methods
- ideally, agents should be
- inexpensive
- fast acting
- stable during storage
- capable of controlling all microbial gowth while being harmless to humans, animals, and objects
- is this feasible? no
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factors affecting the efficacy of antimicrobial methods
- site to be treated
- relative susceptibility of microorganism
- effectiveness of germicides classified as high, iintermediate, or low
- environmental conditions
- temperature
- pH
- organic material
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the selection of microbial control methods
- methods for evaluating disinfectants and antisepticsphenol coefficient
- compare other disinfectants and antiseptics to phenols effectiveness at controlling microbes under standardized conditions
- greater than 1.0=product is more effective than phenol
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use dilution test
- expose contaminated cylinders to various dilutions of antimicrobial agents
- incubate cylinder for 48 hours and check growth
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kelsey-sykes capacity test
- expose bacterium to suitable concentration of disinfectant
- return to growth medium and check turbidity
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in use test
swabs of object are taken pre/post disinfectant and grown
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physical methods of microbial control
- heat related methodseffects of high temperatures
- denaturation of proteins
- interference with integrity of cytoplasmic membrane
- disruption of structure and function of nucleus
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effects of high temperatures
- heat is very effective (fast and cheap)
- thermal death point-lowest temperature that kills all cells in broth in 10 minutes
- thermal death time-time to sterilize volume of liquid at set temperature
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moist heat
- denatures proteins
- autoclave: steam under pressure
- most dependable sterilzation method
- steam must directly contact material to be sterilized
- pressurized steam reaches higher temperatures
- normal autoclave conditions: 121.5 C for 15 min
- prion destruction: 132 C for 4.5 hours
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pasteurization
significant number reduction (esp. spoilage and pathogenic organisms) does not sterilize
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historical goal
destruction of M. tuberculosis
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classic holding method
63 C for 30 min
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flash pasteurization (HTST)
72 C for 15 sec. most common in us. thermoduric organisms survive
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ultra high temperature (UHT)
- 140 C for <1 sec
- technically not pasteurization because it sterilizes
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dry heat
- kills by oxidation
- denatures proteins and oxidizes metabolic and structural chemicals
- used for materials that cannot be sterilized with or damaged by moist heat
- flaming of loop
- incineration of carcasses
- bird flu
- mad cow disease
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refrigeration and freezing
- decrease microbial metabolsm, growth and reproduction
- chemical reactions occur slower at low temperatures
- liquid water not available
- psychrophilic microbes can multiply in refrigerated foods
- refigeration halts growth of most pathogens
- slow freezing more effective than quick freezing
- organisms vary in susceptibility to freezing
- exceptions: listeria monocytogenes
- refrigeration: 0-7 C
- freezing: below 0 C
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physical methods of microbial control
- air filtration using high efficiency particulate air (HEPA) filters. effectie to 0.3 um
- membrane filters for fluids
- pore size for bacteria: 0.2-0.4 um
- pore size for viruses: 0.01 um
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osmotic pressure
- high concentrations of salt or sugar in foods to inhibit growth
- cells in a hypertonic solution of salt or sugar lose water; cell desiccates
- fungi have greater ability than bacteria to survive hypertonic environments
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physcial methods of microbial control
- radiation damages DNA: sterilization of medical equipment and foods
- ionizing radiation (x rays, microwave)
- nonionizing radiation (UV)
- most effective wavelength~260 nm
- actively dividing organisms are more susceptible
- used to limit air and surface contamination
- germicidal lamps
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chemical methods of microbial control
- affect microbes cell walls, cytoplasmic memebranes, proteins, or DNA
- effect varies with temperature, length of exposure, and amount of organic matter
- also varies with pH, concentration, and age of chemical
- tend to be more effective against enveloped viruses and vegetative ceells of bacteria, fungi, and protozoa
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phenol and phenolics
- disrupts cell membranes
- effective in presence of organic matter and remain active for prolonged time
- commonly used in health care settings, labs and homes
- pheno (carbolic acid) historical significance
- phenolics: creosol (lysol)
- bisphenolics
- hexachlorophene: pHisoHex
- triclosan: toothpaste, antibicterial soaps
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alcohols
- are bactericidal, fungicidal, and virucidal against enveloped viruses
- ineffective against fungal spores and bacterials spores
- denature proteins and disrupt cytoplasmic membranes
- evaporate rapidly and inactivated by organic debris
- 70% more effective than 90%
- used in hand santizers and cosmetics
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halogens: oxidizing agents
- intermediate- level antimicrobial chemicals
- iodine
- chlorine
- bromine
- fluorine
- iodine: medically used as a tincture or iodophores
- betadine
- sodium hypochlorite (bleach)
- chlorine treatment of drinking water
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oxidizing agents
- peroxide kill by oxidation of microbial enzymes
- effective against anaerobic microorganisms of deep wounds
- hydrogen peroxide can disinfect and sterilize surfaces of objects
- 3% or higer
- catalase neutralizes; not useful for treating open wounds
- staphylococcus aureus
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surfactants
- "surface active" chemicals that reduce surface tension of solvents to make them more effective at dissolving solutes
- soap and detergents
- good degerming agents but not antimicrobial
- Quats= quaternary ammonium compounds
- colorless, tasteless, harmless to humans, and antimicrobial; ideal for many medical and industrial application
- most effective against gram +
- pseudomonads live in them
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heavy metals
- ions are antimicrobial because they alter the 3-D shape of proteins, inhibiting or eliminating their function
- low-level bacteriostatic and fungistatic agents
- 1% sliver nitrate to prevent blindness caused by N gonorrhoeae
- thimerosal used to preserve vaccines
- copper controls algal growth in reservoirs, fish tanks, swimming pools, and water storage tanks; interferes with chlorophyll
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aldehydes
- inactivate proteins by cross-linking with their function groups (-NH2, -OH, -COOH, -SH)
- compounds containing terminal -CHO groups
- glutaraldehyde
- formalin used in embalming and disinfection of rooms and instruments
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