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Contaminant
Unwanted microbes present in a given time, place or amounts; microbes which are present in wrong place or in wrong amounts
Methods for Decontamination
physical, chemical, mechanical
Highest resistance
Bacterial endospores & Prions (not alive)
Moderate resistance
protozoan cycts, Pseudomonas sp., Staphylococcus aureus, Mycobacterium tuberculosis
Least resistance
vegetative(dividing) bacterial cells, fungal spores, hyphae, molds, enveloped viruses, yeasts, protozoan trophozoites
Decontamination
destruction, removal or reduction in number of undesirable microbes in a given area
Sterilization
any process that destroys or inactivates all viable microorganisms, including viruses and endospores
Sterile
condition of a material after is has been sterilized. Complete absence of living microbes or microbes capable of life.
Disinfection
A process to destroy vegetative pathogens, not endospores, on inanimate objects. Too toxic for use on living organisms. (bleach, boiling water)
Antisepsis
Disinfectants applied directly to exposed body surfaces; Use of chemical agents to destroy/inhibit vegetative pathogens on body surfaces (iodine, hydrogen peroxide, germicidal hand soap); does not rid of endospores
Sepsis
growth of microorganisms or presence of toxins in blood or tissues
Asepsis
practice which prevents entry/infection
Sanitation
Any cleansing technique that mechanically removes microbes; cleansing, removal of debris, microbes, and toxins from inanimate surfaces to reduce potential for infection/spoilage
Determination
dramatically reduce numbers of microbes on living tissue (skin) typically combined with use of antisepsis
-static
means to stand still (refrigeration)
-cidal
to kill (bleach)
Conditions influencing the killing of microbes
time of exposure, type/resistance to spores, microbial load, action of the agent/action of agent
Targets of antimicrobial agents
Cell wall
cell membrane
protein synthesis
protein function
Mode of Action of Antimicrobial Agents
Cellular targets, such as the cell wall, cell membrane, and protein and nucleic acid synthesis, protein function
Cell wall target (mode of action)
block cell wall synthesis, digest the exposed cell wall, disrupt cell wall; cell wall becomes fragile and cell lyses (Some antimicrobial drugs, such as penicillin, detergents and alcohol)
Cell membrane target (mode of action)
chemicals which are ampiphatic will intercalate into lipid bilayer-> disturb the regular arrangement of bilayer lipids-> membrane no longer effective barrier (detergents and surfactants)
Protein synthesis and nucleic acid synthesis (mode of action)
block DNA replication, translation, transcription, peptide bond formation, protein synthesis, alter DNA sequence; cells will not be able to multiply, and will eventually die. e.g chloramphenicol, UV radiation, formaldehyde
Protein function target (mode of action)
unfolded, mis-foldes or denatured proteins cannot function as enzymes, disrupt protiens (Examples: alcohols, metalic ions, phenolic compounds, heat)
Physical methods of microbial control
heat, cold, radiation, filtration, desiccation
Moist heat
Requires lower temperature and shorter exposure time as compared to dry heat; steam autoclave; gets into cells and denatures proteins more rapidly; causes proteins to aggregate/precipitate
Autoclave
steam under pressure, 15 PSI, 121C; 10-40 min; kills vegetative cells and endospores. Sterilizes, and is good for decontamination of liquids, heat tolerant solids
Autoclave mode of action
denaturation of proteins, destruction of membranes and DNA
Boiling
100C for 30 min; disinfection and destruction of non-spore forming pathogens
Pasteurization
Heat applied to kill potential agents of infection without destroying the food flavor or value; disinfection, not sterilization
Batch method pasteurization
63°C-66°C for 30 minutes
Flash method pasteurization
71.6C for 15 seconds
Dry heat
Uses moderate to high temperatures (as compared to moist heat); hot air (low moisture content; dehydration, alters protein structure; incineration (flame or heating coil) or dry ovens
Dry ovens
150 to 180 degrees Celsius, coagulate proteins
Microbiostatic
Slows the growth of microorganisms
Cold methods
bacteriostatic-> retards or suspends growth; used to preserve food, media, and cultures, does not kill the majority of microbes
Dessication (dehydration)
Gradual removal of water from cells, leads to metabolic inhibition; not effective microbial control - cells retain ability to grow when water is reintroduced
Lyophilization
freeze drying; preservation
Ionizing radiation
gamma rays, x-rays, cathode rays; DNA breaks or major changes are lethal, so cell dies. (food irradiation, mail, med instruments); change at the subatomic/atomic level - electrons leave orbit
Non-ionizing radiation
UV light, direct exposure; crosslinking of nucleotide bases in DNA, pyrimidine dimers, problems for DNA replication and cell division; changes energy states
Filtration
Physical removal of microbes by passing a liquid or gas through a filter; especially for liquids that are sensitive to heating and air in hospital isolation units/industrial clean rooms; used for vaccine production or blood products.
High-level germicides
Kill endospores, may be sterilants, and used on critical items that are not heat sterilizable
Intermediate-level germicides
kill fungal spores (not endospores), tubercle bacillus, and viruses
Used to disinfect devices that will come in contact with mucous membranes but are not invasive
Low-level germicides
kill vegetative bacteria, fungi, protozoa, and some viruses; used on clean surfaces that touch skin but not mucous membranes
Factors that affect germicidal activity of chemicals
Nature of the material being treated, degree of contamination, time of exposure, strength and chemical action of the germicide
Factors that affect death rate
Number of microbes, nature of microbes in the population, temperature and pH of environment, concentration or dosage of agent, mode of action of the agent, presence of solvents, organic matter, or inhibitors
Alcohols
membrane disruption, protein denaturation. Not sporicidal. 50-95% ethanol, Isopropanol (toxic) good for enveloped viruses; intermediate level
Iodine
One of the oldest and most effective antiseptics; works against all bacteria and many endospores, fungi, and viruses; alters plasma membrane
Tincture
Iodine combined with alcohol
Iodophor
iodine combined with an organic carrier molecule, example is Betadine
Hydrogen peroxide
High reactive; forms -OH free radicals; damages proteins and DNA while recomposing oxygen gas; toxic to anaerobes; Kills spores at high concentration; antiseptic at low concentrations
Disinfectants
surface tension action, membrane disruption, protein precipitation. Quaternary ammonium compounds; very low level decontamination
Quats
Quaternary ammonium compounds; acts as surfactants that alter membrane permeability of some bacteria and fungi
Soaps (and detergents)
mechanically remove soil and grease containing microbes