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what is sterilization
removal/killing of ALL microbes
what is disinfection
inactivation of microbes
what is sanitization
decreasing microbial load
what are biosafety levels
levels of cleanliness assigned to labs
CDC NIH and WHO established 4 level
what is BSL 4
Microbes are high risk of aerosol transmitted infections; frequently fatal without treatment/vaccines
what is an example of a BSL 4
Ebola and Marburg viruses
What is a BSL3
Can cause serious/potential lethal disease through respiratory transmissionw
what is an example of BSL 3
Mycobacterium tuberculosis
what is BSL 2
Microbes indigenous; diseases of varying severity pose moderate risk to environment and workers
what is an example of BS2
Staphylococcus aeurus
what is BSL 1
Microbes not known to cause disease in healthy hosts and pose minimal risk to environment and workers
what is an example of BSL 1
nonpathogenic strains of E. coli
what are the requirements for controlling BSL 1
Sink for handwashing and a door to close off biolab
what are the requirements to control BSL 2
BSL1 + PPE, self closing doors, eyewash station, autoclave or sterilization method
what are the requirements for BSL 3 labs
BSL 2 + respirator, bio safety cabinets, hands free wash sink, two sets of doors
what are the requirements for BSL 4
BSL 3 + full biohazard suit, shower on exit, lab must have own air supply
Critical level of clean
must be sterile; items contact sterile tissue (blood)
semi critical level of clean
does not require sterilization but does require high disinfection; items might contact non sterile tissue (gut)
non critical
does not require sterilization; items don’t penetrate tissue (stethoscopes on skin)
what are methods of sterilization
heat
pressure
filtration
chemical sterilants
aseptic technique used to prevent ______
sterile environment from becoming contaminated
what are some forms of disinfection
antiseptics - act on microbes but not on organism
most don’t kill endospores examples are hydrogen peroxide and alcohol
example of sanitization and degerming
handwashing, may be combined with disinfectant to reduce microbes
what are cides and what are some examples
cides- kill
bacteriocidal
viricidal
fungicidal
what is static and what are some examples
stop growth;
bacteriostatic
viristatic
fungistatic
degree of control can be observed w/ _____
microbial death curve
what are some physical means of control that are often applied to fomites (clothing etc.)
temperature
radiation
filtration
desiccation
pressure
what is the oldest and most common form of sterilization that alters membranes and denatures proteins
heat
lowest temp that will kill in 10 minutes
thermal death point
length of time to kill at a certain temperature
thermal death time
incineration; direct application of high heat more than 250C (Bunsen burner)
DRY HEAT
Application of high temperature liquid/vapor ex would be autoclave
MOIST HEAT
Do autoclaves kill viruses and endospores
yes because they raise temperature of water above boiling point by raising pressure to 15 psi for 20 minutes
semi sterilizes food but does not ruin food quality is known as
pasteurization
usually not sterilization but static, it slows metabolism but will grow when temps are raised and ultra low temps -80C can be used for perservation
Refrigeration and freezing
Forms of pressure sterilization
pascalization and hyperbaric chambers
high pressure used in food industry to kill microbes
pascalization
can be used to treat infections, induce high levels of oxygen to saturate infection site
hyperbaric chambers
also known as dehydration; creates difference in osmotic pressure through salt or lyophilization to remove water
Desiccation
what kind of radiation enters cells and disrupts molecular structures such as DNA
Ionizing radiation
what are some examples of ionizing radiation
x-rays, gamma rays
can be used to sterilize non autoclave items and an alternate to canned food pasteruization
what kind of radiation does not penetrate glass, plastics, etc. but can damage cells with direct exposure
non ionizing radiation
what are some examples of non ionizing radiation
uv radiation
what uses high frequency sound waves to disrupt cell structure; causes bubbles to form inside cells and induce lysis
sonification
what uses a barrier to physically separate microbes
filtration
what do phenols do
denature proteins and membranes
what are some examples of phenols
carbolic acid - first used by joseph lister for surgical wounds
lysol
triclosan- commonly found in hand soaps but was banned in 2017
what binds to and inhibits sulfur containing amino acids of proteins
heavy metals
what are some examples of heavy metals
mercury,
silver
copper sulfate
zinc oxide
what heavy metal was used to treat syphilis but banned bc of neural toxicity
mercury
what heavy metal is used today to treat burn wounds, pediatric opthalmia, neonatorum and in antibiotics
silver
what heavy metal is used as algicide to treat pools
copper sulfate
what heavy metal is used in calamine lotion and baby powder
zinc oxide
what are some halogens that are used
iodine
chlorine
flourine
what halogen oxidizes cellular components; commonly used as an iodophor
iodine
what halogen is used to treat water
chlorine specifically hypochlourous acid
bleach is also known as
sodium hypochlorite
flourine is most recognized in ____ products because it provides disruption of microbial fermentation
dental products
what chemical form disrupts membranes and denatures cytoplasmic proteins
alchohols
what chemicals lower surface tension of water and are in most soaps and detergents
surfactants
what are made up of fatty acid salts, not cidal or static but means of mechanical removal
soaps
what are synthetic polar and non polar molecules
detergents
what are cationic detergents; mimic phospholipids and can insert into lipid bilayer. Common form is LYSOL
Quaternary ammonium salts
cationic molecules that disrupt membrane; are not active against naked viruses, are known as
bisbiguanides
bisiguanide that is common surgical scrub and long lasting than iodophors
chlorhexidine
what type of bisbiguanide is faster acting surgical scrub and is up and coming
alexidine
what inactivates enzymes and nucleic acids
alkylating agents
what agent fixes specimens by cross linking proteins
formaldehydew
what acts faster than formaldehyde; and is a common disinfectant of surgical equipment
glutaraldehydew
what is gaseous sterilizer that has high penetrating ability
ethylene oxide
peroxygens are ____
oxidizing agents tha produce radical oxygen to disrupt macromolecules.
what is a common and cheap disinfectant
hydrogen peroxide
what is present in acne medications; very effective against propionbacterium acnes
benzoyl peroxide
agent in toothpaste that combats biofilms
carbamide peroxide
this is used to clean air and water supply
ozone gas
examples of some preservatives are
sorbic acid
benzoic acid
propionic acid
sulfur dioxide
nitrites
methods used to test effectiveness of antiseptics and disinfectants
phenol coefficient - how strong agent relative to phenol
disk diffusion - measures degree of inhibition
use dilution test - used on item to look at effectiveness in real time
in use test - detects if solution is contaminated