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Joseph Lister
Created Listerine; impressed with Pasteur’s work; applied carbolic acid (phenol) into damaged tissues to prevent infection
Sterilization
The process of killing or eliminating all pathogens in or on a material; free of microbes, endoscopes, and viruses
Disinfection
Eliminated most pathogens
Biocide/ Germicide
Kills microbes
Bacteriostasis
Inhibiting, not killing, microbes (temporary)
Pseudomonas species
Resistant to and can actually grow in some disinfectants
Mycobacterium species
Can cause tuberculosis and leprosy
Clostridium
Spore formers
Action of soap
Mechanical removal of organisms
Nosocomial infections
Acquired from hospitals settings; patients are more susceptible to infection
Pasteurization
Brief heating to reduce number of spoilage organisms; destroys pathogens
Commercial canning process
Destroys the endospores of Clostridium botulinum
Moist heat
Irreversibly denatures proteins in microbes; bactericidal; breaks H bonds; changes shapes of enzymes
Boiling
Kills vegetative bacteria, fungi, and viruses; does not sterilize because endospores can survive
Ultra- high temperature
Shelf-stable boxed juice and milk; known as “ultra-pasteurization”
Pressurized steam
Sterilization typically at 121 oC. for 15 minutes at 15 psi (longer for larger volumes)
Prions
Destroyed at 132° for 1 hour (resistant to heat)
Autoclave indicators
Tape and biological indicators
Tape
Contains heat- sensitive indicators turns black at high temp
Biological indicators
Heat-resistant endospores of Geobacillus stearothermophilus
Geobacillus stearothermophilus (biological indicators’
Heat resistant + make endospores + autoclave
Dry heat
Not as effective as moist heat
Incineration
Type of dry heat sterilization- oxidize cell components to ashes, denature proteins
Flaming
Laboratory inoculation loop incinerates organism
Hot air ovens
Used to destroy medical waste and animal carcasses
Membrane filters
Determines if water is safe for drinking; some materials cannot withstand heat treatment; filtration retains bacteria (filtration of fluids)
Depth filters
Thick porous filtration material (like cellulose)
HEPA
High-efficiency particulate air filter used for air
Radiation
Shorter wave length= higher frequency
Ionizing radiation
Shorter wave; damages cytoplasmic membranes of G (-ve): Pseudomonas; high energy gamma-rays
Ultraviolet radiation
Destroys microbes directly; damages DNA (Thymine dimer)
Alcohols
Not reliable against endospores, some non-enveloped viruses
Why is pure less effective than aqueous solution?
Because 100% solution is too thick, and 70% is think enough to slip through
Silver
Used as an antiseptic (creams and bandages); excessive use can lead to environmental pollution
Silver nitrate
Eye drops given at birth to prevent Neisseria gonorrhoeae infections
Preservatives
Mercury, tin, and copper
Quaternary ammonium compounds
Cationic detergents (+); disinfection of food/ preparation of surfaces; attracted to negative charge of microbial cell surface
Pseudomonas
Resists quats; can grow in solutions
Freezing
Preserves by stopping all microbial growth; not sterilization!
Reducing available water → slow growth
Adding salt and sugar; lyophilization (freeze drying)
Paul Ehrlich
Synthesized arsenic compounds to treat syphilis, caused by spirochete Treponema; 606th compound effective in lab animals
Arsphenamine
Aka Salvarsan- the first antibacterial chemotherapeutic agent
Chemotherapeutics
Chemicals used to treat disease; antimicrobials
Alexander Fleming
Discovered penicillin G- first antibiotic made by the fungus (mold) Penicillium that inhibited Staphylococcus aureus
Streptomyces griseus
Created streptomycin
Antimicrobials
Derived from microorganisms
Characteristics of antimicrobial medications
Have selective toxicity
Don’t trigger allergic reactions
Soluble in body fluids
Does not induce drug resistance quickly
Dysbiosis
Broad spectrum
Antimicrobial action
Therapeutic index
Toxicity of given drug; we want HIGH
High therapeutic index
Less toxic to patient/ dose used for therapy
Normal microbiota
Competitive exclusion of pathogens
Dysbiosis
Imbalance of the microbiome; doesn’t suppress normal flora (E. Coli gets killed by the antibiotic) Clostridium difficile causes diarrhea
Broad spectrum
Emergency only; drawback- inhibition of normal human microbiota
Bacteriostatic
Inhibits bacterial growth; patients immune systems eliminate the stalled bacterial cells
Antagonistic drugs
Drugs that interfere with each other * you would not prescribe Penicillin and a bacteriostatic drug because bs drug stops growth and penicillin is effective with growing bacteria
Synergistic drugs
One medication enhances the other
Additive drugs
Medications do not interfere with each other
Antibiotic
Substance produced by microbes
Beta- Lactam ring
Penicillin, Ceohalosporin, Vancomyosin, and Bacitracin; inhibit cell wall synthesis
Beta-Lactam limitations
Gram + and only effective against actively growing cells
Penicillin resistance
Some bacteria synthesize Beta-Lactamase, which breaks critical Beta-lactam ring and inactivates beta-lactam antibiotics
Bacitracin
Common in non-prescription first-aid ointments; toxicity limits
Inhibit protein synthesis
Aminoglycosides, tetracyclines, macrolides; distinguish between prokaryotic and eukaryotic
Aminoglycosides
Irreversibly bind to 30S ribosomal subunit, which causes it to become bactericidal
Chloramphenicol
Binds to 50S ribosomal subunit; prevents peptide binds from forming and blocking proteins synthesis
Fluoroquinolones
Targets DNA synthesis by inhibiting topoisomerases; enzymes that maintain supercoiling of DNA and DNA gyrase breaks; bactericidal
Rifamycins
Block prokaryotic RNA polymerase; block inhibition of transcription; effective against members of genus Mycobacterium
Sulfonamides
Structurally similar to PABA; competitive inhibition of folic acid biosynthesis
Folate pathway
Useful target for antibiotics because bacteria synthesize folate while human cells do not
Trimethoprim
Combines with sulfonamide and has synergistic effect
Daptomycin
Inserts into cytoplasmic membrane; cannot penetrate outer cell membrane
Polymyxin B
Binds to membranes of Gram - and destabilizes the plasma membrane
Isoniazid
Inhibits my colic acid synthesis
Minimum inhibitory concentrations
Lowest concentration that prevents growth in vitro
Minimum bactericidal concentrations
Kills 99.9% of cells in vitro; determined form plate count from MIC
Kirby-Bauer disc diffusion test
Routinely used to determine sensitivity/ susceptibility of bacterial strain to antibiotics; drug characteristic must be taken into account
E test
Modification of disc diffusion test, uses strip with gradient antibiotic
Limitations of antibiotics; innate/ intrinsic resistance
Only effective against bacteria;
Multidrug-resistant M. Tuberculosis
Resist first line antibiotics; isoniazid and rifampin
Antiviral medications
Difficult to target because they use the host cell machinery to replicate
Antifungal chemicals
Target Ergersterol; polyenes, azoles, allylamines