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Sterilization
The process that completely destroys all microbes, including endospores and viruses.
Sterilization's common use
surgical instruments and syringes
Autoclave
A sterilization technique that uses high temperature, high pressure and moisture.
Disinfection
The process of destroying vegetative pathogens and most microbes, using physical or chemical means. Only for inanimate objects.
Disinfecting agents/techniques
Bleach, iodine and boiling
Disinfection's common use
examination tables, food prep areas and thermometers
Decontamination/Sanitization
a cleansing technique that mechanically removes microorganisms as well as other debris to reduce contamination to safe levels
Decontamination's/Sanitization's common use
cooking utensils, dishes, bottles and cans
Decontamination/Sanitization agents/techniques
soap, detergents and commercial dish washers
Antisepsis/degermation
decontamination of living surfaces, using sterile methods
Sepsis
Growth of microbes in blood and other tissues
Asepsis
The practice of preventing entry of infectious agents into tissues
Bactericide
kills vegetative bacteria
Fungicide
kills fungus spores
Virucide
kills viruses
Sporicide
specifically kills bac. endospores, can also kill veg. bacteria
Germicide/microbiocide
kills microbes
Endospores are resistant to...
heat, drying, freezing, radiation and chemicals
Sporulation
"spore formation" induced by environmental conditions, ex. vegetative cell on an examination table
Sporangium
vegetative cell that has turned into a sporulating cell, this transformation takes 6-8 hours
Germination
During favorable conditions (bad environment) where the spore releases a vegetative cell, water & nutrients are needed
Pasteurization
Disinfection of beverages contaminated without losing flavor or food value and decreasing microbial load, NOT sterilization
Thermal death time
Minimum TIME required to kill all microbes at a specified temperature, high temp low time
Thermal death point
Minimum TEMPERATURE required to kill all microbes in 10 minutes
Radiation
Energy emitted from atomic actives and dispersed at high velocity through matter or space
Irradiation
Bombardment of microbes with radiation
Ionizing radiation
Gamma rays and x-rays, DNA breaks, protein damage (ex. cold sterilization)
Non-ionizing radiation
UV radiation, crosslinks DNA, no replication or protein production, easily blocked (ex. air handling system)
Aqueous solution
A chemical dissolved in water
Tincture
A chemical dissolved in alcohol or water alcohol mixtures, preps skin for surgery
Sterilizing agents
Halogens, Hydrogen peroxide, Aldehydes and Ethylene oxide
Halogens
Sterilizing agents, chlorine and iodine
Chlorines
liquid, gas (ex. bleach). can denature enzymes. less effective with: light exposure, high pH or excess organic matter (blood, saliva etc.)
Iodines
liquid, penetrates cells and interferes with metabolic functions, can be irritating/toxic
Iodophers
complex of iodine bound to alcohol, does not sterilize instead DISINFECTS
Hydrogen peroxide
liquid, produces toxic reactive oxygen, works best at high concentrations and an expired agent will likely fail due to instability over time
Hydrogen peroxide use
Aseptic: skin and wound care
Disinfectant: contact lenses, implants and plastic equipment
Sterilization: delicate reusable instruments
Aldehydes
organics with a -CHO functional group, disrupts enzymes and DNA, extremely toxic
Glutaraldehyde
Rapid action
Formaldehyde/Formalin
Slower action
Chemiclave
chemical sterilization
Ethylene oxide
colorless gas, reacts with functional groups of proteins and DNA, plastic and delicate instruments, explosive and tissue damage, sterilizes at lower temperatures
Disinfecting agents
Phenol and surfactants
Surfactants examples
Detergents, alcohol, soap and quats
Phenol
liquid, very toxic, disrupts cell wall, membranes and enzymes (ex. triclosan- antibiotic), disinfectant and antiseptic chemicals added to many products: soaps, plastics, toothpaste/cosmetics, TOYS, can lead to antibiotic resistance
Surfactants definition
inhibited by organic matter, ineffective against spores and many veg. bacteria, binds to lipid layer and penetrates hydrophobic region, creates leaks and lysis
Alcohols
liquid, cannot kill endospores, for microbe control only ethyl and isopropyl alcohol are appropriate, must be high concentration, evaporation limits effectiveness, low exposure time
Soap
weakens microbes, Pseudomonas grow abnormally in soap dishes, used mechanically
Quaternary Ammonium Compounds (Quats)
positive charge with central nitrogen atom, breaks down cell membrane, used for objects and surfaces
Filtration
removes microbes from air and liquids, filter allows liquid or air to pass; NOT microbes, used for liquids that cannot withstand heat (ex. eyedrops)