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What is the specific terminology of microbial controls?
Sterilization
Disinfection
Antisepsis
Degerming
Sanitization
What is Sterilization?
Removes all microbial life (including endospores & viruses)
What is disinfection?
Removes pathogens on objects (non-living)
What happens in antisepsis?
Removes pathogens on living tissue
What is degerming?
Mechanical removal (example: Alcohol swab before injection)
What is sanitization?
Reduces microbes to safe public levels
What is Sterilization?
Everything dead (most extreme)
What is Disinfection?
Kills most pathogens (not all)
What is different antisepsis then disinfection?
Like disinfection but safe for skin
Identify the types/parts (not specific organisms) of microorganisms that are most resistant and least resistant to control measures.
Prions
Endospores
Protozoan cysts
Parasites
Gram-negative bacteria
Gram-positive bacteria
Fungi
Viruses
Vegetative bacterial cells
Define -cidal
Kills microbes
What is an example of cidal?
bactericidal, fungicidal
What is the action of -cidal?
microbes stay dead
Define -static
Inhibits growth (temporary)
What is an example of -static?
Bacteriostatic
What is the action of -static?
microbes grow again
What are the mode of action for physical and chemical agents?
Damaging cell membranes
Damaging proteins
Damaging DNA/nucleic acids
What is an example of moist heat?
Autoclave
What is the MOA of moist heat?
Denatures proteins
Destroys cell membranes and cell walls
What are the results of moist heat?
Sterilization (kills endospores)
What is the example of dry heat?
incineration, dry oven
What is the MOA of dry heat?
Denatures proteins
Destroys cell membranes and cell walls
What is the results from dry heat?
Complete destruction of microbes
What is the example of cold temperatures?
Refrigeration, freezing
What is the MOA of cold temperatures?
Slow metabolism and microbial growth
What is the result of cold temperature?
preservation (not killing)
What is an example of desiccation?
Drying
What is the MOA of desiccation?
Removes water = inhibits metabolism
What is an example of lyophilization?
Freeze-drying
What is the MOA of lyophilization?
Combines freezing + desiccation
What is the results of lyophilization?
Preserves microbes
What is an example of ionizing radiation?
Gamma rays, X-rays
What is the MOA of ionizing radiation?
Break DNA strands
What are the results of ionizing radiation?
Sterilization (deep penetration)
What is an example of Non-ionizing Radiation?
UV light
What is the MOA of Non-ionizing Radiation?
Damages DNA (thymine dimers)
What is the result of Non-ionizing Radiation?
Disinfection of surfaces (low penetration)
What is an example of filtration?
HEPA: >0.3um
Membrane: >0.22um
What is the MOA of filtration?
Physically removes microbes
Define what thermal death point (TDP) is
Lowest temp to kill all microbes in 10 min
Define what thermal death time (TDT) is
Time required to kill all microbes
Define what decimal reduction time (DRT) is
Time to kill 90%
What are the desirable characteristics of a chemical control agent?
Fast acting
Effective at low concentration
Broad spectrum
Low toxicity
Stable
Penetrating
Noncorrosive
Affordable
What is an example for Phenolics?
Lysol
Pine-Sol
What is the MOA for Phenolics?
Denature Proteins
Destroy cell membrane
Damage cell walls
What is an example of Bisphenols?
Hexachlorophene
What is the MOA of Bisphenols?
Disrupt plasma membrane
What is an example of Biguanides?
Chlorhexidine
What is the MOA for Biguanides?
Disrupt plasma membrane
Notes: Commonly used on skin and mucous membranes
What is an example of halogens?
Chlorine = Hypochlorite (bleach)
Iodine = Iodophores (Betadine)
What is the MOA for halogens?
Denature proteins
What is an example for alcohols?
Ethanol
Isopropanol
What is the MOA for alcohols?
Denature proteins
Dissolve lipids (membrane damage)
What must be require for alcohol to be effective?
Water
What is an example of Hydrogen peroxide (Oxidizing agents)?
3% hydrogen peroxide
35% hydrogen peroxide
What is the MOA of Hydrogen peroxide (Oxidizing agents)?
Produce free radicals = damage proteins and DNA
Release oxygen (O2), which helps kill microbes
What is an example for heavy metals?
Silver (Ag)
Mercury (Hg)
Copper (Cu)
What is the MOA for heavy metals?
Denature proteins
What is an example of Detergents & soaps?
Benzalkonium chloride (a quaternary ammonium compound)
What is the MOA for Detergents & soaps?
Disrupt plasma membranes
Interfere with proteins
What is an example of aldehydes?
Glutaraldehyde
Formaldehyde
What is the MOA of Aldehydes?
Denature proteins
Damage DNA
What is an example of gases?
Ethylene oxide
What is the MOA for gases?
Denature proteins
Disrupt DNA
Define denaturing proteins
proteins lose structure and function
Define dissolving lipids
Disrupt the cell membrane
What are the limitations of alcohols?
Require water to be effective (best at ~70%, not 100%)
Not sporicidal = do NOT kill endospores
Limited effectiveness against some non-enveloped viruses
Evaporate quickly = short contact time
Reduced effectiveness in presence of organic matter (dirt, blood)
Which test are used for chemical effectiveness?
Use-dilution test
Minimum inhibitory concentration (MIC)
Disk diffusion (Kirby-Bauer)
What does the Use-dilution test, test for?
tests killing (disinfection)
What does the Minimum inhibitory concentration (MIC) test for?
Test inhibition, not killing
What does the disk diffusion (kirby-bauer) test for?
Tests effectiveness visually
What is the most resistance?
prions and endospores
What is the least resistance?
Enveloped virus