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Sepsis
refers to microbial contamination
Asepsis
is the absence of significant contamination
Aseptic Surgery
techniques prevent microbial contamination of wounds: (Boric acid, isopropyl alcohol, hydrogen peroxide, iodine)
Sterilization
Removing all microbial life: (Pressurized steam autoclave, chemicals, radiation)
Commercial Sterilization
Killing Clostridium Botulinum endospores
Disinfection
Removing pathogens: (Chlorine bleach, phenols, glutaraldehyde)
Anti-spesis
disinfection of living tissue
Degerming
Removing microbes from a limited area like the skin through hand washing: (Soap, alcohol swab)
Sanitazation
Lowering microbial counts on eating utensils and objects used in restaurants: (Detergents containing phosphates, industrial strength cleaners)
Biocide/Germicide
Kills microbes
Bacteriostasis
Inhibiting, not killing
Effectiveness of Treatment
Depends on
Number of microbes
Environment
Time of exposure
Microbial characteristics
Actions of Microbial Control Agents
Alteration of membrane permeability
Damage to proteins
Damage to nucleic acids
Targets Cell Wall
Chemical, Detergents, Alcohol
Targets Cell Membrane
Detergents
Targets Cellular Synthesis
Formaldehyde, Radiation, Ethylene oxide
Targets Proteins
Moist heat, Alcohol, Phenolics
What is the most common physical control methods? What is destroyed?
Heat; Proteins and nucleic acids are destroyed. Water is removed
Thermal Death Point (TDP)
Lowest temperature at which all cells in a culture are killed in 10 mins
Thermal Death Time (TDT)
Time during which all cells in a culture are killed at a particular temperature
What does moist heat do to proteins?
Dentures proteins
What is Autoclave?
Steam under pressure
What does pasteurization do? What is NOT affected by pasteurization?
Reduces spoilage organisms and pathogens.
Bacterial Spores are NOT affected by pasteurization
High-Temperature Short Time (HTST)
72 C for 15 secs then bottled and refigerated
Ultra-High Temperature (UHT)
140 C for <1sec then sealed in airtight containers for up to 90 days without refrigeration
Dry Heat Sterilization
Kills by oxidation
Dry Heat
Flaming
Incineration
Hot-air sterilization
Other Physical Methods of Control
Low temperature lower microbial metabolic and growth rates, retarding spoilage
Refrigeration
Deep-freezing
Lyophilization
What is Desiccation?
Prevents metabolism- Drying removes the water necessary for microbes to live
What does Osmotic Pressure cause?
Plasmolysis- Salting causes water to diffuse out of organisms, causing dehydration and death
What is radiation used for?
Is used to control microbes in food. This affects metabolism and physiology
Factors Affecting the Germicidal Activity of Chemicals
Nature of the microorganisms being treated
Nature of the material being treated
Degree of contamination
Time of exposure
Strength of chemical action of the germicide
What is does the Disk-Diffusion Method measure?
Concentration and Chemical
Lowest concentration- minimizes resistance dangerous to inhale respiratory damage
What does Chlorine do?
Keeps bacterial populations low in municipal water supplies and swimming pools
What does Iodine used for?
Is used to disinfect wounds, water, and restaurant equipment
What does Phenol and Phenolic Compounds do?
Denature proteins
Mercury, copper, and silver does what?
React with proteins
What is Silver sulfadiazine used for?
Topical cream on burns
What is Copper Sulfate?
An Algicide
What is ethanol effective against?
Vegetative cells but NOT endospores
Membrane disruption is caused by what?
Lipid Dissolution
How does soap remove microbes?
By emulsifying and solubilizing particles on the skin
Detergents are classified as…
Surfactants
What do detergents cause?
Cause cytoplasm leakage from microbial membranes
Organic Acids
Inhibit metabolism
Sorbic acid, benzoic acid, and calcium phosphate
Control molds and bacteria in foods and cosmetics
What does Nitrate do?
Endospore germination
What antibiotics prevent spoilage of cheese?
Nisin and Natamycin
Chemotherapeutic Drug
Any chemical used in the treatment, relief or prophylaxis of a disease
Prophylaxis
Use of a drug to prevent imminent infection of a person at risk
Antibiotics
Substances produced by the natural metabolic processes of some microorganisms that can inhibit or destroy other microorganisms
Synthetic Drugs
Drugs produced entirely by chemical reactions
Prontosil
Was a red dye found to inhibit some gram-positive bacterial species
Who originated the concept of selective toxicity?
Paul Ehrlich
What does selective toxicity mean?
That a drug should harm the pathogen but not the host
Chemotherapeutic index Equation
Toxic dose / Therapeutic dose
What does the Kirby Bauer measure (works best on bacterium)?
It tests if bacteria is susceptible to antibiotics (If it does, the antibiotic works). Depending on the diameter is big, the antibiotic works.
What is the E test?
A way to determine antimicrobial sensitivity by placing a stripe impregnated with antimicrobials onto the agar plate
What is MIC?
Minimum inhibitory concentration: the smallest concentration (highest dilution) of drug that visible inhibits growth
Modes of Action for Antibacterial Drugs
Inhibition of cell wall synthesis: Penicillin, Cephalosporins, Bacitracin, Vancomycin
Inhibition of protein synthesis: Chloramphenicol, erythromycin, tetracyclines, streptomycin
Inhibition of nucleic acid replication and transcription: Quinolones, Rifampin
Injury to plasma membrane: Polymyxin B
Inhibition of synthesis of essential metabolites: Sulfanilamide, Trimethoprim
What does Ampicillin inhibit?
Peptidoglycan
What antibiotic kills by halting translation?
Tetracyclines
Selectively and action based on ribosomal differences between prokaryotes and eukaryotes
Some toxicity
What antibiotic interferes with RNA synthesis?
Rifampin
Effective against TB, leprosy, meningitis
Cause liver damage
What is the order of antibiotic resistance?
Mutation
Exposure
Antibiotic Resistance
Unnecessarily large antibiotic doses allow resistant strains to ______ susceptible ones
overgrow
If resistant strains spread to other patients, a ________ occurs
Superinfection
Antibiotic use is widespread in ______ feeds
livestock
Bacterial cells can pass _______ genes to other bacterial cells
resistance
Mechanisms of resistance
Antibiotic inactivation
Active export of antibiotic (spits it out)
Altered metabolic pathway
Several classes of anti-fungal drugs cause ______ damage, causing contents to leak out
membrane
What is Nystatin (topical cream) used against?
Candida albicans infections in the intestines or vagina
What is Amphotericin (oral) used against?
Is used against serious systemic fungal infections
What is the goal of anti-protozoal agents?
Eradicate the parasite
What is Aminoquinolines (Quinine) used for?
Are anti-malarial drugs that accumulate in parasitized red blood cells
They interfere with the parasite’s ability to break down and digest hemoglobin
Nitroimidazoles interfere with ___ ______
DNA Synthesis
They are used to treat amoebiasis, giardiasis, trichomoniasis
A derivative of ______ is used against African trypanosomiasis
Arsenic
Anti-helminthic Agents are…
Praziqyantel
It changes membrane permeability in cestodes and trematodes
Ivermectins: causes contraction and paralysis in the parasite
Pathology
Study of disease
Etiology
The study of the cause of a disease
Pathogenesis
The development of disease
Infection
The successful colonization of the body by pathogens
Disease
Any condition in which the normal structure or functions of the body are damaged or impaired
Transient microbiota
may be present for days, weeks, or months
Normal microbiota
permanently colonize the host
Symbiosis
is the relationship between normal microbiota and the host
Microbial antagonism
is a competition between microbes
Normal microbiota
protect the host by
Occupying niches that pathogens might occupy
Producing acids
Producing bacteriocins
Symptom
A subjective change in body function that is felt by a patient as a result of disease
Sign
An objective and measurable change in body function as the result of a disease
Syndrome
A specific group of signs and symptoms that accompany a disease
Communicable disease
A disease that is spread from one host to another
Contagious disease
A disease that is easily spread from one host to another
Latrogenic Disease
contracted as the result of a medical procedure
Non-communicable disease
A disease that is not transmitted from one host to another
Virulence factors
Mycolic acid; fast-acid
Filaments
Spikes
True pathogens
Capable of causing disease in healthy persons with normal immune defense
Opportunistic pathogens
Cause disease when the host’s defenses are compromised
Endemic Disease
Disease constantly present in a population
Epidemic Disease
Disease acquired by many hosts in a given area in a short time. Ex: Flu epidemic in Florida
Pandemic
World-wide epidemic
Herd Immunity
Immunity in most of a population