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Chapters 23 & 24
Disinfection
Reduces or destroys the microbial load of an inanimate item through the application of heat or antimicrobial chemicals.
Sanitization
Reduces microbial load of an inanimate item to safe public health levels through application of heat or antimicrobial chemicals.
Sterilization
Completely eliminates all vegetative cells, endospores, and viruses from an inanimate item.
Antisepsis
Reduces microbial load on skin or tissue through application of an antimicrobial chemical.
Degerming
Reduces microbial load on skin or tissue through gentle to firm scrubbing and the use of mild chemicals.
Scrubbing
The manual process by which microorganisms are removed from a surface.
Temperature
The use of incineration, dry heat, moist heat, free flowing steam, steam under pressure.
Dry Heat
Can only be used on items that can withstand the high temperature.
Moist Heat
Boiling at 212 degrees Fahrenheit for 10 minutes sterilizes water but does not kill endospores.
Free-Flowing Steam/Fractional Sterilization
Use on item for 30 minutes on successive days.
Steam Under Pressure
Most effective method at 15 psi, 250 degrees Fahrenheit, 15 minutes, kills everything including endospores.
Cold
Slows microbial growth but does not kill microorganisms.
Light
Ultraviolet (UV) light is a form of nonionizing radiation that can effectively control the growth of microorganisms placed directly in its path, damages cell’s genetic material.
Germicide
Kills a variety of microorganisms, but not their spores.
Bactericides
Kills bacteria but not their spores.
Fungicides
Kills both fungi and their spores.
Virucides
Inactivates viruses.
Halogens
Widely used disinfectants that oxidize the components of microbial cells or react to cellular proteins. Ex: Chlorine, Iodine.
Chlorine
Used to treat water. Gas combined with water to form sodium hypochlorite (bleach), strong chemical but requires long exposure to kill endospores.
Iodine
Usually used as a tincture or iodophor, antiseptic but doesn’t kill endospores.
Alcohols
Widely used disinfectants that control microbial growth by denaturing proteins and dissolving lipids in the cell membrane. volatile (easily vaporized) before germicidal effects can occur.
Aldehydes
Group of organic compounds that control microbial growth by reacting with proteins in microorganisms and altering their chemical structure.
Phenolic Compounds
Includes phenol, cresols, and hexachlorophene. Controls microbial growth by denaturing proteins and disrupting cell membranes. Not a good sterilant, doesn’t kill bacterial endospores.
Phenol
Flammable, sickly sweet and tarry odor, causes chemical burns, liver damage, diarrhea, dark urine, and hemolytic anemia. derivatives have replaced it in disinfectants.
Cresols
Phenolic compounds derived from toluene, found in Lysol, deodorants and insecticides. Works well in the presence of other organic compounds. Ortho-cresol, meta-cresol, para-cresol.
Hexochlorophene
450x more effective than phenol, has been replaced by chlorohexidine but is available with a prescription.
Quaternary Ammonium Compounds
Damages the cellular membrane and denatures microbial proteins, alters surface tension of the cell, deactivated in the presence of soap and organic matter.