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BSL-1
Nonpathogenic strains of E. coli, B. subtilis
Lowest risk of infectivity
Fewest precautions required
Don’t cause infections in healthy individuals
BSL-2
Moderate risk to humans
Microbes commonly found in the area
Precautions include PPE and safety cabinets
S. aureus
BSL-3
Potential to be lethal via inhalation
Indigenous or exotic
Mycobacterium tuberculosis, Bacillus anthracis
Respirator, safety cabinet
West Nile virus, HIV
BSL-4
Most dangerous
Often fatal
Transmitted by inhalation
Agents have no treatment or vaccination
Highest level of precautions
What are the factors that influence the level of microbial control needed?
What is the item going to be used for?
Identify situation
What’s being eliminated?
What's the potential risk of infection?
Environmental conditions (pH, temperature, presence of organic material)
What is the number of microbes to eliminate?
What is the D-value?
What situations require specific levels of control?
Daily life
Hospitals
Microbiology labs
Various industries - food production, water treatment, other industries
Fomite
Inanimate object used by humans that can transmit microbes
What are the most difficult microbes to eliminate?
Bacterial endospores - C. boutlinum
Protozoan cysts
Mycobacterium species
Pseudomonas species
Naked viruses
Why are endospores hard to eliminate?
Resistant to heat, drying, and numerous chemicals
Why are protozoan cysts hard to eliminate?
Endospore-like state for protozoan
Generally excreted in feces and cause diarrheal disease
Why are Mycobacterium spp. hard to eliminate?
Cell wall structure initiates resistance
Why are Pseudomonas spp. hard to eliminate?
Can grow in presence of many chemical disinfectants
Why are naked viruses hard to eliminate?
Lack envelope and are more resistant to chemical killing
Enveloped viruses are easier to kill with disinfectants because phospholipid bilayer is destroyed by disinfectant
Critical items
Used inside the body and penetrate body tissue
Must be sterile
Surgical instruments, catheters, IV fluids
Semi-critical items
Contacts mucous membrane and nonintact skin
Doesn’t penetrate body tissues
GI endoscopes, some respiratory therapies
Non-critical items
Unbroke skin
Stethoscope
What are the various methods of control?
Sterilization
Aseptic technique
Commercial sterilization
Disinfection
Pasteurization
Decontamination
Sanitation
Degermining
Antiseptics
What is sterilization?
Eliminates all forms of life (except prions)
Lab, medical, manufacturing, and food industry settings
Achieved thru physical means - high heat, pressure, or filtrations
Achieved thru chemical means - sterilant
What is aseptic technique and why is it important in lab and clinical settings?
Prevents contamination of sterile surfaces
Protocols that maintain sterility (asepsis)
Prevent contamination of patients (avoiding sepsis)
Sterile field - necessary for medical procedures that carry contamination risk
What is commercial sterilization?
Uses heat at a temperature low enough to preserve food quality but high enough to destroy common pathogens
Main target are C. botulinum spores
What is disinfection?
Inactivates most microbes on fomite surface using antimicrobial chemicals or heat
Not sterilization
What is pasteurization?
Reduces number of spoilage organisms and pathogens while maintaining food quality
Not sterile and product will still spoil
High-temperature short-time (HTST) pasteurization
Ultra-high temperature (UHT) pasteurization
What is HTST pasteurization?
72C for 15 seconds
Lowers bacterial numbers while preserving the quality of the milk
What is UHT pasteruization?
138C for 2 or more seconds
Can be stored for a long time in sealed containers without being refrigerated
Helpful method when refrigeration is limited
What is decontamination?
Reduces pathogens to a level considered safe
What is sanitation?
Reduces microbial populations to levels acceptable for public health
What is degerming?
Significantly reduces microbial numbers
Handwashing
What are antiseptics?
Antimicrobial chemicals safe for use on skin surfaces
Hydrogen peroxide, isopropyl alcohol
What are the conditions in an autoclave?
121 C and 15 psi for 15 minutes
Sterilizes and kills endospores
What is moist heat?
Denatures proteins
Relatively fast, reliable, safe, and inexpensive
Widely used
What is boiling?
Destroys most microbes and viruses but not endospores
Not a form of sterilization
What is inceration?
Burns cell components to ashes
Flaming inoculating loops
Destroy medical wastes and contaminated animal carcasses
What are dry heat ovens?
Destroys cell components and denatures proteins
Less efficient than moist heat and require longer times and higher temperatures
What are physical methods of microbial control?
Refrigeration/freezing
Radiation
Filtration
What is refrigeration/freezing?
Refrigeration - temperatures between 0-7C
Inhibits microbial metabolism, slowing the growth of microbes
Preserves refrigerated products such as foods or medical supplies
Freezing - below -2C stops microbial growth and may kill susceptible organisms
Cultures and medical specimens can be stored for long periods at ultra-low temperatures
Ultra-low freezer maintains temperatures at or below -70C
What is radiation?
Causes damage to DNA and potentially to plasma membrane
Used to sterilize heat sensitive materials - medical equipment, surgical supplies, medications
Some endospores can be resistant
3 sources - gamma radiation, x-rays, electron accelerators
What is filtration?
Air filtration - HEPA filter removes nearly all microbes from air (.3 micron pore size filter)
Membrane filtration - liquid filtration, for heat sensitive fluids, traps microbes on filter
What are the different types of germicidal chemicals?
Sterilants
High-level disinfectants
Intermediate-level disinfectants
Low-level disinfectants
What are sterilants?
Treat heat sensitive critical instruments
Kills endospores, Mycobacterium spp., fungi, and all viruses
What are high-level disinfectants?
Treat semi-critical instruments
Kills some endospores, Mycobacterium spp., all fungi, and all viruses
What are intermediate-level disinfectants?
Disinfects non-critical instruments
Doesn’t kill endospores, kills some Mycobacterium spp., all fungi, some non-enveloped viruses, and all enveloped viruses
What are low-level disinfectants?
General purpose
Disinfect furniture, floors, and walls
Doesn’t kill endospores and Mycobacterium spp., kills some fungi and enveloped viruses but no non-enveloped viruses
How is the appropriate chemical chosen?
Toxicity
Presence of organic matter
Compatibility with material being treated
Residue
Cost and availability
Ease of use
Storage/stability
Environmental risk
Alcohols
Kill bacteria and fungi but not endospores or non-enveloped viruses
Denature proteins (inhibit cell metabolism)
Disrupt membranes (cell lysis)
Common use - antiseptic on skin, swabbing skin for degerming before needle injection, alcohols also are the active ingredient in instant hand sanitizers
SARS-CoV-2 is an enveloped virus and may be inactivated by alcohol-containing products
How do you properly use hand sanitizer?
CDC recommends covering hands with sanitizer
Rub hands together until dry - ~20 seconds
Hand sanitizer should be between 60-90% alcohol to be effective
Works both by denaturing proteins and by disrupting microbial cell membrane but will not work effectively in presence of visible dirt
Aldehydes
Inactivates enzymes and nucleic acids
Strong, broad-spectrum disinfectant
Kills bacteria, fungi, viruses, and endospores - sterilization at low temperatures (alternative for autoclaving/heat sterilization)
Formaldehyde - preserves biological specimens by crosslinking proteins
Formalin - used in vaccines to kill bacteria and inactivate viruses
Irritating to skin - not a good antiseptic
Ethylene oxide
Gaseous sterilizing agent - fabric, pillows, artificial hips, pacemakers, petri dishes
Highly penetrating and can sterilize items within plastic bags such as catheters, disposable items in labs and clinical settings
Items are sterilized in a special chamber
Cold sterilization - good for heat sensitive items
Bisbiguanides
Antiseptics before surgery - surgeon hand scrub
Chlorhexidine - common ingredient in skin creams, disinfectants, mouthwashes/oral rinses, catheters, and surgical mesh
Broad-spectrum activity against yeasts, gram-positive/negative bacteria, and enveloped viruses - exception is Pseudomonas aeruginosa which may develop resistance on repeated exposure; not effective for Mycobacterium, non-enveloped viruses, or spores
Halogens
Chlorine - swimming pools, disinfect waste liquid, surfaces, drinking water
Sodium hypochlorite (bleach) - kills bacteria and viruses, less reliable when organic material is present
Drinking water contains .5ppm chlorine
Chloramine - disinfection of drinking water (tablets used by military)
Chlorine dioxide - gaseous agent used for fumigation and sterilization of enclosed areas; also commonly used for disinfection of water
Chlorine compounds can irritate skin, nose, and eyes - some protozoan cysts are resistant to chlorine (Cryptosporidium)
Iodine - oxidizes cellular components, destabilized macromolecules
Heavy metals
Kill microbes by binding to proteins, which inhibits enzymatic activity
Small concentrations of metal ions accumulate in cells - cause proteins to denature
Not selectively toxic to microbial cells
Mercury - not used in the US due to toxicity concerns
Silver - used as an antiseptic, some catheters and bandages contain silver
Silvadene cream - topical for burn wounds
Silver nitrate drops - were used for ophtalmia neonatorum (eye infection in newborn) and replaced by antibiotic creams
Copper nickel, zinc
Copper - algacide
Zinc chloride - mouthwashes
Phenolics
1800s - scientists started using chemicials for disinfection
1860s - Joseph Lister began using carbolic acid as a disinfectant for the treatment of surgical wounds
Phenolics - compound in mouthwashes and throat lozenges
Less toxic than phenol - disrupt membrane, denature proteins to inhibit microbial growth
Listerine, Lysol
pHisoHex - handwashing in hospital settings, effective for Staph and Strep that cause skin infections
Triclosan - in many antibacterial products until 2016, FDA banned products containing it and 18 other chemicals
Why was triclosan banned?
Researchers examined data from many different studies and found that people who washed with plain soap had the same chances of getting sick as people who used antibacterial soap containing triclosan
What are the targets in bacterial cells that are affected by germicidal chemicals?
Cytoplasmic membrane
Proteins
DNA
How does the assay for testing the effectiveness of germicidal chemicals work?
Disk-diffusion assay is used to determine effectiveness of chemical agents against a particular microbe
Plate is inoculated with various antimicrobial discs
Zone of inhibition around each disc indicates how effective the antimicrobial agent is
No zone of inhibition = doesn’t work
Characteristics of viruses
Infectious acellular particles
DNA/RNA contained in protein coat
Inert - no metabolism, replication, motility
Need a host cell to replicate
Can’t be grown in a pure culture
Specific for cell type or host
Viral structure
Nucleic acid surround by a protein coat (capsid)
How are viruses are visualized?
Can’t be seen with light microscopy
Electron microscope is used instead
Comparative size of viruses
~10 nanometers
Smaller than bacteria and human cells
Smallest to largest - viruses → bacteria → human cells
Capsid
Outer protein coat of viruses
Surrounds genome - protect and transport the genome to other cells
Capsomeres
Subunits that comprise the virus’s capsid
Nucelocapsid
Capsid plus nucleic acids
Why are viruses considered to be nonliving?
Acellular
Don’t exhibit characteristics of living things - inert
No metabolism, replication, motility
Needs a host cell to do things
What are viruses composed of?
DNA/RNA in a protein coat
Viral genome strucutre
Genomes are small
DNA or RNA
Single- or double-stranded
Segmented or single molecule
Can’t be DNA + RNA
What are the viral shapes?
Polyhedral/icosahedral - 20 flat triangles
Helical - capsomeres arranged in helix
Complex - phage (sheath, tail pins, and fibers), icosahedral nucleocapsid (head) and helical protein (tail)
Protein spikes
Attach to receptor sites on host cells
Phages attach by tail fibers
Protein structures
Enveloped viruses
Surrounded by lipid bilayer obtained from host cell
Envelope is small portion of phospholipid membrane obtained as the virion buds from a host cell
Matrix between nucleocapsid and envelope
Contain viral glycoproteins required for infecting cells
Non-enveloped (naked) viruses
More resistant to disinfectnats
Classifications of viruses
International Committee on Taxonomy of Viruses - viral species names are italicized using a genus and species name
Baltimore system - genome structure, virus shape, mechanisms of replication, presence or absence of envelope, disease symptoms the virus causes
Enteric transmission
Intestines
Polio, rotavirus
Respiratory transmission
Respiratory system
Influenza, measles, rhinovirus
Zoonotic transmission (zoonoses)
Animals → humans
Rabies, West Nile virus
Arbovirus transmission
Arthropods
Sexual transmission
Sex
Herpes, hepatitis, HIV
What are some components that viral genes code for?
Viral protein coat
Proteins required for replication of viral nucleic acid
Proteins required to get the virus into and out of the cell
How do viruses get into and out of cells?
Enter
Endocytosis - enveloped or naked
Fusion with host cell - enveloped virus
Leave
Budding - virus leaves with phospholipid bilayer from host cell
Apoptosis - non-enveloped viruses released when host cell dies; initiated by virus or host
Steps of viral replication
Attachment
Penetration and uncoating
Synthesis
Assembly
Release
Attachment (adsorption)
First step in viral replication
Virus binds specifically to one or more receptor sites on host cell
Penetration/uncoating of virus
Second stage in viral replication
Entire virus enters
Endocytosis (non-enveloped) or fusion with host cell membrane (enveloped)
Bacteriophage - puncture and inject their DNA
Virus uncoated and genome released
Synthesis
Third step in viral replication
Genome released
Synthesis of viral nucleic acids and proteins
Eclipse phase
Interval between penetration and production of virions
Assembly
Fourth step in viral replication
New viruses are fully made
Release
Fifth step in viral replication
Lysis and budding are both common
Budding - most enveloped viruses; covered with matrix protein and lipid envelope
Apoptosis - non-enveloped viruses released when host cell dies; initiated by virus or host
Viral host specificity
Host range is very small and specific
Virion must bind to protein receptor found in the host cell’s membrane
Host cell receptor carries out normal functions for cell
Non-enveloped viruses attach via arrangement of shape of capsids
Bacteriophage replication
Good model for understanding how viruses replicate
Virulent - attachment → penetration → biosynthesis → maturation → lysis
Temperate - infects cell → phage DNA incorporated into host genome → cell divides and DNA is passed on → under stressful condition, prophage DNA is excised from chromosome and enters lytic cycle → DNA and proteins replicate → new phage particles made → lysis
Temperate phage
Phage DNA integrate into host’s DNA - phage DNA → prophage
Prophage is replicated along with host chromosomes
Most often occurs in slower growing, nutrient-deprived cells
Lysogenic cycle - phage DNA is incorporated into host genome, forming prophage, which is passed onto subsequent generations of cells
Lytic cycle - usually actively growing cells, environmental stressors cause prophage to enter lytic cycle, cell lysis and phages released
Lytic phage replication
Phage bind specific receptors on bacterial cell
Phage DNA is injected into cell
Transcription
Replication of phage DNA
Assembly of phage components
Cell lysis and phage release - cell is destroyed
Virulent phage
Lyses cells
Leads to death of host cell
Only does lytic cycle
Lysogen
Bacterium that carries a prophage integrated into its chromosome
Lysogenic conversion
Properties of a bacterial cell are changed due to the bacterium carrying a phage
Prophage
Form of a phage whose DNA has been integrated into the host’s DNA
What are some properties encoded by a prophage?
Toxins and antibiotic resistance
Why is studying DNA important?
Understand how genetic diversity occurs in bacterial cells
Proteins involved in bacterial DNA replication make great targets for antibiotics
What is the flow genetic info?
Central dogma
DNA →Transcription → RNA → Translation → Proteins
Phenotype
Physical expression of genomic properties
May be influenced by the environment
Genotype
DNA content, genetic makeup
Determined by genetic content of an organism
What are the two genotypic changes that can occur in bacteria?
Mutations
Gene transfer
Mutations
Change in DNA sequence
Mutations are relatively stable
Genetic changes are inherited
Gene transfer
Process by which new donor genes are introduced into a recipient cell
Vertical gene transfer
From generation to generation
Mutations passed to progeny cells