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Type and number of microbes, environmental conditions, risk of infection (bio lab safety levels), composition of fomite
The selection of an effective procedure depends on the _______
Sterilization
killing/removal of ALL living organisms (pathogens) from inanimate objects (endospores)
Disinfection
killing/removal of most/all organisms (pathogens) from inanimate objects (not endospores)
Antisepsis
killing/removal of most/all pathogens from the surface of living tissues (not endospores)
Sanitation
reducing the microbial population to safe levels
Physical Control - Heat
Dry heat: high heat incinerates microbes
Moist heat (most effective)
Boiling does no sterilize
Autoclave sterilizes
Pasteurization
Pasteurization
Heating at high temps for short times. Not all organisms killed
Not general sterilization
Boiling water, steam canning, use for high-acid foods
physical control - canning
not general sterilization
boiling water
steam canning
use of high-acid foods
Sterilization
pressure canning
not automated
autoclave
destroys endospores
temperature higher than boiling point
Sterilization typically 121°C and 15 psi in
20min
Flash sterilization at higher temperature
can be used
Physical control - freezing
Low temperature
refrigeration slows growth
freezing stops microbial growth
microbial cells can grow once thawed
Physical control - filtration
Filtration of fluid (membrane filters)
small pore size (0.2 um)
thin
Filtration of air
High efficiency particulate air (HEPA) filters
remove nearly all microbes from air (0.3 µm)
Physical control - radiation
Ionizing (high energy)
Gamma rays, x-ways
Produces reactive oxygen species
Ultraviolet
damages DNA (disinfect)
Poor penetration power (glass and plastic will block)
Chemical methods of microbial growth
disinfectants, antiseptics, sterilants, and antibiotics
main mechanisms of action
Disruption of cell membranes
Protein denaturation
Nucleic acid damage
Sterilants/sporicides
Destroy all microorganisms and endospores
peracetic acid = acetic acid + hydrogen peroxide
oxidizes primary metabolites
destroys cell walls and spores
penetrates biofilms
High level disinfectants
can’t destroy endospores, struggling;e with biofilms
denatures proteins through oxidation
oxidizes lipids
needs high concentration to penetrate biofilms
intermediate disinfectants
can’t destroy some non-enveloped viruses and all endospores (70% isopropyl alcohol)
70% isopropyl alcohol (IPA) = 70% isopropanol + 30% water
denatures proteins by dehydration
dissolves lipids, causing membrane rupture
not effective against biofilms
Low level disinfectants
can’t destroy all viruses, bacteria, fungi, or endospores
ex. Lysol
disrupts and dissolves cell membranes
alters some membrane proteins
not biofilm effective
not effective against some gram negatives
Chemical agents
alcohol, halogens, phenolics, aldehydes
Alcohol
Examples: ethanol, isopropanol
Level: intermediate
Use: skin antiseptic, surface disinfectant
Mode of action: oxidizes cellular components, denaturing enzymes, and disrupting membranes
Halogens
examples: iodine, chlorine
level: high (concentration matters)
Use: water treatment, wound antiseptics
Mode of Action: Oxidizes cellular components,
denaturing enzymes & disrupting membranes
Phenolics
Examples: Triclosan, lysol
Lvele: intermediate
Use: household disinfectants
Mode of action: denatures proteins disrupting lipid membranes
aldehydes
examples: formaldehyde, glutaraldehyde
level: high level (sterilants)
Use: sterilization of medical instruments
Mode of action: crosslinks proteins and DNA, making them inactive