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sepsis
bacterial contamination
asepsis
absence of significant bacterial contamination (of surgical instruments etc.)
degerming
mechanical removal of microbes from a limited area
commercial sterilization
killing Clostridium Botulinum endospores from food, without altering the quality of the food - not true sterilization
sterilization
killing of ALL living cells, spores, viruses
disinfection
removal of pathogens from inanimate surfaces
antisepsis
removal of pathogenic organisms from living tissues
sanitization
reducing microbes to safe levels
D-value (Decimal Reduction Time)
time required to kill 90% of cells
Thermal Death Point (TDP)
lowest temp. in which all cells in a liquid are killed in 10 mins
Thermal Death time (TDT)
The minimal time for all bacteria in a liquid culture to be killed at a particular temperature
Filtration through a filter of what size removes bacteria, endospores, yeasts, mold spires, algae, and protozoa…
0.2 µm
viruses require a pore size of…
20 nm = 0.001 µm
Non-ionizing radiation
useful for surface sterilization
Non-ionizing radiation example
UV light, does not penetrate liquids or solids well
Ionizing radiation
damages the cellular structure of organism so good for sterilization
high level disinfectants (can kill bacterial cells, mycobacteria, spores, and basically everything):
Ethylene oxide, glutaraldehyde, and formaldehyde
intermediate level disinfectants (cannot kill endospores):
Phenolics and Halogens
Low level disinfectants (cannot kill mycobacteria and endospores):
alcohols
penicillin only targets…
gram-positive bacteria
Synergistic
drugs have greater effectiveness when used together
Antagonistic
drugs interfere with each other and decrease effectiveness
Streptomyces
produces over 50% of antibiotics
MIC (minimum inhibitory concentration)
the lowest concentration of an antibiotic that prevents visible growth of a microorganism.
MBC (Minimum bactericidal concentration)
the lowest concentration of an antibiotic that kills a specific bacterium.
chemotheraputic index
toxic dose/theraputic dose
higher the chemotheraputic index…
the safer the drug
DNA Replication Inhibitors
Quinolones
Cell membrane Integrity
Polymyxin (only for gram negative bacteria because they have inner and outer membranes)
Protein Synthesis Inhibitors
Chloramphenicol (binds to 50S subunit and prevents peptide bond formation)
What do Macrolides do?
bind to 50S subunits and block peptide bond elongation
What do Tetracyclines do?
bind to 30s subunit and block peptide bond elongation?
What do Sulfonamides do?
Affect Intermediary Metabolism, and block folic acid formation
Which antibiotics effect the cell wall? (stops cell wall crosslinking, leading to cell lysis)
Penicillin, Vancomycin, Cephalosporins
Beta-lactam antibiotics
are a class of antibiotics that inhibit cell wall synthesis by interfering with the enzymes involved in crosslinking peptidoglycan layers.
Vancomycin should be..
a last resort
most Antibiotics aren’t effective for mycoplasma because…
they have no cell wall
what is the most popular antibiotic resistance mechanism?
altering the target in ribosomes
Antifungal Agent: Polyenes
Disrupts membrane integrity
**Antifungal Agent: Azoles (imidazoles, triazoles)
Interferes with ergosterol synthesis
**Antifungal Agent: Allylamines (terbinafine, lamisil)
Interferes with ergosterol synthesis
Antifungal Agents: Echinocandins (caspofungin)
Blocks fungal cell wall synthesis
Antifungal Agents: Griseofulvin
Blocks cell division
Antifungal Agents: Flucytosine
Inhibits DNA synthesis
Which body site does Staphylococcus (coagulase-neg.)
infect?
the nose
Which body site does Staphylococcus (coagulase-neg.) and
Staphylococcus aureus infect?
the skin
Which body site does Lactobacillus spp. infect?
vagina
Which body site does Viridans streptococci infect?
Oropharynx
Which body site does Bacteroides spp. infect?
Large Intestine
What is the most common strict anaerobic gram-negative rod?
Bacteroides spp.
Sterile body sites include…
blood, cerebrospinal fluid, internal organs (brain heart, liver, kidneys), bone and bone marrow, lymph nodes, joint fluid
broad tropism
type of tropism that can cause systemic infection, and spreads through the body
narrow tropism
higher mortality rate and only infects certain tissues
amorphous/complex viruses
no symmetrical form with a flexible core wall
examples of amorphous/complex viruses
vaccinia virus
vaccinia virus…
known as the cowpox virus, and eventually led to the smallpox vaccination
lytic infection
bacteriophage enters and results in lysis
lysogeny
phage DNA intergrates into the host genome to form a prophage, that replicates
Baltimore Model
classification of viral genomes based on whether they’re DNA, RNA and ds or ss
Viral Genomes: Group 1
ds-DNA
Which viral group replicates in host cell nucleus?
ds-DNA and ss-DNA
Group 1 example
Herpes Simplex virus
Why is Poxvirus special?
It is the only dsDNA example that does not replicate in the host cell’s nucleus
Viral Genomes: Group 2
ss-DNA