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Commerical sterilization
Heat treatment aimed at killing endospores in canned foods
Disinfection
Destroying vegetative pathogens on surfaces and objects (fomites)
Fomite
Inanimate object that can become contaminated with infectious agents
Antiseptic
Disinfectant for living tissue
Degerming
Mechanical removal of microbes from living tissue
Sanitization
Lowering microbial counts to safe levels
Biocide
Treatment that can kill microorganisms
Bacteriostatic
Treatment that only stops division or growth of bacteria
AMA
Anti-microbial agent
Critical items
Sterile items. E.g. surgical forceps
Semi-critical items
Highly disinfected items. E.g. CPAP mask
Non-critical items
Lightly disinfected items. E.g. glasses
D-value
Expresses the efficiency of anti-microbial agents. Time needed to kill 90% of bacteria. Smaller D-value = stronger AMA
Most resistant microbe
Prions
Least resistant microbe
Lipid-enveloped viruses, since their fatty membrane is fragile
Physical damage to microbes
Changing membrane permeability, causing cellular contents to leak out and cause death
Chemical damage to microbes
Causing protein or DNA/RNA damage, disrupting the cell’s funtion
What microbes does boiling not kill?
Boiling does not kill endospores
Autoclave
Use of heated steam under pressure to sterilize
Dry heat
Flaming contaminants (flaming loops!). Burns them
Hot-air sterilization
High temperatures for longer periods of time, such as for lab glassware
Pasteurization
Use of mild heat to kill pathogens without changing taste of food. E.g. wine or milk
How does freezing kill bacteria/parasites?
By damaging proteins and cell structure, rupturing cells
Phenols and phenolytics
Disrupts lipids and denatures enzymes, killing microbes. E.g. lysol or triclosan
Heavy metals (disinfectant)
Denatures proteins, killing microbes. E.g. silver, copper, and zinc
Halogens (disinfectant)
Oxidizes proteins and cell membranes. E.g. Iodophors and chlorine
Iodophor
Combination of iodine and an organic molecule, used as an antiseptic. Effective against endospores
Alcohol (disinfectant)
Denatures proteins and disrupts membrane. May induce endospore formation
Surfactant
Decreases surface tension of water, mechanically removing (but not killing) microbes
Detergents (disinfectant)
Cationic detergents that disrupt plasma membranes, particularly effective against gram-positive bacteria
Alkylating agents
Denatures proteins and damages DNA. E,g, Glutaraldehyde and formaldehyde
Gaseous alkylating agents
Kills all microbes and endospores at room temperature. E.g. ethylene oxide and propylene oxide
Oxidizing agents
Reactive oxygen forms that oxidize proteins and cell membranes. E.g. hydrogen peroxide and ozone
Why is hydrogen peroxide not optimal for wounds?
Because bodt cells frequently contain catalase, converting hydrogen peroxide into other forms
Antibiotic
Antimicrobial agent produced derived from organisms
Narrow spectrum antibiotics
Highly specific towards certain types, only killing targetted ones. Requires lab testing before prescription
Broad spectrum antibiotics
Affects many microbes, can be immediately prescribed. May harm normal flora and increase risk of a superinfection
Inhibition of cell wall synthesis (antibiotics)
Weakens cell wall (peptidoglycan), making bacteria susceptible to lysis. E.g. penicillin
Disruption of the plasma membrane (antibiotics)
Changing plasma membrane permeability, impacting cell metabolism. Bactericidal. E.g. Polymyxin B
Inhibition of protein synthesis (antibiotics)
Inhibits protein production, targeting ribosome. Bacteriostatic. E.g. Tetracycline
Inhibition of nucleic acid synthesis
Prevents DNA & RNA replication. Broad spectrum, bactericidal. E.g. Rifamycin (rifampin)
Block the production of essential metabolites
Inhibits production of required substances, such as folic acid. Broad spectrum, bacteriostatic
Superbug
Bacteria resistant to many antibiotics. E.g. Staphylococcus aureus
Why are antimicrobial drugs for eukaryotic pathogens difficult to safely treat with?
Since eukaryotic cell structure is closer to ours, making selective treatment more challenging. Can also cause side effects
Antifungals
Targets ergosterols in fungi, disrupting ergosterol synthesis. E.g. miconazole
Atovaquone
Anti-protozoan drug that blocks the ETC in protozoa
Ivermectin
Anti-helminthic drug that blocks neuronal transmission in worms, leading to paralysis and death of worms.