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Sterilization
Destruction or removal of all forms of microbial life, including endospores but with the possible exception of prions.
-Usually done by steam under pressure or a sterilizing gas, such as ethylene oxide.
Commercial Sterilization
Sufficient heat treatment to kill endospores of Clostridium botulinum in canned food.
-More-resistant endospores of thermophilic bacteria may survive, but they will not germinate and grow under normal stage conditions.
Disinfection
Destruction of vegetative pathogens.
-May make use of physical or chemical methods.
Antisepsis
Destruction of vegetative pathogens on living tissue.
-Treatment is almost always by chemical antimicrobials.
Degerming
Removal of microbes from a limited area, such as the skin around an injection site.
-Mostly mechanical removal by an alcohol- soaked swab.
Sanitization
Treatment intended to lower microbial counts on eating and drinking utensils to safe public health levels.
-May be done with high-temperature washing or by dipping into a chemical disinfectant.
Germicide
"cide"= kill (aka biocide)
-Rapidly kills m/o, but not necessarily endospores
Fungicide
Kills fungi
Virucide
"Kills" or inactivates viruses
Bacteriostasis
"Stasis"= halt
-Inhabits bacterial growth and multiplication
Sepsis
Greek word for decay/putrid. Indicator of bacterial contamination
Asepsis
The absence of pathogens from an object or area
-Critical in surgical procedures
Microbial death rate
Populations of m/o subjected to a treatment die a constant rate
-This "death rate" can be plotted as a straight line
Conditions influencing microbial death
#1. Types and numbers of microbes
-Pseudomonads, TB bacillus, endospores, and viruses are relatively resistant.
-The more microbes there are to begin with, the longer it will take to kill them.
#2. Temperature
-Disinfectants tend to work better in warm solns
#3. Physiological state of the m/o
-Actively growing organisms are more susceptible to antimicrobials.
#4. Environment
-The presence of organic matter (blood, fecal matter, vomit) may inhibit disinfectants.
-M/O in boils are able to "hide" from disinfectants
#5. Time of exposure...
Where do antimicrobial agents work?
The plasma membrane
-Cell membrane permeability may be affected by altering lipid and protein content-> "leaky membranes"
Nucleic acids (DNA and RNA) and proteins
-Some antimicrobials break bonds that hold these molecules together, others interfere with synthesis
Physical methods of microbial control
-Heat: moist vs. dry
-Filtration
-Temperature
-Dessication
-Osmotic Pressure
-Radiation: Ionizing vs. non-ionizing
1. Heat
A. Dry Heat: Incineration, hot air sterilization requires 170 C for 2 hours.
B. Moist heat: Boiling (10 min) kills most m/o; but spores and viruses may survive.
Autoclaving: Steam under pressure, moisture must touch every surface to sterilize.
15 psi, 121 C, 15 min.
C. Pasteurization: Mild heating that is sufficient to kill spoilage or disease organisms without damaging the taste of the product (72 C, 15s) HTST vs. UHT.
2. Filtration
Used for heat-sensitive liquids passed through a membrane filter with pores too small for m/o to pass through (0.22-0.45) HEPA (high efficiency particulate air) filters=0.33
3. Low temperatures (depends on the bacteria)
At refrigerator temperatures (4C)
-Metabolic rates of most m/o are reduced
-Bacteriostatic
-Most m/o are dormant in the freezer (-20 C)
4. Desiccation (Removal of water)
-Water is required for growth; dried foods won't support m/o growth
-But, restoring water restores growth
-Lyophilization (freeze drying) involves fast freezing (-70 C) and removal of water in a vacuum.
Osmotic pressure: High salt or sugar concentration
-Hypertonic environment
-Generally, molds and yeasts resist osmotic pressure better than bacteria.
6. Radiation
A. Ionizing radiation: X-rays, gamma rays
-Short wavelength
-"Unzip" the strands of DNA
-Used to sterilize pharmaceuticals, disposables, and mail...
B. Non-ionizing radiation: UV light
-Less energy, less penetrating than ionizing
-Causes DNA damage (mutagenesis), thymine dimers
-"Germicidal" lamps
C. Microwaves kill indirectly by heating food, but... -> In general, few chemical agents sterilize, most reduce m/o numbers to safe levels or remove m/o from objects (fomites)
-Antiseptics are used for living tissue
-Disinfectants are used for inanimate objects -> The problem...
->No single disinfectant is an "all purpose" agent. It is essential to find the proper agent/purpose!
Types of disinfectants
1. Phenol (carbolic acid)
-Used by Lister in the 1860s for aseptic surgery
-Seldom used today... smelly and irritating.
-Injures plasma membranes and inactivates enzymes
-Found in some cough drops (anesthetic affect) and Chloraseptic
Types of disinfectants
2. Phenolics: derivatives of phenol
-Not as irritating as phenol
-Used in combination with detergents
-Injures plasma membranes and inactivate enzymes
-Stable in the presence of organic compounds
-Notable phenolics-> o phenylphenol (Lysol): Effective surface disinfectant
-Triclosan: Found in "antibacterial" soaps and toothpaste
-Widespread resistance has been documented in several species of bacteria!
Types Continued