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Controlling Microorganism
Salting
Pickling
Smoking
Drying
Sunlight
Burning
Water in Copper and Silver Containers
Terminology
Sterilization → Killing of ALL Microbes + Endospores in or on Objects
Surgical Equipment
Can’t Sterilize LIVING Humans
Disinfection → Destroy Most Microbes, NOT Endospores → Reduce Contamination
Disinfectants → Applied to Objects, Toxic to People
Antisepsis (Degermation) → Same as Disinfection but Antisepsis Topically to LIVING Tissues
Decontamination or Sanitization → Cleaning Technique to Remove Most Microbes
Washing Hands
Washing Cutlery
Microbial Control Agents - Microbicidal and Microbiostatic
Germicide and Microbicide → Agents that Kill Microbes
Static → Inactivate, not Kill Microbes
Bactericide → Kill Bacteria
Bacteriostatic → Inhibit Bacteria Growth
Viricide → Inactivate Virus
Fungicide + Fungistatic → Kill or Inhibit Fungi
Sporicide → Destroy Endospore
Sterilizing Treatment
Factors that Impact Treatment
Nature of Organism
Degree / Number of Microbes
Time of Exposure
Strength of Agent
Microbial Control on Medical Devices
Critical Medical Devices
Contact with Sterile Tissue (Surgery)
Semi-critical Medical Devices
Contact with Mucosal Membranes (Not Surgery) (Tongue Depressor)
Non-critical Medical Devices
Contact with Skin
Concerns in Control
Sterilization?
Reuse or Discard?
Withstand Heat, Pressure, Radiation, Chemicals?
Agent Effective?
Cost Efficient and Safe?
Selecting Microbicide
Action even in Low Concentration
Soluble in Water or Alcohol + Stable Long Term
Broad Action without Toxicity
Penetrate Surfaces
Resistance to Being Inactivated
Non-Corrosive/Stain
Sanitizing and Deodorizing
Affordable
Targets of Most Germicides
Proteins
Cell Wall
Cell Membrane
Nucleic Acids
Chemical Antimicrobial Agents
Soaps + Detergent → Surfactant, Amphipathic
Water Loving + Hating Regions
Disrupt Cell Membrane
Acids + Alkylating Agents
Denature Proteins
Disrupt pH Balance
Heavy Metals
Silver, Mercury, Coppy
Denature Inactive Proteins
Halogens
Chlorine, Iodine
Oxidize Cell Components
Alcohols
Denature Proteins
Disrupt Lipid Bilayer
Not Good vs Endospores or NON-Enveloped Virus
Phenols (Carbolic Acid)
Disrupt Protein + Cell Membrane
Oxidizing Agents
Hydrogen Peroxide
Denature Proteins
Dyes
Induce Mutations
Interfere with Replication and Wall Synthesis
Surfactant
Dissolves Lipids
Soaps, Detergents, Alcohols
Amphipathic → Hydro Loving and Hating Regions
Disrupt Cell Membrane
Loses Selective Permeability
Remember: Membranes are Made of Lipids
Other Agents Review
Halogens → Chlorine
Liquid and Gaseous Chlorine
Don’t Breath
Hypochlorite → Bleach is a Weak Solution of Sodium Hypochlorite
Chloramines → Treat Water Supply
Kill Endospores
Less Effective Exposed to: Light, Alkaline pH, Excess Organic Matter
Heavy Metal
Oligodynamic → Toxic in Small Amounts
Mercury and Silver are Significant Germicides
Toxic to Humans
Allergic Reactions
Neutralized by Body Waste
Microbe Resistance
Phenols
Lister Disinfectant in 1867
Standard to Compete
Phenol Coefficient
Lysol has Coeff of 5 against S. Aureus, 3.2 against S. Typhi
Ethyl Alcohol → 6.3 against Both
Triclosan
In Antimicrobial Soap
Block Enzyme in Bacteria → Fatty Acid Biosynthesis
Can’t Reduce Disease Spread
Ends up in Environment and Disrupt
Physical Antimicrobial Agents
Heat → Preferred
Higher Temp are Microbicidal
Lower Temps are Microbiostatic
Refrigeration / Freezing
Drying
Radiation
Sonic + Ultrasonic Waves
Filtration
Osmotic Pressure
Heat
Dry Heat → Denatures Protein
Oven, Flaming Loop
Destroy Endospores
Slower than Moist Heat
Moist Heat → Denatures Proteins
Boiling Water → Disinfect, does NOT Destroy Endospores
Autoclave → Sterilization by Steam
Increasing Boiling Point and Pent H2O
Pasteurization → Control Microbial Growth in Food
Moderate - High Heat → Denature without Ruining Food
Milk - 71°C for 15 Seconds
Kills Most Pathogens → Not Sterility or Destroy Endospores
Alkalis and Acids - Change pH
Raise pH → Alkaline
Lower pH → Acidic
Denatures Proteins and Metabolism Stops
Acts as Preservative in Food
Acetic Acid, Lactic Acid
Stops Fungal Growth
Cold Temperature + Dessication
Slow Growth, Not Sterilize
Refrigeration → Slow Enzyme Reactions
Stops Spoiling Short Term → 4°C
Freezing → Slow Enzyme Reactions
Stop Spoiling Longer (-20°C)
Drying → No Water Inhibits Enzymes
Freeze Drying (Lyophilization) → Inhibits Enzymes
Drying Materials from Frozen State
Long Term Preservation
Radiation
Ionizing Radiation → Short Wavelength, High Intensity Radiation Energy
High Pent
Electrons Ejected from Cell Molecules and Breaks Bonds
X-Rays, Gamma Rays
UV Light - Long Wavelength, Less Intense
Poor Pent
Excites Electrons to Higher Energy State
Formation of Abnormal Bonds and Breaks
Mutations
Filtration
Sterilize Materials Damaged by Heat Sterilization
Filter to Separate Microbes from Liquid or Air
Pores Large enough for Liquid / Air but Too Small for Microbes
Mechanically Removes Microbes
Membrane Filters Commonly Used
Osmotic Pressure
Salt or Sugar Creates Hypertonic Environment
Water Escapes Microbes
Plasmolysis → Loss of Water, Cell Shrink
Interfere with Cell Function
Curing Meat → Pickling