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Antiseptic
A disinfectant that is nontoxic enough to be used on skin
Aseptic Technique
Use of specific methods to exclude contaminating microorganisms from an environment
Bactericidal
kills bacteria
Bscteriostatic
prevents the growth of, but does not kill, bacteria
Decontamination
treatment used to reduce the number of disease-causing microbes to a level that is considered safe to handle
Disinfectant
A chemical used to destroy many microorganisms and viruses
Fungicide
kills fungi
Germicide
kills microorganisms and inactivates viruses
Pasteurization
a brief heat treatment used to reduce the number of spoilage organisms and to kill disease causing microbes
Preservation
the process if inhibiting the growth of microorganisms in products to delay spoilage
Sanitize
to reduce the number of microorganisms to a level that meets public health standards; implies cleanliness as well
Sterilant
a chemical used to destroy all microorganisms and viruses; an absolute term
Sterilization
the process of destroying all microorganisms and viruses, through physical or chemical means
Viricide
inactivates viruses
% Alcohol
62% bare minimum-60% in glycerin base
High-level disinfection
HLD= inactivation of most vegetative bacteria, fungi and a 6-log reduction of mycobacteria (go down to 1 or 99.999%)
Antiseptics
destruction or inhibition of microbes on living tissue; prevents sepsis (Prescence of microbes, toxins, or components in blood of host); less toxic than disinfectants
Selecting an antimicrobial Procedure
Type of microorganism, number of microorganisms, environmental conditions (ph, presence of organic matter, temperature), risk of infection, concentration of agent, duration of exposure
Viruses Fact
don’t replicate on inanimate objects→ only from host→ envelope viruses get peptidoglycan layer from host
Are herpes virus or rhinovirus more likely to be spread (in context of being on a surface)
Herpes (envelope); not survive on inanimate object as long b/c of phospholipid bilayer; temp. ph, soap, alcohol can break down bilayer which makes it easier to get rid of than a naked virus. Rhinovirus is a naked virus, protein surrounded, naked virus
Types of Microbes-Level of difficulty in killing; Descending order of resistance to germicidal chemicals
Bacterial spores→ mycobacteria→ nonlipid or small viruses→ fungi→ vegetative bacteria→ medium size or lipid viruses
Types of Microbes- Level of difficulty in killing (hardest-easiest)
Bacterial Spores→Mycobacteria→Naked Viruses (nonlipid) or Small Viruses→ Fungi→ Vegetative Bacteria→ Lipid or medium sized viruses
Bacterial Spores
Bacillus subtilis, Clostridium sporogenes
Mycobacteria
Mycobacterium tuberculosis var. bovis, Nontuberculous mycobacteria
Nonlipid (naked) or Small Viruses
Trichophyton spp., Cryptococcus spp., Candida spp.
Vegetative Bacteria
Pseudomonas aeruginosa, Staphylococcus aureus, Salmonella choleraesuis, Enterococci
Lipid or Medium-size viruses (have envelope, peptidoglycan layer)
Herpes simplex virus, CMV, Respiratory synctial virus, HBV, HCV, HIV, Hantavirus, Ebola Virus
Kill ___ Log of Microbes
1
Microbes not immediately killed upon exposure to agents
true
Decimal reduction time (D-value)
time needed to jill 90% of microbes
Z value
temperature increase needed to reduce D to 1/10 value
F value
time (min) at some temp. needed to kill cells or spores
Number of Microbes: x-axis
time (min): domain, independent variable, abcissa
Number of Microbes: y-axis
Log10 (number of survivors): dependant variable, range, ordinate
Prion Sterilization and Disinfection
want 3 log reduction of prions in one hour; physical methods not optimal; chemical methods that work best are Cl and NaOH but corrosive
Prion Sterilization: Physical Methods (not effective)
temp, pH, grinding, pulverizing, heating, burning, handwashing
Prion-misfolded Protein
acquired ability to convert its normal, healthy counterparts into its own abnormal shape, leading to a chain of reaction of misfolding; starts out as a healthy protein (PrP^c)→ once 1 misfold happens if touch healthy proteins surrounding, will cause healthy proteins to fold = chain rxn.
Recommendations for Prion Sterilization and Disinfection
Keep instruments moist; decontaminate; use four possible options (2x diff. autoclaving or 2x diff. immersion)
Autoclave 132 C 18 minutes in ____
prevaccum
Autoclave 132 C 1 hour on
gravity cycle
Immerse in 1 N NaOH 1 hour, then sterilize 121 C gravity or `34 C _____
prevaccuum 1 hour
Immerse 1 N NaOH 1 hour, 121 C 30 minute gravity; clean again and do 121 C 15 minutes
True
Prion Sterilization and Disinfection Physical Methods
Heat (dry heat, moisture heat - autoclaving), pressure, filtration, radiation (uV, ionizing), removal of oxygen, freezing, dehydration, mechanical removal (washing)
Adiabatic: why standard autoclave fail to destroy prions
Newton’s law of cooling
Pv=nRT
Boyle’s Law (P1V1=P2V2) works on autoclave - if you squeeze a gas (inc. pressure) it takes up less space (decrease volume)
Autoclave Standard
121 degrees C at 15 ib/sq in for 15 minutes ; prions inactivated 132-134 deg C
Prion
a misfolded version of a normal protein found in the host; no nucleic acids (DNA or RNA)
Geobacillus stearothermophilus
endospores are used for quality control-purple to yellow, one in water, one in autoclave. In autoclave vial remains purple=no pH change and no germination = successfully killed
Geobacillus stearothermophilus: Purple
spres do not germinate = successfully killed
Geobacillus stearothermophilus: Yellow
spores germinate, change pH, dye changes color
Gravity displacement autoclave
steam admitted at the top or sides of chamber; steam forces air out bottom of chamber through the drain vent; less penetration, so longer sterilization time
High-speed pre-vaccuum sterilizer
fitted with a vacuum pump (or ejector); ensures air removal from sterilizing chamber before steam is admitted; increased penetration, short sterilization time
Pasteurization
significantly decreases numbers of heat sensitive microbes, including pathogens (Mycobacterium tuberculosis and Coxiella burnetii)
Pasteurization: LTH
Low temperature holding 62.8 deg C for 30 minutes
Pasteurization: HTST
high temperature, short time 72 deg C15 sec or 82 deg C 20 sec
Pasteurization: UHT
Ultra high temperature 141 deg C 2 sec
Dry Heat
160-170 deg C for 2-3 hours; oxidize cell contents (structural damage to cell); standard: 200 deg C for 1.5 hours; Moist heat is more effective in killing bacteria than dry heat
Gases: Betapropiolactone (BPL)
does not penetrate materials well; decomposes rapidly
gases: vaporized hydrogen peroxide
used at wide temp. range
gases: chlorine dioxide (ClO2)
high lvl disinfection (HLD); 1 mg/L at 60% relative humidity; effective between pH 4-10, destroys biofilms, spores, vegetative bacteria; affects proteins, membranes, nucleic acids
Filtration
Physically removes microbes; heat sensitive liquids (membrane filters - 0.45 um; 0.22 um)
Filtration: Air, HEPA
(high efficiency particulate air filter); 0.3um; removes particles with 99.97% efficiency; out of 1000 particles, if HEPA filter removes particle down to .3 micrometers with 99.97% accuracy; you remove 99.97 and left with 3 particles
Filtration: Laminar flow biosafety hoods
force air through HEPA filters; project vertical flow sterile air across opening; room air enters grid at front of hood; filtered air flows through grid (blown up and out through HEPA filters)
Radiation: UV (200-300nm)- non-ionizing
damages DNA; causes T-T dimers; little penetration; air, surface
Radiation: Gamme, X-rays -ionizing
produces reacting molecules in microbes; heat sensitive material; foods; measured in absorbed radiation dose (rad, 100 rad =1 Gray)
Non-ionzing radiation
his type of radiation has enough energy to excite electrons, causing molecules to vibrate or spin faster (which we feel as heat), but not enough energy to rip electrons away from atoms.
Ionizing Radiation
carries enough energy to eject electrons from atoms or molecules, creating ions (charged particles). This process directly breaks covalent bonds, including the backbone of DNA.
How much radiation do you get: Dental x-ray
0.5-3.0 mrem
How much radiation do you get: Smoke detector
< 1 mrem
How much radiation do you get: Cross country flight
5 mrem
How much radiation do you get: Xrays and gamma rays
0.1 gray=1 rad= 1 rem= 10 milliSieverts
Chemical methods
Disinfection (Some sterilize) large surface, heat sensitive; antisepsis, preservatives (weaker), affect membranes, enzymes
Category of germicide (kills germs):Sterilant
Bacteria:
endospores- yes
mycobacteria- yes
others-yes
Fungi: All - yes
Viruses:
nonlipid- yes
lipid- yes
Category of germicide (kills germs): High Level
Bacteria:
endospores- some
mycobacteria-yes
others-yes
fungi: all- yes
Viruses:
nonlipid- yes
lipid-yes
Category of germicide (kills germs):Intermediate level
bacteria:
endospores-no
mycobacteria-yes
others-yes
fungi: all- yes
viruses:
nonlipid-varies
lipid- yes
Category of germicide (kills germs): Low level
Bacteria:
endospores- no
mycobacteria-no
others-varies
Fungi: all- varies
viruses:
nonlipid- no
lipid-varies
Antimicrobial activity
refers to the ability of a substance to kill or inhibit the growth of microorganisms
Cytoplasmic Membrane
Biguanides, Phenolics, Quats
Proteins
Alcohols. Aldehydes, Halogens, Metals, Ozone, Peroxygens, Phenolics
DNA
Ethylene oxide, Aldehydes
Sufactants
affect membranes; cationic (quats), anionic
Surfactants: Cationic (quats)
interact with PO4³- groups; affect membranes; attracted to cell surface; detergents-amphipathic (contain hydrophobic and hydrophilic regions); react with phospholipids in membranes; unlike soaps, not derived from fats, clean inanimate objects, ineffective vs. endospores, mycobacteria, naked viruses
Surfactants: Anionic
some antimicrobial properties
Phenolics
denature proteins, affect membranes; remain active, effective; 5% solutions kills bacteria; skin, neurological damage (lysol can lyse cells - breaking down of a cell’s membrane causing it to bust and die ); phenol coefficient test used to determine efficacy of toxic substance; based on highest dilution of disinfectant that kills all bacteria after 10 minutes
Alchohols
lipid solvents (dissolve membrane lipids, coagulate proteins); bactericidal, fungicidal, not sporicidal, viricidal (70% soln) (not effective vs. naked viruses); disinfect surfaces; antiseptics (commons hand gels have 62.5% ethanol in glycerin base, better brands have 68-70%); evaporate
Coagulation of proteins
of protein denaturation—a critical mechanism that makes alcohols effective disinfectants, but also explains why they fail against highly resistant agents like prions and spores.
Halogens: Chlorine
oxidizes cell constituents (cell membranes, DNA, proteins -breaks these down); disinfectant; produces HCLO→HCL +O ; water, dairy food; cheap easy effective
Halogens: Iodine
linked as iodophore (slowly releases iodine over time)
Heavy Metals
interfere with S groups in proteins, Toxic, less effective; 1% soln AgNO3-opthalmic gonorrhoea; silver sulfadiazine (burns); CuSO4-algicide
Peroxide
3% solution hydrogen peroxide; some bacteria produce catalase (enzyme that breaks down peroxide); rendering inactive
Biguanides
chlorhexidine; antiseptics
Aldehydes
inactive proteins and DNA, glutarldehyde-sterilize; formaldehyde-preservation; ortho-phthaldehyde (HLD)
Did watson and crick discover DNA ?
NO
DNA:Deoxyribonucleic Acid
discovered in 1869 by Freidrich Meischer; acidic, with much phosphorous; found inside the cell nucleus
Nucleobases: DNA
Adenine, Guanine, Thymine, Cytosine
Nucleobases: RNA
Adenine, Guanine, Uracil, Guanine
Purines - Double Ring (6 Carbon)
Adenine and Guanine
Pyrimidine-Single Ring (6 Carbon)
Cytosine, Thymine, and Uracil
Is uracil a base or nucleoside or nucleotide
Base
Sanger Dideoxy Sequence
technique that uses 3’ and 5’