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Corresponds with Ch.10 (susceptibility testing), Ch.5 (heat), Ch.20 (antibiotics)
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Sterilization
Total, irreversible destruction of living cells
heat
[__] is an excellent sterilizing agent, when applied at high enough temperatures for an adequate amount of time
Ā» coagulates cellular proteins
Ā» oxidizes cell components
moist heat
[__] is much better at sterilizing than dry heat, as in the dry state, protein structures are much more stable.
Ā» why dry heat must be raised much higher and maintained longer
thermal death point
Lowest temperature required to sterilize a standardized pure culture of bacteria within a given time
thermal death time
Time required to sterilize the culture at a stated temperature
Autoclave
[__] uses Moist heat. In a closed chamber, utilizes the trapped steam to be further pressurized to generate more energy (pressure and temperature are proportional). Uses sealed ampules of endospores to test functionality
Ā» does the same in a dry oven, except only uses dry gas
Dry ovens are dry heat/no steamā not able to penetrate (nor condense) as much ā touches less surfaces and thereby takes longer time and hotter temperatures to sterilize as [__]
ā uses paper-strip endospore tests to determine functionality
Incineration
Sterilization by dry heat
eg. using a bunsen burner and sterilizing inoculating loop by [__]
-cidal
Suffix meaning ālethal.ā Describes disinfectants that must kill pathogens while it is in contact with them such that they cannot grow again once it is removed
Ā» bactericidal ā kills bacteria
Ā» germicidal ā kills germs
-static
Suffix meaning āarrest.ā Describes disinfectants inhibits the organisms/prevents growth while it is still in contact with them such that they can grow again once removed
Ā» bacteriostatic ā inhibits bacteria growth
Ā» fungistatic ā inhibits fungal growth
factors
[__] that influence the effectiveness of a disinfectant are:
Ā» type of microbe present in contaminated material
Ā» exposure time
Ā» concentration required to kill microorganism
Ā» temperature and pH for optimal activity
Ā» concentration of microorganisms present
Ā» toxicity of agent (effect on materials to be disinfected and on skin)
resistant
Some microbes are more susceptible to disinfectants (Gram-positive and vegetative cells) because they do not have the properties of more [__] microbes, such as:
Clostridium and Bacillus species ā endospore-forming (dormant) bacterium
Mycobacterium ā waxy cell walls (mycolic acid)
Mycoplasma ā bacteria that lack cell wall (antibiotics based on degrading cell walls canāt harm them)
Gram-negative bacteria ā outer membrane
Antimicrobial agent
[__] are chemicals that are naturally produced by organisms (typically bacteria and fungi) or synthesized in the lab that have inhibitory or lethal effects on pathogenic organisms
Ā» used for therapeutic treatment
minimum inhibitory concentration
Lowest concentration of an antimicrobial drug needed to prevent growth of a specific organism
disk diffusion assay
Filter paper disk agar diffusion method or Baur-Kirby method.
Tells whether or not antimicrobial works; qualitative result (Y/N); doesnāt tell you at what concentration it is effective (minimum inhibitory concentration)
Process:
Ā» have a lawn of bacteria, with a number of small sterile filter papers impregnated with antimicrobial agents scattered on top
Ā» paper will generate zone of inhibition (area that clears) according to the antibioticās compatibility with microbes in lawn
Ā» Measure zone of inhibition to determine susceptibility
ā R = resistant (no inhibition/zone)
ā I = intermediate susceptibility (medically means that organisms tested may be inhibited provided higher doses are given, or that the infection is at a site where the drug is heavily concentrated)
ā S = susceptible (zone of inhibition falls within acceptable range deeming microbe susceptible)
Broth dilution test
Test done to determine quantitative result ā gives MIC
Ā» prepare 9 tubes filled with nutrient broth (0.5 mL)
Ā» antimicrobial broth is serially diluted (by 0.5 mL) in 7 tubes
ā 0.5 mL + 0.5 mL = 1 mL total. by serial dilution, transferring 0.5/1mL total, it is decreasing the ampicillin conc. by ½ per dilution.
ā 1st tube has 64 microliters of ampicillin; gets divided by 26 at 7th tube
Ā» set two controls aside
ā 8th tube = growth control: shows normal growth of bacteria without antimicrobial
ā 9th tube = negative control: shows how nutrient broth is supposed to look like prior to inoculation⦠sterile!
Ā» using a pipette, prepare bacteria to inoculate tubes with ā 0.1 mL of bacteria to a tube containing 9.9mL of saline
Ā» fill tubes 1-8 with the bacterial solution (again, making sure 9th tube is sterile)
Ā» incubate, and note where the turbidity growsā conc. prior to where the turbidity grows is the MIC