MICRO 4/1 EXAM 3

Types of Microorganisms and Their Resistance

  • Positive Bacteria: Generally easier to kill using disinfectants.

  • Non-enveloped Viruses: Also relatively easy to eliminate.

  • Fungi: Can be effectively targeted by disinfectants.

  • Gram-negative Bacteria: Effective against gram-negative varieties as well.

More Resistant Microorganisms

  • Cysts of Protozoans: More difficult to eradicate compared to other types.

  • Mycobacterium: Contains mycolic acid in the cell wall, providing added resistance.

  • Bacterial Endospores: Among the hardest to destroy; they can survive severe conditions.

  • Prions: Misfolded proteins that induce misfolding of other proteins, causing diseases like Mad Cow Disease. They are rare but highly resistant to traditional sterilization methods.

Common Types of Disinfectants

Phenolics

  • Definition: Chemicals containing phenol or its derivatives.

  • Examples: Pine oil, clove oil (natural), Pine-Sol, and Lysol (synthetic).

  • Mechanism: Disrupts plasma membrane (PM) and proteins, effectively killing microorganisms.

Alcohols

  • Definition: Common disinfecting agents (most notably ethyl alcohol and isopropyl alcohol).

  • Mechanism: Disrupts PM but requires dilution in water for effectiveness.

  • Effective Concentration: 70% ethanol is commonly used over 100% because it penetrates membranes better.

  • Store-bought examples: Isopropyl alcohol (often diluted to 30% in store products).

Halogens

  • Definition: Chemical elements like iodine, chlorine, bromine, and fluorine.

  • Mechanism: Acts as oxidizing agents and disrupts proteins through oxidation. Highly reactive.

Oxidizing Agents

  • Definition: Chemicals that generate hydroxyl radicals.

  • Examples: Hydrogen peroxide, ozone, and peracetic acid.

  • Applications: Hydrogen peroxide can be used in hospital settings, with ozone utilized in water treatment systems.

Surfactants

  • Definition: Chemicals that reduce surface tension (soap is the most common example).

  • Mechanism: Soap disrupts the PM due to its amphipathic nature (having both hydrophobic and hydrophilic sections).

  • Impacts: Effective at removing bacteria. Triclosan, once included in some soaps, has been removed due to concerns over antibiotic resistance.

Heavy Metals

  • Definition: Elements like copper, zinc, mercury, and silver.

  • Mechanism: Cause protein denaturation.

  • Applications: Silver nitrate is used in burn treatments; copper can be added to surfaces for antimicrobial properties.

Aldehydes

  • Examples: Formaldehyde is a key example, known for its toxicity and protein denaturation ability.

  • Uses: Commonly used in isolation units to disinfect surfaces with its 37% solution.

Gaseous Agents

  • Examples: Ethylene oxide and propylene oxide; highly effective in isolating diseases such as Ebola.

  • Mechanism: Gases fill spaces and crevices not reachable by conventional liquid disinfectants.

  • Risks: Highly flammable; used in special isolation units designed to accommodate their risks.

Physical Methods of Disinfection

Heat

  • Types of Heat: Most efficient methods use moist heat like pressurized steam (autoclaving) or pressure cookers (for canning).

  • Applications: Used in sterilizing lab equipment or preserving food.

  • Pasteurization: Effective for reducing pathogens but does not sterilize.

Refrigeration and Freezing

  • Purpose: More for preservation than sterilization; slows microbial metabolism.

  • Applications: Bacteria can survive freezing if glycerol is present.

Filtration

  • Purpose: Mechanical method of removing microorganisms from liquids that cannot be autoclaved.

Osmotic Pressure and Radiation

  • Osmotic pressure: Used as a preservative method by creating hypertonic environments.

  • Radiation: Can disinfect materials that are sensitive to heat.

Antibiotic Fundamentals

  • Defining Antibiotics: Definitions focus on their ineffectiveness against viruses; antibiotics work only on bacteria.

  • Forms of Antimicrobial Agents: Includes antivirals, antifungals, and antibiotics specifically for bacteria.

Discovery and History

  • Penicillin: First antibiotic discovered by Alexander Fleming; observed effects of fungal growth preventing bacterial growth.

  • Mass Production: Significant during World War II due to a supply shortage of citric acid, leading Pfizer to produce penicillin.

Antibiotic Development and Resistance

  • Historical Timeline: Sulfonamides were the first mass-produced antibiotics (1936), leading to penicillin's use (1940).

  • Antibiotic Resistance: Resistance noticed as early as the late 1940s but became widespread later; the gap of antibiotic discovery from 1962 to 2000 impacted current antibiotic effectiveness.

Impact of Antibiotic Resistance

  • Projected Statistics: Predictions indicate that by 2050, deaths from antibiotic-resistant infections might surpass cancer.

  • Demographics: Younger individuals are more affected by infections, whereas cancer predominantly affects older patients.

Antibiotic Spectrum

Broad Spectrum vs. Narrow Spectrum

  • Broad Spectrum Antibiotics: Effective against a wide range of bacteria (both gram-positive and gram-negative).

  • Narrow Spectrum Antibiotics: More targeted, affecting fewer strains of bacteria.

  • Pros and Cons:

    • Narrow Spectrum: Lesser impact on healthy microbiome; slower development of resistance.

    • Broad Spectrum: Targets more bacteria quickly, useful when the pathogen is unidentified; however, it can harm healthy bacteria and promote antibiotic resistance.

Mechanisms of Action

  • Bactericidal vs. Bacteriostatic: Bactericidal antibiotics kill bacteria, while bacteriostatic ones inhibit growth/reproduction.

Antibiotic Chemical Manipulation

  • Beta-lactam Antibiotics: Characterized by their unique beta-lactam ring structure, necessary for their function (targeting bacterial cell walls).

  • Structural Modifications: R groups on penicillin can be altered to create new antibiotics with different properties (e.g. methicillin, ampicillin).

  • Generations of Antibiotics: The concept of first, second, and third generation reflects the evolution and adaptation of these drugs in response to resistance.

Targets of Antibiotics

  • Selective Toxicity: Antibiotics must be toxic to bacteria without harming human cells; achieved by targeting unique bacterial features:

    • Cell Walls: Bacterial cells have walls; human cells do not.

    • Ribosomes: Different ribosomal sizes (70s in bacteria vs. 80s in humans).

    • Metabolites: Enzymes specific to bacteria.

    • Nucleic Acids: Target differences in replication/transcription mechanisms.