Topic 8: Control of Microorganisms by Physical and Chemical Agents

  • Sterilization: destruction or removal of ALL viable organisms; usually used on inanimate objects
  • Disinfection: killing, inhibition, or removal of pathogenic, vegetative organisms
  • Disinfectants: agents, usually chemical, used for disinfection; usually used on inanimate objects
  • Chemotherapy: chemicals used internally to kill or inhibit growth of microorganisms within host tissues
  • Sanitization: reduction of microbial population to levels deemed safe (based on public health standards)
  • Antisepsis: prevention of infection of living tissue by microorganisms
  • Antiseptics: chemical agents that kill or inhibit growth of microorganisms when applied to tissue
  • Sepsis: microbial contamination
  • Asepsis: absence of significant contamination
  • Antimicrobial agents: agents that kill microorganisms or inhinit their growth
    • -cidal/-cide: agents that kill
    • Germicide: an agent that kills certain microorganisms
      • Bactericide: an agent that kill bacteria; most do not kill endospores
      • Viricide: an agent that inactivates virsuses
      • Fungicide: an agent that kills fungi
      • Sporicide: an agent that kills bacterial endospores or fungal spores
    • -static: agents that inhibit growth
  • Pattern of microbial death
    • Microorganisms are not killed instantly
    • Population death usually occurs exponentially
    • Organisms can be in a viable but nonculturable (VBNC) conditon - may regain the ability to reproduce and cause infection
  • Conditions influencing the effectiveness of antimicrobial agent activity
    • Population size
    • Larger populations take longer to kill than smaller populations
    • Population composition
    • Microorganisms differ markedly in their sensitivity to antimicrobial agents
    • Concentration or intensity of an antimicrobial agent
    • Higher concentrations or intensities kill more rapidly (not linear relationship)
    • Duration of exposure
    • Longer exposure = more organisms killed
    • Temperature
    • Higher temperatures usually increased amount of killing
    • Local environment
    • Factors (pH, viscosity, concentration of organic matter) can impact effectiveness
    • Organisms in bioflims are physically altered and less susceptible to many antimicrobial agents
  • Three main microbial control methods: physical, chemical, and mechanical removal methods
    • Physical methods
    • Heat
      • Moist heat: kills microorganisms by coagulating (denaturing) their proteins, degrades nucleic acids, and disrupts membranes; more effective than dry heat
      • Autoclave sterilization - 121 °C at twice atmospheric pressure
      • Boiling: heat to 100 °C or more at sea level; kills vegetative forms of bacterial pathogens, most viruses, and fungi and their spores within 10 min or less.
        • Hepatitis virus can survive up to 30 min of boiling
        • Endospores can survive up to 20 hrs + of boiling
      • Dry heat: kills by oxidation effects (ie bunsen burner)
      • Direct flaming: used to sterlize inoculating loops and needles - heat metal until it has a red glow
      • Incineration: effective way to sterlize disposable items (ex: paper cups, dressings) and biological waste
      • Hot air sterlization: place objects in an oven
      • Require 2 hrs at 170 °C for sterilization
      • Dry heat transfers heat less effectively to a cooler body than moist heat
    • Low temperatures
      • Effect depends on microbe and treatment applied
      • Refrigeration: temperatures from 0 - 7 °C; bacteriostatic effect; reduces metabolic rate of most microbes, they cannot reproduce or produce toxins for some
      • Freezing: temperatures below 0 °C
      • Flash freezing: does not kill most microbes
      • Slow freezing: more harmful because ice crystals disrupt cell structure
      • Most parasites are killed by a few days of freezing
    • Filtration
      • Reduces/removes microbial population or sterlizes solutions of heat-sensitive materials by removing microorganisms
      • Used to reduce microbial populations in air
    • Radiation
      • Ionizing radiation: gamma rays, x rays, electron beams, or higher energy rays; have short wavelengths (less than 1 nm)
      • Causes mutations in DNA
      • Used to sterlize pharmaceuticals, disposable medical supplies, food
      • Penetrates human tissues = may cause genetic mutation in humans
      • Nonionizing radiation: ultraviolet light (UV); wavelength longer than 1nm
      • Damages DNA by producing thymine dimers, which cause mutations
      • Used to disinfect operating rooms, nurseries, cafeterias
      • Disadvantages: damages skin and eyes; doesn’t penetrate paper, glass, and cloth
      • Microwave radiation: wavelength ranges from 1 mm to 1 m
      • May kill vegetative cells in moist food
      • Solid foods are unevenly penetrated by microwaves
      • Bacterial endospores are not damaged by microwave radiation because lack of water in the endospore
    • Chemical methods
    • Used to control microbes on body surfaces and inanimate objects; disinfectant substances do not sterlize, but reduce microbial population
    • Qualities of a disinfectant
      • Acts rapidly
      • Attacks a wide range of microbes
      • High penetrability
      • Readily mixes with water
      • Not hampered by organic material
      • Does not stain, corrode or damage object being disinfected
      • Does not damage body tissue
    • Phenols and phenolics
      • Phenol (carbolic acid) was first used by Lister as a disinfectant
      • Rarely used today because it is a skin irritant and has strong odor; used in some throat sprays and lozenges
      • Cresols: derived from coal tar (lysol)
      • Biphenols (phsiohex): effective against gram + staphylococci and streptococci; used in nursies but excessive use in infants may cause neurological damage
      • Destroy plasma membrane and denature proteins
      • Advantages: stable, persist for long times after applied and remain active in the presence of organic compounds
    • Alcohols
      • Kill bacteria, fungi, but not endospores or naked viruses
      • Act by denaturing proteins and disrupting cell membranes
      • Evaporate, leaving no residue
      • Used to mechanically wipe microbes off skin before injections or blood drawing
      • Ethanol: drinking alcohol (optimum concentration 70%)
      • Isopropanol: rubbing alcohol (better disinfectant than ethanol - cheaper and less volatile)
    • Halogens
      • “Bleach”
      • Any of five elements: fluorine, chlorine, bromine, iodine, and astatine
      • Iodine and chlorine are important antimicrobial agents
        • Iodine: Oxidized cell constituents and iodinates proteins; at high concentrations may kill spores; skin antiseptic.
        • Cons: skin damage, staining, and allergies
        • Iodophor: iodine complexed with organic carrier
        • Chlorine: oxidizes cell constutients; important in disinfection of water supplies and swimming pools; used in dairy and food industries; effective household disinfectant; destroys vegetative bacteria and fungi but not spores
        • Can react with organic matter to form carcinogenic compounds (ammonia)
    • Heavy metals
      • Ions of sliver, mercury, arsenic, zinc, and copper
      • Effective but usually toxic
      • Arsenic use in the past
      • Combine with and inactivate proteins; may also precipitate proteins
    • Detergents
      • Have antimicrobial activity and are effective disinfectants, disrupt cell wall
      • Amphipathic: organic molecules with hydrophilic and hydrophobic ends
      • Act as wetting agents and emulsifiers
      • Cationic detergents are effective disinfectants that kill most bacteria by not Mycobacterium, tuberculosis, or endospores
      • Safe and easy to use but inactivated by hard water and soap
    • Disinfectants
      • Aldehydes
      • most effective antimicrobials; inactivate proteins
      • Formaldehyde gas: commonly used as formalin to preserve biological specimens and inactivate viruses and bacteria in vaccines; irritates mucous membranes and has strong odor; used in mortuaries for embalming
      • Hydrogen peroxide (peroxygens)
      • Used as an antiseptic - toxic to cell; not good for open wounds because quickly broken down by catalase present in human cells; effective in disinfection of inanimate objects; used by food industry and to disinfect contact lenses
      • Sterilizing gas
      • Used to sterlize heat-sensitive materials
      • Microbicidal and sporicidal
      • Combine with and inactivate proteins
      • Ethylene Oxide Sterilizer