Process of reducing microbial numbers by gently scrubbing living tissue with a mild chemical.
Examples: Handwashing and Alcohol Swab
Epidemiology
Field that studies the geographical distribution and timing of infectious disease occurrences.
Morbidity
The state of being diseased.
Chronic vs. Acute Disease
Chronic: Months, years, lifetime.
Acute: Short duration.
CFU
The number of microbial colony-forming units.
Critical/Semi/Non-critical Items
Critical: Must be sterile (e.g., catheter, IV tube).
Semi-critical: High level of disinfection (e.g., GI endoscope).
Non-critical: Clean (e.g., bed linens, stethoscope, gowns).
Fomites
Objects that carry viruses/bacteria.
Found on medical equipment/doorknobs.
They can spread infections around.
Disinfection
Reduces or kills most microbes.
Sanitization
Lowers the number of germs to safe levels.
Sterilization
Destroys all microbial life.
Physical Methods of Microbial Control
Controls microbial growth, including high temperature, radiation, filtration, and desiccation.
Often nonspecific to their target – they kill cells by disrupting membranes, damaging/denaturing proteins and nucleic acids, and degrading various chemicals.
Heat
TDP (Thermal Death Point)
TDT (Thermal Death Time)
DRT (Decimal Reduction Time)
Dry Heat, Moist Heat, Boiling
Pressure: Often used in the food industry to kill bacteria, yeasts, molds, parasites, viruses.
Salting
Radiation
Filtration
Essential Oils
A mixture of hydrocarbons that are extracted from plants.
Many are used in traditional medicine and for preserving products, including food.
Phenols and/or terpenes result in antimicrobial activity.
Use of Chlorines and Chloramines in Microbial Control
Chlorines: Used as a disinfectant.
Chloramines: Like NH_2Cl, used as a disinfectant.
Bioaccumulation of Metals
Heavy metal concentration increases and can have a toxic effect.
Heavy metals denature protein and impair cell function.
Metals That Control Microbes
Silver, Copper, Nickel, Zinc
Zone of Inhibition
It indicates how effective that antimicrobial is against the particular species being tested.
It's useful to see which one is most useful.
Antibiotics
Drugs used to kill or inhibit the growth of bacteria.
They are derived from natural sources like fungi (Penicillium) or bacteria (Streptomyces).
They treat bacterial infections, saving lives
Examples: Penicillin, Amoxicillin, ciprofloxacin
Paul Ehrlich
A German scientist who discovered a chemical compound to kill infectious microbes without harming the patient or healthy cells, specifically for Syphilis.
Alexander Fleming
Discovered Penicillin.
It was the first natural antibiotic able to effectively kill bacteria and treat deadly infections.
First in the UK
Bacteriostatic vs. Bactericidal Drugs
Bacteriostatic Drugs: Stop bacteria from growing.
Bactericidal Drugs: Kill bacteria directly. Immunocompromised patients must have or any life-threatening infection.
Narrow-spectrum vs. Broad-spectrum Antimicrobials
Narrow-spectrum antimicrobials: Target only specific bacterial pathogens. Infection must be known.
Broad-spectrum antimicrobials: Target many bacterial pathogens; covers many possibilities; used as prophylactics (prevents spread).
Drug Resistance
Microbes evolve in order to overcome the antimicrobial compounds due to overuse or misuse of antimicrobials.
Definition of Disease
A condition that disrupts normal body function, causing signs/symptoms and affecting health.
Infection
Invasion and growth of harmful microbes (bacteria, viruses, fungi) in the body.