Filters can be used to catch microbes or particles as liquid or air is passed through.
Pore size of the filter determines what categories of microbes can be removed.
Liquids:
Drinking water (large-scale building/municipal, and personal-scale water treatment).
Non-autoclavable medical solutions such as vaccines and antibiotics.
Air:
Building-level air filters: Hospitals, labs, manufacturing clean rooms.
Masks: N95 or better for hospital use.
Controlling Microbial Growth: Chemical Methods - Germicides
Germicides are antimicrobial agents.
Disinfectants are chemicals used to reduce the number of microbes on inanimate objects.
Antiseptics are chemicals used to reduce the number of microbes on skin or mucous membranes.
Controlling Microbial Growth: Chemical Methods - Germicide Rating Criteria
Low-level germicides: Destroy vegetative bacteria except acid-fast bacteria, fungi, and some viruses.
Medium-level germicides: Destroy all vegetative bacteria, fungi, and viruses.
High-level germicides: Destroy all microbial life, including endospores if not highly concentrated, but action against prions is not determined.
Controlling Microbial Growth: Chemical Methods - Germicides for Reducing or Eliminating Microbes
Low-Level Germicides
Detergents
Mode of Action: Target lipid membranes.
Pros: Cheap, low toxicity, pleasant scent, usable as disinfectant and antiseptic.
Cons: Activity is decreased in hard water, easily contaminated by Pseudomonas bacteria.
Intermediate-Level Germicides
Alcohols (Isopropanol, Ethanol)
Mode of Action: Target proteins and lipid membranes.
Pros: Cheap, easily applied, usable as disinfectant and antiseptic.
Cons: Flammable, can react with plastics.
Phenols
Mode of Action: Target proteins and lipid membranes.
Pros: Easy to apply, effective in hard water, usable as disinfectant and antiseptic.
Cons: Leave residue, irritants, harsh on surfaces, medicinal scent, Sensitive to water hardness
High-Level Germicides
Aldehydes (Formaldehyde, Glutaraldehyde)
Mode of Action: Target proteins, nucleic acids.
Pros: Achieve sterility at certain concentrations
Cons: Toxic, irritants, and leave a residue
Halogens (Chlorine, Iodine)
Mode of Action: Oxidizing agents, mainly target proteins, nucleic acids.
Pros: Sterilants at higher concentrations, cheap, usable as disinfectant and antiseptic.
Cons: Rapidly inactivated by organic material, corrosive, discolor fabrics.
Peroxygens (Hydrogen peroxide, Peracetic acid)
Mode of Action: Oxidizing agents that mainly target nucleic acids and proteins.
Pros: Effective sterilization at high concentrations, usable as disinfectant and antiseptic, peracetic acid is effective in spite of organic material present and has no residue.
Cons: Most are readily inactivated by organic matter, corrosive, irritants.
Ethylene oxide
Mode of Action: Target proteins, nucleic acids.
Pros: Can treat items that can't withstand heat or moisture, gentle on equipment.
Cons: Toxic and flammable.
*Denotes the highest possible germicide level of the agent. Any germicide that is greatly diluted or improperly applied will have a low effect.
Higher concentrations usually provide a higher disinfection potential (or even Sterilize).
Controlling Microbial Growth: Equipment Criteria
Critical:
Contact with sterile body sites and/or vascular system.
Must be sterilized.
Semicritical:
Contact with mucous membranes or non-intact skin.
Not necessary to remove small numbers of endospores.
Noncritical:
Only contact intact skin.
Controlling Microbial Growth: Chemical Methods - Special Considerations by Microbe Type
Mycobacterium
Waxy walls resist all but the strongest disinfectants.
Prevention of airborne transmission via filtration.
Endospores
Autoclave, high-heat hydrogen peroxide treatment, or chemicals marked as sporicidal are necessary for destruction.
Protozoans
Main concerns are waterborne transmission.
Filtration or boiling of untreated water.
Filtration, ozone, CO_2 treatments of municipal water.
Some species resist chlorine treatment, which is a common water treatment method.
Controlling Microbial Growth: Chemical Methods - Special Considerations by Microbe Type (Continued)
Viruses
Because viruses are dormant outside host cells, they MAY be resistant to some chemicals.
Naked viruses are more difficult to eliminate than enveloped viruses.
Prions
Non-living infectious protein particles.
Resistant to standard autoclave procedures; requires increased temperature and pressure combined with chemical treatments.