Sterilization: Complete removal or destruction of all microbial life.
Pasteurization: Heat treatment to reduce microbial load, especially in beverages.
Sanitization: Reduction of microbial populations to safe levels per public health standards.
Antisepsis: Application of chemicals to living tissues to inhibit or eliminate microbes.
Disinfection: Destruction of most microbial life (excluding endospores) on inanimate objects.
Preservation: Methods to inhibit microbial growth to extend shelf life.
Physical Methods: Heat, filtration, radiation.
Chemical Methods: Disinfectants, antiseptics, antibiotics.
Selection Considerations: Type of microbe, surface/material, and desired level of reduction.
Time required to kill 90% of organisms under specific conditions.
Used to determine treatment duration for desired microbial reduction.
Critical Items: Contact sterile tissues or vascular system.
Semicritical Items: Contact mucous membranes or nonintact skin.
Non-Critical Items: Contact only intact skin.
Moist Heat:
Boiling (kills vegetative cells but not endospores).
Pasteurization (kills pathogens without altering taste).
Autoclave (steam under pressure, sterilizes).
Dry Heat:
Hot air ovens (oxidizes cell components, sterilizes).
Incineration (burns microbes to ashes).
Membrane Filtration: Uses pore-sized filters to remove microbes.
HEPA Filters: Remove microbes from air in cleanrooms and ventilation systems.
Ionizing Radiation: X-rays, gamma rays (damage DNA, sterilizes).
UV Radiation: Damages DNA, used for surface sterilization.
Microwaves: Generate heat but not reliable for sterilization.
Levels:
High-Level: Kill all microbes, including spores.
Intermediate-Level: Kill fungal spores, tubercle bacilli, and viruses.
Low-Level: Kill vegetative bacteria and fungi.
Used when heat or radiation is impractical.
Bacterial Endospores: Highly resistant to heat and chemicals.
Protozoan Cysts: Resistant to desiccation and disinfectants.
Naked Viruses: Generally more resistant than enveloped viruses.
Vegetative Bacteria: Susceptibility varies by cell wall structure and metabolic state.
Efficacy against target microbe.
Safety for users and the environment.
Practicality and feasibility of application.
Selective Toxicity: Inhibits/kills pathogens without harming the host.
Therapeutic: Related to disease treatment.
Bacteriostatic: Inhibits bacterial growth.
Bactericidal: Kills bacteria.
Broad-Spectrum: Effective against a wide range of bacteria.
Narrow-Spectrum: Targets a limited range of bacteria.
Antagonistic: One drug reduces the effectiveness of another.
Synergistic: Combined effect of two drugs is greater than their individual effects.
Additive: Combined effect equals the sum of individual effects.
Time required for drug concentration in the body to decrease by half.
Important for determining dosing intervals and therapy duration.
Development of antibiotic resistance.
Disruption of normal microbiota leading to secondary infections.
Allergic reactions and adverse effects.
Definition: Transfer of genetic material between organisms that are not parent and offspring.
Types:
Transformation: Uptake of foreign DNA from the environment.
Transduction: Bacteriophage-mediated gene transfer.
Conjugation: Direct DNA transfer via cell-to-cell contact.
Homologous Recombination: Exchange of similar DNA sequences between molecules.
Pan-Genome: All genes in a bacterial species.
Core Genome: Genes shared by all strains of a species.
Accessory Genome: Genes found only in some strains.
Unique Genes: Genes found in only a single strain.
Plasmids: Extrachromosomal DNA capable of autonomous replication.
Transposons: DNA segments that can move within a genome.
Genomic Islands: Genome regions acquired via HGT.
Phage DNA: Bacteriophage genomes integrated into bacterial chromosomes or as episomes.