Methods for Decontamination
Involves physical, chemical, and mechanical techniques to destroy or reduce undesirable microbes in a given area.
Targets microorganisms capable of causing infection or spoilage:
Vegetative bacterial cells and endospores
Fungal hyphae and spores, yeast
Protozoan trophozoites and cysts
Worms
Viruses
Prions
Resistance Hierarchy:
Highest Resistance:
Prions
Bacterial endospores
Moderate Resistance:
Pseudomonas sp.
Mycobacterium tuberculosis
Staphylococcus aureus
Protozoan cysts
Least Resistance:
Most bacterial vegetative cells
Fungal spores and hyphae
Yeast
Enveloped viruses
Protozoan trophozoites
Control Agents Resistance:
Heat (moist):
Endospores: 120°C
Vegetative Forms: 80°C
Radiation (X-ray):
Endospores: 4000 grays
Vegetative Forms: 1000 grays
Sterilizing Gas:
Endospores: 1200 mg/L
Vegetative Forms: 700 mg/L
Sporicidal Liquid (2% glutaraldehyde):
Endospores: 3 hours
Vegetative Forms: 10 min
Sterilization:
Destroys all viable microbes, including viruses and endospores.
Disinfection:
Destroys vegetative pathogens but not endospores; applied to inanimate objects.
Antiseptic:
Disinfectants applied directly to exposed body surfaces.
Sanitization:
Cleansing techniques that mechanically remove microbes.
Influencing Factors:
Number of microbes present
Nature of microbes in the population
Temperature and pH of the environment
Concentration or dosage of agent
Mode of action of the agent
Presence of solvents, organic matter, or inhibitors
Selection Criteria:
Application requirement for sterilization?
Will the item be reused?
Can the item withstand heat, pressure, radiation, or chemicals?
Suitability of the method
Penetration effectiveness of the agent
Cost, labor efficiency, and safety of the method
Cellular Targets:
Cell Wall:
Becomes fragile; example agents include some antimicrobial drugs and detergents.
Cell Membrane:
Phospholipid bilayer loses integrity due to surfactants.
Protein and Nucleic Acid Synthesis:
Prevention of replication, transcription, translation; example agents include chloramphenicol and formaldehyde.
Proteins:
Disruption and denaturation; affected by agents like alcohols, phenols, and heat.
Methods include:
Heat (moist and dry)
Cold temperatures
Desiccation
Radiation
Filtration
Moist Heat Methods:
Steam under pressure (e.g., autoclave, 121°C for 15-40 min).
Boiling at 100°C to destroy non-spore forming pathogens.
Dry Heat:
Incineration or dry ovens at temperatures of 150–180°C.
Process:
Heat applied to eliminate potential infection agents without compromising food value.
Common methods:
63°C for 30 min (batch method)
71.6°C for 15 seconds (flash method)
Not classified as sterilization.
Effects of Cold:
Microbiostatic, slowing microbial growth.
Used for food and culture preservation.
Ionizing Radiation:
Deep penetrating power; used for sterilizing medical supplies.
Nonionizing Radiation:
UV light creates pyrimidine dimers that impede replication; directly exposed of limited penetrating power.
Process:
Physical removal of microbes by filtering liquids or gases.
Applications:
Sterilizing heat-sensitive liquids and air.
Levels of Chemical Decontamination:
High-Level Germicides:
Kill endospores; used in sterile environments.
Intermediate-Level:
Kill fungal spores, tubercle bacillus, viruses; disinfect devices for mucous membrane contact.
Low-Level:
Eliminate vegetative bacteria and some viruses; clean surfaces in contact with skin.
Variables include:
Nature of materials treated
Degree of contamination
Exposure time
Strength and action of the germicide
Alcohols:
Ethyl and isopropyl, effective against bacteria and many endospores, with intermediate-level activity.
Hydrogen Peroxide:
Produces hydroxyl radicals that damage proteins and DNA.
Quaternary Ammonium Compounds (Quats):
Act as surfactants, leading to low-level decontamination.
Soaps and Detergents:
Mechanically remove soil and microbes.
Example Checks Include:
What method accomplishes antimicrobial effects by creating nucleotide dimers? (C. UV light)