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Chapter 11

Physical and Chemical Control of Microbes

TermDefinition
Historical microbial control methods salting food, smoking food, pickling food, drying food, exposing food, clothing, and bedding to sunlight
Four possible outcomes of microbial control outside the body sterilization, disinfection, antisepsis, decontamination
Sterilization the destruction of all microbial life
Disinfection destroys most microbial life, reducing contamination on inanimate surfaces
Antisepsis (degermation) destroys most microbial life reducing contamination on a living surface
Decontamination (sanitization) the mechanical removal of most microbes from an animate or inanimate surface
Bacterial endospores considered the most resistant microbial entitles destruction of endospores is the goal of sterilization
Sterile process that destroys or removes all viable microorganisms, including viruses
Disinfection the use of a physical process or a chemical agent (disinfectant) to destroy vegetative pathogens but not bacterial endospores normally only used on inanimate objects
Sepsis the growth of microorganism in blood and other tissues
Asepsis any practice that prevents the entry of infectious agents into sterile tissues and prevents infection
Antisepsis application of chemical agents (antiseptics) to exposed body surfaces and surgical incisions to destroy or inhibit vegetative pathogens
Germicide and microbicide chemical agents that kill microorganism
Bactericide a chemical that destroys bacteria expect for those in the endospore stage
Fungicide kills fungal spores, hyphae, and yeast
Virucide inactivates viruses, especially on living tissues
Sporicide capable of killing endospores
Bacteristatic agents prevent the growth of bacteria on tissues or objects in the environment
Fungistatic chemical inhibit fungal growth
Microbistatic agents chemicals used to control microorganisms in the body (antiseptics and drugs)
Sanitization (decontamination) any cleansing technique that mechanically removes microbes and debris reduces contamination to safe levels
Sanitizer soap or detergent used to sanitize
Antisepsis/degermation (decontamination) reduction of the number of microbes on the skin involves scrubbing skin or immersing it in chemical or both
Critical medical devices expected to come into contact with sterile tissues
Semicritical medical devices come into contact with mucosal membranes
Noncritical medical devices those that do not touch the patient or are only expected to touch intact skin
Death of microscopic organism harder to see, no conspicuous vital signs, lethal agents don't alter the overt appearance of microbial cells, loss of movement cant be used to indicate death
Factor that affect death rate number of microorganisms, nature of the microbes in the population, type of microbial growth, temperature and pH of the environment
Cellular targets of physical and chemical agents cell wall, cell membrane, cellular synthetic processes (DNA,RNA), proteins
Damage to the cell wall blocking cell wall synthesis, digesting the cell wall, breaking down the surface of the cell wall detergents and alcohols disrupts the cell wall
Surfactants polar molecules with hydrophilic and hydrophobic regions opens up leaky spots
Native state normal 3-dimensional configuration of a protein that allows proper function
Denature disruption of proteins, rendering them nonfunctional breaking of the bonds that maintain the secondary and tertiary structure
Heat the most widely used method of microbial (others) -radiation -filtration -ultrasonic waves -cold
Moist heat hot water, boiling water, steam temp: 60C to 135C
Dry heat air with low moisture content that has been heated by a flame or electric heating coil temp: 160C to several thousand degree Celsius lack of water increases stability of some protein configurations, necessitation higher temperature
Moist heat 121 c temperate 15 minutes (time 2 sterile )
Temperature and length of exposure should be considered for adequate sterilization higher temp. allow shorter exposure times lower temp. require longer exposure times
Thermal death time shortest length of time required to kill all test microbes at a specified temperature
Thermal death point lowest temp required to kill all microbes in a sample in 10 min
Cold treatment merely retards the activities of most microbes most are not adversely affected by gradual cooling, long term refrigeration, or deep freezing
Desiccation dehydration of vegetative cells directly exposed to normal room air delicate pathogen can be killed by desiccation can preserve food
Lyophilization combination of freezing and dying
Radiation energy emitted from atomic activities and dispersed at high velocity through matter or space -gamma rays -X rays -ultraviolet radiation
Irradiation bombardment of microbes with radiation
Ionizing radiation radiation ejects orbital electrons from an atom, causing ions to form causes the most damage to proteins
Nonionizing radiation excites atoms, raising them to a higher energy state
Cold sterilization ionizing radiation used as an effective alternative for sterilizing materials
Ultraviolet (UV) radiation not as penetrating as ionizing radiation ranges from 100 nm to 400 nm
Effects of UV radiation initially absorbed by DNA form pyrimidine dimers
Filtration an effective method to remove microbes from air and liquids
Osmotic pressure adding large amounts of salt or sugar to foods creates a hypertonic environment "cured" meats are treated with high salt concentrations so they can be kept long periods without refrigeration high sugar in jams and jellies has same effect
Antimicrobial chemicals solids or gaseous antimicrobial chemicals are dissolved in water, alcohol, or mixture of the two
Aqueous solution containing pure water as the solvent
Tinctures antimicrobial chemicals dissolved in pure alcohol or water-alcohol mixture
Desirable qualities of a germicide rapid action in low concentration, solubility in water or alcohol and long-tem stability, penetration of inanimate surfaces to sustain a cumulative or persistent action
High-level germicide kill endospores, sterilants if properly used, critical items that are not heat-sterilizable. catheters, heart-lungs equipment
Intermediate level germicides kill fungal but not bacterial spores, resistant pathogens such as the tubercle bacillus and viruses respiratory equipment, thermometers
Low-level germicides vegetative bacteria, vegetative fungal cells, some viruses. Electrodes, straps, furniture that touches skin but not mucous membrane
Factors affecting the microbicidal activity of chemical nature of microorganism being treated, nature of material being treated, degree of contamination, time of exposure, strength and chemical action of the germicide.
Halogens fluorine, bromine, chlorine, iodine
Chlorine and its compounds -Gaseous chlorine (Cl2) -Hypochlorites (ClO1) -Chloramines (NH2Cl) *kill bacteria, endospores, fungi, viruses
Hypochlorite broadly used in industry and allied health household bleach is a weak solution of sodium hypochlorite
Chloramines used as alternatives to pure chlorine in water treatment
Aqueous iodine topical antiseptic, treatment for burned skin
Iodine tincture used in skin antisepsis
Iodine tablets disinfecting water
Phenol first used as the major antimicrobial chemical toxic and irritating side effects
Phenolics destroy vegetative bacteria, fungi, and some viruses too toxic to use as antiseptics
Ethyl alcohol (70%) skin degerming and disinfection of some types of medical equipment evaporation rate limits effectiveness
Surfactants (detergents) limited microbicidal power, activity due amphipathic nature of the molecule, varied effects, activity reduced by the presence of organic matter
Quaternary ammonium compounds (quats) disinfectants: mixed with cleaning agents to sanitize a variety of objects and surfaces preservations for ophthalmic solutions and cosmetics
Soap weak microbicides
Oligodynamic toxic in minutes quantities
Ethylene oxide sterilizes and disinfect plastic and delicate hospital instruments
Propylene oxide less toxic and sterilization of food
Dyes as antimicrobial agents incorporated into solutions an ointments to treat skin infections
Aqueous ammonium oxide detergents, cleansers, and deodorizers
Organic acid used in food preservation
Triclosan excreted in the urine of 75% of Americans detectable levels in groundwater sources
Hydrogen peroxide (H2O2) germicidal effects are due to toxic reactive oxygen. bactericidal, virucidal, fungicidal, and sporicidal at high concentrations
Applications of Hydrogen peroxide antiseptic-skin and wound cleansing, bedsore care, mouthwashes disinfectant-soft contacts, surgical implants, plastic equipment sterilization of delicate reusable instruments
 

 



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