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Chapter 11
Physical and Chemical Control of Microbes
| Term | Definition |
|---|---|
| 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 |