1Sterilization
Removal of ALL microbial life
2Disinfection
Removal of pathogens
3Antisepsis
removal of pathogens from living tissue
4Asepsis
absence of infection or infectious agents
5Aseptic technique
methods which prevent microbial contamination and infection
6Sepsis
infection resulting in systemic inflammation
7Degerming
removal or reduction in microbes from an area
8Santization
lower microbial count on eating utensils
9Biocide/Germicide
kills microbes
10Bacteriostasis
Inhibiting, not killing, bacteria
11Effectiveness of Antimicrobial Treament depends on
Number of microbes, Enviroment (organic matter, temperature, biofilms), Time of Exposure, Microbial Characterisitics
12Physical Methods of Microbial Control
Heat, Filtration, Cold, Desiccation, Osmotic Pressure, Radiation
13Thermal Death Point
Lowest tenperature at which all cells ina culture are killed in 10 mins
14Thermal Death Time
Time to kill all cells in a culture at a given temperature
15Decimal Reduction Time
Time to kill 90% of a population under specific conditions
16Different methods of Heat
Moist heat, Pasteurization, Dry heat- direct flaming, incineration, hot-air sterilization
17Moist Heat
denatures protiens. ex- autoclave- steam under pressure
18Pasteurization
reduces spoilage organisms and pathogens- equivalent treatments 63C for 30 min, 82.2 for 22 sec
19Dry Heat Sterilization
kills by oxidation or denaturation; flaming, incineration, hor-air sterilization
20Filtration
removes microbes- ,2 um
21Low temperature
inhibits microbial growth- refrigeration, deep freezing, and lyophilization
22High pressure
denatures protiens
23Desiccation
prevents metabloism- does not nessarily kills organisms
24Osmotic pressure
causes plasmoylsis
25Radiation
damages DNA; two types- Ionizing (X-rays, gamma rays, electron beams) and Nonionizing (UV- causes thymine and cytosine dimers in DNA)
26Principles of effective disinfection
Concentration of disinfectant, organic matter, pH, time
27Other factors to consider when Choosing a chemical method of control
toxicity, material compatibility (corrosiveness), residue, order, storage and stability, enviromental risk, surface tension
28List of Different Disinfectants
phenols/phenolics, halogens, alcohols, heavy metals and their compounds, surface-active agents, quarternary ammonium compounds, gaseous chemosterilizers, and chemical food preservation
29CDC levels of disinfection are based on Range of Microbes effected:
Vegatative bacterial cells, myobacteria, spores, fungi, viruses
30High Level
Ethylene oxide, glutaraldehyde, formaldehyde- work agaisnt all categories
31Intermediate Level
Phenolics, halogens- work against everything else except spores
32Low Level
Alchols, quarternary ammonium compounds- work agaisnt vegatative cells, fungi, and some viruses
33Way to Test the Effectiveness of Disinfectants
Phenol coefficient tes- compare to phenol; Ude-dilution test
34Aldehydes- how kill?
Inactivate protiens by cross-linking with functional groups (OH, COOH, NH2), Sterilant (in high enough doses)
35Examples of Aldehydes
Glutaraldehyde, Formaldehyde
36Gaseous Sterliants- how kill?
Protien denaturation and crosslinking
37Examples of Gaseous Sterliants
Ethylene oxide (kills fungus), Chlorine Dioxide, Hydrogen Peroxide Vapor (HPV; not same as Common HP)
38Halogens- how kill and examples
Strong Oxidizer; Chlorine, Iodine, Bleach (hypochlorous acid)
39Peroxygens
Oxidizing Agents; Ozone O3. Hydrogen peroxide (h2o2), peracetic acid
40Phenol- kill how?
disrupt plasma membranes, inactivates enzymes, denatures protiens
41Phenol examples
Phenolics, Lysol, Bisphenols, Hexachlorophene, Triclosan
42Biguanides- how kills and ex
Disupt plasma membrane; ex. Chlorhexdine
43Alcohols examples
Ethanol, isopropanol
44Alcohols- how kill
Dentaure protiens, dissolve lipids
45Surfactants or Surface-active agents
mechanical removal of microbes
46Surfactant examples
soup- degerming; acid-anionic detergents- sanitizing disrupt plasma membrane; Quartnery ammonium compounds- Bactericidal, denature protiens and disrupt plasma membrane
47Heavy Metals
Oligodynamic action; dentaures protiens/inhibits growth; ex. Ag, Hg, Cu
48Microbial Resitance- Most to Least
Prion, Endospores of bacteria, Mycobacteria, Cysts of protozoa, Vegatative protozoa, Gram-negative bacteria, Fungi (including most fungal spores), Viruses without envelopes, Gram-positive bacteria, Viruses with lipid envelopes
49Chemical Food Persatives
Organic Acids, Nitrite, Antiboitics
50Chemical Food persatives- Organic Acids
Inhibit metabolism; ex. sorbic acid, benzoic acid, calcium propionate; control molds and bacteria in foods and cosmetics
51Chem. Food Persatives- Nitrite
prevents endospore germination
52Chem. Food Persatives- Antibiotics
Nisin and Natamycin prevent spoilage of cheese
53Synergism
occurs when the effect of two drugs together is greater than the effect of either two alone
54Antagonism
occurs when the effect of two drugs together is less than the effect of either alone
55Minimal Bacteriocidal Concentration (MBC)
Lowest concentration at which 99.9% of bacteria are killed
56Minimal Inhibitory Concentration (MIC)
lowest antibiotic concentration that inhibits bacterial growth
57Theraputic Dose
Minimum dose per kg of body weight that stops growth
58Toxic dose
Maximum dose tolerated by the patient
59Chemotherapeutic Index
the ratio of the toxic dose to the therapeutic dose. The higher the value the safer the drug