Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Control of Microbial
Growth
The Terminology of Microbial Control
• _________refers to microbial contamination
• Asepsis is the absence of significant
contamination
• Aseptic surgery techniques prevent microbial
_______________________of wounds
The Terminology of Microbial Control
• Sterilization: removing ______microbial life
• Commercial sterilization: killing C. botulinum
endospores
• Disinfection: _____________pathogens from
fomites
• Antisepsis: removing pathogens from living
tissue
____________ Biosafety Levels
Time (min)
(a) The decimal reduction time (D-value) is the time it takes to kill
90% of the population (a 1-log decrease in the total population)
when exposed to a specific microbial control protocol, as indicated
by the purple bracket.
Heat
• Thermal death point (TDP): _______temperature
at which all cells in a culture are killed in 10 min
• Thermal death time (TDT): _____during which all
cells in a culture are killed___________________
• Decimal Reduction Time (DRT): time (minutes)
to kill __% of a population at a given temperature
Effectiveness of Treatment
• Depends on:
– ___________________of microbes
– Environment (organic matter, temperature, biofilms)
– _____________________of exposure
– Microbial characteristics
An_______________________.
Exhaust valve Operating valve
(removes steam Steam to Safety (controls steam from
after sterilization) chamber valve Pressure gauge jacket to chamber)
Steam Door
Steam
chamber
Air
• Kills by __________
– Dry heat
– Flaming
– Incineration
– Hot-air sterilization
Hot-Air Autoclave
Safety glass
Exhaust HEPA viewscreen
filter
Blower
Supply HEPA
filter
Light
High-velocity
air barrier
Radiation
• Ionizing radiation (X rays, ________rays, electron beams)
– Ionizes water to release OH•
– Damages _____
• Nonionizing radiation (UV, 260 nm)
– Damages ____________
• Microwaves kill by heat; not especially antimicrobial
Principles of _______Disinfection
• Concentration of disinfectant
• Organic matter
• pH
• Time
Use-Dilution Test
• Metal _____ dipped in test bacteria are dried
• Dried cultures are placed in disinfectant for 10
min
at 20°C
• Rings are transferred to culture media to
determine whether bacteria _______
treatment
Chemical Methods of Microbial Control
• In-Use Test
– 1 ml sample of _____ disinfectant in 9 ml sterile broth
– 0.2 ml inoculated onto two plates.
– Incubated
• __ or more colonies indicate disinfectant not effective
Evaluation of disinfectants by the ____-diffusion method.
Zone of inhibition
O-phenylphenol O-phenylphenol
Hexachlorophene O-phenylphenol
Hexachlorophene Hexachlorophene
Quat Quat
Quat
_________
Chemical Methods of Microbial Control
• Methods for Evaluating Disinfectants and Antiseptics
– __________________ coefficient
• Evaluates efficacy of disinfectants and antiseptics
• Compares to phenol an agent's ability to control
microbes
• Greater than 1.0 indicates agent is _____ effective than
phenol
• Has been replaced by newer methods
Halogens
• Iodine
– Tinctures: in ______________ alcohol
– Iodophors: in organic molecules (Betadine)
– Alter protein synthesis and membranes
• Chlorine
– Bleach: hypochlorous acid (HOCl)
– Chloramine: chlorine + _____________
– Oxidizing agents
Alcohols
• Ethanol, isopropanol
– _________ proteins, dissolve lipids
– Require water
Heavy Metals
• Ag, Hg, and Cu
– Silver nitrate may be used to prevent gonorrheal
ophthalmia neonatorum
– Silver sulfadiazine used as a topical cream on burns
– Copper sulfate is an ____________________
• Oligodynamic action
– Denature proteins
Surface-Active Agents, or _______
Soap Degerming