Microbial Control and Biosafety

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Sterilization

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129 Terms

1

Sterilization

• destruction of all forms of life including bacterial spores

• chemical or physical methods

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2

Disinfection

• destruction of some forms of life except bacterial spores

• chemical or physical methods

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3

Disinfectants

applied to inanimate objects

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4

Antiseptic

applied to skin; cannot be used as disinfectants

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5

Type of Organisms

• presents variability to withstand chemical and physical treatment

biochemical composition and mechanisms to protect themselves

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6

Bacterial Spores

• rich in proteins, lipids, and carbohydrates

• rich in dipicolinic acid and calcium

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7

dipicolinic acid and calcium

bacterial spores are rich in?

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8

lipids

Cell walls of mycobacteria are rich in?

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9

Microbial Load

total number of organisms present

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10

Microbial Load

• most likely composed of organisms with varying degrees of susceptibility to killing agents

• not all the organisms die at the same time

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11

longer exposure times

higher number of organisms require?

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12

Concentration of Disinfecting Agent

• amount of disinfectant needed to destroy microorganisms

varies with the different agents

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13

Organic material

___ affects killing activity by inactivating the disinfecting agent

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14

blood, mucus, and pus

examples of organic materials are?

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15

Bleach

easily inactivated by organic material

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16

Contact/ Exposure Time

• amount of time a disinfectant or sterilant is in contact with the object

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17

Heat

• Advantages: reliable effects, ease of use, shorter time and cost effective

most common method of disinfection and sterilization

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18

autoclave

heat under steam pressure

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19

sterilization

application of autoclave

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20

heat-stable objects

autoclave is the sterilization/disinfection method for?

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21

Dry Heat

• longer exposure times & higher temperature

Sterilization method for heat-stable substances that are not penetrated by moist heat

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22

glass wares

Dry heat is the sterilization method for?

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23

10 minutes

Boiling kills most microorganisms in approximately ___ minutes

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24

Pasteurization

• eliminates food-borne pathogens & organisms responsible for food spoilage

• reduces spoilage of food without affecting its taste

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25

63 or 72 C

Pasteurization is done at ___ and ___ C

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26

121 C

Autoclave temperature

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27

15 minutes at 15 psi

Duration time of autoclave

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28

160 to 180 C

Temperature of oven (dry heat)

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29

1.5-3 hours

duration time of oven

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30

100 C

Temperature of Boiling

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31

15 mins

duration time of boiling

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32

72 C

temperature of pasteurization (flash method)

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33

63 C

temperature of pasteurization (batch method)

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34

15 seconds

Duration time of pasteurization (flash method)

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35

30 mins

Duration time of pasteurization (batch method)

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36

sterilizes

Does an autoclave application sterilize or disinfect?

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37

sterilizes

Dry oven application

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38

disinfection

Boiling steam application

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39

disinfection

Pasteurization flash method application is a form of?

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40

disinfection

Pasteurization batch method application is a form of?

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41

liquid filtration

thin membrane filters composed of plastic polymers or cellulose esters containing pores

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42

0.45 and 0.80 µm

pore size for bacteria, yeasts, and molds

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43

0.22 µm

pore size for critical sterilizing

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44

0.01 µm

pore sizes for small viruses

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45

heat-sensitive solutions

Liquid filtration is the sterilization method for?

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46

Air Filtration

• use of high-efficiency particulate air (HEPA) filters

• used in laboratory hoods and in air systems

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47

0.3 µm

air filtration removes microorganisms larger than?

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48

Radiation

• short wavelength and high energy

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49

Ionizing

Gamma rays or electron beam

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50

Disposable supplies

Radiation is the sterilizing method for?

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51

non-ionizing

UV rays are?

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52

non-ionizing

long wavelength and low energy

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53

surfaces

non-ionizing is the sterilization method for?

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54

Chemical Method

• for sterilization

• used mainly as disinfectants

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55

Chemosterilizers

chemical agents that may be used to sterilize

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56

Alcohols (50-70%)

Denatures proteins; makes proteins soluble

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57

Tincture in Iodine (2% in 70% of alcohol)

Skin disinfectants (iodophor)

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58

Chlorine and Chlorine Compounds

Used to disinfect drinking water and surface disinfectants

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59

Tincture in Iodine (2% in 70% of alcohol)

Inactivates proteins

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60

Chlorine and Chlorine Compounds

Reacts with water to form hyperchlorous acid (HClO); oxidizing agent

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61

Silver Nitrate (AgNO2)

  • Precipitates Proteins

  • Eyedrops (1% Solution)

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62

Mercuric Chloride (HgCl2)

  • Reacts with -SH group; lyses cell membrane

  • Disinfectant; toxic at high concentrations

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63

Quarternary ammonium compounds

  • Skin Antiseptics; disinfectants

  • Disrupt cell membrane

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64

Phenol, carbolic acid, lysol, hexachlorophene

  • Disinfectant at high concentrations; used in soap at lower concentration

  • Denatures proteins; disrupt cell membranes

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Ethylene Oxide

  • Sterilization of heat-sensitive objects

  • Alkylating agent

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66

Alcohol

• antiseptics and disinfectants

principle: inactivate microorganisms by denaturing protein

disadvantage: inactivated by organic materials

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67

60-90% ethyl or isopropyl alcohol

Alcohol used for disinfection/antiseptic?

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68

Formaldehyde

principle: Reaction with the thiol (–SH) groups of enzymes

disadvantage: carcinogenic agent

• not recommended (in any form) be used as a disinfectant or sterilant on a routine basis

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69

37% aqueous solution or formaldehyde gas

Formaldehyde used?

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70

Biosafety Cabinets

Formaldehyde is the sterilization method for?

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71

Glutaraldehyde

principle: inactivation of DNA and RNA through alkylation of sulfhydryl and amino groups

advantage: rapid killing action; remains active in the presence of organic materials (active at alkaline)

disadvantage: extremely susceptible to pH changes

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72

2% solution for 10 mins

glutaraldehyde disinfectant uses ___% of solution for ___ mins

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73

2% solution for 3-10 hrs

glutaraldehyde sterilant solution?

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74
  • heat labile medical equipment

  • materials that cannot be sterilized in gas

glutaraldehyde is used as sterilant for?

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75

Iodophors

principle: degrades microbial cell walls and cytoplasm, denatures enzymes, and coagulates chromosomal material

• antiseptic

advantage: less irritating, nonstaining, and more stable

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76

polyvidone or povidone

Iodine can be used in two forms as antiseptics:

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77

>30 seconds

Contact time for iodophors

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78

iodine (5-10%) + neutral polymer carrier

iodophor solution?

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79
  1. liqiud sodium hypochlorite “household bleach”

  2. solid calcium hypochlorite

forms of hypochlorite

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80

Hypochlorite

principle: oxidative effects of hypochlorous acid

disadvantages: long exposure time required for sporicidal action; inactivated by organic materials

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81

0.5% to 1% sodium hypochlorite

hypochlorite disinfectant

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82

atleast 30 minutes

contact time for hypochlorite

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83

1 : 10 dilution of a 5.25% concentration of sodium hypochlorite

recommendation of CDC for blood spills

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84

water

Hypochlorite is the disinfection method for?

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85

Detergents: Quaternary Ammonium Compound

principles: reducing the surface tension of molecules in a liquid; disruption of the cellular membrane, resulting in leakage of cell contents

disadvantages: effectiveness is reduced by hard water & soap; inactivated by organic materials

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86

noncritical surfaces (benches and floors)

Quarternary Ammonium Compound is the disinfection method for?

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87

Phenolics

principle: disruption of cell walls leading to precipitation of proteins

• commonly found as ingredients of germicidal soaps

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88

lower concentration of phenolics

disruption of enzyme system

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89

surfaces in hospitals and household environments

Phenolics disinfects?

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90

Chlorhexidine Gluconate (0.5% to 4%)

• topical antiseptic

principle: disrupts the microbial cell membrane and precipitates cellular contents

advantages: strong affinity to the skin and mucous membranes; not significantly affected by organic materials

disadvantage: affected by pH

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91
  • hands of surgical personnel

  • body of patients undergoing surgery

Chlorhexidine Gluconate is used to disinfect?

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92

Hexachlorophene

• effective against gram-positive bacteria (3% for 15-30 seconds)

principle: interrupts bacterial electron transport

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93

Low Concentration Hexachlorophene

inhibits membrane-bound enzymes

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94

High Concentration Hexachlorophene

ruptures bacterial membranes

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95

Chloroxylenol (0.5% to 4%)

principle: microbial cell wall disruption and enzyme inactivation

advantage: unaffected by organic materials

disadvantage: neutralized by nonionic surfactants andpolyethylene glycol

** low antimicrobial efficacy compared with iodines, iodophors, and CHG in reducing skin flora

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96
  • health care personnel handwash

  • surgical hand scrub

Chloroxylenol is the disinfection method for?

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97

Triclosan

advantage: not significantly affected by organic materials

disadvantage:

• affected by pH, surfactants and emollients

• formulation significantly affects activity

• absorbed through intact skin

• consumer and professional health care products

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98

gram (+) & (-) bacteria & viruses

Triclosan good activity

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99

M. tuberculosis

Triclosan has fair activity on?

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fungi

Triclosan poor activity

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