lecture 6
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Questions and Answers

What was the primary method initially used by Joseph Lister to control wound infections?

  • Filtration
  • Irradiation
  • Heat sterilization
  • Carbolic acid (correct)

Which of the following represents a process that completely eliminates all microorganisms, endospores, and viruses?

  • Disinfection
  • Sterilization (correct)
  • Antisepsis
  • Pasteurization

What is the term for the chemicals used on inanimate objects to eliminate most or all pathogens?

  • Antiseptics
  • Bactericides
  • Biocides
  • Disinfectants (correct)

Which process specifically aims to reduce the number of spoilage organisms and pathogens in food using a brief heat treatment?

<p>Pasteurization (D)</p> Signup and view all the answers

What term is used to describe a chemical agent that is specifically designed to kill bacteria?

<p>Bactericidal (C)</p> Signup and view all the answers

What unique challenge do prions present in the context of microbial control?

<p>They are not destroyed by standard sterilization procedures. (C)</p> Signup and view all the answers

What is a key feature of antiseptics that differentiates them from other disinfectants?

<p>They are formulated for use on living tissue. (D)</p> Signup and view all the answers

Which of the following is considered a physical method of microbial control?

<p>The use of filtration (A)</p> Signup and view all the answers

What is the primary goal of decontamination?

<p>To reduce pathogens to a level considered safe. (A)</p> Signup and view all the answers

Which process does NOT necessarily indicate a specific level of microbial control?

<p>Sanitization (D)</p> Signup and view all the answers

Which action is considered the most important step in preventing the spread of many infectious diseases?

<p>Simple hand washing with water and soap. (A)</p> Signup and view all the answers

What is a key concern in hospitals that necessitates strict microbial control measures?

<p>The risk of Healthcare-associated infections (HAIs). (C)</p> Signup and view all the answers

Why are operating rooms in hospitals particularly important locations for sterile instruments?

<p>Because they are used for invasive procedures. (D)</p> Signup and view all the answers

What is a common method for disinfecting water in water treatment facilities?

<p>Chlorination. (A)</p> Signup and view all the answers

Which of the following is a concern associated with the use of chlorine in water treatment?

<p>It can form disinfection by-products(DBPs). (C)</p> Signup and view all the answers

Why is there no one 'ideal' method for antimicrobial control?

<p>Because no single method fulfills all desired parameters. (D)</p> Signup and view all the answers

Which of these microbial forms is MOST resistant to standard disinfection methods?

<p>Bacterial endospores (B)</p> Signup and view all the answers

Which of the following factors does NOT typically influence the effectiveness of an antimicrobial procedure?

<p>Color of the disinfectant (A)</p> Signup and view all the answers

What is the 'D value' in the context of microbial control?

<p>The time required to kill 90% of a microbial population (C)</p> Signup and view all the answers

Why are Mycobacterium species particularly hard to disinfect?

<p>They have a waxy cell wall (B)</p> Signup and view all the answers

According to the risk of infection, which of these items would require the MOST rigorous sterilization?

<p>Biopsy forceps (A)</p> Signup and view all the answers

Which of the following is an example of a semi-critical item?

<p>Endoscopes (D)</p> Signup and view all the answers

Why is pre-cleaning of an item important before disinfection or sterilization?

<p>It removes material that interferes with heat penetration and disinfectant action (B)</p> Signup and view all the answers

What is a key difference in how enveloped and non-enveloped viruses respond to disinfectants?

<p>Non-enveloped viruses are generally more resistant to disinfectants than enveloped viruses. (C)</p> Signup and view all the answers

Which method is most effective at destroying endospores?

<p>Sterilization using pressurized steam (D)</p> Signup and view all the answers

Which best describes the primary purpose of pasteurization?

<p>To substantially reduce the number of spoilage bacteria and pathogens. (C)</p> Signup and view all the answers

What is the typical temperature and time used in the High-Temperature-Short-Time (HTST) pasteurization of milk?

<p>72°C for 15 seconds (D)</p> Signup and view all the answers

Which statement best describes the role of pressure in an autoclave?

<p>Pressure increases the boiling point of water, allowing higher temperatures. (D)</p> Signup and view all the answers

What is a key difference between the HTST and UHT pasteurization methods?

<p>UHT uses a much higher temperature and shorter time than HTST. (D)</p> Signup and view all the answers

What is a critical factor for effective autoclaving?

<p>Ensuring that steam penetrates all items and displaces air (D)</p> Signup and view all the answers

What is the typical temperature and time used in autoclaving?

<p>121°C for 15 minutes (B)</p> Signup and view all the answers

Why are autoclaves used in hospitals?

<p>As a first line of defense against microbial infections, and to sterilize biohazards. (B)</p> Signup and view all the answers

What is the primary mechanism by which dry heat sterilization destroys microbes?

<p>Denaturing proteins and burning cell constituents. (D)</p> Signup and view all the answers

Which of the following best describes the function of HEPA filters?

<p>Removal of particles larger than 0.3 µm from the air. (D)</p> Signup and view all the answers

Why is wet heat generally more effective for sterilization compared to dry heat?

<p>Wet heat penetrates material faster, facilitating protein denaturation more quickly. (A)</p> Signup and view all the answers

What is the principal target when using commercial canning processes?

<p>Elimination of bacterial endospores of Clostridium botulinum. (A)</p> Signup and view all the answers

Which type of radiation is most effective at killing microbes by damaging DNA and cell membranes and is used extensively on surgical equipment?

<p>Ionizing radiation. (C)</p> Signup and view all the answers

A scientist needs to sterilize a heat-sensitive culture medium. Which of the given methods is most suitable in this scenario?

<p>Filtration using a membrane filter with a pore size of 0.2 micrometers. (C)</p> Signup and view all the answers

Which of the following microbial forms are known to be the most resistant to ionizing radiation?

<p>Bacterial endospores. (B)</p> Signup and view all the answers

What is the specific process that is used in commercial canning to destroy endospores of Clostridium botulinum?

<p>Pressurized steam at high temperatures. (B)</p> Signup and view all the answers

Flashcards

Sterilization

Eliminates all microorganisms, including bacteria, viruses, and endospores. No viable microbes are left.

What is sterilization?

The process of removing or destroying all microorganisms and viruses.

Disinfection

Eliminates most or all pathogens on inanimate objects and surfaces. Some viable microbes may still exist.

Disinfectants

Antimicrobial chemicals used on inanimate objects and surfaces to kill microorganisms

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Antiseptics

Disinfectants formulated for safe use on skin.

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Pasteurization

A brief heat treatment that kills pathogens and reduces spoilage organisms in food and inanimate objects.

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Microbiology

The study of microorganisms and their role in human health, food safety, and the environment

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Microbial Control

The science and technology of controlling microbial growth

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Decontamination

A process that reduces the number of harmful microorganisms to a safe level.

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Sanitization

A process that significantly reduces the microbial population to meet health standards, but doesn't guarantee complete elimination.

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Preservation

Methods used to prevent or slow down the spoilage of perishable products.

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Healthcare-associated infections (HAIs)

Infections acquired in a healthcare setting, often affecting weakened patients.

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Antimicrobial agents

Substances that kill or inhibit the growth of microorganisms.

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Microbe control

The science of controlling unwanted microorganisms.

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Microbe control methods

The specific actions taken to eliminate or reduce microbes in a specific situation.

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Selecting an antimicrobial procedure

The choice of microbial control method depends on the type of microbe, the level of contamination, and the desired outcome.

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Heat Treatment

A process that uses heat to destroy microorganisms and viruses, commonly employed for food safety and medical sterilization.

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Ultra-High Temperature (UHT) Pasteurization

A type of pasteurization that uses very high temperatures for a short period to kill microorganisms in food and drinks.

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Autoclaving

A process of using high temperatures and pressure to sterilize objects and materials, often used for medical instruments and lab equipment.

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Heat Resistance

The ability of a microorganism to survive high temperatures, usually associated with resistant forms like bacterial endospores.

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Steam Sterilization

A method of sterilization using pressurized steam to kill microorganisms, including resistant endospores.

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Flash Sterilization

A type of autoclaving that uses a higher temperature for a shorter duration to quickly sterilize materials.

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Autoclave

An enclosed chamber that uses high temperatures and steam pressure to sterilize objects and materials.

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Endospores

Microscopic, heat-resistant structures formed by some bacteria to survive harsh conditions. Often resistant to sterilization methods.

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Filtration Sterilization

A physical method of sterilization where viruses and bacteria are removed by passing a fluid through a membrane with tiny pores. Used for heat-sensitive solutions.

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Membrane Filters

Filters with a specific pore size that trap particles including bacteria and viruses. Used for sterilizing fluids.

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Depth Filters

Filters that trap microbes within their thick porous material, often made from cellulose fibers. Used for sterilizing liquids.

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HEPA Filters

High-efficiency particulate air filters; remove nearly all microbes larger than 0.3 µm from the air. Used in hospitals and labs.

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Irradiation Sterilization

A method of sterilization involving radiation, typically gamma rays or X-rays, that damages DNA and cellular components. Used for medical supplies, drugs, and food.

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Bacterial Endospores

Highly resistant bacterial structures that can survive extreme heat and chemical treatments.

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Protozoan Cysts & Oocysts

Similar to bacterial endospores, these are resistant forms of protozoa that are typically found in water and can cause illness.

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Mycobacterium Species

These bacteria possess a waxy outer layer that makes them resistant to many disinfectants. Stronger disinfectants are required to kill them.

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Pseudomonas Species

These bacteria are often resistant to common disinfectants and can even grow in some.

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Decimal Reduction Time (D-Value)

The time required to destroy 90% of a bacterial population under specific conditions.

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Environmental Conditions and Microbial Death

Factors like temperature, pH, the presence of organic materials, and fats significantly influence the effectiveness of antimicrobial treatments.

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Risk for Infection and Sterilization/Disinfection

The type of sterilization or disinfection procedure used depends on the potential risk of an object transmitting infectious agents. Critical, semi-critical, and non-critical items are categorized based on invasiveness.

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Composition of the item and Sterilization/Disinfection

The material of an item can influence the choice of sterilization or disinfection method. Some materials, like plastics, may be heat-sensitive.

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Study Notes

Control of Microbial Growth

  • Microbial growth control methods have a history, starting with Joseph Lister's use of carbolic acid to prevent surgical wound infections.
  • Effective microbial control is crucial for public health and preventing food spoilage.
  • A variety of methods exist to manage microbial growth on inanimate objects and surfaces, which are typically non-selective, impacting various life forms.

Approaches to Control

  • Physical methods include heat, irradiation, filtration, and mechanical removal (washing).
  • Chemical methods utilize antimicrobial chemicals.
  • Some processes combine physical and chemical methods.
  • The effectiveness of these methods varies against different organisms.
  • The chosen method depends on circumstances and desired level of control.

Principles of Control

  • Sterilization: Removes or destroys all microorganisms and viruses; an absolute term. Sterile items are completely free of microbes, endospores, and viruses. Achieved through filtration, heat, chemicals, or irradiation. Sterilization does not eliminate prions. Combustion is the most reliable method for prion destruction.
  • Disinfection: Uses antimicrobial chemicals to eliminate most pathogens. Disinfectants are biocides used on inanimate objects and surfaces. Disinfectants are commonly germicides, which target microorganisms, including bacteria, endospores, fungi, and viruses. Bactericidal means killing bacteria, while antiseptics are non-toxic disinfectants suitable for skin application.
  • Pasteurization: Brief heat treatment that reduces spoilage bacteria and pathogens in foods and inanimate objects, without complete sterilization. Methods include high temperature-short time (HTST), and ultra-high temperature (UHT).
  • Decontamination: Reduces pathogens to a safe handling level, often using heat or disinfectants.
  • Sanitization: Substantially reduces microbial populations to meet health standards. Doesn't specify a precise control level.
  • Preservation: Delays spoilage of perishable items through the addition of microbial growth inhibitors/chemicals (bacteriostatic agents).

Situational Considerations

  • Daily life control measures (e.g., washing, cooking) may not suffice in specific situations like hospitals or labs.
  • Simple hand washing prevents many infectious diseases.
  • Hospitals require rigorous microbial control measures due to healthcare-associated infections (HAIs). Sterilization is crucial in operating rooms. Prions represent a major concern in hospitals.
  • Microbiology labs need strict, rigorous microbial control methods and aseptic techniques. Materials must be sterile and correctly discarded.
  • Food and food processing facilities rely on heat treatment, irradiation, and chemicals to control microbes and prevent contamination.
  • Water treatment facilities should be free of pathogenic microbes to avoid contamination. Chlorine is a common disinfectant, but can generate disinfection by-products (DBPs). Certain pathogens, like Cryptosporidium parvum oocysts, are resistant to traditional disinfection processes.

Selecting an Antimicrobial Procedure

  • No single method satisfies all requirements, so a tailored approach is needed.
  • The selection depends on the microbe type, number of microbes, environmental conditions (e.g., temperature, pH, presence of organic material), risk of infection, and composition of the target item.
  • Different microbes have varying resistances. Endospores (e.g., Bacillus and Clostridium) require extreme heat or chemicals to eliminate. Protozoan cysts and oocysts are eliminated rapidly by boiling. Mycobacterium species need stronger disinfectants due to their waxy cell walls. Non-enveloped viruses, like polio, are more resistant to disinfectants than enveloped viruses, such as HIV.
  • The time needed to eliminate a population of microbes depends on its initial count. Washing/scrubbing can lessen the time required for sterilization/disinfection.
  • Decimal reduction time (D-value) is the time needed to reduce a microbial population by 90%.
  • Environmental factors (e.g., temperature, organic materials) influence microbial death rates.
  • Items posing a significant threat of disease transmission (e.g., critical items in a hospital) require more rigorous sterilization methods.

Physical Methods to Destroy/Remove Microbes

  • Heat: Provides a reliable, safe, fast, and economical means of removing microbes.

    • Moist heat: Irreversibly denatures proteins of microorganisms via boiling, pasteurization, and pressurized steam (autoclaving).
      • Boiling (100°C at sea level) for 10 minutes kills most microbes and viruses (except endospores).
      • Pasteurization is a brief heat treatment to reduce spoilage bacteria in food and drinks.
      • Autoclaving (pressurized steam) sterilizes items that can withstand heat and moisture, such as medical instruments and supplies.
    • Dry heat: Burns cell constituents or denatures proteins via dry heat ovens or incineration. Requires higher temperatures and longer times compared to moist heat.
  • Filtration: Used for heat-sensitive materials.

    • Membrane/microfilters are used to remove bacteria and sometimes viruses. The pore size determines the microbes the filter can catch.
    • Depth filters trap microbes in a thick porous material (like cellulose).
    • HEPA filters remove particles larger than 0.3μm from air (like hospital rooms, labs).
  • Irradiation: Damages microbial DNA, or produces reactive molecules.

    • Ionizing radiation (e.g., gamma rays, X-rays) is effective for sterilizing heat-sensitive materials like medical supplies, foods. It can be done after packaging in certain instances. It disrupts microbial DNA or produces reactive molecules that harm the microbial cells.
    • Ultraviolet (UV) radiation (non-ionizing) destroys microbes by directly damaging their DNA. It is mainly used for disinfection of surfaces, air, and water. Use in close range is important but can harm skin and eyes.
    • Microwaves heat items, killing microbes by the heat the item produces rather than directely affecting the microbes. Food is heated unevenly with microwaves, so microbes can survive.
  • High-pressure processing: Used for commercial food products. Pressures up to 130,000 psi denature proteins and alters microbial cell permeability. Products typically retain their fresh color and flavor.

Next steps

  • Refer to chapter 5 for further study of this topic

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Explore the various methods used to control microbial growth, from physical techniques like heat and filtration to chemical agents. Understanding these methods is crucial for public health and preventing food spoilage. Dive into the principles of sterilization and the effectiveness of different approaches.

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