Microbial Growth Control Chapter 5
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Questions and Answers

What is the definition of the term Sterilization?

Sterilization is the removal of all microorganisms.

What is the definition of the term Disinfection?

Disinfection is the elimination of most or all pathogens.

What is the definition of the term Decontamination?

Decontamination involves reducing pathogens to levels that are considered safe to handle.

What is the definition of the term Sanitized?

<p>Sanitized refers to a surface or environment where the microbial population has been substantially reduced to levels that meet accepted health standards.</p> Signup and view all the answers

What is the definition of the term Preservation?

<p>Preservation is a process aimed at delaying the spoilage of foods and other perishable products.</p> Signup and view all the answers

Heat treatment is often used to sterilize or disinfect.

<p>True</p> Signup and view all the answers

Which of the following is the most common and reliable mechanism for food preservation?

<p>Heat treatment</p> Signup and view all the answers

What is the name of the industrial-sized autoclave used in the commercial canning process?

<p>Retort</p> Signup and view all the answers

Which of these factors can potentially interfere with the effectiveness of heat penetration and the action of chemicals during sterilization?

<p>All of the above</p> Signup and view all the answers

Which of the following factors can influence the effectiveness of sterilization methods?

<p>Both A and B</p> Signup and view all the answers

What is the term for the time required to kill 90% of a microbial population under specific conditions?

<p>Decimal reduction time (D value)</p> Signup and view all the answers

Most medical instruments categorized as critical items should be sterilized.

<p>True</p> Signup and view all the answers

Which type of medical instrument falls under the category of semicritical?

<p>Endoscopes</p> Signup and view all the answers

Non-critical medical instruments are those that only come into contact with unbroken skin.

<p>True</p> Signup and view all the answers

Which of the following methods is generally considered inappropriate for sterilizing plastics and other sensitive items due to potential damage?

<p>Heat treatment</p> Signup and view all the answers

Boiling water can effectively sterilize materials.

<p>False</p> Signup and view all the answers

What is the term for the high-temperature, short-time heat treatment often used for pasteurizing milk products?

<p>High-temperature-short-time (HTST)</p> Signup and view all the answers

What is the term for the extremely high-temperature heat treatment often used for pasteurizing milk products, which produces shelf-stable products?

<p>Ultra-high-temperature (UHT)</p> Signup and view all the answers

The process of using pressurized steam to sterilize materials is commonly done in an autoclave.

<p>True</p> Signup and view all the answers

Dry heat sterilization is generally considered less effective than moist heat sterilization.

<p>True</p> Signup and view all the answers

Incineration is a method of dry heat sterilization.

<p>True</p> Signup and view all the answers

Which of the following methods is commonly used to sterilize heat-sensitive materials and is often employed for packaging medical supplies and instruments?

<p>Ionizing radiation</p> Signup and view all the answers

Ultraviolet radiation is generally considered an effective method for sterilizing objects in turbid liquids.

<p>False</p> Signup and view all the answers

High-pressure processing is a method used for pasteurizing commercial foods like guacamole, and it is usually employed at pressures up to 130,000 psi.

<p>True</p> Signup and view all the answers

Sterilants are designed to destroy all microorganisms, including viruses and endospores.

<p>True</p> Signup and view all the answers

High-level disinfectants are effective against viruses and vegetative cells, but they are typically not effective against endospores.

<p>True</p> Signup and view all the answers

Intermediate-level disinfectants are effective against bacteria and fungi, but they aren't typically effective against mycobacteria. They are commonly used for non-critical instruments.

<p>False</p> Signup and view all the answers

Low-level disinfectants are effective against fungi and most vegetative bacteria, but they are typically not effective against mycobacteria, endospores, or naked viruses.

<p>True</p> Signup and view all the answers

Alcohols are generally considered to be both readily biodegradable and relatively inexpensive.

<p>True</p> Signup and view all the answers

Aldehydes are more effective against a wider range of microorganisms compared to alcohols.

<p>False</p> Signup and view all the answers

Chlorhexidine is commonly used as an antiseptic in soaps, lotions, and mouthwashes.

<p>True</p> Signup and view all the answers

Ethylene oxide is commonly used to sterilize medical devices because it's very effective in destroying endospores.

<p>True</p> Signup and view all the answers

Halogens are reliable in destroying all types of bacteria, including endospores.

<p>False</p> Signup and view all the answers

Metal compounds, such as mercury and tin, are still widely used as preservatives due to their effectiveness and safety profile.

<p>False</p> Signup and view all the answers

Ozone is a powerful oxidizing agent that is known for its effectiveness in disinfecting drinking water and wastewater, and is often used as an alternative to chlorine.

<p>True</p> Signup and view all the answers

Hydrogen peroxide is a highly effective sterilant that's often used to sterilize medical instruments and equipment.

<p>False</p> Signup and view all the answers

Peracetic acid is a strong oxidizer that's considered more potent than hydrogen peroxide.

<p>True</p> Signup and view all the answers

Phenolic compounds are known for their wide range of activity and their effectiveness in the presence of detergents and organic contaminants.

<p>True</p> Signup and view all the answers

Quaternary ammonium compounds (quats) are cationic detergents that are typically used to disinfect food preparation surfaces.

<p>True</p> Signup and view all the answers

Weak organic acids, such as benzoic, sorbic, and propionic acid, are commonly used as food preservatives to inhibit microbial growth.

<p>True</p> Signup and view all the answers

Nitrate and nitrite are commonly used in processed meats to prevent the growth of Clostridium botulinum, which can cause deadly botulism.

<p>True</p> Signup and view all the answers

Refrigeration effectively inhibits the growth of all microorganisms.

<p>False</p> Signup and view all the answers

Freezing food is considered a highly effective method for eliminating all microorganisms.

<p>False</p> Signup and view all the answers

Adding salt or sugar to food can effectively prevent microbial growth by reducing the available water for microorganism activity.

<p>True</p> Signup and view all the answers

Lyophilization, also known as freeze drying, is a method commonly used to preserve food products like coffee, milk, meats, fruits, and vegetables.

<p>True</p> Signup and view all the answers

Drying food, while effective in inhibiting microbial growth, does not reliably kill all microorganisms, and there have been cases of illnesses like salmonellosis from dried eggs.

<p>True</p> Signup and view all the answers

Study Notes

Chapter 5: Control of Microbial Growth

  • Microbial control methods vary depending on the situation and desired level of control.
  • Joseph Lister's work revolutionized surgery by introducing methods to prevent wound infections.
  • Lister utilized carbolic acid (phenol) and sterilized instruments to prevent infections.
  • Modern hospitals utilize strict procedures to prevent microbial contamination.

Principles of Control

  • Sterilization: Eliminates all microorganisms, including endospores and viruses (but not prions).
  • Disinfection: Eliminates most or all pathogens; some viable microbes may remain.
  • Disinfectants: Used on inanimate objects.
  • Antiseptics: Used on living tissues.
  • Pasteurization: Brief heating to reduce spoilage organisms and pathogens.

Approaches to Control (continued)

  • Decontamination: Reduces pathogens to safe levels.
  • Sanitization: Reduces microbial population to meet health standards.
  • Preservation: Delays spoilage of perishable food and other products.
  • Add bacteriostatic (growth inhibiting) preservatives.

Daily Life

  • Washing and scrubbing with soaps and detergents is a common method to reduce microbial populations.
  • Soap mechanically removes organisms.
  • Beneficial skin microbiota reside deeper, so regular handwashing is not adversely affected.

Hospitals

  • Minimizing microbial populations is crucial for preventing healthcare-associated infections.
  • Patients undergoing invasive procedures are more susceptible to infections.
  • Hospital settings frequently contain pathogens like fecal, urine, respiratory droplets and bodily secretions.
  • Instruments must be sterilized to prevent introducing infections to deep tissues.
  • Prions are a new concern because they are difficult to destroy.

Food and Food Production Facilities

  • Perishables retain quality longer when microbes are removed, destroyed, or inhibited.
  • Heat treatment is a common method.
  • Irradiation is used to control certain foods.
  • Chemical additives can control spoilage.
  • Facilities must maintain clean surfaces to minimize microbes.

Water Treatment Facilities

  • Ensuring safe drinking water involves removing pathogens.
  • Chlorine is traditionally used to disinfect water, although it can react with naturally occurring chemicals to create disinfection by-products (DBPs).
  • Some DBPs are linked to long-term health risks.
  • Some organisms, like Cryptosporidium parvum, are resistant to chemical disinfectants.
  • Regulations require minimization of DBPs and C. parvum in treated water.

Selection of an Antimicrobial Procedure

  • Selecting effective procedures can be challenging due to the existence of various factors involved in the process.
  • Factors like the type and number of microbes, environmental conditions, risk of infection, and the composition of the infected item are important considerations.
  • Multiple highly resistant microbes, like bacterial endospores and protozoan cysts, require extreme conditions to completely destroy them.
  • The time needed for heat or chemicals to kill microbes depends on microbial population size.
  • Environmental conditions like dirt, grease, body fluids can interfere with effective microbial control, and factors like pH and temperature influence chemical effectiveness.

Composition of Item

  • Certain sterilization and disinfection methods are inappropriate for certain items like plastics.
  • Irradiation provides a viable alternative to heat for moisture-sensitive materials.

Using Heat to Destroy Microorganisms and Viruses

  • Heat treatment is a safe and relatively fast method.
  • Moist heat, a reliable method for denaturing proteins and destroying microorganisms, includes boiling, pasteurization, and sterilization using pressurized steam (autoclaving) and flash sterilization.
  • Dry heat is less effective than moist heat, but can be used for sterilization in hot air ovens.

Using Other Physical Methods to Remove or Destroy Microbes

  • Filtration methods remove microbes from fluids and is extensively used in both liquids and air.
  • Membrane filters with small pore sizes are frequently used.
  • HEPA (high-efficiency particulate air) filters remove nearly all microbes from air.
  • Radiation, including ultraviolet light and gamma rays, can be used to destroy microbes, but have limitations pertaining to penetrating power.

Chemical Methods to Remove or Destroy Microbes

  • Sterilants destroy all microorganisms, whereas high-level disinfectants typically destroy viruses, vegetative cells, and some fungi.
  • Intermediate and low-level disinfectants target different microorganisms.
  • Chemical disinfectants have limitations based on the nature of the material being sanitized, organic matter, or the chemical residue left behind after use.

Preservation of Perishable Products

  • Chemical preservatives must be non-toxic for safe consumption.

  • Weak organic acids and nitrites are commonly used as preservatives.

  • Nitrates and nitrites inhibit microbial growth, particularly in processed meats.

  • They preserve the color and increase the safety of processed meats but are known carcinogens.

  • Low-temperature storage of perishable products slows or stops enzyme reactions. Avoiding microbial growth is crucial to preserving the quality and safety of perishable products.

  • Reducing available water through salting, adding sugar, and drying food reduces microbial growth based on the removal of water from bacterial cells.

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Explore the key concepts of microbial control methods covered in Chapter 5. Learn about sterilization, disinfection, and the historical impact of Joseph Lister’s contributions to surgery. This quiz will test your understanding of how various techniques are applied in modern healthcare settings.

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