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Questions and Answers
What is the primary action by which Hydrogen peroxide inhibits enzymatic activity?
What is the primary action by which Hydrogen peroxide inhibits enzymatic activity?
Which gas is known for its sweet ethereal smell and effectiveness against various microorganisms including spores?
Which gas is known for its sweet ethereal smell and effectiveness against various microorganisms including spores?
Which of the following materials is used in the filtration process to remove bacteria from heat labile liquids?
Which of the following materials is used in the filtration process to remove bacteria from heat labile liquids?
What property of Metallic salts contributes to their function as disinfectants?
What property of Metallic salts contributes to their function as disinfectants?
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What type of radiation is considered as 'hot air sterilization' and is commonly used for prepacked syringes?
What type of radiation is considered as 'hot air sterilization' and is commonly used for prepacked syringes?
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What is the primary mechanism by which moist heat sterilization kills microorganisms?
What is the primary mechanism by which moist heat sterilization kills microorganisms?
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At what temperature and duration is milk typically pasteurized using the Holder method?
At what temperature and duration is milk typically pasteurized using the Holder method?
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Which statement accurately describes the effectiveness of boiling as a method of sterilization?
Which statement accurately describes the effectiveness of boiling as a method of sterilization?
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What is the purpose of the pressure gauge in an autoclave?
What is the purpose of the pressure gauge in an autoclave?
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What temperature is typically used in a special vaccine bath to inactivate non-sporing bacteria?
What temperature is typically used in a special vaccine bath to inactivate non-sporing bacteria?
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What is the primary method of sterilization employed by a dry heat oven?
What is the primary method of sterilization employed by a dry heat oven?
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Which temperature range is typically used for sterilization in a dry heat oven?
Which temperature range is typically used for sterilization in a dry heat oven?
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What is the purpose of a thermostat in a dry heat sterilization process?
What is the purpose of a thermostat in a dry heat sterilization process?
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Which method is specifically noted for destroying contaminated materials such as cloth and carcasses?
Which method is specifically noted for destroying contaminated materials such as cloth and carcasses?
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What temperature and duration are typically required for effective sterilization using pressurized steam?
What temperature and duration are typically required for effective sterilization using pressurized steam?
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What type of filtration is classified under mechanical removal methods?
What type of filtration is classified under mechanical removal methods?
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Which of the following is NOT a chemical agent used in microbial control?
Which of the following is NOT a chemical agent used in microbial control?
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Which of the following is NOT a method by which chemical agents can act?
Which of the following is NOT a method by which chemical agents can act?
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What is the recommended concentration of ethanol for disinfection purposes?
What is the recommended concentration of ethanol for disinfection purposes?
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At what temperature and duration should articles ideally be held in a dry heat oven for sterilization?
At what temperature and duration should articles ideally be held in a dry heat oven for sterilization?
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Which method is utilized for sterilizing instruments like forceps and scalpels?
Which method is utilized for sterilizing instruments like forceps and scalpels?
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Which chemical is known for both bactericidal and sporicidal effects?
Which chemical is known for both bactericidal and sporicidal effects?
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What is one of the main uses of formaldehyde?
What is one of the main uses of formaldehyde?
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How does hydrogen peroxide function as an antiseptic?
How does hydrogen peroxide function as an antiseptic?
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Which of the following statements about halogens is true?
Which of the following statements about halogens is true?
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Why might hydrogen peroxide be less effective against certain organisms?
Why might hydrogen peroxide be less effective against certain organisms?
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What is the primary aim of sterilization?
What is the primary aim of sterilization?
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Which agent is specifically used to inhibit bacterial growth without killing them?
Which agent is specifically used to inhibit bacterial growth without killing them?
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What does antisepsis involve?
What does antisepsis involve?
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Which of the following processes would require a mechanical removal of microbes?
Which of the following processes would require a mechanical removal of microbes?
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What is the definition of sanitization?
What is the definition of sanitization?
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What does the term 'asepsis' refer to?
What does the term 'asepsis' refer to?
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Which statement accurately describes disinfection?
Which statement accurately describes disinfection?
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What is the role of a sporicidal agent?
What is the role of a sporicidal agent?
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What is the primary purpose of sterilization?
What is the primary purpose of sterilization?
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Which method is commonly used for sterilization?
Which method is commonly used for sterilization?
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What differentiates disinfection from sterilization?
What differentiates disinfection from sterilization?
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What historical advance in medicine helped to reduce surgical infections?
What historical advance in medicine helped to reduce surgical infections?
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What is primarily targeted by sterilization procedures?
What is primarily targeted by sterilization procedures?
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Which of the following methods can be used for disinfection?
Which of the following methods can be used for disinfection?
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Which factor is NOT a method of microbial growth control?
Which factor is NOT a method of microbial growth control?
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What was a significant risk associated with surgical procedures before aseptic techniques?
What was a significant risk associated with surgical procedures before aseptic techniques?
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Study Notes
Sterilization, Disinfection, and Antisepsis
- Students should be able to define sterilization, disinfection, and antisepsis.
- Understand methods of sterilization and disinfection: physical methods, chemical methods, and mechanical removal methods.
- Explain the role of sterilization and disinfection in disease control.
Introduction
- Microorganisms are agents of contamination, infection, and decay.
- Removing microorganisms is necessary to prevent food spoilage and contamination.
- Early civilizations employed methods like salting, smoking, pickling, and sunlight exposure to preserve food.
Aseptic Techniques
- In the mid-1800s, Lister developed aseptic techniques to prevent surgical wound contamination.
- Prior to this, nosocomial infections caused deaths in 10% of surgeries and up to 25% of mothers delivering in hospitals died from infection.
Methods of Microbial Growth Control
- Alteration of membrane permeability.
- Damage to proteins.
- Damage to nucleic acids.
- Prions are the most resistant, followed by bacterial spores.
- Mycobacteria, cysts of protozoa, vegetative protozoa, and gram-negative bacteria are also resistant.
- Gram-positive bacteria and viruses without lipid envelopes have intermediate resistance.
- The least resistant are viruses with lipid envelopes.
Definition of Sterilization
- Sterilization is the process of completely eliminating all microorganisms, including spores.
- It's vital for surgical procedures and other processes needing a sterile environment.
Methods of Sterilization
- Physical methods include steam under pressure (autoclaving), filtration, ultraviolet radiation, ionizing radiation, and dry heat.
- Gas vapor methods include ethylene oxide, hydrogen peroxide vapor, and plasma gas.
- Chemical methods include peracetic acid, glutaraldehyde, and others.
Disinfection
- Disinfection kills many microorganisms but not all, critically important in keeping a clean hygienic environment, including bacterial spores.
- Disinfectants include corrosive phenolic compounds, ethanol, and iodine.
- Antisepsis involves chemicals used on skin/mucous membranes, less corrosive than disinfectants; it's vital for preventing contamination.
Methods of Disinfection
- Moist heat sterilization involves using temperatures between 75°C and 100°C for 30 minutes.
- Liquids use various chemical disinfectants (e.g., glutaraldehyde, hydrogen peroxide, chlorine compounds, phenolics, lodophors).
- Quaternary ammonium compounds are used in intermediate concentrations.
Terminology
- Sterilization: A process destroying all microorganisms (including viruses and spores).
- Disinfection: A process that destroys vegetative pathogens, not spores; applicable to inanimate objects.
- Antiseptic: Disinfectants applied directly to exposed body surfaces.
- Sanitization: Any cleansing technique that mechanically removes microbes.
- Degermation: Mechanical removal of microbes from a surface.
- Sepsis: Bacterial contamination.
- Asepsis: Absence of significant contamination.
- Bactericidal: Kills bacteria.
- Bacteriostatic: Inhibits bacterial growth without killing them.
- Sporicidal: Kills spores.
Antiseptic Agents
- List of various antiseptic agents and concentrations
Mechanical Removal Methods
- Filtration methods are used for sterilizing liquids (e.g., sera, antibiotics) and gases.
Sterilization by Dry Heat
- Kills microorganisms through oxidation.
- Dry heat methods include incineration to sterilize items such as inoculation loops, forceps, and spatulas.
- Dry oven, used for sterilizing items such as instruments, that can withstand high temperatures.
Sterilization by Moist Heat
- Kills microorganisms by coagulating their proteins. Methods include boiling, steaming at atmospheric pressure, and autoclaving.
Pasteurization
- A process that kills pathogens in milk without sterilizing it.
- Methods include Holder method (63°C for 30mins) and Rapid Flash method (72°C for 15-20 seconds, cooling to 13°C).
Hot Water Bath
- Used to inactivate bacteria for vaccine preparation.
- Materials are heated in hot water at 60°C for one hour
Temperature at 100°C (Boiling)
- Boiling kills vegetative forms of bacterial pathogens but endospores may potentially survive 20 hours.
Steam under Pressure (Autoclave)
- Works on the principle of steam under pressure; invented by Chamberland (1879).
- Autoclave consists of a vertical/horizontal cylinder, a perforated shelf, and other components for steam sterilization
Radiation
- Non-ionizing radiation: Long wavelengths, absorbed as heat, used in rapid mass sterilization of pre-packaged syringes and catheters (e.g., UV rays).
- Ionizing radiation: High penetrative power, cold sterilization (e.g., X-rays, gamma rays, and cosmic rays), used for sterilizing plastics, syringes, catheters, fabrics, and grease foils.
Ultrasonic and Sonic Vibration
- Bactericidal but microorganisms vary in their sensitivity, not widely used in sterilization and disinfection.
Physical and Chemical Sterilants Table
- A detailed table of physical and chemical sterilants including their respective concentration/level and use
Germicidal Properties of Disinfectants and Antiseptic Agents Table
- Table displaying the effectiveness of various chemical and antiseptic agents against different types of microorganisms (bacteria, mycobacteria, bacterial spores, fungi, and viruses).
References
- List of various references on microbiology, medical microbiology, review books etc.
Thank You
- Acknowledgement for any questions.
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Description
This quiz covers key concepts of sterilization, disinfection, and antisepsis, including various methods and their roles in disease control. Students will learn about historical techniques and modern practices essential for maintaining aseptic conditions. Test your knowledge on the importance of microbial growth control in healthcare and food safety.