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CONTROL OF
                   MICROORGANISMS

                               Lecture 5
Thursday, September 15, 2011
LECTURE OUTLINE
            Definition of Terms in Microbial Control

            Pattern of Microbial Death

          Conditions Influencing the Effectiveness of
          Antimicrobial Agents

            Use of Physical Agents

            Use of Chemical Agents

Thursday, September 15, 2011
Thursday, September 15, 2011
The Control of
          Microbial Growth
               SEPSIS
                microbial contamination

              ASEPSIS
               absence of significant
              contamination


Thursday, September 15, 2011
The Control of
          Microbial Growth
               SEPSIS
                microbial contamination

              ASEPSIS
               absence of significant
              contamination


Thursday, September 15, 2011
The Control of
           Microbial Growth
              STERILIZATION
               Removal of all microbial life

              COMMERCIAL STERILIZATION
               Killing C. botulinum endospores



Thursday, September 15, 2011
The Control of
           Microbial Growth
              STERILIZATION
               Removal of all microbial life

              COMMERCIAL STERILIZATION
               Killing C. botulinum endospores



Thursday, September 15, 2011
The Control of
           Microbial Growth
            DISINFECTION
              Removal of pathogens

            ANTISEPSIS
             from living tissue

            DEGERMING
             from a limited area
Thursday, September 15, 2011
The Control of
           Microbial Growth
            DISINFECTION
              Removal of pathogens

            ANTISEPSIS
             from living tissue

            DEGERMING
             from a limited area
Thursday, September 15, 2011
The Control of
          Microbial Growth
              SANITATION
                Lower microbial counts on eating
              utensils

              BIOCIDE/GERMICIDE: Kills microbes

           BACTERIOSTATS: Inhibiting, not
         killing, microbes
Thursday, September 15, 2011
The Control of
          Microbial Growth
              SANITATION
                Lower microbial counts on eating
              utensils

              BIOCIDE/GERMICIDE: Kills microbes

           BACTERIOSTATS: Inhibiting, not
         killing, microbes
Thursday, September 15, 2011
PATTERN OF MICROBIAL
         DEATH

                                 Bacterial
                               populations
                                  die at a
                                 constant
                               logarithmic
                                    rate
Thursday, September 15, 2011
PATTERN OF MICROBIAL
         DEATH

                                 Bacterial
                               populations
                                  die at a
                                 constant
                               logarithmic
                                    rate
Thursday, September 15, 2011
The Control of
         Microbial Growth
                     HOW DO WE DECIDE
                     WHETHER THEY ARE
                      ACTUALLY DEAD?



Thursday, September 15, 2011
The Control of
         Microbial Growth
                     HOW DO WE DECIDE
                     WHETHER THEY ARE
                      ACTUALLY DEAD?



Thursday, September 15, 2011
The Control of
         Microbial Growth
                     HOW DO WE DECIDE
                     WHETHER THEY ARE
                      ACTUALLY DEAD?
         “a microbe is defined DEAD if it does not
        grow when inoculated into culture medium
          that would normally support its growth”
Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
     1.     Population size
              Larger population requires a longer time to die

     2.     Population composition
              Microorganisms vary markedly on
              susceptibility
              Vegetative versus Spores
              Young versus Mature cells

Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
     1.     Population size
              Larger population requires a longer time to die

     2.     Population composition
              Microorganisms vary markedly on
              susceptibility
              Vegetative versus Spores
              Young versus Mature cells

Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
3. Concentration or Intensity of an Antimicrobial
       Agent
         The more concentrated an agent the more
         rapidly microbes can be destroyed
         BUT sometimes an agent may be more
         effective at lower concentrations (e.g. 70%
         alcohol)

4. Duration of Exposure
            The longer the exposure to an agent the more
            they will be killed
Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
3. Concentration or Intensity of an Antimicrobial
       Agent
         The more concentrated an agent the more
         rapidly microbes can be destroyed
         BUT sometimes an agent may be more
         effective at lower concentrations (e.g. 70%
         alcohol)

4. Duration of Exposure
            The longer the exposure to an agent the more
            they will be killed
Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
 5. Temperature
             An increase in temperature at which a
             chemical acts often enhances it activity
             Example: acids used in high T = more
             effective

 6. Local environment
             pH, organic matter, etc
             Controls or Protects the pathogen
Thursday, September 15, 2011
Conditions Influencing
        Effectiveness of
   Antimicrobial Agent Activity
 5. Temperature
             An increase in temperature at which a
             chemical acts often enhances it activity
             Example: acids used in high T = more
             effective

 6. Local environment
             pH, organic matter, etc
             Controls or Protects the pathogen
Thursday, September 15, 2011
Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
           Fire and boiling
           Sufficient to destroy vegetative
         cells (10 minutes)
           Not high for killing endospores
           Disinfection but not
         sterilization!
Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
           Fire and boiling
           Sufficient to destroy vegetative
         cells (10 minutes)
           Not high for killing endospores
           Disinfection but not
         sterilization!
Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
           Thermal Death Point (TDP)
             The lowest temperature at which a
            microbial suspension in killed in 10 minutes

           Thermal Death Time (TDT)
             The shortest time needed to kill all
            organisms in a microbial suspension at a
            specific temperature and under defined
            conditions
Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
           Thermal Death Point (TDP)
             The lowest temperature at which a
            microbial suspension in killed in 10 minutes

           Thermal Death Time (TDT)
             The shortest time needed to kill all
            organisms in a microbial suspension at a
            specific temperature and under defined
            conditions
Thursday, September 15, 2011
However, such a destruction is
    logarithmic and it is theoretically NOT
      POSSIBLE to “completely destroy”
            microbes in a sample




Thursday, September 15, 2011
However, such a destruction is
    logarithmic and it is theoretically NOT
      POSSIBLE to “completely destroy”
            microbes in a sample




Thursday, September 15, 2011
However, such a destruction is
    logarithmic and it is theoretically NOT
      POSSIBLE to “completely destroy”
            microbes in a sample
            Decimal Reduction Time or D value
              Time required to kill 90% of the
             microorganisms or spores in a sample at
             a specified temperature
              Time required for the line to drop by one
             log cycle or tenfold
              Used to estimate the relative resistance
             of a microbe to different temperatures
Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT




Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT




Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
            z Value
              The increase in temperature required to
             reduce D to 1/10 its value or to reduce it by
             one log cycle




Thursday, September 15, 2011
PHYSICAL METHODS:
              HEAT
            z Value
              The increase in temperature required to
             reduce D to 1/10 its value or to reduce it by
             one log cycle

            F value
              Time in minutes at a specific temperature
             needed to kill a population of cells or spores
              Usually 121°C

Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           After a food have been canned, it must be
         heated to eliminate the risk of botulism arising
         from the presence of Clostridium spores




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           After a food have been canned, it must be
         heated to eliminate the risk of botulism arising
         from the presence of Clostridium spores

                 Example: (1012 to 100 spores)
                 IF the D value = 0.204 minutes
                 It would take 12D or 2.5 minutes to
               reduce the spore number by heating at the
               specified temperature

Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
             If the z value for Clostridium spores is 10°C




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           If the z value for Clostridium spores is 10°C
           It takes a 10°C change in temperature to
          alter the D value tenfold




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           If the z value for Clostridium spores is 10°C
           It takes a 10°C change in temperature to
          alter the D value tenfold




Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           If the z value for Clostridium spores is 10°C
           It takes a 10°C change in temperature to
          alter the D value tenfold

            THUS: if the cans are to be processed at
          111°C rather than 121°C, the D value would
          increase by tenfold t 2.04 minutes


Thursday, September 15, 2011
APPLICATION: FOOD
          INDUSTRY
           If the z value for Clostridium spores is 10°C
           It takes a 10°C change in temperature to
          alter the D value tenfold

            THUS: if the cans are to be processed at
          111°C rather than 121°C, the D value would
          increase by tenfold t 2.04 minutes
            The 12D value = 24.5 minutes

Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
            (MOIST HEAT
           STERILIZATION)




Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
            (MOIST HEAT
           STERILIZATION)




Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)




                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)




                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)
           Flaming




                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)
           Flaming




                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)
           Flaming

           Incineration



                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)
           Flaming

           Incineration



                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
PHYSICAL METHODS: HEAT
       (Dry Heat Sterlization)
           Flaming

           Incineration

           Hot-air sterilization

                               Hot-air       Autoclave

 Equivalent treatments         170˚C, 2 hr   121˚C, 15 min
Thursday, September 15, 2011
HOW DOES HEAT KILL
            MICROBES




Thursday, September 15, 2011
HOW DOES HEAT KILL
            MICROBES




Thursday, September 15, 2011
HOW DOES HEAT KILL
            MICROBES
            MOIST HEAT
              Kill effectively by degradation of nucleic
             acids and by denaturation of enzymes and
             other essential proteins
              May also disrupt cell membranes




Thursday, September 15, 2011
HOW DOES HEAT KILL
            MICROBES
            MOIST HEAT
              Kill effectively by degradation of nucleic
             acids and by denaturation of enzymes and
             other essential proteins
              May also disrupt cell membranes




Thursday, September 15, 2011
HOW DOES HEAT KILL
            MICROBES
            MOIST HEAT
              Kill effectively by degradation of nucleic
             acids and by denaturation of enzymes and
             other essential proteins
              May also disrupt cell membranes

            DRY HEAT
              Microbial death results from the oxidation of
             cell constituents and denaturation of proteins
Thursday, September 15, 2011
PHYSICAL METHODS:
     FILTRATION
           Applicable for heat-sensitive materials that needs
          sterilization

             Types of filters
                Depth filters: consist of fibrous or granular
              materials that have been bonded into a thick
              layer filled with twisting channels of small
              diameter

                 Membrane filters: porous membranes; 0.2 µm
                pore sizes
Thursday, September 15, 2011
PHYSICAL METHODS:
     FILTRATION
           Applicable for heat-sensitive materials that needs
          sterilization

             Types of filters
                Depth filters: consist of fibrous or granular
              materials that have been bonded into a thick
              layer filled with twisting channels of small
              diameter

                 Membrane filters: porous membranes; 0.2 µm
                pore sizes
Thursday, September 15, 2011
PHYSICAL METHODS:
     FILTRATION
             Laminar flow hood versus
          biological safety cabinets (HEPA
          filters)
               High Efficiency Particulate Air
               Remove 99.97% particles
               0.02 µm
               for sterilizing AIR

Thursday, September 15, 2011
PHYSICAL METHODS:
     FILTRATION
             Laminar flow hood versus
          biological safety cabinets (HEPA
          filters)
               High Efficiency Particulate Air
               Remove 99.97% particles
               0.02 µm
               for sterilizing AIR

Thursday, September 15, 2011
BIOSAFETY
                           CABINETS
           Class1 (from room=outside)
              protection: person and environment
           Class 2 (Type A and B) )
              Type A and B: product, person and
            environment
              difference: type A air is recirculated back
            to room, type B exhausted outside the
            building
           Class 3: contained facility, higher level of
          protection and containment
Thursday, September 15, 2011
BIOSAFETY
                           CABINETS
           Class1 (from room=outside)
              protection: person and environment
           Class 2 (Type A and B) )
              Type A and B: product, person and
            environment
              difference: type A air is recirculated back
            to room, type B exhausted outside the
            building
           Class 3: contained facility, higher level of
          protection and containment
Thursday, September 15, 2011
PHYSICAL METHODS:
         RADIATION
            IONIZING RADIATION
               X rays, gamma rays, electron beams
              Excellent as a sterilizing agent and penetrates
              deep into objects

            NON-IONIZING RADIATION
              UV (about 260nm)
              Quite lethal but does not penetrate glass, dirt
             films, water and other substances very effectively

            Microwaves: kill by heat not usually antimicrobial
Thursday, September 15, 2011
PHYSICAL METHODS:
         RADIATION
            IONIZING RADIATION
               X rays, gamma rays, electron beams
              Excellent as a sterilizing agent and penetrates
              deep into objects

            NON-IONIZING RADIATION
              UV (about 260nm)
              Quite lethal but does not penetrate glass, dirt
             films, water and other substances very effectively

            Microwaves: kill by heat not usually antimicrobial
Thursday, September 15, 2011
Thursday, September 15, 2011
CHEMICAL
                     AGENTS



Thursday, September 15, 2011
CHEMICAL
                               METHODS
              PHENOLICS              QUATERNARY
                                    AMMONIUM
             ALCOHOLS               COMPOUNDS

                                     ALDEHYDES
              HALOGENS

                                     STERILIZING
              HEAVY METALS
                                    GASES
Thursday, September 15, 2011
CHEMICAL
                               METHODS
              PHENOLICS              QUATERNARY
                                    AMMONIUM
             ALCOHOLS               COMPOUNDS

                                     ALDEHYDES
              HALOGENS

                                     STERILIZING
              HEAVY METALS
                                    GASES
Thursday, September 15, 2011
CHEMICAL
                           METHODS
  Chemical agent                Effectiveness against
                               Endospores Mycobacteria
  Phenolics                       Poor         Good
  Quats                          None          None
  Chlorines                       Fair         Fair
  Alcohols                        Poor         Good
  Glutaraldehyde                  Fair         Good
Thursday, September 15, 2011
CHEMICAL
                           METHODS
  Chemical agent                Effectiveness against
                               Endospores Mycobacteria
  Phenolics                       Poor         Good
  Quats                          None          None
  Chlorines                       Fair         Fair
  Alcohols                        Poor         Good
  Glutaraldehyde                  Fair         Good
Thursday, September 15, 2011
CHEMICAL
     METHODS: Phenolics
             First widely used antiseptic and disinfectant

            Joseph Lister (1867): reduced the risk of
          infection during operations

             Example: LYSOLR

           Act by denaturing proteins and
          disrupting cell membranes
Thursday, September 15, 2011
CHEMICAL
     METHODS: Phenolics
             First widely used antiseptic and disinfectant

            Joseph Lister (1867): reduced the risk of
          infection during operations

             Example: LYSOLR

           Act by denaturing proteins and
          disrupting cell membranes
Thursday, September 15, 2011
Disruption of
                               Cell Membranes

Thursday, September 15, 2011
CHEMICAL
     METHODS: Phenolics
           ADVANTAGES: effective in the
          presence of organic material and remain
          active on surfaces long after application

            DISADVANTAGE: disagreeable odor
          and can cause skin irritation and in
          some instances brain damage
          (hexachlorophene)
Thursday, September 15, 2011
CHEMICAL
     METHODS: Phenolics
           ADVANTAGES: effective in the
          presence of organic material and remain
          active on surfaces long after application

            DISADVANTAGE: disagreeable odor
          and can cause skin irritation and in
          some instances brain damage
          (hexachlorophene)
Thursday, September 15, 2011
CHEMICAL
        METHODS: Alcohols
               Widely used disinfectant and antiseptics

            Bactericidal and fungicidal but not
           sporicidal

               May not destroy lipid-containing viruses

Thursday, September 15, 2011
CHEMICAL
        METHODS: Alcohols
               Widely used disinfectant and antiseptics

            Bactericidal and fungicidal but not
           sporicidal

               May not destroy lipid-containing viruses

Thursday, September 15, 2011
DENATURES
                                PROTEINS,
                               DISSOLVES
                                  LIPIDS




Thursday, September 15, 2011
CHEMICAL
        METHODS: Alcohols
            Example: ethanol and isopropanol (70-80%
           concentration)

            Act by denaturing proteins and possibly by
           dissolving membrane lipids

            10-15 soaking in alcohol is sufficient to
           disinfect thermometers and small instruments

Thursday, September 15, 2011
CHEMICAL
        METHODS: Alcohols
            Example: ethanol and isopropanol (70-80%
           concentration)

            Act by denaturing proteins and possibly by
           dissolving membrane lipids

            10-15 soaking in alcohol is sufficient to
           disinfect thermometers and small instruments

Thursday, September 15, 2011
CHEMICAL METHODS:
          Halogens
              Iodine
                Kills by oxidizing cell constituents
               and iodinating cell proteins

                   Kill spores at high concentrations

                 DISADVANTAGE: a stain may be left
               (answer = iodophor)
Thursday, September 15, 2011
CHEMICAL METHODS:
          Halogens
              Iodine
                Kills by oxidizing cell constituents
               and iodinating cell proteins

                   Kill spores at high concentrations

                 DISADVANTAGE: a stain may be left
               (answer = iodophor)
Thursday, September 15, 2011
CHEMICAL METHODS:
          Halogens
           Chlorine
             Usually for water supply

                Kills by oxidation of cellular materials and
               destruction of vegetative bacteria, fungi

                 Will not kill spores

                Death within 30 minutes
Thursday, September 15, 2011
CHEMICAL METHODS:
          Halogens
           Chlorine
             Usually for water supply

                Kills by oxidation of cellular materials and
               destruction of vegetative bacteria, fungi

                 Will not kill spores

                Death within 30 minutes
Thursday, September 15, 2011
CHEMICAL METHODS:
        Heavy Metals
              Mercury, Arsenic, Zinc, Copper
              Used as germicides
              How do they Kill:
                Heavy metals combine with proteins,
              often with their sulfhydryl groups and
              inactivate them
                May also precipitate cell proteins
Thursday, September 15, 2011
CHEMICAL METHODS:
        Heavy Metals
              Mercury, Arsenic, Zinc, Copper
              Used as germicides
              How do they Kill:
                Heavy metals combine with proteins,
              often with their sulfhydryl groups and
              inactivate them
                May also precipitate cell proteins
Thursday, September 15, 2011
CHEMICAL METHODS:
           Quats
           DETERGENTS
             Amphipathic (both polar and non-polar
            ends)
             Kill by disrupting microbial membranes and
            denature proteins

                 ADVANTAGE: stable, non-toxic
                 DISADVANTAGE: inactivated by hard
Thursday, September 15, 2011
CHEMICAL METHODS:
           Quats
           DETERGENTS
             Amphipathic (both polar and non-polar
            ends)
             Kill by disrupting microbial membranes and
            denature proteins

                 ADVANTAGE: stable, non-toxic
                 DISADVANTAGE: inactivated by hard
Thursday, September 15, 2011
Soap                           Degerming
             Surface-Active Agents or Surfactants


 Acid-anionic
                                Sanitizing
 detergents

 Quarternary
                                Bactericidal, Denature
 ammonium
                                proteins, disrupt
 compounds
                                plasma membrane
 Cationic detergents

Thursday, September 15, 2011
CHEMICAL METHODS:
         Aldehydes
               FORMALDEHYDES
                 Very reactive molecules that
               combine with proteins and inactivate
               them

                 Sporicidal and can be used as
               sterilants
Thursday, September 15, 2011
CHEMICAL METHODS:
         Aldehydes
               FORMALDEHYDES
                 Very reactive molecules that
               combine with proteins and inactivate
               them

                 Sporicidal and can be used as
               sterilants
Thursday, September 15, 2011
EVALUATION OF
                  ANTIMICROBIAL AGENT
                    EFFECTIVENESS
              PHENOL COEFFICIENT TEST
                Best-known disinfectant screening test
                Potency of a disinfectant is compared
              with that of phenol
               The highest dilution that killed bacteria
              after a 10 minutes exposure are used to
              calculate phenol coefficient

Thursday, September 15, 2011
EVALUATION OF
                  ANTIMICROBIAL AGENT
                    EFFECTIVENESS
              PHENOL COEFFICIENT TEST
                Best-known disinfectant screening test
                Potency of a disinfectant is compared
              with that of phenol
               The highest dilution that killed bacteria
              after a 10 minutes exposure are used to
              calculate phenol coefficient

Thursday, September 15, 2011
CALCULATING PHENOL
          COEFFICIENTS
            The reciprocal of the appropriate test
          disinfectant dilution is divided by that for phenol
          to obtain the coefficient
              Example: phenol dilution = 1/90 and the
             maximum effective dilution for disinfectant X
             = 1/450
              Phenol coefficient = 5


Thursday, September 15, 2011
CALCULATING PHENOL
          COEFFICIENTS
            The reciprocal of the appropriate test
          disinfectant dilution is divided by that for phenol
          to obtain the coefficient
              Example: phenol dilution = 1/90 and the
             maximum effective dilution for disinfectant X
             = 1/450
              Phenol coefficient = 5


Thursday, September 15, 2011
CALCULATING PHENOL
          COEFFICIENTS
            The higher the phenol
          coefficient value, the more
          effective the disinfectant
          under this conditions

Thursday, September 15, 2011
CALCULATING PHENOL
          COEFFICIENTS
            The higher the phenol
          coefficient value, the more
          effective the disinfectant
          under this conditions

Thursday, September 15, 2011
DILUTION TESTS
             Metal rings dipped in test bacteria are dried

           Dried cultures placed in disinfectant for 10
          min at 20°C

            Rings transferred to culture media to
          determine whether bacteria survived
          treatment

Thursday, September 15, 2011
DILUTION TESTS
             Metal rings dipped in test bacteria are dried

           Dried cultures placed in disinfectant for 10
          min at 20°C

            Rings transferred to culture media to
          determine whether bacteria survived
          treatment

Thursday, September 15, 2011
DISK-DIFFUSION
             METHOD




Thursday, September 15, 2011
DISK-DIFFUSION
             METHOD




Thursday, September 15, 2011
CHEMOTHERAPEUTIC
          AGENTS




Thursday, September 15, 2011
CHEMOTHERAPEUTIC
          AGENTS




Thursday, September 15, 2011
CHEMOTHERAPEUTIC
          AGENTS
           Antibiotics are medicines used to treat infections
          caused by bacteria only

            Infections are usually caused by bacteria or viruses

            Antibiotics, therefore, do not cure all infections

           Many infections like the common cold, flu, mild sore
          throat or diarrhea are caused by viruses

Thursday, September 15, 2011
CHEMOTHERAPEUTIC
          AGENTS
           Antibiotics are medicines used to treat infections
          caused by bacteria only

            Infections are usually caused by bacteria or viruses

            Antibiotics, therefore, do not cure all infections

           Many infections like the common cold, flu, mild sore
          throat or diarrhea are caused by viruses

Thursday, September 15, 2011
Thursday, September 15, 2011
WHAT IF ANTIBIOTICS WERE
         USED INCORRECTLY?
           No healing effect - If antibiotics are used for
          viral infections, there will be no effect on the
          illness

           Antibiotic resistance - This occurs when one
          antibiotic no longer works on a specific type of
          bacteria
                 A stronger antibiotic will be needed to treat the
                infection caused by this resistant strain of bacteria

Thursday, September 15, 2011
WHAT IF ANTIBIOTICS WERE
         USED INCORRECTLY?
           No healing effect - If antibiotics are used for
          viral infections, there will be no effect on the
          illness

           Antibiotic resistance - This occurs when one
          antibiotic no longer works on a specific type of
          bacteria
                 A stronger antibiotic will be needed to treat the
                infection caused by this resistant strain of bacteria

Thursday, September 15, 2011
ANTIBIOTIC
                      MECHANISMS




Thursday, September 15, 2011
ANTIBIOTIC
                      MECHANISMS




Thursday, September 15, 2011
RESISTANCE




Thursday, September 15, 2011
RESISTANCE




Thursday, September 15, 2011
RESISTANCE
Thursday, September 15, 2011
RESISTANCE
Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?
           Another factor that contributes to resistance is
          that when patients are prescribed antibiotics for a
          just cause, many do not finish their medication

                 This allows resistant bacteria to survive more
                easily

                 The practice of saving unused medication to
                treat themselves or others at a later date can
                also lead to resistant strains

Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?




Thursday, September 15, 2011
DO YOU CONTRIBUTE
       TO RESISTANCE?
           Also contributing to antibiotic resistance is the
          widespread use of antibiotics to promote weight
          gain and to control disease in cattle, pigs, and
          chickens

                 Forty to fifty percent of antibiotics produced are
                used in livestock feed

                  This leads to an increase of resistant bacteria
                in these animals, which is then spread to
                humans
Thursday, September 15, 2011
ANY
            QUESTIONS???




Thursday, September 15, 2011
NEXT MEETING:
          INTERACTIVE LECTURE/
          QUIZ ON METABOLISM
Thursday, September 15, 2011

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Biology 120 lecture 5 2011 2012

  • 1. CONTROL OF MICROORGANISMS Lecture 5 Thursday, September 15, 2011
  • 2. LECTURE OUTLINE Definition of Terms in Microbial Control Pattern of Microbial Death Conditions Influencing the Effectiveness of Antimicrobial Agents Use of Physical Agents Use of Chemical Agents Thursday, September 15, 2011
  • 4. The Control of Microbial Growth SEPSIS microbial contamination ASEPSIS absence of significant contamination Thursday, September 15, 2011
  • 5. The Control of Microbial Growth SEPSIS microbial contamination ASEPSIS absence of significant contamination Thursday, September 15, 2011
  • 6. The Control of Microbial Growth STERILIZATION Removal of all microbial life COMMERCIAL STERILIZATION Killing C. botulinum endospores Thursday, September 15, 2011
  • 7. The Control of Microbial Growth STERILIZATION Removal of all microbial life COMMERCIAL STERILIZATION Killing C. botulinum endospores Thursday, September 15, 2011
  • 8. The Control of Microbial Growth DISINFECTION Removal of pathogens ANTISEPSIS from living tissue DEGERMING from a limited area Thursday, September 15, 2011
  • 9. The Control of Microbial Growth DISINFECTION Removal of pathogens ANTISEPSIS from living tissue DEGERMING from a limited area Thursday, September 15, 2011
  • 10. The Control of Microbial Growth SANITATION Lower microbial counts on eating utensils BIOCIDE/GERMICIDE: Kills microbes BACTERIOSTATS: Inhibiting, not killing, microbes Thursday, September 15, 2011
  • 11. The Control of Microbial Growth SANITATION Lower microbial counts on eating utensils BIOCIDE/GERMICIDE: Kills microbes BACTERIOSTATS: Inhibiting, not killing, microbes Thursday, September 15, 2011
  • 12. PATTERN OF MICROBIAL DEATH Bacterial populations die at a constant logarithmic rate Thursday, September 15, 2011
  • 13. PATTERN OF MICROBIAL DEATH Bacterial populations die at a constant logarithmic rate Thursday, September 15, 2011
  • 14. The Control of Microbial Growth HOW DO WE DECIDE WHETHER THEY ARE ACTUALLY DEAD? Thursday, September 15, 2011
  • 15. The Control of Microbial Growth HOW DO WE DECIDE WHETHER THEY ARE ACTUALLY DEAD? Thursday, September 15, 2011
  • 16. The Control of Microbial Growth HOW DO WE DECIDE WHETHER THEY ARE ACTUALLY DEAD? “a microbe is defined DEAD if it does not grow when inoculated into culture medium that would normally support its growth” Thursday, September 15, 2011
  • 17. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 1. Population size Larger population requires a longer time to die 2. Population composition Microorganisms vary markedly on susceptibility Vegetative versus Spores Young versus Mature cells Thursday, September 15, 2011
  • 18. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 1. Population size Larger population requires a longer time to die 2. Population composition Microorganisms vary markedly on susceptibility Vegetative versus Spores Young versus Mature cells Thursday, September 15, 2011
  • 19. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 3. Concentration or Intensity of an Antimicrobial Agent The more concentrated an agent the more rapidly microbes can be destroyed BUT sometimes an agent may be more effective at lower concentrations (e.g. 70% alcohol) 4. Duration of Exposure The longer the exposure to an agent the more they will be killed Thursday, September 15, 2011
  • 20. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 3. Concentration or Intensity of an Antimicrobial Agent The more concentrated an agent the more rapidly microbes can be destroyed BUT sometimes an agent may be more effective at lower concentrations (e.g. 70% alcohol) 4. Duration of Exposure The longer the exposure to an agent the more they will be killed Thursday, September 15, 2011
  • 21. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 5. Temperature An increase in temperature at which a chemical acts often enhances it activity Example: acids used in high T = more effective 6. Local environment pH, organic matter, etc Controls or Protects the pathogen Thursday, September 15, 2011
  • 22. Conditions Influencing Effectiveness of Antimicrobial Agent Activity 5. Temperature An increase in temperature at which a chemical acts often enhances it activity Example: acids used in high T = more effective 6. Local environment pH, organic matter, etc Controls or Protects the pathogen Thursday, September 15, 2011
  • 24. PHYSICAL METHODS: HEAT Fire and boiling Sufficient to destroy vegetative cells (10 minutes) Not high for killing endospores Disinfection but not sterilization! Thursday, September 15, 2011
  • 25. PHYSICAL METHODS: HEAT Fire and boiling Sufficient to destroy vegetative cells (10 minutes) Not high for killing endospores Disinfection but not sterilization! Thursday, September 15, 2011
  • 26. PHYSICAL METHODS: HEAT Thermal Death Point (TDP) The lowest temperature at which a microbial suspension in killed in 10 minutes Thermal Death Time (TDT) The shortest time needed to kill all organisms in a microbial suspension at a specific temperature and under defined conditions Thursday, September 15, 2011
  • 27. PHYSICAL METHODS: HEAT Thermal Death Point (TDP) The lowest temperature at which a microbial suspension in killed in 10 minutes Thermal Death Time (TDT) The shortest time needed to kill all organisms in a microbial suspension at a specific temperature and under defined conditions Thursday, September 15, 2011
  • 28. However, such a destruction is logarithmic and it is theoretically NOT POSSIBLE to “completely destroy” microbes in a sample Thursday, September 15, 2011
  • 29. However, such a destruction is logarithmic and it is theoretically NOT POSSIBLE to “completely destroy” microbes in a sample Thursday, September 15, 2011
  • 30. However, such a destruction is logarithmic and it is theoretically NOT POSSIBLE to “completely destroy” microbes in a sample Decimal Reduction Time or D value Time required to kill 90% of the microorganisms or spores in a sample at a specified temperature Time required for the line to drop by one log cycle or tenfold Used to estimate the relative resistance of a microbe to different temperatures Thursday, September 15, 2011
  • 31. PHYSICAL METHODS: HEAT Thursday, September 15, 2011
  • 32. PHYSICAL METHODS: HEAT Thursday, September 15, 2011
  • 33. PHYSICAL METHODS: HEAT z Value The increase in temperature required to reduce D to 1/10 its value or to reduce it by one log cycle Thursday, September 15, 2011
  • 34. PHYSICAL METHODS: HEAT z Value The increase in temperature required to reduce D to 1/10 its value or to reduce it by one log cycle F value Time in minutes at a specific temperature needed to kill a population of cells or spores Usually 121°C Thursday, September 15, 2011
  • 35. APPLICATION: FOOD INDUSTRY Thursday, September 15, 2011
  • 36. APPLICATION: FOOD INDUSTRY Thursday, September 15, 2011
  • 37. APPLICATION: FOOD INDUSTRY After a food have been canned, it must be heated to eliminate the risk of botulism arising from the presence of Clostridium spores Thursday, September 15, 2011
  • 38. APPLICATION: FOOD INDUSTRY After a food have been canned, it must be heated to eliminate the risk of botulism arising from the presence of Clostridium spores Example: (1012 to 100 spores) IF the D value = 0.204 minutes It would take 12D or 2.5 minutes to reduce the spore number by heating at the specified temperature Thursday, September 15, 2011
  • 39. APPLICATION: FOOD INDUSTRY Thursday, September 15, 2011
  • 40. APPLICATION: FOOD INDUSTRY Thursday, September 15, 2011
  • 41. APPLICATION: FOOD INDUSTRY If the z value for Clostridium spores is 10°C Thursday, September 15, 2011
  • 42. APPLICATION: FOOD INDUSTRY If the z value for Clostridium spores is 10°C It takes a 10°C change in temperature to alter the D value tenfold Thursday, September 15, 2011
  • 43. APPLICATION: FOOD INDUSTRY If the z value for Clostridium spores is 10°C It takes a 10°C change in temperature to alter the D value tenfold Thursday, September 15, 2011
  • 44. APPLICATION: FOOD INDUSTRY If the z value for Clostridium spores is 10°C It takes a 10°C change in temperature to alter the D value tenfold THUS: if the cans are to be processed at 111°C rather than 121°C, the D value would increase by tenfold t 2.04 minutes Thursday, September 15, 2011
  • 45. APPLICATION: FOOD INDUSTRY If the z value for Clostridium spores is 10°C It takes a 10°C change in temperature to alter the D value tenfold THUS: if the cans are to be processed at 111°C rather than 121°C, the D value would increase by tenfold t 2.04 minutes The 12D value = 24.5 minutes Thursday, September 15, 2011
  • 46. PHYSICAL METHODS: HEAT (MOIST HEAT STERILIZATION) Thursday, September 15, 2011
  • 47. PHYSICAL METHODS: HEAT (MOIST HEAT STERILIZATION) Thursday, September 15, 2011
  • 48. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 49. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 50. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Flaming Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 51. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Flaming Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 52. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Flaming Incineration Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 53. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Flaming Incineration Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 54. PHYSICAL METHODS: HEAT (Dry Heat Sterlization) Flaming Incineration Hot-air sterilization Hot-air Autoclave Equivalent treatments 170˚C, 2 hr 121˚C, 15 min Thursday, September 15, 2011
  • 55. HOW DOES HEAT KILL MICROBES Thursday, September 15, 2011
  • 56. HOW DOES HEAT KILL MICROBES Thursday, September 15, 2011
  • 57. HOW DOES HEAT KILL MICROBES MOIST HEAT Kill effectively by degradation of nucleic acids and by denaturation of enzymes and other essential proteins May also disrupt cell membranes Thursday, September 15, 2011
  • 58. HOW DOES HEAT KILL MICROBES MOIST HEAT Kill effectively by degradation of nucleic acids and by denaturation of enzymes and other essential proteins May also disrupt cell membranes Thursday, September 15, 2011
  • 59. HOW DOES HEAT KILL MICROBES MOIST HEAT Kill effectively by degradation of nucleic acids and by denaturation of enzymes and other essential proteins May also disrupt cell membranes DRY HEAT Microbial death results from the oxidation of cell constituents and denaturation of proteins Thursday, September 15, 2011
  • 60. PHYSICAL METHODS: FILTRATION Applicable for heat-sensitive materials that needs sterilization Types of filters Depth filters: consist of fibrous or granular materials that have been bonded into a thick layer filled with twisting channels of small diameter Membrane filters: porous membranes; 0.2 µm pore sizes Thursday, September 15, 2011
  • 61. PHYSICAL METHODS: FILTRATION Applicable for heat-sensitive materials that needs sterilization Types of filters Depth filters: consist of fibrous or granular materials that have been bonded into a thick layer filled with twisting channels of small diameter Membrane filters: porous membranes; 0.2 µm pore sizes Thursday, September 15, 2011
  • 62. PHYSICAL METHODS: FILTRATION Laminar flow hood versus biological safety cabinets (HEPA filters) High Efficiency Particulate Air Remove 99.97% particles 0.02 µm for sterilizing AIR Thursday, September 15, 2011
  • 63. PHYSICAL METHODS: FILTRATION Laminar flow hood versus biological safety cabinets (HEPA filters) High Efficiency Particulate Air Remove 99.97% particles 0.02 µm for sterilizing AIR Thursday, September 15, 2011
  • 64. BIOSAFETY CABINETS Class1 (from room=outside) protection: person and environment Class 2 (Type A and B) ) Type A and B: product, person and environment difference: type A air is recirculated back to room, type B exhausted outside the building Class 3: contained facility, higher level of protection and containment Thursday, September 15, 2011
  • 65. BIOSAFETY CABINETS Class1 (from room=outside) protection: person and environment Class 2 (Type A and B) ) Type A and B: product, person and environment difference: type A air is recirculated back to room, type B exhausted outside the building Class 3: contained facility, higher level of protection and containment Thursday, September 15, 2011
  • 66. PHYSICAL METHODS: RADIATION IONIZING RADIATION X rays, gamma rays, electron beams Excellent as a sterilizing agent and penetrates deep into objects NON-IONIZING RADIATION UV (about 260nm) Quite lethal but does not penetrate glass, dirt films, water and other substances very effectively Microwaves: kill by heat not usually antimicrobial Thursday, September 15, 2011
  • 67. PHYSICAL METHODS: RADIATION IONIZING RADIATION X rays, gamma rays, electron beams Excellent as a sterilizing agent and penetrates deep into objects NON-IONIZING RADIATION UV (about 260nm) Quite lethal but does not penetrate glass, dirt films, water and other substances very effectively Microwaves: kill by heat not usually antimicrobial Thursday, September 15, 2011
  • 69. CHEMICAL AGENTS Thursday, September 15, 2011
  • 70. CHEMICAL METHODS PHENOLICS QUATERNARY AMMONIUM ALCOHOLS COMPOUNDS ALDEHYDES HALOGENS STERILIZING HEAVY METALS GASES Thursday, September 15, 2011
  • 71. CHEMICAL METHODS PHENOLICS QUATERNARY AMMONIUM ALCOHOLS COMPOUNDS ALDEHYDES HALOGENS STERILIZING HEAVY METALS GASES Thursday, September 15, 2011
  • 72. CHEMICAL METHODS Chemical agent Effectiveness against Endospores Mycobacteria Phenolics Poor Good Quats None None Chlorines Fair Fair Alcohols Poor Good Glutaraldehyde Fair Good Thursday, September 15, 2011
  • 73. CHEMICAL METHODS Chemical agent Effectiveness against Endospores Mycobacteria Phenolics Poor Good Quats None None Chlorines Fair Fair Alcohols Poor Good Glutaraldehyde Fair Good Thursday, September 15, 2011
  • 74. CHEMICAL METHODS: Phenolics First widely used antiseptic and disinfectant Joseph Lister (1867): reduced the risk of infection during operations Example: LYSOLR Act by denaturing proteins and disrupting cell membranes Thursday, September 15, 2011
  • 75. CHEMICAL METHODS: Phenolics First widely used antiseptic and disinfectant Joseph Lister (1867): reduced the risk of infection during operations Example: LYSOLR Act by denaturing proteins and disrupting cell membranes Thursday, September 15, 2011
  • 76. Disruption of Cell Membranes Thursday, September 15, 2011
  • 77. CHEMICAL METHODS: Phenolics ADVANTAGES: effective in the presence of organic material and remain active on surfaces long after application DISADVANTAGE: disagreeable odor and can cause skin irritation and in some instances brain damage (hexachlorophene) Thursday, September 15, 2011
  • 78. CHEMICAL METHODS: Phenolics ADVANTAGES: effective in the presence of organic material and remain active on surfaces long after application DISADVANTAGE: disagreeable odor and can cause skin irritation and in some instances brain damage (hexachlorophene) Thursday, September 15, 2011
  • 79. CHEMICAL METHODS: Alcohols Widely used disinfectant and antiseptics Bactericidal and fungicidal but not sporicidal May not destroy lipid-containing viruses Thursday, September 15, 2011
  • 80. CHEMICAL METHODS: Alcohols Widely used disinfectant and antiseptics Bactericidal and fungicidal but not sporicidal May not destroy lipid-containing viruses Thursday, September 15, 2011
  • 81. DENATURES PROTEINS, DISSOLVES LIPIDS Thursday, September 15, 2011
  • 82. CHEMICAL METHODS: Alcohols Example: ethanol and isopropanol (70-80% concentration) Act by denaturing proteins and possibly by dissolving membrane lipids 10-15 soaking in alcohol is sufficient to disinfect thermometers and small instruments Thursday, September 15, 2011
  • 83. CHEMICAL METHODS: Alcohols Example: ethanol and isopropanol (70-80% concentration) Act by denaturing proteins and possibly by dissolving membrane lipids 10-15 soaking in alcohol is sufficient to disinfect thermometers and small instruments Thursday, September 15, 2011
  • 84. CHEMICAL METHODS: Halogens Iodine Kills by oxidizing cell constituents and iodinating cell proteins Kill spores at high concentrations DISADVANTAGE: a stain may be left (answer = iodophor) Thursday, September 15, 2011
  • 85. CHEMICAL METHODS: Halogens Iodine Kills by oxidizing cell constituents and iodinating cell proteins Kill spores at high concentrations DISADVANTAGE: a stain may be left (answer = iodophor) Thursday, September 15, 2011
  • 86. CHEMICAL METHODS: Halogens Chlorine Usually for water supply Kills by oxidation of cellular materials and destruction of vegetative bacteria, fungi Will not kill spores Death within 30 minutes Thursday, September 15, 2011
  • 87. CHEMICAL METHODS: Halogens Chlorine Usually for water supply Kills by oxidation of cellular materials and destruction of vegetative bacteria, fungi Will not kill spores Death within 30 minutes Thursday, September 15, 2011
  • 88. CHEMICAL METHODS: Heavy Metals Mercury, Arsenic, Zinc, Copper Used as germicides How do they Kill: Heavy metals combine with proteins, often with their sulfhydryl groups and inactivate them May also precipitate cell proteins Thursday, September 15, 2011
  • 89. CHEMICAL METHODS: Heavy Metals Mercury, Arsenic, Zinc, Copper Used as germicides How do they Kill: Heavy metals combine with proteins, often with their sulfhydryl groups and inactivate them May also precipitate cell proteins Thursday, September 15, 2011
  • 90. CHEMICAL METHODS: Quats DETERGENTS Amphipathic (both polar and non-polar ends) Kill by disrupting microbial membranes and denature proteins ADVANTAGE: stable, non-toxic DISADVANTAGE: inactivated by hard Thursday, September 15, 2011
  • 91. CHEMICAL METHODS: Quats DETERGENTS Amphipathic (both polar and non-polar ends) Kill by disrupting microbial membranes and denature proteins ADVANTAGE: stable, non-toxic DISADVANTAGE: inactivated by hard Thursday, September 15, 2011
  • 92. Soap Degerming Surface-Active Agents or Surfactants Acid-anionic Sanitizing detergents Quarternary Bactericidal, Denature ammonium proteins, disrupt compounds plasma membrane Cationic detergents Thursday, September 15, 2011
  • 93. CHEMICAL METHODS: Aldehydes FORMALDEHYDES Very reactive molecules that combine with proteins and inactivate them Sporicidal and can be used as sterilants Thursday, September 15, 2011
  • 94. CHEMICAL METHODS: Aldehydes FORMALDEHYDES Very reactive molecules that combine with proteins and inactivate them Sporicidal and can be used as sterilants Thursday, September 15, 2011
  • 95. EVALUATION OF ANTIMICROBIAL AGENT EFFECTIVENESS PHENOL COEFFICIENT TEST Best-known disinfectant screening test Potency of a disinfectant is compared with that of phenol The highest dilution that killed bacteria after a 10 minutes exposure are used to calculate phenol coefficient Thursday, September 15, 2011
  • 96. EVALUATION OF ANTIMICROBIAL AGENT EFFECTIVENESS PHENOL COEFFICIENT TEST Best-known disinfectant screening test Potency of a disinfectant is compared with that of phenol The highest dilution that killed bacteria after a 10 minutes exposure are used to calculate phenol coefficient Thursday, September 15, 2011
  • 97. CALCULATING PHENOL COEFFICIENTS The reciprocal of the appropriate test disinfectant dilution is divided by that for phenol to obtain the coefficient Example: phenol dilution = 1/90 and the maximum effective dilution for disinfectant X = 1/450 Phenol coefficient = 5 Thursday, September 15, 2011
  • 98. CALCULATING PHENOL COEFFICIENTS The reciprocal of the appropriate test disinfectant dilution is divided by that for phenol to obtain the coefficient Example: phenol dilution = 1/90 and the maximum effective dilution for disinfectant X = 1/450 Phenol coefficient = 5 Thursday, September 15, 2011
  • 99. CALCULATING PHENOL COEFFICIENTS The higher the phenol coefficient value, the more effective the disinfectant under this conditions Thursday, September 15, 2011
  • 100. CALCULATING PHENOL COEFFICIENTS The higher the phenol coefficient value, the more effective the disinfectant under this conditions Thursday, September 15, 2011
  • 101. DILUTION TESTS Metal rings dipped in test bacteria are dried Dried cultures placed in disinfectant for 10 min at 20°C Rings transferred to culture media to determine whether bacteria survived treatment Thursday, September 15, 2011
  • 102. DILUTION TESTS Metal rings dipped in test bacteria are dried Dried cultures placed in disinfectant for 10 min at 20°C Rings transferred to culture media to determine whether bacteria survived treatment Thursday, September 15, 2011
  • 103. DISK-DIFFUSION METHOD Thursday, September 15, 2011
  • 104. DISK-DIFFUSION METHOD Thursday, September 15, 2011
  • 105. CHEMOTHERAPEUTIC AGENTS Thursday, September 15, 2011
  • 106. CHEMOTHERAPEUTIC AGENTS Thursday, September 15, 2011
  • 107. CHEMOTHERAPEUTIC AGENTS Antibiotics are medicines used to treat infections caused by bacteria only Infections are usually caused by bacteria or viruses Antibiotics, therefore, do not cure all infections Many infections like the common cold, flu, mild sore throat or diarrhea are caused by viruses Thursday, September 15, 2011
  • 108. CHEMOTHERAPEUTIC AGENTS Antibiotics are medicines used to treat infections caused by bacteria only Infections are usually caused by bacteria or viruses Antibiotics, therefore, do not cure all infections Many infections like the common cold, flu, mild sore throat or diarrhea are caused by viruses Thursday, September 15, 2011
  • 110. WHAT IF ANTIBIOTICS WERE USED INCORRECTLY? No healing effect - If antibiotics are used for viral infections, there will be no effect on the illness Antibiotic resistance - This occurs when one antibiotic no longer works on a specific type of bacteria A stronger antibiotic will be needed to treat the infection caused by this resistant strain of bacteria Thursday, September 15, 2011
  • 111. WHAT IF ANTIBIOTICS WERE USED INCORRECTLY? No healing effect - If antibiotics are used for viral infections, there will be no effect on the illness Antibiotic resistance - This occurs when one antibiotic no longer works on a specific type of bacteria A stronger antibiotic will be needed to treat the infection caused by this resistant strain of bacteria Thursday, September 15, 2011
  • 112. ANTIBIOTIC MECHANISMS Thursday, September 15, 2011
  • 113. ANTIBIOTIC MECHANISMS Thursday, September 15, 2011
  • 118. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 119. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 120. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 121. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 122. DO YOU CONTRIBUTE TO RESISTANCE? Another factor that contributes to resistance is that when patients are prescribed antibiotics for a just cause, many do not finish their medication This allows resistant bacteria to survive more easily The practice of saving unused medication to treat themselves or others at a later date can also lead to resistant strains Thursday, September 15, 2011
  • 123. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 124. DO YOU CONTRIBUTE TO RESISTANCE? Thursday, September 15, 2011
  • 125. DO YOU CONTRIBUTE TO RESISTANCE? Also contributing to antibiotic resistance is the widespread use of antibiotics to promote weight gain and to control disease in cattle, pigs, and chickens Forty to fifty percent of antibiotics produced are used in livestock feed This leads to an increase of resistant bacteria in these animals, which is then spread to humans Thursday, September 15, 2011
  • 126. ANY QUESTIONS??? Thursday, September 15, 2011
  • 127. NEXT MEETING: INTERACTIVE LECTURE/ QUIZ ON METABOLISM Thursday, September 15, 2011