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Microbial Control
Sterilization & Disinfection
 Bactericidal & Bacteriostatic
 Physical & Chemical Agents
           Filtration
Sterilization:
x Process of killing all microorganisms in
  a preparation
x A physical or chemical process that
  completely destroys or removes all
  microbial life – including spores
  (remember ??)
Terms:
x   Bacteriostatic – having the property of
    inhibiting bacterial multiplication, once the
    agent is removed multiplication resumes.
x   Bactericidal – having the property of killing
    bacteria
x   Sterile – free of any life form.
x   Disinfectant – chemicals used to kill
    pathogenic microbes by applying to a surface
    but too toxic to apply to living tissues
x   Septic – characterized by the presence
    of pathogenic microbes on living tissue
    x Septicemia  – presence of microbes and are
      actively multiplying
    x Bacteremia – presence of microbes which
      are not actively multiplying
x Aseptic – characterized by absence of
  pathogenic microbes
x Antiseptic – a biocide product that
  destroys/inhibits growth of microbes
  on living tissues.
x Biocide – general term describing a
  chemical agent, usually broad spectrum
  that inactivates microbes
x Preservation – prevention of bacterial
  multiplication in formulated products
  like food or phamaceutical products
x Antibiotics – naturally or synthetic
  organic compounds that inhibit or
  destroy selective bacteria at low
  concentration.
Antimicrobials/ Antibiotics
                        x   Anti-microbial drugs
                            x antibacterial
x Minimum Inhibitory
                            x antimycobacterial
  Concentration (MIC)
                            x antifungal
x Minimum
                            x antihelminthic
  Bactericidal
  Concentration             x Antiviral

  ( MBC)                    (refer to
                              Pharmacology )
Antimicrobial susceptibility
Kirby-Bauer Method
Modes of Action:
x Damage to DNA
x Protein Denaturation
x Disruption of Cell Membrane
x Removal of free sulfhydryl group
x Chemical Antagonism
Damage to DNA:
x   Ionizing radiation:
    x   Produce breaks in single and double strands
x   UV light
    x   Induces cross linking between adjacent pyrimidines
        on one or other of the 2 polynucleotide strands
        forming pyrimidine dimers
x   DNA- reactive chemicals
    x   Alkylating agent and other compounds that react
        covalently with purine ( GA ) & pyrimidine bases
        (CUT) to form DNA adducts/interstrand cross links
Protein Denaturation:
x   The disruption of the tertiary structure
    of protein
    x Tertiary  structure of protein means it
      exists in a folded 3 dimensional state
      determined by intramolecular covalent
      disulfide linkages and some non covalent
      linkages ( i.e. ionic, hydrophobic &
      hydrogen bonds )
Disruption of Cell membrane or
     wall
x   Lysozyme
    x Enzyme    that destroys cell wall or prevents
      normal synthesis may bring about lysis of
      the cell wall.
    x Substances that concentrate at the cell
      surface may alter the physical and
      chemical properties of the membrane,
      preventing normal functions thereby
      killing or inhibiting cell function.
Other modes of action:
x   Removal of Free Sulfhydryl groups
    x Oxidizing agents and heavy metals do
      wide spread damage
x   Chemical antagonism
    x Isknown as the interference by a chemical
      agent with the normal reaction between a
      specific enzyme and its substrate
Treatment to control microbes
x   Physical Methods    x   Chemicals
    x Heat                  x Phenols
    x Cold                  x Phenolics
    x Radiation -UV ,       x Alcohols
          X-ray             x Halogens
    x Filtration            x Surfactants
    x Drying                x Heavy metals
    x Ultrasonic            x Alkylating
      waves                   agents
Physical methods:
x Heat:kills by denaturation of enzymes
  x Moist heat
    x Kills
          microbe primarily by coagulation of
     proteins
       x Boiling – 100 degrees – 10-20 minutes
       x Free flowing unpressurized steam

          x Fractional sterilization, arnolds sterilizer

          x 100 degrees, 30 minutes, 3 consecutive

            days
Cont. moist heat
x   Autoclave
    x Steam  under pressure
    x Temperature 121 degrees, 15-20minutes,
      15psi
    x Most effective spore eliminator
    x Kilit ampule – contains the thermophile –
      Bacillus stearothermophilus – check
      autoclave efficiency
Moist heat pa din:
x   Inspissation
    x Thickening thru evaporation
    x Temperature, 75 – 80 degrees, 2hrs for 3
      days
    x Usually used for high protein medium that
      cannot stand high temperature of the
      autoclave
Last na moist heat:
x   Pasteurization –partial sterilization by
    heat, used for milk & related products
    x Classic,   Low temperature holding (LTH)
       x   Also known as Batch method, 63 C, 30 min
    x High    temperature short Time (HTST)
       x   Flash process, temp 72 C, Time 15 sec
    x Ultra   high Temp ( UHT ) treatment
       x Stored with refrigeration
       x 140 C, 3-5 sec ( less than 5 sec, from 74–140 -74
Dry Heat:
x   Kills by oxidation effects
    x   Direct flaming – aseptic technique
         x   Flaming of mouth of tubes, wires, needles, forceps,
             petridishes
    x   Oven – hot air sterilization
         x   Temp 160-180 C, 90-120 minutes
    x   Incineration – burning materials to ashes
         x   Temp 300-400 C
    x   Cremation – prevent communicable diseases
         x   Temp 300-400 C
Cold temperature
x Has bacteriostatic effect
x Metabolic rate of microbe is so reduced that
  they cannot reproduce or synthesize toxins
x Slow freezing is most harmful to bacteria
x Ice crystals that form and grow disrupt the
  cellular and molecular structure of the
  bacteria
    x i.e.Treponema pallidum in blood bags can be
      killed by 3 day refrigeration , 2-8 C
Filtration:
x   Passage of liquid or gas thru a screenlike material
    with pores small enough to retain microbes
    x   High efficiency particular air (HEPA) filters
         x Remove almost all microbes larger that 3 um in
           diameter
    x   Membrane filters – composed of substances like
        cellulose esters or plastic polymers
         x Used in laboratoy and industry

         x 0.1 mm thick

         x Pores of membrane filters include 0.22 to 0.45 um

         x i.e. Seitz filter, Sintered glass filter, Berkefield,
           Chamberland, Colloidon filter
Other methods:
x   Lyophilization – water is removed by high
    vacuum at low temperature
    x Most effective method for long term
      preservation of microbial culture
    x Freeze drying – in which cultures are quick
      frozen between -50 to -95 degrees C
x Ultracentrifugation
x Mechanical Shaking – agitation
x Grincing – Trituration
Other methods:
x Dessication: microbes cannot grow or
  reproduce with moisture, but can remain
  viable for years. To grow and multiply
  microbes need water
x Osmotic pressure – the use of high conc.
  Of salts & sugars to preserve food is based
  on the effect of osmotic pressure
x Radiation – UV light or Xrays
    x Ionizing– gamma, xrays, high energy e- beans
    x Non-ionizing – UV light – damage DNA
Chemical Methods
x   Non-selective methods
    x Disinfectants – inanimate
    x Antiseptics – animate
       x   E.g. alcohols, acids, alkali, halogens, salts of
           heavy metal, cresols, lysol, phenols & oxidizing
           agents
x   Selective chemical agents
    x Antibiotics
       x   Penicillin notatum – penicillin, Bacillus subtilis
           = bacitracin, Streptomyces venerulae =
           Chloramphenicol
Uses of common Germicides
x   Sterilization -         x   Disinfection -
     x Ethylene oxide,
                                x Chlorine compound,
      Gluteraldehyde,             Alcohols, Phenolic
      Hydrogen peroxide           compound, Iodophor
      Formaldehyde,               compound,
      Chlorine dioxide,           Quaternary
      Peracetic Acid              Ammonium compd.
x   Antisepsis -
     x alcohol, Iodophors
Modes of Transmission
x Respiratory droplets    x Vectors
x Fomites:
                            x Mechanical
   x facial tissue
                            x Biological
   x household surfaces
                          x Airborne
   x eating utensils
                          x Parenteral
   x contaminated
                            x injections
     needles
x Direct contact
x Fecal-oral
Portals of Entry
x   Skin:                      x   Conjunctiva
     x abscess - blood         x   Mouth
     x tetanus - wound             x primarily GIT
     x plague - insect bite          pathogens
     x AIDS - injections       x   Urethra
x   Nose:                      x   Vagina
     x primarily respiratory   x   Placenta
       Pertussis, colds,
       measles , small pox
Biological vectors of infection
x   Flea - Plague        x   Mosquitoes
x   Anopholes                x viral encephalitis

    mosquito - Malaria       x Filariasis
x   Tick :               x   Body louse
     x Lyme disease          x endemic typhus
     x Rocky Mountain    x   Tsetse fly
       spotted fever         x African sleeping dis.
x   Aedes mosquito:      x   Reduviid bug
     x Yellow fever          x Chaga’s disease
Exotoxins:
x Proteins are main     x variable effect on
  composition             host
x produced by some      x no fever
  Gram (-) & (+)        x active immune
x excreted into           response
  extracellular space   x toxoid used as
x heat labile             vaccine
  (sensitive)           x many diseases
x high toxicity
Endotoxins:
x   Lipid portion main   x similar effect for
    component              all endotoxins
x   produced by Gram     x fever producing
    (-) only             x poor immune
x   released only upon     response
    death of bacterium
                         x toxoid cannot be
x   relatively heat
                           produced
    stable
                         x variety of diseases
x   low toxicity
Module 4a   sterilization & disinfection

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Module 4a sterilization & disinfection

  • 1. Microbial Control Sterilization & Disinfection Bactericidal & Bacteriostatic Physical & Chemical Agents Filtration
  • 2. Sterilization: x Process of killing all microorganisms in a preparation x A physical or chemical process that completely destroys or removes all microbial life – including spores (remember ??)
  • 3. Terms: x Bacteriostatic – having the property of inhibiting bacterial multiplication, once the agent is removed multiplication resumes. x Bactericidal – having the property of killing bacteria x Sterile – free of any life form. x Disinfectant – chemicals used to kill pathogenic microbes by applying to a surface but too toxic to apply to living tissues
  • 4. x Septic – characterized by the presence of pathogenic microbes on living tissue x Septicemia – presence of microbes and are actively multiplying x Bacteremia – presence of microbes which are not actively multiplying x Aseptic – characterized by absence of pathogenic microbes x Antiseptic – a biocide product that destroys/inhibits growth of microbes on living tissues.
  • 5. x Biocide – general term describing a chemical agent, usually broad spectrum that inactivates microbes x Preservation – prevention of bacterial multiplication in formulated products like food or phamaceutical products x Antibiotics – naturally or synthetic organic compounds that inhibit or destroy selective bacteria at low concentration.
  • 6. Antimicrobials/ Antibiotics x Anti-microbial drugs x antibacterial x Minimum Inhibitory x antimycobacterial Concentration (MIC) x antifungal x Minimum x antihelminthic Bactericidal Concentration x Antiviral ( MBC) (refer to Pharmacology )
  • 8. Modes of Action: x Damage to DNA x Protein Denaturation x Disruption of Cell Membrane x Removal of free sulfhydryl group x Chemical Antagonism
  • 9. Damage to DNA: x Ionizing radiation: x Produce breaks in single and double strands x UV light x Induces cross linking between adjacent pyrimidines on one or other of the 2 polynucleotide strands forming pyrimidine dimers x DNA- reactive chemicals x Alkylating agent and other compounds that react covalently with purine ( GA ) & pyrimidine bases (CUT) to form DNA adducts/interstrand cross links
  • 10. Protein Denaturation: x The disruption of the tertiary structure of protein x Tertiary structure of protein means it exists in a folded 3 dimensional state determined by intramolecular covalent disulfide linkages and some non covalent linkages ( i.e. ionic, hydrophobic & hydrogen bonds )
  • 11. Disruption of Cell membrane or wall x Lysozyme x Enzyme that destroys cell wall or prevents normal synthesis may bring about lysis of the cell wall. x Substances that concentrate at the cell surface may alter the physical and chemical properties of the membrane, preventing normal functions thereby killing or inhibiting cell function.
  • 12. Other modes of action: x Removal of Free Sulfhydryl groups x Oxidizing agents and heavy metals do wide spread damage x Chemical antagonism x Isknown as the interference by a chemical agent with the normal reaction between a specific enzyme and its substrate
  • 13. Treatment to control microbes x Physical Methods x Chemicals x Heat x Phenols x Cold x Phenolics x Radiation -UV , x Alcohols X-ray x Halogens x Filtration x Surfactants x Drying x Heavy metals x Ultrasonic x Alkylating waves agents
  • 14.
  • 15.
  • 16. Physical methods: x Heat:kills by denaturation of enzymes x Moist heat x Kills microbe primarily by coagulation of proteins x Boiling – 100 degrees – 10-20 minutes x Free flowing unpressurized steam x Fractional sterilization, arnolds sterilizer x 100 degrees, 30 minutes, 3 consecutive days
  • 17. Cont. moist heat x Autoclave x Steam under pressure x Temperature 121 degrees, 15-20minutes, 15psi x Most effective spore eliminator x Kilit ampule – contains the thermophile – Bacillus stearothermophilus – check autoclave efficiency
  • 18. Moist heat pa din: x Inspissation x Thickening thru evaporation x Temperature, 75 – 80 degrees, 2hrs for 3 days x Usually used for high protein medium that cannot stand high temperature of the autoclave
  • 19. Last na moist heat: x Pasteurization –partial sterilization by heat, used for milk & related products x Classic, Low temperature holding (LTH) x Also known as Batch method, 63 C, 30 min x High temperature short Time (HTST) x Flash process, temp 72 C, Time 15 sec x Ultra high Temp ( UHT ) treatment x Stored with refrigeration x 140 C, 3-5 sec ( less than 5 sec, from 74–140 -74
  • 20. Dry Heat: x Kills by oxidation effects x Direct flaming – aseptic technique x Flaming of mouth of tubes, wires, needles, forceps, petridishes x Oven – hot air sterilization x Temp 160-180 C, 90-120 minutes x Incineration – burning materials to ashes x Temp 300-400 C x Cremation – prevent communicable diseases x Temp 300-400 C
  • 21. Cold temperature x Has bacteriostatic effect x Metabolic rate of microbe is so reduced that they cannot reproduce or synthesize toxins x Slow freezing is most harmful to bacteria x Ice crystals that form and grow disrupt the cellular and molecular structure of the bacteria x i.e.Treponema pallidum in blood bags can be killed by 3 day refrigeration , 2-8 C
  • 22. Filtration: x Passage of liquid or gas thru a screenlike material with pores small enough to retain microbes x High efficiency particular air (HEPA) filters x Remove almost all microbes larger that 3 um in diameter x Membrane filters – composed of substances like cellulose esters or plastic polymers x Used in laboratoy and industry x 0.1 mm thick x Pores of membrane filters include 0.22 to 0.45 um x i.e. Seitz filter, Sintered glass filter, Berkefield, Chamberland, Colloidon filter
  • 23. Other methods: x Lyophilization – water is removed by high vacuum at low temperature x Most effective method for long term preservation of microbial culture x Freeze drying – in which cultures are quick frozen between -50 to -95 degrees C x Ultracentrifugation x Mechanical Shaking – agitation x Grincing – Trituration
  • 24. Other methods: x Dessication: microbes cannot grow or reproduce with moisture, but can remain viable for years. To grow and multiply microbes need water x Osmotic pressure – the use of high conc. Of salts & sugars to preserve food is based on the effect of osmotic pressure x Radiation – UV light or Xrays x Ionizing– gamma, xrays, high energy e- beans x Non-ionizing – UV light – damage DNA
  • 25.
  • 26. Chemical Methods x Non-selective methods x Disinfectants – inanimate x Antiseptics – animate x E.g. alcohols, acids, alkali, halogens, salts of heavy metal, cresols, lysol, phenols & oxidizing agents x Selective chemical agents x Antibiotics x Penicillin notatum – penicillin, Bacillus subtilis = bacitracin, Streptomyces venerulae = Chloramphenicol
  • 27. Uses of common Germicides x Sterilization - x Disinfection - x Ethylene oxide, x Chlorine compound, Gluteraldehyde, Alcohols, Phenolic Hydrogen peroxide compound, Iodophor Formaldehyde, compound, Chlorine dioxide, Quaternary Peracetic Acid Ammonium compd. x Antisepsis - x alcohol, Iodophors
  • 28. Modes of Transmission x Respiratory droplets x Vectors x Fomites: x Mechanical x facial tissue x Biological x household surfaces x Airborne x eating utensils x Parenteral x contaminated x injections needles x Direct contact x Fecal-oral
  • 29.
  • 30. Portals of Entry x Skin: x Conjunctiva x abscess - blood x Mouth x tetanus - wound x primarily GIT x plague - insect bite pathogens x AIDS - injections x Urethra x Nose: x Vagina x primarily respiratory x Placenta Pertussis, colds, measles , small pox
  • 31.
  • 32. Biological vectors of infection x Flea - Plague x Mosquitoes x Anopholes x viral encephalitis mosquito - Malaria x Filariasis x Tick : x Body louse x Lyme disease x endemic typhus x Rocky Mountain x Tsetse fly spotted fever x African sleeping dis. x Aedes mosquito: x Reduviid bug x Yellow fever x Chaga’s disease
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Exotoxins: x Proteins are main x variable effect on composition host x produced by some x no fever Gram (-) & (+) x active immune x excreted into response extracellular space x toxoid used as x heat labile vaccine (sensitive) x many diseases x high toxicity
  • 40.
  • 41. Endotoxins: x Lipid portion main x similar effect for component all endotoxins x produced by Gram x fever producing (-) only x poor immune x released only upon response death of bacterium x toxoid cannot be x relatively heat produced stable x variety of diseases x low toxicity