Chapter 5 Control of MIcrobial Growth Flashcards
(113 cards)
Joseph Lister
man who saved more lives by the introduction of his system than all the wars of the 19th century. Applied carbolic acid to wounds to prevent gangrene. sterilizing instruments, clean areas.
Sterile
a sterile item is one that is free of microbes, including endospores and viruses. (does not include prions)
Sterilization
removal or destruction of all microorganisms and viruses on a product
Disinfection
the elimination of most or all pathogens on a material. (some living microbes remain)
Disinfectants
antimicrobial chemicals used for disinfecting inanimate objects. they are toxic to many forms of life, and therefor biocides (bio means life and cida means to kill)
Germicides
chemicals that target microorganisms and viruses
Bactericidal
they kill bacteria
Antiseptics
antimicrobial chemicals non toxic enough to be used on skin or other body tissue. these are routinely used to decrease bacterial numbers on skin before invasive procedures such as surgery.
pasteurization
a brief heat treatment that reduces the number of spoilage organisms and destroys pathogens. foods and inanimate objects can be pasteurized.
decontamination
a process used to reduce the number of pathogens to a level considered safe to handle. the treatment can be as simple as thorough washing, or it may involve the use of heat or disinfectants
Sanitization
generally implies a process that substantially reduces the microbial population to meet accepted health standards. most people also expect a sanitized object to look clean. note that this term does not indicate any specific level of control
preservation
the prcoess of delaying spoilage of foods or other perishable products. one way to do this is to adjust storage conditions to slow microbial growth. alternatively, chemical preservatives can be added. (bacteriostatic)
bacteriostatic
chemical preservatives that inhibit growth of bacteria but do not kill them.
disinfection by-products (DBP)
compounds formed when chlorine or other disinfectants react with naturally occurring chemicals in water
certain pathogens, particularly, Cryptosporidium parvum, a cause of diarrhea, can survive traditional disinfection procedures. to address these problems, water treatment regulations now require facilities to minimize the level of both BDP’s and C. parvum in treatdd water.
Bacterial endospores
the endospores of Bacillus, Clostridium and related genera are the most resistant form of life typically encountered. only extreme heat or chemical treatment ensures their complete destruction.
Protozoan cysts and oocysts
cysts and oocysts are stages in the life ciycle of certain intestinal protozoan pathogens such as Giardia lamblia and Cryptosporidium parvum. these disinfectant-resistant forms are excreted in the feces of infected animals, including humans, and can cause diarrheal disease if ingested. Unlike endospores, they are easily destroyed by boiling.
Mycobacterium species
the waxy cell walls of mycobacteria make them resistant to many chemical treatments. because of this, stronger, more toxic chemicals must be used to disinfect environments that may contain Mycobacterium tuberculosis, the cause of tuberculosis.
Pseudomonas species.
these commonb environmental organisms are not only resistant to some disinfectants, but in some cases actually grown in them. Pseudomonas species can cause serious healthcare associated infections.
Naked viruses
Viruses such as poliovirus that lack a lipid envelope are more resistant to disinfectants. conversely, enveloped viruses, such as HIV, tend to be very sensitive to these chemicals.
Decimal reduction time or D value
the time required for killing 90% of a bacterial population under specific conditions.
the temperature is indicated by a subscript, for example D121.
A one D process reduces the number of cells by one exponent. thus if the D value for an organism is 2 minutes then it would take 4 minutes (2 D values) to reduce a population of 100 (10^2) cells to only one 10^0 survivor.
Critical Instruments
these come into direct contact with body tissues. they include needles and scalpels. critical instruments must be sterile
Semicritical instruments
these come into contact with mucous membranes, but do not penetrate body tissure; they include gastrointestinal endoscopes and endotraceal tubes. semicritical instruments must be free of all viruses and begetative bacteria. the few endospores that may remain pose little risk for infection because mucous membranes are effective barriers against their entry into deeper tissue.
Non-critical instruments and surfaces
these come into contact only with unbroken skin so they pose little risk for infection. countertops, stethoscopes, and blood pressure cuffs are examples of non-critical items.
Moist heat
most heat destroys mocrobes by irreversibly denaturing their proteins. examples of moist heat treatment include boiling, pasteurization, and pressurized steam.