Disinfection, Sterilisation & Antibiotics Flashcards

1
Q

Why control the growth of bacteria? (3)

A
  • Prevent infection of humans, other animals and plants
  • Prevent spoilage of food
  • Prevent contamination of industrial processes & products
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2
Q

Define; -

  • Sterilization
  • Disinfection
  • Preservation
  • Antiseptic
A

Sterilization: An absolute term meaning destruction or removal of all life forms - esp. microorganisms
-something is either sterile or not
Disinfection: Killing or removal of organisms capable of causing infection (reduce load so that not a problem)
-focuses on pathogenic organisms
-usu on inanimate objects & surfaces w/ chem. agent
Preservation: Treatment or condition that prevents growth of microbes
-usu used for food
Antiseptic: Chem. agent (milder action) used on skin or in living tissues that kills or inhibits microbes
-has to be milder so doesnt damage living tissues

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3
Q

How bacteria die on exposure to physical or chemical factors

-D Value

A
  • Populations of bacteria die at an exponential rate
    • not all bacteria are equally sensitive due to different metabolic states, mutations etc.
  • Most sensitive bacteria die first, most resistant bacteria die last

D Value: Time taken for a 10 fold reduction in a population

  • shorter the time = more effective/efficient the treatment is
  • is the way rate of death is measured
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4
Q

Physical Agents for sterilisation (4)

A
  1. Heat
    i) Incineration
    ii) Dry heat
    iii) Wet heat
  2. UV radiation
  3. Ionizing radiation
  4. Filtration
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5
Q

Sterilisation using heat

-effects of heat

Incineration - what it is and what it’s used for

A

-Heat degrades nucleic acids, causes disruption and melting of cell membranes and coagulation/denaturation of proteins

i) Incineration: Flame sterilisation, commonly used in laboratory for glass spreaders, wire loops and metal spatulas
- also used for clinical waste and farm buildings

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6
Q

Sterilization using heat; Dry heat

  • What it is and does
  • what it’s used for - how long & temp
  • 2 requirement for it to work
A

-Dry heat oxidizes cytoplasm as it heats in the absence of water (i.e. in an oven)

*This method requires long times of exposure and very hot temperatures
-not that effective
Used for glassware in lab - 170 degrees Celsius for 2 hours

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7
Q

Sterilization using heat; Wet heat

  • what is it
  • 3 ways to achieve wet heat
A

-Moist heat is more efficient than dry heat because tends to coagulate microbial protein

Ways to achieve wet heat;

  1. Boiling
  2. Pasteurization
  3. Tyndallization
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8
Q

Wet heat; Boiling

  • What it is effective & ineffective on
  • Downfall
A

(100 degrees Celsius)
-Rapidly kills vegetative bacterial cells, altho viruses can survive longer and spores can survive very long periods (i.e. 20 hours)

*Boiling doesn’t sterilize - therefore inadequate for surgical instruments

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9
Q

Wet heat; Pasteurisation

  • What it is used for
  • 3 types
A

-Common for milk products; kills pathogens but not spores

i) LTH = low temp holding (63 deg. for 30 mins)
ii) HTST - “flasth methods” (7 deg for 15-30 secs)
iii) UHT - Ultra - heat treated (150 deg for 3-4 secs)

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10
Q

Wet heat; Tyndallization

  • Process & what it targets
  • what it doesn’t guarantee
A
  • Is the process of heating material in hydrated state, let material cool so spores germinate and then heat up again before bacteria can sporate. Repeat
  • sequential three day cycle of 100 deg for 20 mins used to treat soils (kills spores)

*Doesn’t guarantee sterility in many situations

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11
Q

How to achieve sterility w/ Wet Heat?

  • What steam usu works agains
  • 4 ways to increase the efficiency of killing by moist heat
  • Way steam is altered to be most efficient
A

-Steam (100 deg) rapidly kills vegetative bacteria, but not viruses & spores
Efficiency of killing by moist heat affected by:
1. Hydration
2. Time of exposure
3. Temp of exposure
4. pH

  • Steam under pressure leads to higher temperatures -> rapidly kills bacteria, destroys viruses and spores
    • is the most efficient and effective process for routine sterilization

-Carried out using autoclave

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12
Q

Sterilization using UV radiation

  • What dose is lethal
  • effects
  • what it is used for and what it can’t penetrate
A
  • Lethal at 260nm
  • Affects DNA: causes thymine dimers that result in mutations and misreading of genes
  • Used to sterilize surfaces, atmospheres
  • Doesn’t penetrate glass, plastic, paper, water
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13
Q

Sterilization using Ionising Radiation

  • E.g.
  • What it is good for, not good for
  • What it is used for
A
  • Gamma rays
  • Excellent for sterilizing agent for bacteria and spores, but not effective for viruses
  • Used to sterilize plastics, petri dishes, gloves, syringes; cold sterilization for antibiotics, hormones
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14
Q

Sterilization using Filtration

  • What is it & how achieved
  • What it is effective and not so effective for
  • What it used to sterilize
A
  • Physical removal of microbes using cellulose acetate filters
    • achieved by air flow in laminar flow cabinets
  • Effective process for bacteria and spores but not so effective for viruses
  • Used to sterilize heat sensitive solutions such as serums (vaccines, antibiotics, vitamins)
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15
Q

Techniques for Preservation (3)

A
  • inhibition of bacterial growth*
    1. Low temp (freezing, refridgeration)
    • microbiologists use ultra cold storage to store microbes for years
      1. Dehydration: Makes water unavailable to bacteria - bacteria need water to grow
    • e.g. jams (high sugar content), salted foods - both have high osmotic potential
      1. Preservatives
    • e.g. Chemicals that inhibit bacteria, nitrite in ham, bacon and cured meats, sulfites in dried fruits, wine
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16
Q

Chemical methods for Sterilization

  • comparison to physical sterilization
  • e.g.
A
  • Are slower and less effective than physical sterilization and w/ side effects such as mess, staining, toxicity
    e. g. Vapourised and gaseous agents, Disinfectants and antiseptics and antimicrobial agents
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17
Q

Disinfectants and antiseptics

  • Soaps
  • Alcohols - most effective conc., effects
  • Aldehydes - effects, cons, e.g.
A
  • Soaps (i.e. used in handwashing) - key action is more physical (mechanical removal of bacteria)
    • antiseptics such as triclosan can be added to inhibit or kill bacteria
  • Alcohols: 70 % (v/v) conc. most effective (30% water helps absorption into membranes
    • causes membrane damage, protein denaturation
    • not effective for spores
  • Aldehydes: Very toxic compounds; strong irritants, strong reducing agents (adverse effects on living)
    • inactivate enyzmes, proteins, nucleic acid, will kill spores
      i. e. formaldehyde: need long exposure as is poor at penetrating
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18
Q

Disinfectants & Antibiotics; Ethylene oxide gas

  • challenge
  • what it is used for
A

-Is a toxic gas; useful for sterilizing large materials (i.e. buildings)
-key challenge: removing gas
Used for;
-Plastics
-medical equip
-surgical supplies
-vaccines
-buildings

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19
Q

Disinfectants & antibiotics; Halogens (3 types)

A

*Are oxidising agents - oxidise cell components

  • Chlorine - water supplies
  • Hypochlorite (i.e. household bleach) - cheap, corrosive
    • used for: dairy utensils, pools, nappies
  • Iodine (used as antiseptic) - binds to proteins and is an oxidant
    • e.g. betadine
20
Q

Disinfectants & antibiotics; Phenolics

  • features
  • 1 eg
A
  • Are very toxic compounds - are irritants
  • denature proteins, disrupt membranes
  • Neurotoxin when absorbed

e.g. hexachlorophene good for Staphylococcus

21
Q

Disinfectants & antibiotics; Heavy Metals; Cationic Detergents; Acids & alkalis

A

Heavy metals: inactivate proteins
e.g. silver, mercury, copper
Cationic detergents: quaternary ammonium compounds - destroys cell membranes, denatures proteins
-e.g. Benzalkonium chloride
-low toxicity, biocidal effect, better at killing gram neg. bacteria
Acids & Alkalis: detergents and germinides

22
Q

Factors that affect chemical killing (interactions determine effectiveness of treatment) (7)

A
  1. Nature of chemical used - mechanism of action
  2. Population size - larger populations take longer to kill
  3. Contact time - death proportional to contact time
  4. Cell physiology - young cells more sensitive (log phase vs stationary phase)
  5. Temp - rate of killing increases w/ temp
  6. Local enviro - organic matter decreases effectiveness (chem. binds to organic matter - effectively decreases the conc. of chemical available to bind to bacteria)
  7. Conc. of chemical
23
Q

Criteria for effective Antibiotics (7)

A
  • Active at high dilution
  • selective toxicity (affects microbes, not host)
  • Non-allergic to host cells
  • Stable in storage and in body
  • Soluble in body fluids (blood - means it can be injected)
  • Retained in body at effective conc (otherwise excreted rapidly in urine)
  • Target micro-organism and slow for microorganisms to develop resistance
24
Q

Action of antibiotics (2)

A

Bacteria either have a;

  1. Bacteriostatic effect (Only inhibits growth of bacteria - does NOT kill)
  2. Bactericidal effect (kills bacteria)
25
Q

6 ways antibiotics work

A
  • Have v. specific modes of action. Interefere w/ structure, replication or metabolism
    1. Cell wall synthesis (penicillin, cephalosporins)
    2. mRNA translation (aminoglycosides)
    3. Plasma membrane disruption (polymyxins)
    4. DNA synthesis (quinolones -nalidixic acid)
    5. Gene transcription (rifampin, nalidixic acid)
    6. Enzyme activity (sulphonamides)
26
Q

Antibiotic mode of action; Cell wall synthesis

A
  • penicillin: stops cell making peptidoglycn for new walls
    • only active on growing cells
    • more effective of G +ves
    • beta-lactam ring susceptible to degradation by bacterial beta-lactamase enzymes
    • is a bacteriocidal
  • cephalosporins; similar mode of action to penicillins, tho increased spectrum of activity
    - also susceptible to beta-lactamase enzymes
    • new generations of drugs progessively available - less susceptible to enzymes (tho as antibiotics evolve, so do bacterial enzymes)
27
Q

Natural Penicillins - advantages and disadvantages

A

Advantages;

  • Low toxicity
  • potent activity
  • easy administration (injection, oral)

Disadvantages;

  • Narrow spectrum
  • acid sensitivity
  • Easily excreted
  • Resistance - through penicillinase (breaks down penicillin)
28
Q

Ways to overcome the disadvantages of Penicillin (2)

A
  1. Produce different penicillins - grow fungus on different substrates to get different variable or R group on penicillin backbone (changes the chemical nature of penicillin)
  2. Semi-synthetic penicillins (most of penicillins today)
    -Diff R groups added to natural penicillin
    ampicillin - acid resistant, broad spectrum
29
Q

Antibiotic mode of action; Inhibition of protein synthesis

  • 4 classes
A

-bind to ribosomes to inhibit translation of mRNA to proteins
-only active on growing cells (i.e. those in exponential phase)
-can be bactericidal or bacteriostatic
4 classes;
1. Aminoglycosides
2. Tetracyclines
3. Macrolides
4. Chloramphenicol

30
Q

Classes of antibiotics inhibiting protein synthesis; Aminoglycosides

  • how it works
  • e.g.
A
  • attach to 30 S ribosomal subunit - causes misreading of mRNA and wrong protein produced
  • bactericidal effect
  • effective against gram +ve (get taken up easier)
  • toxic to humans - auditory nerve, kidneys

e.g. streptomycin, kanamycin, gentamicin, neomycin

31
Q

Classes of antibiotics inhibiting protein synthesis; Tetracyclines

  • method
  • side effects
A
  • Attach to 30 S ribosomal subunit
  • block attachment of tRNA to A site - no protein produced
  • bacteria are inhibited
  • Bacteriostatic effect - bact. aren’t killed
  • broad spectrum (+ve & -ve)
  • Side effects: inhibit normal micro-flora, liver damage, discoloured teeth in children
32
Q

Classes of antibiotics inhibiting protein synthesis;Macrolides

  • method
  • common side effects
  • e.g.
A
  • attach to 23S rRNA of the 50 S ribosomal subunit
  • inhibits peptide chain elongation therefore protein not produced
  • bacteriostatic effect (once antibiotic taken away, bact can grow)
  • broad spectrum
  • Common side effects - anemia, kidneys, allergic response

e.g. erythromycin, clindamycin

33
Q

Classes of antibiotics inhibiting protein synthesis; Chloramphenicol

  • method
  • side effects
A
  • Attach to 23S rRNA on 50S subunit
  • inhibits peptidy transferase activity therefore no protein produced
  • bacteria inhibited = bacteriostatic effect
  • broad spectrum
  • side effects: can inhibit formation of blood cells in bone marrow = aplastic anemia
34
Q

Antibiotic Sensitivity Testing

A
  • Inoculate “lawn of pure culture on agar plate
  • filter discs with different antibiotics
  • Zone of inhibition = level of sensitivity (size of death zone around disc directly related to antibiotic efficiency)

*Kirby-Bauer method (relates mm of zone to how sensitive bacteria is)

35
Q

Minimum Inhibitory concentration (MIC)

A
  • Can be done as an agar dilution test or as a broth dilution test
  • make dilutions of antibiotic in broth
  • add equal bacteria inocula to each dilution
  • note last tube in which bacterial growth is inhibited = M.I.C. (is just before where conc of antibiotic is too low)

*Aim for 2-4 x MIC in blood or 10-20 x MIC in urine

36
Q

General Considerations for antibiotics (common sense)

A
  • Antimicrobials assist natural defense mechanisms, NOT replace them
  • must always be used at full therapeutic doses for adequate period
  • narrow spectrum antibiotics preferable to those w/ broad spectrum for sensitive organisms
  • bactericidal preferable to bacteriostatic
  • not be used for mild infections
  • avoid use for routine prophylaxis - do not use as alternative for surgical asepsis and other forms of disease control
  • not v. effective against abscesses or foreign bodies & prolonged treatment is required for intracellular parasites
  • Antibiotic w/holding times important when treating production animals (all about when animal can enter food chain)
37
Q

Potential adverse effects of antibiotics (2 types)

A
  • Direct Toxic effects
    • local irritation at site of administration
    • systemic toxic effects on tissues distant from site of administration
  • Indirect adverse effects
    • effects on normal microbial flora
    • immune responses possibly depressed
    • hypersensitivity to drug
    • masking of the disease
38
Q

Antibiotic Resistence

-4 examples of infectious organisms that are drug resistant

A

*Major world wide problem
Many infectious organisms are drug resistant, i.e.

  • Mycobacterium tuberculosis - tuberculosis
  • Staphylococcus aureus - golden staph
  • Neisseria gonoffhoeae - gonorrhea
  • Shigella sonnei - dyssentry
39
Q

How do Bacteria resist drugs?

A
  • Enzyme breakdown (i.e. penicillinase)
  • Modify antibiotic so it is no longer in a chemical form that is effective
  • Prevent drug uptake
  • Drug efflux (export drug out)
  • Produce more affected enzyme (that is effected by enzyme)
  • Change receptor for drug (i.e. if part of seq of ribosome that binds to antibiotic changed, antibiotic can no longer bind)
40
Q

Why does resistance develop?

A
  • Misuse of antibiotics
    • use of sub-lethal doses (doesn’t kill whole popuation)
    • Incorrect antibiotic
    • incorrect method of administration
    • stopping treatment too soon
  • bacteriostatic antibiotic inhibits bacteria only - bacteria are removed by natural immune system
    • if treatment stopped too soon, body may not have gotten rid of all bacteria yet
41
Q

How do bacteria get resistant? (2 methods)

A

Acquire antibiotic resistance through:

  1. Mutation: spontaneously producing new genes
  2. Exchange of DNA: Reason for rapid spread of resistance genes
    • bacteria have the capacity to transfer genes b/w themselves (i.e. via plasmids)
42
Q

Why does resistance spread?

A
  • Resistant bacteria survive during drug use, then multiply & increase
  • if plasmid borne resistance - they transfer the resistance genes to other bacteria
43
Q

Combining drugs - can we do it? -2 types of drug interactions

A
  • Sometimes
  • Synergistic interaction = 2 drugs in combo may be better/more efficient at killing bacteria
    • i.e. penicillin & streptomycin for endocarditis - penicillin damages cell wall then streptomycin taken up faster
  • Antagonistic interaction = when 2 drugs in combination can be harmful
    • i.e. penicillin & tetracycline - tetracycline inhibits growth of bacteria, prevents penicillin damaging cell wall (penicillin requires growing bacteria) - after treatment infectious organism can grow
44
Q

Drug development - steps (5)

A
  • is a very long & expensive process
    1. Screen exotic organisms against test microbes
    2. Isolate active chemical
    3. Determine & evaluate chem. structure
    4. Animal tests
    5. Clinical trials
  • can be a 5-20 year process
45
Q

Possible alternatives to antibiotics

A

-Growth promotion (banned in EU)
-Prophylaxis
-Treatment
Alternatives;
-acidifiers, probiotics, prebiotics, herbs & spices, esential oils, honey for wounds

  • improved management, hygiene, diets, etc.
  • Bacteriophage therapy, bacterocins, new antimicrobials
  • new vaccines
46
Q

The future of antibiotics

A

-Increased misuse of antibiotics leads to increased resistance