IC3 Flashcards

1
Q

properties of ideal disinfectant

A

1) broad spectrum
2) fast acting
3) not affected by environmental factors

  • active in presence of organic matter
  • compatible w soap, detergent, other chemicals

4) nontoxic
5) surface compatibility

  • X corrode instrument & metallic surface
  • X deteriorate cloth/rubber/plastic/other material

6) residual effect on treated surface
7) odourless/pleasant odour
8) economical
9) soluble in water (easier to wash away)
10) stabile in concentration & use dilution
11) good cleaning properties
12) environmental friendly on disposal

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2
Q

factors affecting activity of disinfectant - microorganism related

A

1) nature of microorganism
2) physiologic state of microorganism
3) microbial communities & biofilm

  • different strains of bacteria from biofilms -> too selective disinfectant = not effective

4) natural & acquired resistance

  • if resistant to 1 type means resistant to other disinfectant with same MOA
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3
Q

factors affecting activity of disinfectant - environment

A

1) conc
2) temp
3) presence of organic matter
4) electrolytes
5) Additives & excipients

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4
Q

phases of bacterial growth

A

1) lag phase

  • cells not dormant
  • processes to prepare for cell replication

2) exponential phase

  • cells double at constant rate

3) stationary phase

  • growth-limiting factors affect replication
  • equilibrium: death = growth

4) death phase

  • growth limiting factors = limited resources = die
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5
Q

what can you tell from the phases of bacteria growth

A

can tell the disinfectant’s MOA base on which phase it is effective in

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6
Q

kinetic parameters in inactivation of microorganism

A

1) rate constant
2) temperature coefficient
3) electric field (RARE)

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7
Q

factors interfering w evaluation tests & criteria for activity - general list

A

1) test strains
2) Criteria for activity
3) critical point in test method
4) quantitative recovery of microorganism
5) size of sampling
6) subculture & revival of survivor

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8
Q

factors interfering w evaluation tests & criteria for activity - criteria for activity

A

1) minimum inhibitory constant (MIC)

  • lowest concentration that inhibit growth buy won’t kill

2) minimum effective constant (MEC)

  • lowest concentration where product is effective
  • bacteriostatic & bactericidal

3) minimum recommended concentration

  • common practice instead of MIC/MEC (cuz MIC/MEC X account interfering factors)\

4) minimum bactericidal concentration

  • X commonly used
  • concentration that should reduce bioburden by factor of 1000

5) minimum selective concentration (MSC)

  • min effective concentration against a few strains but not all strains of bacteria
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9
Q

factors interfering w evaluation tests & criteria for activity - critical point in test method

A
  • preparation of inoculum
  • neutralisation/washing by membrane filtration
  • detection & count of survivor
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10
Q

factors interfering w evaluation tests & criteria for activity - subculture & revival of survivor

A

time, temp, humidity, pH

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11
Q

what is inoculum

A

population of microorganisms/cells introduced in fermentation medium/other suitable medium

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12
Q

inoculum development process

A
  • taken from working stock culture to initiate growth in suitable liquid medium
  • bacterial vegetative cell/spores:
    ** suspended in sterile tap water/saline
    ** added to broth
  • fungi & actinomycytes
    ** hyphae used for inoculum
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13
Q

why development of inoculum done in sequential steps?

A

increase volume of initial inoculum to desired level

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14
Q

equation for colony forming unit (CFU)

A

CFU = (colonies x dilution factor) / volume of culture plate

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15
Q

disinfection test vs antimicrobial agent evaluation

A
  • disinfection test X use MIC
  • disinfection test have different mechanism & activity = non linear killing curve (measures how much time it takes for disinfectant to work)
  • disinfection test measure inhibitory effect & post exposure effect
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16
Q

test parameters for disinfectant test - got how many

A

1) exposure time
2) interfering substance
3) interpretation criteria

17
Q

test parameters - exposure time

A
  • how long to use disinfectant
18
Q

test parameters - interfering substance

A
  • stimulates practical condition
  • 2 step methods:
    1) aq suspension (bacteria + water)
    2) bacteria + interfering substance dried on stainless steel disc -> add disinfectant
19
Q

factors interfering w evaluation tests & criteria for activity - interpretation criteria

A
  • log reduction in certain amount of time!!
  • important to know amt of microbes at the start (baseline vibes)
  • if 1 population = 1 million,
    ** 1 log reduction = 10% left, kill 90%
    ** 2 log reduction = 1% left, kill 99%
  • ideally > 4 log reduction for the tests!
20
Q

why is sample size important?

A

reliability of results

21
Q

why do you need substance/interfering material ratio?

A

determine effect of interfering material because it affects different disinfectants to different extents

22
Q

what is the point of initial titer of virus

A

to be sure that calculation of reduction rates are correct

23
Q

why neutralisation

A

removing/neutralising disinfectant so regrowth not affected

24
Q

what is the role of incubation

A

achieve proper quantitation

25
Q

why is cytotoxicity control required

A

make sure we don’t neutralise virus while neutralising disinfectant -> false negative results

26
Q

why must the starting viral inoculum have sufficiently high titer for test product to show at least a 4-log reduction relative to control?

A

need to be high enough to be reliable

27
Q

what to do if there is cytotoxicty in one assay?

A

4 log reduction must be demonstrated past level of cytotoxicity

  • e.g. if neutralisation method is 2 log reduction then overall need 6 log reduction
28
Q

why formaldehyde don’t work as expected (neutralise everything)

A

operator mistake or validation not done properly