R.O Lecture 5&6 Flashcards

(75 cards)

1
Q

What is the rate of microbial death affected by?

A

*Microbial characteristics/susceptibilities
*Environmental influences such as:
- Number of Microbes (Proportional death rates)
- Time required for sterilisation

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2
Q

Sterilisation

A

The killing or removal of all microorganisms in a material or object

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3
Q

Disinfection

A

Reduction in the number of pathogenic microogranisms on surfaces/objects to the point where they pose no danger of disease

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4
Q

Antiseptic

A

Chemical agent that is safe to use externally on living tissue to destry microbes or inhibit their growth

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5
Q

Bacteriostatic Agent

A

An agent that inhibits the growth of bacteria

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6
Q

Bactericide

A

Agent that kills bacteria (though not spores)

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7
Q

What are the ideal qualities for selecting a disinfectant?

A
  • Fast-acting
  • Non-toxic
  • Non-damaging to material
  • Wide spectrum
  • Easy to prepare/stable
  • Inexpensive
  • Odour
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8
Q

Mechanisms of Action - Effects on Protein

A

Denaturation of Protein:
- Permanent/Temporary
- hydrolysis by acids/alkalis
- oxidation by H2O2, KMnO4, halogens
- alkylating agents (e.g. some dyes) etc.

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9
Q

Denaturation of Protein (Bacteriocidal)

A

Active Protein - Inactive Protein - No reconfiguration; permanentely denatured

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10
Q

Denaturation of Protein - Bacteriostatic

A

Active Protein - Inactive Protein - Reconfiguration, temporarily denatured

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11
Q

Mechanisms of Action - Effects on Membranes

A
  • Denaturationof Protein Component
  • Disruption of Lipids
    - Surfactants (Alcohols, detergents, quats)
    - Wetting agents
    - Indirect effect
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12
Q

Mechanisms of Action for Nucleic Acids

A

Nucleic Acids: Damage from heat, radiation, chemicals

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13
Q

Mechanisms of Action for Energy-producing systems

A

E.g. Fermentation inhibition by lactic acid or propionic acid

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14
Q

Mechanism of Action - Cell Walls

A

Dyes (e.g. crystal violet) can interfere with cell wall formation

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15
Q

Control Methods can be…?

A

Chemical or Physical

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16
Q

Chemical Antimicrobial Agents - Soaps and Detergents

A
  • Remove microbes, oily substances and dirt
  • Anionic: Clothes laundering, household cleaning agents - less effective
  • Cationic: Sanitize food utensils (kill some viruses)
    Quaternary ammonium compounds (quats)
    Mixtures can increase efficacy
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17
Q

Chemical Antimicrobial Agents - Phenols

Phenol and phenol derivatives (phenolics):

A
  • Denature proteins/enzymes and disrupt membranes
  • Action not impaired by organic material
  • Halogen addition can increase effectiveness
  • E.g. Amphyl and Lysol: retain properties for days,
    safe on skin and medical instruments
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18
Q

Chemical Antimicrobial Agents - Halogens

A
  • Particularly Iodine and Chlorine; alone (I2 or Cl2) or part of
    compounds (NaOCl)
  • Agent used in drinking water and swimming pools (HClO)
  • Can be inactivated by organic material
  • Iodophors (Iodine combined with organic molecule): slow release, less irritating , surgical scrubs and skin antiseptic
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19
Q

Chemical Antimicrobial Agents - Alcohols

A
  • Denature protein when mixed with
    water
  • Dissolve lipids (cell membranes)
  • Effective against bacteria & fungi, but not endospores unenveloped viruses
  • Evaporates quickly (low exposure time)
  • Used as skin antiseptic (isopropanol or ethanol; effective at 60-95% (v/v)
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20
Q

Chemical Antimicrobial Agents - Heavy Metals and their compounds

A
  • Selenium, Mercury, Copper, and Silver
  • Very effective in small quantities (oligodynamic action)
  • Selenium sulphide: Kills fungi; Anti-dandruff shampoo
  • Silver wound dressings; Calamine lotion
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21
Q

Chemical AntiMicrobial Control - Oxidising Agents

A
  • Disrupt disulfide bonds - hydrogen peroxide is used to clean puncture wounds, potassium permangenate to disinfect instruments.
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22
Q

Chemical Antimicrobial Agents - Alkalating Agents

A

Disrupt structure of proteins and nucleic acids.
Fomehaldehyde is used to inactivate viruses without destroying antigenic properties, glutaraldehyde to sterilize equipmentn

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23
Q

Chemical Microbial Agents - Dyes

A
  • May interfere with replicatoin or block cell wall syntheisis
  • Acridine is used to clean wounds, crystal violet to treat some protozoan and fungal infections.
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24
Q

Name the Physical Agents used as control methods

A
  • Heat (Various Methods)
  • Refrigeration
  • Desiccation
  • Irradiation
  • Filtration
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25
Heat
* Cheapest, most effective and widely used control * Denatures enzymes * Suitable for materials undamaged by heat * Various approaches: - Dry heat - Moist heat - Pasteurisation
26
Dry Heat
* Used to sterilise metal objects and glassware * Flame: Innoculating loops, flasks/tube mouths * Dry heat sterilisation for moisture-sensitive materials * Longer heating times/temperatues than moist heat
27
Moist Heat
* Causes denaturation of proteins and may disrupt membrane lipids-widely used * Boiling water can kill most vegetative bacteria and fungi * Heating water under pressure (higher temps) in an autoclave: 121 °C for 15-20 min can kill also spores
28
Pasteurisation
Invented by Pasteur; does not achieve sterility Kills pathogenic organisms in raw products (milk etc) - Flash method: 71.6 °C for 15 sec - Holding method: 62.9 °C for 30 min - Ultrahigh temperature processing (UHT): 74°C--- 140°C--- 74°C (5 sec) Can be stored at RT
29
Physical Agents - Lower temperatures
* Refrigeration: (2-8 degrees) Slows growth based on reduction in enzyme kinetics * Freezing : (-20 degrees) slows metabolic activity to prevent food spoilage but does not kill organisms.
30
Physical Agents - Dessication
* Water absence inhibits enzymatic activity * Usually bacteriostatic, but may be bactericidal depending on the species * Used to preserve some foods * Freeze-drying: Lyphilisation - used to preserve bacterial cultures.
31
Physical Agents - Radiation. Name the 3 main types
* Ultraviolet (UV) light * Ionising Radiation * Microwave Radiation
32
Ultraviolet (UV) light
Ultraviolet (UV) light: (40 – 390 nm) Works best at 200nm; Used for sterilising surfaces Damages DNA and proteins; DNA repair can aid survival
33
Ionising Radiation
Ionising Radiation: X-rays and gamma rays (< 40 nm) – dislodge electrons from atoms, creating ions and radicals. Radicals kill by interacting with DNA, proteins, lipids etc.
34
Microwave Radiation
(1mm – 1m) Acts on water molecules which release heat – not effective on spores
35
Physical Agent - Filtration
* Passage of liquid/gas through small pores; traps in a size￾specific manner * Membrane filters: Specified pore sizes (0.025 – 25 µm) * Suitable for heat-sensitive materials (e.g. media supplements, drugs, vitamins) * HEPA (High-efficiency particulate air) filters in labs
36
What pore sizes of membrane filters are used most often?
- 0.45 - a few bacteria, viruses molecules - 0.22 - viruses, molecules - 0.10 - medium-sizes to small viruses molecules
37
Physical Agent - Osmotic Pressure
High salt/sugar concentrations draw water from cells Bacteriostatic – metabolism cannot progress Food preservation: Curing, pickling, jams etc.
38
Sound
* Ultrasonic waves can cause bacteria to cavitate – denatures proteins and disintegrates bacteria * Can be used to lyse bacteria to release components for study, but not practical for sterilisation.
39
Physical Antimicrobial Agent - Strong Physical Light
* Oxidation of light-sensitive materials - can be used with dyes to destroy bacteria and viruses: may help sanitize clothing.
40
What are the methods for evaluating a disinfectant?
* Phenol coefficient * Filter Paper Method * Use-dilution Test
41
How do we decide whethere a disinfectant is effective?
Agents that prevent growth at the lowest concentrations are considered the most effective disinfectants
42
Phenol coefficient
- Comparison to the 'original' disinfectant - Some disadvantages
43
Use-dilution tests
* Test bacteria coated onto carrier rings * Incubated in test solutions (time based on product) * Cultured in broth to detect surviving microbes
44
Filter Paper Method
Efficacy of a Chemical Agent applied to a filter paper disc In vitro results may not translate in practice
45
Name the methods for Measuring sensitivity to an antimicrobial agent. | (antibiotic susceptibility testing)
* Disc-diffusion (Kirby-Baeur) method * E (epilsometer test) * Dilution Method
46
Disc-diffusion (Kirbay-Bauer) method | (antibiotic susceptibility testing)
* Lawn of target bacteria spread over plate * Specific concentrations of antimicrobial agents on filter paper discs * Zones of inhibition measured (diameter) * Issues due to bacteriostatic vs. bactericidal actions
47
E (epsilometer test) | antibiotic susceptibility testing
* E (epsilometer) test determines sensitivity to antibiotic and also minimum inhibitory concentrations (MIC) – antimicrobial gradient * Gradient of antibiotic concentrations on a strip (high to low) * Intersection of zone of inhibition with the strip used to determine the MIC
48
The dilution method | (antibiotic susceptibilty testing)
* Bacteria inoculated into serial dilutions of an antimicrobial agent MIC can be determined * Measuring sensitivity to an antimicrobial agent (antibiotic susceptibility testing) * Can combine with second test to determine if bacteriostatic or bacteriocidal (minimum bactericidal concentration; MBC)
49
Antimicrobial agent/drug
Chemical substance used to treat diseases cause by pathogenic mcrobes
50
Antibiotic
Chemical substance (drug) produced by microogransims, with the capacity to control growth/kill microbes. Bacteriostatic or bacteriocidal Synthetic or natural product (bacteria/fungi)
51
Who discovered antibiotics? Exaplain the discovery.
* Alexander Fleming (1929) * Penicillium notatum inhibited S.aureus * Recognised growth inhibition potential - Penicillin * Mass production by 1940s (WW2) * Post-war studies led to discovery of new antibiotics
52
Properties of useful chemoterapeutic agents
* Selectively toxic to pathogens; non-toxic to host and minimal effect on normal microbial flora – determine chemotherapeutic index * Should not stimulate an allergic reaction (hypersensitivity) * Host should not destroy or neutralise drug before effective * Pathogens should not easily become resistant to the drug * Agent should reach the site of infection (solubility)
53
Chemotherapeutic index
Chemotherapeutic index. The ratio of the minimal effective dose of a chemotherapeutic agent to the maximal tolerated dose.
54
Spectrum of activity ## Footnote Look at slide 22
Range of different microogranisms treatable with an agent
55
Broad Spectrum | Antimicrobial Agents
Broad spectrum: Active across a wide range of taxonomic groups; useful for untargeted treatment without pathogen identification
56
Narrow Spectrum ## Footnote Antimicrobial Agents
- Narrow spectrum: Specifically targets small number of organisms; may protect host microflora; reduces development of drug resistance
57
Name the 5 major modes of action of common antimicrobial agents
1. Inhibition of Cell Wall Synthesis 2. Disruption of Cell Membrane Function 3. Inhibition of Protein Synthesis 4. Inhibition of Nucleic Acid Syntheisis 5. Action as Antimetabolites
58
Name the antibiotics used for the Inhibition of cell Wall Synthesis
* Penicillins * Cephalosporins * Bacitracin * Vancomycin
59
Penicllins - Inhibition of Cell Wall Syntheisis | Mechanisms of antimicrobial agent activity
* Penicillins: Bactericidal; All contain a β-lactam ring; * Natural penicillins (G, V) are penicillinase sensitive and narrow spectrum. * Semi-synthetic penicillins are modified to increase penicillinase resistance and broaden spectrum (e.g.methicillin, ampicillin, amoxicillin) * Interfere with PG cross-linking: Targets PBP
60
Cephalosporins - Inhibition of cell wall synthesis | Mechanims of Antimicrobial Agent Activity
* Cephalosporins - effective against Gram-negatices * Resistant to Penicilliniases * More expensive; mainly IV/IM * Interfere with PG cross-linking Targets PBP
61
Bacitracin- Inhibition of cell wall syntheis | Mechanisms of Antimicrobial Agent Activity
* Bacitracin: Polypeptide antibiotic * Effective against Gram positives * Topical application * Interfere with linear PG strand formation
62
Vancomycin
* Vancomycin: Glycopeptide antibiotics; * Narrow spectrum; * toxic * Penicillinase-resistant * Interfere with linear PG strand formation
63
Penicillin and Cephalosporin both bind to target enzymes (PBP) via B-lactam ring. Penicillin has 1 R site, Cephalosporin has 2. Why is this significant? ## Footnote PBP- transpeptidase
* Peniclllin has one R site, which means it can only bind to one target in bacteria. This limits its spectrum of activity and makes it more effective against certain types of bacteria than others. * Cephalosporsins, have two R sites, which gives them a broader spectrum of actiity and makes them more effecive against a wider range of bacteria than penicllin. These two R sites also make cephalosprins more resistant to certai bacterial enzymes than can break down penicllin. ## Footnote look at slide 25 for the common method of administration of each.
64
Describe how the disruption of cell membrane Functions. | Mechanism of antimicrobial agent activity
Alter permeability of bacterial cell membranes; Polypeptide antibiotics; clinical application limited to certain members due to similarities between host and bacterial cell membranes
65
Polymyxins - Disruption of cell membrane function
* Polymyxins: (A, B, C, D, E) used only when pathogen is resistant to other less toxic antibiotics; Gram negatives; Topical
66
Nystatin - disruption of cell membrane function
combine with sterols; therefore effective against mycoplasmas (and also systemic fungal infections).
67
Colicins - disruption of cell membrane function
* Bacteriocin of E.coli; encoded by Col plasmid, which also codes for immunity protein. * Kills bacterial cells not carrying the plasmid e.g. cells of same species.
68
Bacteriocin
* Similar to antibiotics * Produced only by bacteria * Specific to certain bacterial strains , wheras antibiotics can be effective against a broad range of bacteria.
69
Inhibition of Protein SYntheisis
Takes advantage of differences between bacterial and eukaryotic ribosome - selective toxicity
70
Aminoglycosides - inhibition of protein syntheisis
* Amino sugars linked by glycoside bonds. Broad spectrum. * Bacteriocidal; bacteriostatic at lower doses. Work synergistically with other compounds (e.g. penicillin) * Streptomycin (1940s); now has high resistance levels; toxic. * Other compounds (kanamycin, gentamicin etc.)
71
Tetracylines - inibition of protein syntheisis
Tetracyclines: Interfere with tRNA attachment. Bacteriostatic; very broad spectrum; can inhibit intestinal microflora
72
Chloramphenicol - Inhibition of Protein Synthesis
Bacteriostatic; broad spectrum ; inhibits peptide bond formation. Damages bone marrow.
73
Macrolides - Inhibition of protein syntheisis
Macrolides: Erythromycin – Bacteriostatic. Can not penetrate Gram negative cell walls. Used as an alternative to Penicillin
74
Inhibition of nucleic acid syntheisis
Can be Toxic to host cells due to common targets. * Rifampin: Inhibits mRNA synthesis by binding RNA polymerase; High absorbance into tissues and cells; Bactericidal; Broad Spectrum; Interacts with other drugs; Treatment of mycobacteria infections-leprosy and tuberculosis * Quinolones: Blocks bacterial enzyme that unwinds DNA prior to replication; Broad spectrum; Used for UTIs; Can affect cartilage development
75
Actions as Antimetabolites
Compounds that interfere with metabolic reactions by: 1) Competitive inhibition of enzymes or 2) Erroneous incorporation into important molecules