Differentiate between a disinfectant & antiseptic
*disinfection (sanitation) - reduces the number of pathogens to a level at which they pose no danger of disease; used on inanimate objects like bathroom surfaces, etc
*antiseptics - kill microbes or inhibit their growth on skin or other living tissue
Differentiate between microbiocidal & microbiostatic
-Microbiocidal - kills
-Microbiostatic - limits growth
Differentiate between sterilization and commercial sterilization
*Sterilization - destroy all microbial life (even all bacterial endospores and fangal spores)
*Commercial sterilization - food is subjected only to enough heat to destroy Clostridium botulinum spores; there are some thermophiles that are spore-producers and could spoil food, but do not cause human disease
Which is more effective - boiling or autoclaving?
Autoclaving - it kills all endospores & thermophiles
The two types of radiation that kill bacteria are ________________&______________.
nonionizing (UV) and ionizing (X-rays, Gamma rays)
What are the disadvantages of using UV light?
Only kills on surfaces (doesn't penetrate) & can be harmful to humans
What is the disadvantage to using this type of radiation?
Technically complex (need special equipment)
Filtration is replacing pasteurization in some cases. Why?
Filtration causes even less damage to heat sensitive substances; used with media, antibiotics, beer
What are some microorganisms that can pass through a filter? Why?
Viruses, mycoplasma, spirochetes; Viruses are small, mycoplasma have no cell wall so they can squeeze through pores in filter, spirochetes corkscrew through pores
Another word for lyophilization is _________ _____________. In this process materials are frozen and then the ice is changed directly to a _________________.
What is an advantage to using this process over heat drying?
Avoids chemical changes caused by heat drying
What is the mode of action of lyophilization?
Slows down metabolic rate like freezing; also bacteria don't like dry environment
What is the mode of action of using high concentrations of salt or sugar to control microbes?
Create hypertonic environment that "sucks" the water out of bacterial cells
Germicides are tested by comparing their effectiveness to _________, a traditional germicide.
Describe the paper disc method for testing germicides
Paper discs are saturated with the chemical agent and placed on the surface of an agar plate inoculated with a test organism. Clear "zones of inhibition" appear around the discs if the chemical agent is effective
The phenol coefficient of a germicide is 2. Which solution would be more effective (phenol or the germicide being tested)
the germicide being tested
(A disinfectant w/ a p.c. of 1.0 has the same effectiveness as phenol. Greater than 1 means it's more effective than phenol, less means it's not as effective)
Name the 2 test organisms traditionally used to test germicides
Staphylococcus aureus, Salmonella typhi
What are the disadvantages to using alcohols?
Evaporates quickly, doesn't kill endospores; not good for wound treatment (causes coagulation of proteins, producing a layer under which microbes grow)
Why is Staphylococcus relatively resistant to hydrogen peroxide?
It produces the enzyme catalase which breaks down hydrogen peroxide into water and oxygen; the bubbles you see is the oxygen
Explain the mode of action of surfactants
Penetrates oily substances in water & breaks them apart into small droplets that become coated with surfactant molecules. The hydrophobic end of the surfactant sticks into the droplets & the hydrophilic end is attracted to the water. The result is an emulsion, a fine suspension of oily droplets in water, which can now be rinsed away.
Name 2 chemical preservatives that are added to commercially prepared foods.
Sodium benzoate, sobic acid, sodium nitrate (& nitrite), calcium propionate
For many germicides, the higher the concentration, the more effective the germicide. This is not the case for what chemical? (a 70% solution is more effective than a 100% solution)
Why is chloramine considered more effective than chlorine for the disinfection of drinking water?
More stable than chlorine and does not react with organic materials
Why would an alcohol gel be preferred to antimicrobial soap for handwashing by health care professionals?
Works well in the presence of blood, no bacterial resistance, quicker to use, less drying than soap
_____a phenolic; common ingredient in household & hospital disinfectants; remains active in the presence of blood & feces
______also known as gentian violet; blocks cell wall synthesis; inhibits G (+) bacteria & yeasts
______alkylating agent; used to preserve tissues & to embalm; low concentrations are used to inactivate microbes for vaccines
______a surfactant added to another chemical agent to help them penetrate fatty substances
_____a chlorinated phenolic; used in soaps & lotions (Physohex); now known to increase risk of brain damage in babies
______used as an antiseptic & disinfectant; bubbles when it comes into contact with tissue
______alkylating agent; gas; used to sterilize heat labile (heat sensitive) materials; toxic to humans
______an alcohol; widely used as skin antiseptics; a 50-70% solution in water is the most effective
______heavy metal containing mercury; antiseptic; basic first aid kit supplies; contains thimerosal
______heavy metal containing mercury; antiseptic; "monkey blood"; now banned by FDA; now contain quats instead
______heavy metal containing mercury; found in merthiolate; also used as a vaccine preservative and in cosmetics, nasal sprays, etc
______heavy metal used to treat fungal skin infections; included in dandruff shampoos
______heavy metal used as a fungicide on crops and produce; used as an algaecide and a molluscicide
______a halogen; a mixture of iodine and surfactants; used for surgical scrubs and to disinfect skin before surgery
iodophor; betadine/isodine; povidone-iodine (PVP iodine)
______a phenolic from the greasewood bush used to prevent the rotting of wooden posts, fences, railroad ties, etc
______surfactant; widely used; effectiveness decreased in presence of soap; supports Pseudomonas growth
______biguanide; used in mouthwashes, surgical hand scrubs skin creams, to treat gum disease (Peridex, Periogaurd, Periochip); interferes with vitamin K absorption; teeth staining occurs when taking iron
What are the advantages to using PCMX, a product that uses nanotechnology?
Works as well as Quats and chlorine-based products, non-irritating, kills quickly, no toxic fumes, non flammable, noncorrosive, non-drying to skin, do harmful dermal effects, doesn't require EPA handling statements
Why is thimerosal used in vaccines?
Thimerosal contains mercury and is used in vaccines as a preservative.
Why is there concern over the use of thimerosal in vaccines?
There is public concern over a proposed link between mercury and autism
T or F Thimerosal has been removed from childhood vaccines
The FDA claims that thimerosal has been removed from childhood vaccines (DTAP, HepB, HepA, IPV, Hib, MMR etc). There are still a few manufacturers that use thimerosal during the manufacturing process and then the thimerosal is removed; technically there is a trace left in the vaccine, but the FDA says that these vaccines should be considered thimerosal free. The good thing is that there are thimerosal free alternatives to these vaccines, so you don't have to receive the ones that have the trace amt. There is still thimerosal in adult vaccines such as tetanus, diphtheria (single dose are thimerosal free)