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Chapter 7 The Control of Microbial Growth SLOs Define sterilization, disinfection, antisepsis, sanitization, biocide, germicide, bacteriostasis, and asepsis. Describe the microbial death curve. Describe the effects of microbial control agents on cellular structures. Compare effectiveness of moist heat (autoclaving, pasteurization) vs .dry heat. Describe how filtration, low temperature, high pressure, desiccation, and osmotic pressure suppress microbial growth. Explain how radiation kills cells. List the factors related to effective disinfection. Interpret results the disk-diffusion test. Identify some methods of action and preferred uses of chemical disinfectant. Differentiate between two halogens used as antiseptics and disinfectants. List the advantage of glutaraldehyde and ethylene oxide over other chemical disinfectants. Identify the method of sterilizing plastic labware. Explain how microbial control is affected by the type of microbe. SLOs cont.: Check Your Understanding How is it possible that a solution containing a million bacteria would take longer to sterilize than one containing a half-million bacteria? Would a chemical microbial control agent that affected plasma membranes affect humans? How is microbial growth in canned foods prevented? What is the connection between the killing effect of radiation and hydroxyl radical forms of oxygen? If you wanted to disinfect a surface contaminated by vomit and a surface contaminated by a sneeze, why would your choice of disinfectant make a difference? Why is alcohol effective against some viruses and not others? Is Betadine an antiseptic or a disinfectant when it is used on skin? What chemicals are used to sterilize? The presence or absence of endospores has an obvious effect on microbial control, but why are gram-negative bacteria more resistant to chemical biocides than gram-positive bacteria? Terminology Sepsis: microbial contamination. Asepsis: absence of significant contamination. Aseptic surgery techniques prevent microbial contamination of wounds. Antimicrobial chemicals, expected to destroy pathogens but not to achieve sterilization Disinfectant: used on objects Antiseptic: used on living tissue Nosocomial see . . . More Terminology Sterilization: Removal of all microbial life (heat, filtration) For food: Commercial sterilization to kill C. botulinum endospores Sanitization: reduces microbial numbers to safe levels (e.g.: eating utensils) Bacteriostatic: Inhibits bacterial reproduction Bactericidal: Kills bacteria Fungicide, sporicide, germicide, biocide Remember Semmelweis, Pasteur, and Lister from Ch 1 Single most effective measure! Rate of Microbial Death Bacterial populations subjected to heat or antimicrobial chemicals die at a constant rate. Microbial Death Curve, plotted logarithmically, shows this constant death rate as a straight line. Rate: 90% / min Foundation Fig 7.1 How is it possible that a solution containing a million bacteria would take longer to sterilize than one containing a half-million bacteria? Foundation Fig 7.1 cont. Effectiveness of Antimicrobial Treatment Time it takes to kill a microbial population is to number of microbes. Different microbial species and life cycle phases (e.g.:_____________) have different susceptibilities to physical and chemical controls. Organic matter may interfere. Temperature determines exposure time: Longer exposure to lower heat produces same effect as shorter time at higher heat. Actions of Microbial Control Agents Alteration of membrane permeability Damage to proteins Damage to nucleic acids Check your understanding: Would a chemical microbial agent that affects plasma membranes affect humans? Physical Methods of Microbial Control Moist Heat Sterilization ___________proteins Autoclave: Steam under pressure Most dependable sterilization method Steam must directly contact material to be sterilized. Pressurized steam reaches higher temperatures. Normal autoclave conditions: _____C for ___ min. Prion destruction: 132C for 4.5 hours Fig 7.2 Limitations of the autoclave Pasteurization Significant number reduction (esp. spoilage and pathogenic organisms) does not sterilize! Historical goal: destruction of M. tuberculosis Classic holding method: 63C for 30 min Flash pasteurization (HTST): 72C for 15 sec. Most common in US. Thermoduric organisms survive Ultra High Temperature (UHT): 140C for < 1 sec. Technically not pasteurization because it sterilizes. Dry Heat Sterilization Kills by Oxidation Flaming of loop Incineration of carcasses Anthrax Foot and mouth disease Bird flu Hot-air sterilization Equivalent treatments Hot-air Autoclave 170˚C, 2 hr 121˚C, 15 min Filtration Air filtration using high efficiency particulate air (HEPA) filters. Effective to 0.3 m Membrane filters for fluids. Pore size for bacteria: 0.2 – 0.4 m Pore size for viruses: 0.01 m Compare to Fig 7.4 Low Temperature Slows enzymatic reactions inhibits microbial growth Refrigeration (watch out for _______________! Freezing forms ice crystals that damage microbial cells Deep freezing and lyophilization Various Other Methods Desiccation prevents metabolism Osmotic pressure causes plasmolysis Ionizing Radiation X-rays, -rays have short wave length dislodge e- from atoms production of free radicals and other highly reactive molecules Used for sterilization of heat sensitive materials: drugs, vitamins, herbs, suture material Also as “cold pasteurization” of food Consumer fears!? Nonionizing Radiation: UV light Effect: thymine dimers Actively dividing organisms are more sensitive because thymine dimers cause ______________? Used to fight air and surface contamination. Only kills at close range and directly exposed microbial agents E.g.: germicidal lamps in OR, cafeteria, and our lab ?? Nonionizing Radiation: Microwave Heats H2O Indirectly kills bacteria. How ? Solid food heats unevenly. Why? Fig 7.5 Chemical Methods of Microbial Control Few chemical agents achieve sterility. Disinfectants regulated by EPA Antiseptics regulated by FDA Evaluating Disinfectants: Use-dilution test Disk-diffusion method Fig 7.6 Types of Antibacterial Chemicals Phenol = carbolic acid (historic importance) Who used first? Many derivatives today: Phenolics, e.g.: Lysol Bisphenols, e.g.: Hexachlorophene (in pHisoHex used in hospitals) Fig 7.7 Triclosan (toothpaste, antibacerial soaps, etc.) Phenol and derivatives disrupt plasma membranes (lipids!) and lipid rich cell walls (??) Remain active in presence of organic compounds Halogens Cl I Chlorine Oxidizing agent Widely used as disinfectant Forms bleach (hypochlorous acid) when added to water. Broad spectrum, not sporicidal (pools, drinking water) Iodine More reactive, more germicidal. Alters protein synthesis and membranes. Tincture of iodine (solution with alcohol) wound antiseptic Iodophors: Iodine plus organic molecule. E.g.: complexed with detergent: Betadine®. Occasional skin sensitivity. Alcohols Ethyl (60 – 80% solutions) and isopropyl alcohol Denature proteins, dissolve lipids No activity against spores and poorly effective against viruses and fungi Easily inactivated by organic debris Also used in hand sanitizers and cosmetics Heavy Metals Oligodynamic action: toxic effect due to metal ions combining with sulfhydryl (—SH) and other functinal groups proteins are denatured. Silver (1% AgNO3): Antiseptic for eyes of newborns Copper against chlorophyll containing organisms Algicides; also X-gel hand sanitizer Zinc (ZnCl2) in mouthwashes, ZnO as antifungal in paint Surface Acting Ingredients / Surfactants Soaps and Detergents Major purpose of soap: Mechanical removal and use as wetting agent Definition of detergents Acidic-Anionic detergents Anion reacts with plasma membrane. Nontoxic, non-corrosive, and fast acting. Laundry soap, dairy industry. Cationic detergents Quarternary ammonium compounds (Quats). Strongly bactericidal against wide range, but esp. Gram+ bacteria Soap Degerming Acid-anionic detergents Sanitizing Quarternary ammonium compounds (cationic detergents) Strongly bactericidal, denature proteins, disrupt plasma membrane Chemical Food Preservatives Sodium nitrate and nitrite prevent endospore Prevents ES germination. Used in meats. Conversion to nitrosamines: Carcinogenic! Organic acids Inhibit metabolism E.g.: Sorbic acid, benzoic acid, etc. In foods and cosmetics Sulfur dioxide wine Aldehydes and Chemical Sterilants Aldehydes (alkylating agents) Inactivate proteins by cross-linking with functional groups (–NH2, –OH, –COOH, –SH) Formaldehyde: Embalming Formalin Virus inactivation for vaccines Glutaraldehyde: Liquid Sterilant for delicate surgical instruments (Kills S. aureus in 5, M. tuberculosis in 10 min, ES in 3 – 10h) Ethylene oxide: Gaseous Sterilant Hydrogen Peroxide: Oxidizing agent Inactivated by catalase Not good for open wounds Good for inanimate objects; packaging for food industry (containers etc.) 3% solution (higher conc. available) Especially effective against anaerobic bacteria (e.g.: Effervescent action, may be useful for wound cleansing through removal of tissue debris Microbial Characteristics and Microbial Control Fig 7.11