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LECTURES IN MICROBIOLOGY Control of Microbial Growth LESSON 7 Sofronio Agustin Professor Lesson 7 Topics Controlling Microorganisms: Physical Means Chemical Means 2 Overview Various Microbial Control Methods 3 Antimicrobial Action -static agents- inhibit growth of microbes Ex: bacteriostatic, fungistatic -cidal agents - destroy or kill microbes Ex: bactericidal, fungicidal 4 Antimicrobial Resistance Highest resistance - bacterial spores and prions. Moderate resistance - some bacteria, protozoan cysts, fungal (sexual) spores, naked viruses. Least resistance - most bacteria, fungal (asexual) spores and hyphae, enveloped viruses, yeast, protozoan trophozoites. 5 Comparative Resistance Relative resistance of bacterial endospores and vegetative cells 6 Terms Sterilization Disinfection Antisepsis Sanitation Degerming 7 Sterilization Process of complete removal or destruction of all viable microbes including endospores. Example: Use of physical or chemical agents on surgical instruments, and commercially packaged foods. 8 Disinfection Use of physical or chemical agent (disinfectant) to destroy vegetative bacteria and other microbes except endospores. Example: Use of bleach solution on bench tops. 9 Antisepsis Use of physical or chemical agent (disinfectant) to destroy vegetative pathogens on living organisms. Example: Scrubbing surgical patients with chemical agents. 10 Sanitization Reduction of the number of microbes to acceptable levels established by public health standards. Sanitization of utensils in restaurants. 11 Degerming Physical removal or reduction of microbes from human skin. Ex: Washing of hands with germicidal soap. 12 Efficacy Number of microorganisms Target microbe - bacteria, fungi, spores, viruses. Temperature and pH Concentration of agent Its mode of action Interfering substances - solvents, debris, saliva, blood, feces. 13 Factors Factors that influence the effectiveness of antimicrobial agents 14 Mode of Action Effects on: Cell wall Cell membrane Nucleic acid synthesis Protein synthesis Protein function 15 Cell Wall Effects on bacteria and fungi: Block cell wall synthesis Degrade cellular components Destroy or reduce its stability Ex: Penicillin, detergents, alcohols 16 Cell Membrane Effects on all microbes including enveloped viruses: Bind and penetrate membrane lipids Loss of selective permeability resulting in leakage of cytoplasmic contents. Ex: Surfactants - surface active agents. 17 Surfactant Action The effect of surfactants on the cell membrane. 18 Nucleic Acid Synthesis Irreversible binding to microbial DNA results in: Ceasation of transcription and translation Mutations Ex: Formaldehyde and ionizing radiation 19 Protein Synthesis Ribosome binding stops translation and prevents peptide bond formation. Ex: The antibiotic chloramphenicol 20 Protein Function Blockage of protein (enzyme) active sites prevents binding of substrate. Protein denaturation. Ex: Heat, acids, alcohols, phenolics, metallic ions. 21 Protein Function Effects of heat, pH, and blocking agents on protein function. 22 Physical Methods Heat Radiation Filtration 23 Heat Moist heat: Coagulation of proteins Denaturation of proteins Dry heat: Dehydration Denaturation Oxidation (burning to ashes) 24 Moist Heat Boiling water Tyndallization Pasteurization Steam and pressure 25 Boiling Water Boiling at 100 ˚C for 10-30 minutes kills most non-spore forming pathogens. Ex: Boiling of baby bottles and unsafe drinking water Note: Hepatitis B virus needs 1 hour boiling to be killed. 26 Tyndallization Intermittent sterilization using free-flowing steam for 30 to 60 minutes. Ex: Used on heat-sensitive media, canned foods. Note: This will not destroy spores. 27 Pasteurization Use of moist heat at : - 63 ˚C for 30 minutes (Classical) - 72 ˚C for 15 seconds (HTST) - 140 ˚C for < second (UHT) Used in milk industry, wineries, breweries. Prevents transmission of milk-borne diseases caused by: Salmonella, Campylobacter, Listeria, Mycobacteria. 28 Steam and Pressure Used in media preparation and glassware sterilization. Ex: Autoclave and pressure cooker Autoclave setting at 121 ˚C, 15 p.s.i. pressure for at least 15 minutes effectively destroys spores. 29 Autoclave 30 Dry Heat Hot air Incineration Requires greater temperature and exposure time than moist heat 31 Hot Air Ex: Hot air oven Effective at 150˚C to 180˚C for 2-4 hrs Useful for sterilization of glasswares and oils 32 Incineration Destroys microbes to ashes or gas Bunsen flame - up to 1870˚C Ex: Sterilization of loops and needles. Furnace - 800˚C to 6500˚C Ex: Incineration of animal carcasses. 33 Incinerator An infrared incinerator using flame to burn or oxidize materials into ashes. 34 Cold and Desiccation Cold temperatures - reduce microbial activity except psychrophiles. Desiccation or dehydration - removal of water stops metabolic activity of microbes. Lyophilization –a freeze drying method used to preserve microbes and vaccines. 35 Radiation Ionizing: - Gamma rays (High energy) - X-rays (Intermediate energy) - Cathode rays (Lowest energy) Nonionizing: Ultraviolet light 36 Radiation Effects Ionizing radiation: Ejects orbital electrons from an atom High energy - penetrates liquids and solids effectively. Nonionizing radiation: Raises atoms to a higher energy level Low energy - less penetrating UV - formation of pyrimidine dimers 37 Cellular Effects of Radiation 38 Ultraviolet Radiation UV radiation cause the formation of pyrimidine dimers on DNA. 39 Applications of Radiation Ionizing radiation: Alternative sterilization method Materials sensitive to heat or chemicals Some foods (fruits, vegetables, meats) Nonionizing radiation: Alternative disinfectant Germicidal lamp in hospitals, schools, food preparation areas (inanimate objects, air, water) 40 Gamma Irradiation (a) Gamma radiation machine used to sterilize fruits, vegetables, meats, fish, and spices (b) Radora symbol 41 UV Irradiation UV treatment system used to disinfect water. 42 Filtration Removes microbes and spores from liquids and air Perforated membrane of varying pore sizes v (0.22 to 0.45 um) Applications: Liquids that are sensitive to heat (serum, vaccines, media) HEPA filtration of operating rooms etc. 43 Membrane Filter (a) Membrane filtration system. (b) Membrane filter close-up. 44 Chemical Methods Chemical agents commonly used in healthcare 45 Classes of Chemical Agents Halogens Phenolics Surfactants Hydrogen peroxide Detergents and soaps Heavy metals Aldehydes Gases Dyes, acids, and alkali 46 Halogens Chlorine -disinfectant and antiseptic Disrupt sulfhydryl groups in amino acids Iodine - topical antiseptic Disruption is similar to chlorines 47 Phenol and Phenolics Differ by functional groups attached to their aromatic rings. Disrupts cell walls and membranes. Ingredient in soaps up to kitty litter Examples: Hexachlorophene, Triclosan 48 Phenolics 49 Alcohols Dissolve membrane lipids, disrupt cell surface tension, denatures proteins. Used for skin degerming. Examples: Ethyl alcohol, Isopropyl alcohol 70% concentration the best and most effective concentration to use. 50 Hydrogen Peroxide Colorless and caustic liquid Form hydroxyl free radicals Effective against anaerobes Applications: Skin and wound cleaner Quick method for sterilizing medical equipment 51 Soaps and Detergents Quaternary ammonium (quats): Cationic Bind and disrupt cell membrane Low-level disinfectant in the clinical setting Soaps: Fatty acids, oils, sodium or potassium salts Cleaning and degerming agents More effective if mixed with germicides 52 Detergent Action Positively charged region of the detergent binds with bacteria and the uncharged region integrates into the cell membrane 53 Hand Scrubbing Comparison of efficacy between nongermicidal and germicidal soaps used in hand scrubbing. 54 Heavy Metals Mercury and Silver: Inactivate proteins Oligodynamic action Preservatives in cosmetics and ophthalmic solutions. Silver nitrate as prophylactic against Ophthalmia neonatorum. Silver sulfadiazine for burn patients and catheter tips. 55 Oligodynamic Action 56 Aldehydes Formaldehyde and Glutaraldehyde: Crosslink with proteins on the cell surface Disinfectant for surgical and dialysis instruments 57 Aldehyde Effect 58 Gases Reacts with functional groups of DNA and proteins. Sterilizes and disinfects plastic materials Example: Ethylene oxide 59 Gas Sterilization Ethylene oxide sterilization chamber 60 Dyes Effective against Gram positive bacteria Used as Ointments Example: Crystal violet 61 Acids and Alkali Prevents spore germination and vegetative growth. Used as food preservative Examples: Acetic acid, Ammonium hydroxide 62