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Microbiology – Alcamo Origins of Aseptic Technique The original interest in bacteria was disease. Ancient Techniques • Ancient records show that ___________ date far back into history: – the ancient Chinese, Persians, and Egyptians had methods for ________ _________ and ___________ for wounds – the ancient Greeks and Romans used _________ _________ to store fresh liquids and wine Later Techniques • Pioneers of the American West put ______ and _______ coins in drinking water to keep it fresh and prevent algae • Settlers in the Australian outback put ____________ in drinking water for the same purpose Later Techniques • _________ _________ was used to prevent sepsis in wounds by Arabian physicians in the Middle Ages • _________ and ________ were introduced as a treatment for open wounds in 1825 and 1839, respectively Before 1850 • 150 years ago it was difficult to distinguish between butcher and surgeon • Often the butcher was better • Surgeons advertised their experience by wearing their “surgical apron” over their street clothes. • Massive infections: post _________ and post __________ civil war medicine Louis Pasteur • 1861 Louis Pasteur proved that microorganisms caused __________ and could be transported via the _____ • He placed broth in flasks with long Sshaped necks, then boiled the broth and observed that no microorganisms grew in the flasks • These experiments were the basis for the development of ________ ________ Louis Pasteur • Pasteur showed that heat could kill microorganisms • This process was later named pasteurization • We still do this with our dairy products Ignaz Semmelweis • Used knowledge gained from Louis Pasteur • He reduced the number of postpartum infections (________) in the wards of Vienna’s hospitals • He did this by urging doctors to ______ ______ ________ between patients. Semmelweis Video Joseph Lister • By the mid-nineteenth century, postoperative sepsis infection accounted for the death of almost _______ the patients who underwent major surgery • Later in the 1860’s, an English surgeon named Joseph Lister also heard about Pasteur’s work Joseph Lister • He said sepsis was an infectious disease caused by __________ • It was spread due to contaminated _______, _________, _________ • He made nurses, medical students, and midwives wash hands in a _______ ________ and insisted on ______ _______and ________ for every patient •Instituted “Aseptic Techniques” in operating rooms: ______ instruments, ______ hands, no more “aprons” or _______ ________, clean _________ _______ (no more “theatre”) •Lister: 1st antiseptic _________ ________ aerosol, and on wound, also rubber gloves Lister Video Antiseptics • Antiseptics are substances that _____ and prevent the ________ of disease-causing organisms. • They are usually used on ________ wounds. • Surgeons also use antiseptics to ______ their hands and prepare the patient's _____ before an operation.