Controlling microbial growth

Description

Physician Assistant Mind Map on Controlling microbial growth, created by Connor Clark on 16/07/2017.
Connor Clark
Mind Map by Connor Clark, updated more than 1 year ago
Connor Clark
Created by Connor Clark almost 7 years ago
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Resource summary

Controlling microbial growth
  1. Temperature Based
    1. Moist heat
      1. Boiling water
        1. Vegetative bacteria/fungi
          1. Trophozoites
            1. protozoal parasites
            2. Time to kill
              1. ~10 minutes
              2. NOT sterilization
              3. Autoclave
                1. Gold Standard
                  1. Steam under pressure
                    1. 15 lbs of pressure
                      1. Steam @ 121 C
                        1. Time = variable
                        2. Steam penetration
                          1. Bacillus (Geobacillus) stearothermophils
                            1. Used to see if autoclave is working
                              1. Produces acid and changes color of solution appropriately
                            2. Pasteurization
                              1. Improve shelf life
                                1. Decrease number of pathogens
                                  1. Maintain quality + nutritional value of products
                                    1. How?
                                      1. Batch
                                        1. 63-66 C for 30 minutes
                                        2. Flash
                                          1. 71.6 C for 15 seconds
                                            1. Used for dairy products
                                            2. Ultrahigh temps
                                              1. 140 C for 1-3 seconds, then rapid cool
                                          2. Used to
                                            1. Disinfect
                                              1. Sterilize
                                                1. sanitize
                                                  1. pasteurize
                                                  2. more efficient than dry heat
                                                  3. Dry Heat
                                                    1. Used in substances that cannot tolerate moist heat
                                                      1. i.e. good for powders
                                                      2. How?
                                                        1. Hot air oven
                                                          1. Denatures proteins
                                                            1. Fosters oxidation
                                                              1. 171 C for 1 hr / 160 C for 2 hrs
                                                              2. Incineration
                                                                1. Complete oxidation
                                                                  1. Prions
                                                                    1. i.e. bunson burner
                                                                      1. 1500 C
                                                                2. Lyophilization
                                                                  1. Freezing + desiccation
                                                                    1. aka freeze-drying
                                                                    2. Preservation technique
                                                                      1. Foods
                                                                        1. Vaccines
                                                                          1. bacteria
                                                                      2. Chemical Based
                                                                        1. Phenolics
                                                                          1. Derived from phenol
                                                                            1. chemically modified to make safer for use
                                                                            2. Types
                                                                              1. Chlorinated phenolics
                                                                                1. Natural phenolics
                                                                                  1. Pine + clove oils
                                                                                  2. Bisphenolics
                                                                                    1. two phenolics linked
                                                                                    2. Triclosan
                                                                                      1. Orthophenylphenol
                                                                                        1. Lysol
                                                                                      2. Low to intermediate level disinfection
                                                                                        1. denatures proteins
                                                                                          1. disrupts membranes
                                                                                            1. used in clinical settings
                                                                                              1. can withstand organic contamination
                                                                                              2. Negatives
                                                                                                1. Smell
                                                                                                  1. Skin irritant
                                                                                                    1. Hexachlorphene
                                                                                                      1. Prescription only
                                                                                                        1. skin MRSA
                                                                                                          1. Neurotoxin
                                                                                                      2. Alcohols
                                                                                                        1. Bacterocidal
                                                                                                          1. Fungicidal
                                                                                                            1. Virucidal (enveloped)
                                                                                                              1. Attacks membranes
                                                                                                                1. Intermediate level
                                                                                                                  1. 2 Types
                                                                                                                    1. Isopropanol
                                                                                                                      1. Ethanol
                                                                                                                      2. 70-90% solutions in water are cidal
                                                                                                                        1. 100% alcohol is static
                                                                                                                          1. Can be toxic
                                                                                                                            1. Has high evaporation rate
                                                                                                                            2. Halogens
                                                                                                                              1. Chlorine
                                                                                                                                1. Sodium hypochlorite (bleach)
                                                                                                                                  1. Clinical settings
                                                                                                                                    1. Must be made fresh bc inactivated in the light/air
                                                                                                                                    2. Chlorine dioxide (gas)
                                                                                                                                      1. large spaces
                                                                                                                                      2. Chloramines
                                                                                                                                        1. Wound dressing
                                                                                                                                          1. Antisepsis
                                                                                                                                      3. Iodine
                                                                                                                                        1. Antiseptic
                                                                                                                                          1. Tincture
                                                                                                                                            1. Dissolved in 70% alcohol
                                                                                                                                            2. Iodophor
                                                                                                                                              1. slow release, like betadine
                                                                                                                                            3. Intermediate level
                                                                                                                                            4. Oxidizing Agents
                                                                                                                                              1. High level
                                                                                                                                                1. Some = antiseptics
                                                                                                                                                  1. Effective against anaerobes especially
                                                                                                                                                    1. Oxidize enzyme systems, block metabolism
                                                                                                                                                    2. Hydrogen peroxide
                                                                                                                                                      1. Surfaces only
                                                                                                                                                      2. Ozone
                                                                                                                                                        1. Reactive form of oxygen (O3)
                                                                                                                                                          1. More expensive than chlorine
                                                                                                                                                            1. Put in drinking water
                                                                                                                                                            2. Peracetic acid
                                                                                                                                                              1. Sporicide
                                                                                                                                                                1. Sterilant of surfaces
                                                                                                                                                              2. Surfactants
                                                                                                                                                                1. Low level
                                                                                                                                                                  1. Soaps
                                                                                                                                                                    1. Amphipathic
                                                                                                                                                                      1. Degerming
                                                                                                                                                                      2. Detergents
                                                                                                                                                                        1. QUATS
                                                                                                                                                                          1. NH4 based
                                                                                                                                                                            1. Disrupt membranes
                                                                                                                                                                              1. Bactericidal
                                                                                                                                                                                1. Fungicidal
                                                                                                                                                                                  1. Virucidal (enveloped)
                                                                                                                                                                                    1. NOT PSEUDOMONADS
                                                                                                                                                                                      1. i.e. benzalkonium chloride and cetylpyridinium chloride (in Cepacol mouthwash)
                                                                                                                                                                                  2. Heavy metals
                                                                                                                                                                                    1. Low level
                                                                                                                                                                                      1. Limited use today
                                                                                                                                                                                        1. Allergies
                                                                                                                                                                                          1. Toxicity
                                                                                                                                                                                            1. Resistance of microbe
                                                                                                                                                                                            2. 1% silver nitrate
                                                                                                                                                                                              1. Newborns, eyes
                                                                                                                                                                                                1. N. gonorrheae
                                                                                                                                                                                                  1. replaced with abx ointments bc increased risk of STIs
                                                                                                                                                                                                2. Silver used in wound dressings
                                                                                                                                                                                                  1. Thimerosal
                                                                                                                                                                                                    1. Hg containing
                                                                                                                                                                                                      1. Vaccine preservation.. adults only
                                                                                                                                                                                                      2. Copper used in water systems
                                                                                                                                                                                                        1. controls algae
                                                                                                                                                                                                      3. Aldehydes
                                                                                                                                                                                                        1. Glutaraldehyde (liquid)
                                                                                                                                                                                                          1. 2% glutaraldehyde
                                                                                                                                                                                                            1. Sterilant 10 hrs
                                                                                                                                                                                                              1. 10 min = kills bacteria, fungi, viruses
                                                                                                                                                                                                            2. Formaldehyde (gas)
                                                                                                                                                                                                              1. 37% Formaldehyde = formalin
                                                                                                                                                                                                                1. preservative
                                                                                                                                                                                                                  1. Disinfectant
                                                                                                                                                                                                                    1. strong odor
                                                                                                                                                                                                                      1. Carcinogen
                                                                                                                                                                                                                        1. Limited use
                                                                                                                                                                                                                    2. Gaseous agents
                                                                                                                                                                                                                      1. Sterilize objects too delicate for heat
                                                                                                                                                                                                                        1. Ethylene oxide
                                                                                                                                                                                                                          1. Propylene oxide
                                                                                                                                                                                                                            1. Beta-propiolactone
                                                                                                                                                                                                                              1. 4-18 hr treatment
                                                                                                                                                                                                                                1. Attacks crosslinks in protein and nucleic acids
                                                                                                                                                                                                                                  1. High Hazard
                                                                                                                                                                                                                                    1. Explosiveness
                                                                                                                                                                                                                                      1. Carcinogens
                                                                                                                                                                                                                                    2. Enzymes
                                                                                                                                                                                                                                      1. Lysozymes
                                                                                                                                                                                                                                        1. Found in human tears
                                                                                                                                                                                                                                          1. Digests peptidoglycan
                                                                                                                                                                                                                                          2. Prionzyme
                                                                                                                                                                                                                                            1. Europe 2006
                                                                                                                                                                                                                                              1. Removes prions from medical devices
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