Controlling microbial growth

Descripción

Physician Assistant Mapa Mental sobre Controlling microbial growth, creado por Connor Clark el 16/07/2017.
Connor Clark
Mapa Mental por Connor Clark, actualizado hace más de 1 año
Connor Clark
Creado por Connor Clark hace más de 7 años
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Resumen del Recurso

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
                                                                                                                                                                                                                                          Mostrar resumen completo Ocultar resumen completo

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