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CHAPTER 9: CONTROLLING MICROBIAL GROWTH IN THE

ENVIRONMENT - Sanitization
• Process of disinfecting places and utensils used by the public to reduce number
of pathogenic microbes to meet accepted public health standards
• Difference between disinfection is where the objects are used (private vs. public)
Basic Principles of Microbial Control • ex the use of steam, high-pressure hot water, and scrubbing to sanitize utensils
Terminology of Microbial Control and dishes, the use of chemicals to sanitize public toilets

- Sterilization - Pasteurization
• refers to the removal of all microbes in or on an object • Use of heat to kill pathogens and reduce number of spoilage microorganisms in
• indicates only the eradication of harmful microbes (ex commercial sterilization food and beverages
does not kill hyperthermophilic microbes, whom does not thrive in ambient
temperatures) ➢ IMPORTANT SUFFIXES TO REMEMBER
• typically achieved by steam under pressure, incineration, or ethylene oxide gas • -cide & -cidal: indicates destruction of a type of microbe (ex ethylene oxide,
propylene oxide, aldehydes)
- Aseptic • -static & -stasis: indicates inhibition but not complete destruction of a type of
• Describes an environment free of contamination by pathogens microbe (ex refrigeration, freezing, use of some chemicals)
• ex preparation of surgical field, handwashing, flame sterilization of lab equipment

- Disinfection Microbial Death Rates


• Refers to the use of chemical/physical disinfectants (such as ultraviolet light,
heat, alcohol, bleach) to destroy microorganisms, especially pathogens - Defined as the permanent loss of reproductive ability under ideal environmental
• Does not guarantee that all pathogens are eliminated conditions
• Used only in reference to treatment of inanimate objects - Used as a technique to evaluate efficacy of antimicrobial agent
• When chemical is used on skin or other tissue, process is referred to as - Plots the constant killing percentage of cells over time by microbicidal agents
antisepsis, where the chemical is called antiseptic (ex iodine, alcohol)
• Disinfectants can be left on a surface for longer periods of time compared to
antiseptics Action of Antimicrobial Agents
• ex phenolics, alcohols, aldehydes, soaps
1. Alteration of Cell Walls & Membranes
• Physical/chemical agents disrupt the cell wall, causing cell to burst as water
- Degerming
moves into it by osmosis
• Removal of microbes form a surface by scrubbing with the assistive use of
• Physical/chemical agents damages the phospholipids or and/or proteins
chemicals (soap, alcohol)
within the cytoplasmic membrane, causing cellular contents to leak out and if
• ex handwashing, preparing a specific area of the body for injection
not immediately repaired, can cause death to the cell

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• Physical/chemical agents damage the envelope covering certain viruses, ❖ Cysts of protozoa: its wall prevents entry of most disinfectants,
which fatally interrupts viral replication (note that non-enveloped viruses have drying, and shields against radiation and heat
greater tolerance of harsh environmental conditions, including antimicrobial
agents) ➢ Environmental Conditions
- Temperature & pH affect microbial death rates and efficacy of
antimicrobial agents (chemicals react faster at higher temperatures, while
2. Damage to Proteins & Nucleic Acids acidic conditions enhance antimicrobial effect of heat)
• Extreme heat or the presence of certain chemicals break bonds that maintain - Some chemical disinfectants are more effective at a low pH (ex chlorine
a protein’s shape and consequent function (denaturation) bleach)
• Chemicals, radiation, and heat also alters and destroys nucleic acids that - Organic materials (ex feces, vomit, biofilms, blood, fat) interfere with the
produces fatal mutations to the cell’s or virus’s genes penetration of heat, chemicals, and some forms of radiation, and can
• Physical/chemical agents can also interfere with nucleic acids and their sometimes inactivate chemical disinfectants
ability to catalyze ribozymes, thus stopping protein synthesis
Biosafety Levels
- Four safety levels have been established by the Centers for Disease Control
Selection of Microbial Control Methods and Prevention (CDC) for microbiological labs dealing with pathogens
Factors Affecting Efficacy of Antimicrobial Methods
1. Biosafety Level 1
➢ Site to be Treated • Suitable for handling microbes (such as E. coli) that are not known to
- Choice of antimicrobial method depends of nature of site to be treated, in cause disease in healthy humans
such that the method used will not compromise the site exposed (ex • Precautions are minimal and include handwashing with antimicrobial
equipment used on the outer defenses of the body may carry greater soap and washing surfaces with disinfectants
potential for infection, hence the need for sterilization)
➢ Relative Susceptibility of Microorganisms 2. Biosafety Level 2
- Antimicrobial methods are chosen based on the hardiest microbe present, • Designed for handling more hazardous agents (such as hepatitis
assuming that such treatment will eliminate the more fragile microbes as well and influenza viruses)
- The most resistant microbes are the following: • Access is limited when work is being conducted, and extreme
❖ Bacterial endospores: can survive environmental extremes of precautions are taken with contaminated sharp objects
temperature, acidity, & dryness, and can withstand many chemical • Procedures that might produce aerosols are conducted within safety
disinfectants cabinets
❖ Species of Mycobacterium: cell walls contain a large amount of
waxy lipid, allowing these bacteria to survive drying and protects
them from water-based chemical (strong disinfectants or heat are
then used to treat such microbes)

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3. Biosafety Level 3 - decimal reduction time refers to the time required to destroy 90% of the
• Requires all manipulations to be done within safety cabinets microbes in a sample
containing high-efficiency particulate air filters - Moist Heat is commonly used to disinfect, sterilize, and pasteurize, and is
• Specifies special design features for lab, including double sets of more effective because water is a better conductor of heat than air
doors and ventilation systems that only allow air movement through ➢ Boiling: kills the vegetative cells of bacteria and fungi, the
an open door trophozoites of protozoa, and most viruses within 10 minutes at sea
• Designed for experimentation on microbes (such as bacteria of TB or level at 100℃ (remember: water in higher elevations boil at lower
viruses of yellow fever) temperatures due to lowered atmospheric pressure); boiling is not
recommended when true sterilization is required
4. Biosafety Level 4 ➢ Autoclaving: applies pressure to boiling water to prevent heat escape
• Designated for working with dangerous or exotic microbes that cause through steam to achieve true sterilization at 121℃ in 15 minutes;
severe or fatal diseases in humans (such as Ebola and smallpox) used to sterilize chemicals and objects that can tolerate moist heat;
• Either separate buildings or completely isolated from all other areas, solid objects must be wrapped in porous cloth/paper, while
with points of entry and exit strictly controlled through electronically containers with liquids must be loosely shut to allow steam to
sealed airlocks circulate freely; sterility indicators (in the form of endospores of
• Safety measures include a vacuum room, multiple showers, an Bacillus stearothermophilus) are used (absence of color change
ultraviolet light room, and other safety precautions designed to indicates sterility)
destroy all traces of the biohazard ➢ Pasteurization: (note: pasteurization is not sterilization); combination of
• All air and water entering and leaving facility are filtered to prevent time and temperature required for effective pasteurization depends
accidental release on product; milk can be pasteurized 3 ways- batch method (30
• Suits and the lab itself are pressurized so that microbes are swept minutes at 63℃), flash pasteurization (15 seconds at 72℃), &
away from workers ultra-high-temperature pasteurization (1 second at 135℃)

➢ Ultra-High Temperature Sterilization: involves passing liquid through


superheated steam at about 140℃ for 1-3 seconds then cooling it
Physical Methods of Microbial Control rapidly; treated liquids can be stored indefinitely at room temperature
Heat-Related Methods without microbial spoilage

- High temperatures can denature proteins, interfere with integrity of - Dry Heat is used for substances such as powders and oils that cannot be
cytoplasmic membranes and cell walls, and disrupt function and structure of sterilized by boiling or steam or for materials that can be damaged by
nucleic acids repeated exposure to steam; requires higher temperatures for longer
- Thermal death point refers to the lowest temperature that kills all times (160℃ for 2 hours or 171℃ for an hour); complete incineration (1
microbes in a broth in 10 minutes second in 1000℃) is ultimate means of sterilization
- Thermal death time refers to the time it takes to completely sterilize a
particular volume of liquid at a set temperature

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Refrigeration & Freezing - removal of water inhibits cellular metabolism because enzymes cannot
function in non-aqueous environments
- the most convenient method of microbial control
(refrigeration between 0-7℃ & freezing at temperatures below 0℃) Radiation
- Decrease microbial metabolism, growth, and reproduction as chemical
- two types:
reactions occur more slowly in lower temperatures
1. Particulate radiation- consists of high-speed subatomic particles that
- Refrigeration halts growth of most pathogens, which are predominantly
have been freed from their atoms
mesophiles
2. Electromagnetic radiation- defined as energy without mass traveling in
- Slow freezing involves the formation of ice crystals to puncture cell
waves at the speed of light released from atoms that have undergone
membranes to inhibit microbial metabolism internal changes (the shorter of the wavelength of an electromagnetic
Desiccation & Lyophilization wave, the more energy it carries)
- Can be described as either ionizing or nonionizing
- Desiccation is a means of preservation by drying foods; inhibits most
pathogens as microbial metabolism requires liquid water ➢ Ionizing Radiation
- Lyophilization is a technique of freezing and drying to preserve microbes • Wavelengths that are shorter than 1nm
and other cells for many years; uses liquid nitrogen or frozen carbon dioxide • Have sufficient energy to eject electrons from atoms when they
to freeze a culture then subject it to a vacuum that removes water via strike molecules, thus creating ions
sublimation (-196℃ for a few minutes while drying) • Released ions disrupt hydrogen bonding, oxidize covalent
bonds, and create highly reactive hydroxyl radicals that denature
Filtration
other molecules (particularly DNA), causing fatal mutations and
- Passage of fluid (liquid or gas) through a sieve designed to trap particles death
(cells or viruses) and separate them from the fluid • ex electron beams produced by cathode ray machines (has the
- Typically uses circular membrane filters made of mitrocellulose or plastic that ability to kill microbes in just a few seconds, but cannot sterilize
contain specific pore sizes thick objects or objects coated with large amounts of organic
- High-efficiency particulate air (HEPA) filters are crucial parts of biological matter); gamma rays emitted by radioactive elements that can
safety cabinets, where they are mounted in air ducts of rooms that may penetrate farther than electron beams but require hours to kill
house airborne viruses or bacteria microbes; x-rays travel the farthest through matter but have less
energy than gamma rays and require a prohibitive amount of
Osmotic Pressure
time to be made practical for microbial control
- The use of high concentration of salt or sugar to inhibit microbial growth ➢ Nononizing Radiation
(exposure of cell to a hypertonic solution) • Wavelengths greater than 1nm
- recall: Osmosis is the net movement of water across an area of higher • Do not have sufficient energy to force electrons out of orbit, but
concentration to an area of lower concentration contains enough energy to excite electrons and cause them to
make new covalent bonds which then affects 3-D protein
structures and nucleic acids

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• exultraviolet light has sufficient energy to be a practical - commonly used alcohols are rubbing alcohol (isopropanol) and drinking
antimicrobial agent; has a wavelength of 260 nm, causes alcohol (ethanol)
nucleotide bases in DNA to bond covalently with each other - Isopropanol is slightly superior to ethanol as a disinfectant
rather than thru hydrogen bonding with the complementary - Tinctures are solutions of other antimicrobial chemicals in alcohol, and are
bases more often effective than the same chemicals dissolved in water
- Pure alcohol is not an effective antimicrobial agent because protein
denaturation requires water (hence the use of 70-90% alcohol to control
Chemical Methods of Microbial Control
microbes)
- effect of chemicals varies with pH, concentration, and freshness of the - Evaporates rapidly that it leaves no residue but may not be in contact with
chemical used microbes long enough to be effective
- adversely affects cell membranes, cell walls, cytoplasmic membranes, 3-D
Halogens
structures of proteins, and nucleic acid
- Composed of the four highly reactive, non-metallic chemical elements:
Phenols & Phenolics
iodine, chlorine, bromine, & fluorine
- the efficacy of phenol serves as the one standard to which the actions of - Are considered intermediate-level antimicrobial chemicals that are effective
antimicrobial agents can be compared against vegetative bacterial and fungal cells, fungal spores, some bacterial
- these denature proteins and disrupt cell membranes in a wide variety of endospores and protozoan cysts, and many viruses
pathogens - Used both alone or combined with other elements in organic and inorganic
- considered to have intermediate to low level antiseptics compounds
- effective even in the presence of contaminating organic material (such as - Exert antimicrobial effect by denaturing essential proteins, including enzymes
saliva, urine, feces, etc) and remain active for a prolonged period of time ➢ Iodine is a well-known antiseptic that is either used as a tincture or as an
- Phenolics are compounds derived from phenol molecules that have been iodophor (iodine-containing organic compound that releases iodine)
chemically modified with the addition of halogens or organic functional ➢ Chlorine in its elemental form is used to treat water, while compounds
groups containing chlorine are also effective disinfectants
- Bisphenolics are composed of two covalently linked phenolics ➢ Bromine is an effective disinfectant in hot tubs as it evaporates slower
- negative aspects include disagreeable odor and possible side effects ( ex skin that chlorine at high temperatures, and it is also used as an alternative to
irritation) chlorine for disinfecting water containers
➢ Fluorine (in the form of fluoride) is an antibacterial in drinking water that
Alcohols can reduce incidence of dental cavities, and works in part by disrupting
- are bactericidal, fungicidal, and virucidal against enveloped viruses, but are the metabolism in the biofilm of dental plaque
not effective against bacterial endospores or fungal spores
- considered intermediate-level disinfectants
- denatures proteins and disrupts cytoplasmic membranes

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Oxidizing Agents ➢ are bactericidal (particularly against Gram-positive bacteria),
fungicidal, and virucidal against enveloped viruses, but are not
- Kills microbes by oxidizing enzymes, thereby preventing metabolism
effective against nonenveloped viruses, mycobacteria, or
- Are high-level disinfectants and antiseptics that release oxygen radicals
endospores
which are particularly effective against anaerobic microorganisms
- Hydrogen peroxide can disinfect and sterilize surfaces of inanimate objects Heavy Metals
but if often mistakenly used to treat open wounds (this is so because
catalase released from damaged cells neutralize hydrogen peroxide into - exzinc, arsenic, mercury, silver, and copper
water and oxygen gas) - combines with sulfur atoms in molecules of cysteine (and amino acid) to
- Ozone is a reactive form of oxygen that is generated when molecular O 2 is denature a protein, thus inhibiting or eliminating its function
subjected to electrical discharge; more effective than chlorine, but is more - low-level bacteriostatic and fungistatic agents
expensive and is difficult to maintain at an effective concentration - used as a means to preserve vaccines, serves as an antimicrobial agent in
- Peracetic acid is an extremely effective sporicide that can sterilize surfaces surgical dressings, burn creams, and catheters, and controls algal growth
and leave no toxic residue and mildew
Surfactants
Aldehydes
- “surface active” chemicals
- One of its actions include reducing the surface tension of solvents by - compounds containing terminal –CHO groups
decreasing the attraction among molecules - functions by cross-linking amino, hydroxyl, sulfhydryl, and carboxyl organic
- Considered as low level detergents and antiseptics functional groups to denature proteins and inactivate nucleic acids
- Two common surfactants are soaps and detergents - known as a high level disinfectant
- Soap molecules have one end that is composed of fatty acids (and thus - two common aldehydes used in the medical field are glutaraldehyde and
hydrophobic) which are effective at breaking down oily deposits into tiny formaldehyde
droplets, while the other side is hydrophilic (negatively charged), thus ➢ Glutaraldehyde is used by hospital personnel and scientists at 2%
attracting water molecules to kill bacteria, viruses and fungi (10 minutes effectively disinfects,
- Synthetic detergents are positively charged organic surfactants that are 10 hours sterilizes); less irritating and more effective than
more soluble than soaps in water formaldehyde, but is also more expensive
- Quaternary ammonium compounds (commonly known as quats) are the ➢ Formaldehyde is used by morticians and health care workers to
most popular detergents for microbial control as they are composed of NH 4+ make a 37% dissolved solution called formalin, which is used to
in which the hydrogen atom is replaced by other functional groups or disinfect hospital rooms, instruments, and machines, and to embalm;
hydrocarbon chains must be treated with caution as it can irritate mucous membranes
➢ are colorless, tasteless, and harmless to humans (except at high and is carcinogenic (cancer-causing)
concentrations) and functions by disrupting cellular membranes so
that affected cells lose essential internal ions

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Gaseous Agents Methods for Evaluating Disinfectants & Antiseptics

- Highly reactive microbicidal and sporicidal gases ➢ Phenol Coefficient


- Rapidly penetrates paper and plastic wraps and diffuses into every crack - can be evaluated by calculating the ratio that compares a given agent’s
- Denatures proteins and DNA by cross-linking organic functional groups, ability to control microbes to that of phenol under standardized conditions
thereby killing everything they contact without harming the inanimate object - phenol coefficients greater than 1.0 indicates that an agent is more effective
over time (usually 4-18 hours) than phenol (the larger the ratio, the greater the effectiveness)
- Can be extremely hazardous to people using them (must be combined with
10-20% nitrogen gas or carbon dioxide because they are highly explosive) ➢ Use-Dilution Test
- Are also extremely poisonous and beta-carcinogenic - Researcher dip several metal cylinders into broth cultures of bacteria and
- ex ethylene oxide, propylene oxide, beta-propiolactone briefly dries them at 37℃ then immerses each contaminated cylinder into
➢ Ethylene oxide is frequently used as a sterilizing agent in hospitals, different dilutions of disinfectants being evaluated
and is used by NASA to sterilize spacecrafts deigned to land on - Each cylinder is then removed after 10 minutes, rinsed with water and placed
into a sterile medium for 48 hours of incubation
other worlds should they accidentally export unearthly microbes
- The most effective agent is the one that entirely prevents microbial growth at
the highest dilution
Enzymes

➢ Kelsey-Sykes Test
- Considered high-level antimicrobial enzymes towards target substrates
- standard alternative assessment to determine capacity of a given chemical to
- Produced by organisms to inhibit or destroy bacteria, viruses, and fungi
inhibit bacterial growth
- Scientists are currently researching ways to use naturally and chemically - researchers add a suspension of bacterium to a suitable concentration of the
modified antimicrobial enzymes to control microbes in the environment chemical being tested, then at predetermined times will move the samples of
- It was recently discovered that prioenzymes can remove target prions the mixture into growth medium containing a disinfectant inhibitor
- after incubating for 48 hours, turbidity will indicate the bacteria’s survival of
Antimicrobials the treatment (the lack of turbidity indicates the effectiveness of the chemical
being tested)
- Considered as intermediate to low level disinfectants
- Include antibiotics, semisynthetics, and synthetics ➢ In-Use Test
- Act against cell walls, cell membranes, protein synthesis, and DNA - a more realistic but time-consuming method
transcription and replication - swabs are taken from actual objects before and after application of a
- Antibiotics are naturally produced by microogranisms disinfectant or antiseptic, then are inoculated into appropriate growth media
- Semisynthetic refers to antibiotics modified by scientists and evaluated for microbial growth after incubation
- Synthetic refers to wholly developed antimicrobial drugs
- Typically used for treatment of diseases and not for the environmental control
of microbes

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