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WEEK 4: PART 2 NOTES 6. Antisepsis


MBP 108 LECTURE
7. Antiseptic
Microbial Control :Techniques for controlling 8. Germicide
pathogenic microorganisms
9. Bactericide
I. Introduction of the control of
microorganisms 10. Bacteriostatic

 Control of microorganisms is essential 1. STERILIZATION


in order to prevent the transmission of
(Latin sterilis – unable to produce offspring or
diseases and infection, stop
barren)
decomposition and spoilage, and
prevent unwanted microbial Is the process by which all living cells, viable
contamination. spores, viruses and viroids are either destroyed
or removed from an object or habitat.
 Microbial population death is
exponential, and the effectiveness of an A sterile object is totally free of viable
agent is not fixed but influenced by microorganisms, spores, and other infectious
many environmental factors. agents.
 Solid objects can be sterilized by  When sterilization is achieved by a
physical agents such as heat and chemical agent, the chemical is called a
radiation ; liquids and gases are STERILANT.
sterilized by heat, radiation, and
filtration through the proper filter.  DISINFECTION – is the killing, inhibition,
or removal of microorganisms that may
 Most chemical agents do not readily cause disease.
destroy bacteria endospores and
therefore cannot sterilize objects ; they The primary goal is to destroy potential
are used as disinfectants, sanitizers, and pathogens, but disinfection substantially
antiseptics. reduces the total microbial population.

- objects can be sterilized by gases like 2. DISINFECTANTS – are agents, usually


ethylene oxide that destroy chemical, used to carry out disinfection and are
endospores. normally used only on inanimate objects.

 A knowledge of methods used for A disinfectant does not necessarily sterilize an


microbial control is essential for object because viable spores and a few
personal and public safety. microorganisms may remain.

3. SANITATION – is closely related to


disinfection.
In Sanitation, the microbial population
is reduced to levels that are considered safe by
Definition of terms
public health standards.
1. Sterilization
The inanimate object is usually cleaned
2. Sterilant as well as partially disinfected.
3. Disinfection
For example, sanitizers are used to
4. Disinfectant clean eating utensils in restaurants.

5. Sanitazion
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4. A suffix can be employed to denote the type microbial population is killed during each
of antimicrobial agent. Substances that can kill interval, a larger population requires a longer
organisms often have the suffix – cide (Latin time to die than a smaller one.
cida, to kill) :
- the same principle applies to chemical
 A GERMICIDE – kill pathogens (and antimicrobial agents.
many non-pathogens) but not
necessarily endospores. POPULATION COMPOSITION

- The effectiveness of an agent varies


 A disinfectant or antiseptic can be
particularly effective against a specific greatly with the nature of the organisms being
treated because microorganisms differ
group, in which case it may be called a
bactericide, fungicide, algicide or markedly in susceptibility.
viricide. - Bacterial endospores are much more
 Other chemicals do not kill, but they do resistant to most antimicrobial agents than are
vegetative forms, and younger cells are usually
prevent growth. If these agents are
removed, growth will resume. more readily destroyed than mature organisms.

- Some species are able to withstand


 Their names end in – static (Greek
statikos, causing to stand or stopping) – adverse conditions better than others.
Mycobacterium tuberculosis, which cause
for example, bacteriostatic and
fungistatic. tuberculosis, is much more resistant to
antimicrobial agents than most other bacteria.
How one decides whether microorganisms are
actually dead? CONCENTRATION OR INTENSITY OF AN
ANTIMICROBIAL AGENT
 A bacterium is defined as dead if it does
not grow and reproduce when - Often, but not always, the more
concentrated a chemical agent or intense a
inoculated into culture medium that
would normally support its growth. physical agent, the more rapidly organisms are
destroyed.
 In like matter an inactive virus cannot
infect a suitable host. - Sometimes an agent is more effective
at lower concentrations. For example, 70%
CONDITIONS INFLUENCING THE ethanol is more effective than 95% ethanol
EFFECTIVENESS OF ANTIMICROBIAL AGENT because its activity is enhanced by the presence
ACTIVITY of water.

1. POPULATION SIZE DURATION OF EXPOSURE

2. POPULATION COMPOSITION - The longer a population is exposed to a


3. CONCENTRATION OR INTENSITY OF AN microbicidal agent, the more organisms are
ANTIMICROBIAL AGENT killed.

4. DURATION OF EXPOSURE - To achieve sterilization, an exposure


duration sufficient to reduce the probability of
5. TEMPERATURE survival to 10-6 or less should be used.

6. LOCAL ENVIRONMENT TEMPERATURE

POPULATION SIZE - An increase in the temperature at


which a chemical acts often enhances its
- Because an equal fraction of a activity. Frequently a lower concentration of
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disinfectant or sterilizing agent can be used at a objects not harmed by water, but
higher temperature. boiling does not sterilize.

 Moist heat sterilization must be carried


out at temperatures 100 degree C in
LOCAL ENVIRONMENT order to destroy bacterial endospores,
- The population to be controlled is not and this requires the use of saturated
isolated but surrounded by environmental steam under pressure.
factors that may either offer protection or aid in  Steam sterilization is carried out with an
its destruction. For example, because heat kills autoclave, a device somewhat like a
more readily at an acid pH, acid foods and fancy pressure cooker.
beverages such as fruits and tomatoes are
easier to pasteurize than foods with higher pHs  Usually 121 degree C and 15 pounds of
like milk. pressure. All vegetative cells and
endospores in a small volume of liquid
- The same care must be taken when within 10 to 12 minutes. Treatment is
pathogens are destroyed during the preparation continued for about 15 minutes to
of drinking water. When a city’s water supply provide a margin of safety.
has a high content of organic matter, more
chlorine must be added to disinfect the water.  Moist heat is thought to kill so
effectively by degrading nucleic acids
and by denaturing enzymes and other
The Use of Physical Methods in Control essential proteins. It may also disrupt
cell membranes.
Four most frequently employed physical agents
are : PASTEURIZATION – many substances, such
as milk, are treated with controlled heating
1. Heat at temperatures well below boiling point.
2. Low Temperatures (developed by Louis Pasteur)
3. Filtration  Milk can be pasteurized in two ways :
4. Radiation
a. Flash pasteurization / high
HEAT temperature short term (HTST)
Fire and boiling water have been used pasteurization
for sterilization and disinfection since the time - quick heating to about 72
of the Greeks, and heating is still one of the degree C for 15 seconds, then rapid
most popular ways to destroy microorganisms. cooling.

 Either moist or dry heat may be applied. b. Ultrahigh-temperature (UHT) sterilization.

 Exposure to boiling water for 10


- heated 140 to 150 degree C for 1 to 3
minutes is sufficient to destroy
seconds. Does not require refrigeration, (room
vegetative cells and eucaryotic spores.
temperature) for about 2 months without flavor
Unfortunately the temperature of
changes.
boiling water (100 degree C or 121
(ex. Coffee creamer in a restaurant)
degree F at sea level) is not high enough
to destroy bacterial endospores that
may survive hours of boiling.
Many objects are best sterilized in the absence
 Therefore boiling can be used for of water by DRY HEAT STERILIZATION.
disinfection of drinking water and
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 Sterilized in an oven at 160 to 170 FILTRATION


degree C for 2 to 3 hours.
Rather than directly destroying contaminating
 Microbial death apparently results from microorganisms, the filter simply removes
the oxidation of cell constituents and them.
denaturation of proteins. Although dry
air heat is less effective than moist heat  There are two types of filters :
– Clostridium botulinum spores are
(1) Depth Filters
killed in 5 minutes at 121 degree C by
moist heat but only after 2 hours at 160 (2) Membrane Filters
degree C with dry heat – it has some  Depth Filters
definite advantages.
- consist of fibrous or granular materials
 Dry heat does not corrode glassware that have bonded into a thick layer filled with
and metal instruments as moist heat twisting channels of small diameter.
does, and it can be used to sterilize
powders, oils, and similar items. - the solution containing
microorganisms is sucked through this layer
 Most laboratories sterilize glass petri under vacuum, and microbial cells are removed
dishes and pipettes with dry heat. by physical screening or entrapment and also by
adsorption to the surface of the filter material.
 Despite these advantages, dry heat
sterilization is slow and not suitable for Membrane Filters :
heat-sensitive materials like many have replaced depth filters for many
plastic and rubber items. purposes.

 These circular filters are porous


membranes, a little over 0.1 mm thick,
made of cellulose acetate, cellulose
LOW TEMPERATURE nitrate, polycarbonate, polyvinylidene
fluoride, or other synthetic materials.
The most convenient control technique is to
inhibit their growth and reproduction by the use  Membranes with pores about 0.2 um in
diameter are used to remove most
of either freezing or refrigeration. This is
important in food microbiology. vegetative cells, but not viruses, from
solutions ranging in volume from 1ml to
 Freezing items at -20oC or lower stops many liters.
microbial growth because of the low
ULTRAVIOLET (UV) RADIATION - are lethal.
temperature and the absence of liquid
water. - because of this disadvantage, the UV
radiation is used as a sterilizing agent only in a
 Freezing does not destroy
contaminating microbes. few specific situations

- UV lamps are placed on the ceilings of


 Because frozen food can contain many
microorganisms, it should be prepared rooms or in biological safety cabinents to
sterilize to the air and exposed surfaces. This
and consumed after thawing in order to
avoid spoilage and pathogen growth. can burn skin or damages eyes.

IONIZING RADIATION – is an excellent sterilizing


 Thus refrigeration is good technique
only for shorter-term storage of food agent and penetrates deep into objects. It will
destroy bacterial endospores and vegetative
and other items.
cells, both procaryotic and eucaryotic.
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However, ionizing radiation is not 2. Phenolic compounds : disrupting the


always as effective against viruses. cell membranes as well as causing
precipitation of proteins and
Gamma radiation from a cobalt 60 source is inactivation of enzymes.
used in the cold sterilization of antibiotics, Phenols are bactericidal and fungicidal
hormones, sutures, and plastic disposable with good activity against Mycobacteria
supplies such as syringes. but have poor activity against spores
Gamma Radiation has also been used to sterilize and most viruses.
and “pasteurize” meat and other food. a. Phenol is no longer used as
 Irradiation can eliminate threat of such disinfectant because it is toxic to
pathogens as E.coli 0157:H7, and human cells.
Staphyloccocus aureus, and
Campylobacter jejuni. WHO declared it b. Cresol more potent and safer than
safe but it is highly expensive. phenol. An example is Lysol

c. Chlorhexidine is used as skin


disinfectant if isopropanol solution.
CHEMICAL METHODS OF Main use is as antiseptic hand wash

STERILIZATION
d. Chloroxylenols are used for topical
CLASSIFICATION OF CHEMICAL DISINFECTANTS purposes. (Gram-positive bacteria
– effective)
1. Consistency (liquid or gaseous) ;
e. Hexachlorophene : greater activity
2. Spectrum activity (high level,
against gram positive bacteria similar
intermediate level, low level)
to chloroxylenols
3. Mechanism of action
f. Triclosan, an organic phenyl ether,
Mechanism of Action (gram-positive and a number of gram-
negative bacteria including
A. DAMAGE TO THE CELL MEMBRANE Pseudomonas
- can cause smaller molecules to leak 3. ALCOHOLS
out of the bacterial cell and interfere with the
active transport and energy metabolism within - Disorganize the lipid structure of the
the cell. cell membrane, dehydrate the cells, and
cause denaturation and coagulation of
 Chemicals under this include : cellular proteins.
1. Surface active agents : vegetative - 70 % aqueous solution – better
microbial forms including Mycobacteria
as well as enveloped viruses. - Disadvantage – skin irritants and are
also flammable
Used in homes and hospitals but their
A. Ethyl Alcohol – used as skin antiseptic
activity is reduced in the presence of
; it is bactericidal and removes lipids
hard water and organic matter.
from skin surfaces.
A. Cationic agents : ex. Cetrimide and
benzalkonium chloride B. Isopropyl Alcohol – is has greater
b. Anionic agents : ex. Soaps and bile bactericidal activity than ethyl alcohol
salts. They remove dirt through the and is less volatile. It can be used to
process of emusification are are most
effective at acidic pH.
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disinfect surfaces. Inhalation of its – sporicidal, bactericidal, fungicidal, viricidal,


fumes can cause narcosis. and amoebicidal. 10 % solution of povidone-
iodine is used for pre and post operative skin
C. Benzyl Alcohol – it is used mainly as disinfection.
preservative
b. Chlorine
D. Methyl Alcohol – it is fungicidal and – for water treatment (chlorine gas) and
sporicidal used in disinfecting swimming pools.
inoculation hoods
c. Hydrogen peroxide
B. DENATURATION OF CELLULAR – weak antiseptic and used only for cleaning
PROTEINS wounds and in the disinfection of surgical
devices and soft plastic contact lenses.
Substances that cause denaturation or
loss of the normal structure of proteins 3. ALKYLATING AGENTS
pave the way for the eventual
destruction of the bacterial cell. 3.1 Aldehydes : damage nucleic acids. It kills
Denaturing agents include : all microorganisms including spores.

(a.) acids and alkalis a. Formaldehyde (formalin) – used for


(b.) alcohol and acetone surface disinfection. Bedding and
(c.) phenol and cresol furniture. Kill Mycobacterium tuberculosis
in sputum and fungi in athlete’s foot

C. Modification of the functional groups b. Glutaraldehyde – sporicidal and used


of proteins and nucleic acid as cold sterilant in sterilizing medicine
equipment such as respiratory machines
1. Heavy metals :
and other equipment that can be damaged
by heat.
cause damage to the enzyme activity of the
bacteria. They also cause precipitation of 3.2 - Ethylene Oxide :
proteins and oxidation of sulfhydryl groups.
Heavy metals are mostly bacteriostatic than is also sporicidal – gaseous sterilization of heat-
bactericidal. sensitive materials or equipments like heart-
lung machine, respiratory and dental
A. Mercurials (mercurochrome and equipment and polyethylene tubes in
merthiolate) used as antiseptics anesthesia machines. IT causes eye irritation
and is mutagenic and carcinogenic.
B. Silver compounds (eg. Silver nitrate)are
bactericidal. 1% silver nitrate solution for
treatment of ophthalmia neonatorum
(Crede’s prophylaxis). Silver sulfadiazine
is used topically in the treatment of burn
wounds.

2. Halogens

– bactericidal oxidizing agents that cause


oxidation of essential sulfhydryl groups of
enzymes causing inactivation of the enzymes.

a. Iodine
(tincture of iodine, iodophores) – best antiseptic

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