OCTC-Micro-Chapter 9 – Flashcards
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Antisepsis |
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Reduction in the number of microorganisms and viruses, particularly potential pathogens on living tissue. EX: iodine, alchool |
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Antiseptics are frequently_________ whose strength has been ________ to make them safe for living tissues. |
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disinfectants, reduced |
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Aspetic refers to an environment or procedure free of ______. |
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pathogenic contaminants. |
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Examples of aseptic |
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prep of surgical field, hand washing, flame sterilization of laboratory equipment. |
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Scientists, laboratory technicians and health care workers routinely follow standardized _______ techniques |
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aseptic |
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-cide -cidal |
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suffixes indicating destruction of a type of microbe. |
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Example of -cide -cidal |
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Bactericide, fungicide, germicide, virucide |
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Germicides include_____ oxide, ____oxide &_____. |
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ethylene, propylene, aldehydes |
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Degerming is the |
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removal of microbes by mechanical means |
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Examples of degerming |
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Hand washing, alcohol swabbing at site of infection and skin scrubbing |
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Disinfection |
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Destruction of most microorganims and viruses on nonliving tissue |
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Examples of disinfectants |
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Phenolics, alcohols, aldehydes and soaps |
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The term disinfection is primarily used in relation to _____. |
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pathogens |
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Pasturization |
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use of heat to destroy pathogens and reduce the number of spoilage microorganisms in food and beverages |
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Examples of Pasturization |
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milk, fruit juices, wine, and beer |
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in pasteurization, heat treatment is _____ to reduce alteration of taste and nutrients. |
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brief |
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in pasteurization,______ microbes still remain and eventually cause _______. |
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non pathogenic, spoilage |
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Sanitization |
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removal of pathogen from objects to meet public health standards. |
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Washing tableware in scalding hot water in restaurants is an example of? |
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Sanitization |
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Standards of _____vary among governmental jurisdictions. |
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Sanitization |
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What is the only difference of disinfecting dishes at home and sanitizing dishes at a restaurant? |
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public (sanitization) vs. private (disinfection). |
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-statis -static |
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suffixes indicating inhibition, but not complete destruction of a type of microbe |
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What are some examples of -statis & -static? |
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Bacteriostatic, fungistatic, virustatc |
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______ agents include some chemicals, refrigeration and freezing. |
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Germistatic |
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Sterilization |
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Destruction (complete removal) of ALL microorganims and viruses in or on an object |
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Preparation of microbial culture media and canned food is an example of what? |
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Sterilization |
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How is sterilization typically achieved? |
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by steam, under pressure, incineration,or ethylene oxide gas. |
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Sterilization does not apply to _____. |
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prions(infectious proteins that cause mad cow disease) |
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Only _____ destroys prions. |
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incineration |
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Commercial Sterilizationis defined as? |
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sufficient heat treatment to kill endospores of Clostridium botulinum in canned food. |
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Vegetables are available in _____ packaging |
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aseptic |
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What is the use of chemical methods for eliminating or reducing microbes and viruses (particularly pathogens) on the skin or living tissue? |
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Antisepsis |
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Antisepsis is a modification of _____? |
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disinfection |
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Disinfectants destroy vegetative pathogens but not ______? |
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all viruses and bacterial endospores. |
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Unlike sterilization, disinfection suggests that |
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some viable microbes may persist. |
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Disinfectants are_____concentrated and left on the surface of _______ longer. |
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more inanimate objects |
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Antiseptic are disinfectants whose strength is ______ to make them _______? |
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reduced, safe for living tissue |
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Examples of disinfection: |
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1.applying a 5% solution of bleach to examining table 2.boiling eating utensils used by a sick person 3.immersing thermometers in iodine solution between use 4.combs soaked in ammonia solutions at barber shop. |
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What is the term that refers to microbial contamination and growth of microorganisms in blood and tissues (think septic tank)? |
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Sepsis |
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Decontamination: |
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Process of rendering an object, person, or area free of a substance Such as:Bacteria, poison gas, radioactive substance |
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Cide and cidal: Virucides |
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inactivate viruses |
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Cide and cidal: Bactericides |
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kill bacteria |
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Cide and cidal: Fungicides |
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kill fungal hyphae, spores, yeast. |
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Cide and cidal: Germicides |
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are chemical agents kill pathogens in general. |
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What is Microbial death? |
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permanent loss of Reproductive ability of microbes under ideal environmental conditions. |
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What is one way to evaluate the efficiency of an antimicrobial agent (chemical or physical)? |
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calculate the microbial death RATE. |
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What is Microbial Death Rate? |
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the time it takes for heat or chemicals to kill a population of microorganism under certain conditions. Ex. Boil (212 ?F) water 10 minutes |
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Microbial death rate is usually ____ over time for a _____ pathogen under a ______ set of conditions. |
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constant, particular, particular For example: 90% of a population of microbes is killed per minute. |
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In the death phase of cell population growth curve The cells die at a _____ rate. They die ______. |
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constant, exponentially. |
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The Viral envelop surrounds a _____ |
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viral protein. |
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Viral Envelop is made up of proteins and phospholipids that are |
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Responsible for attachment of virus to target cell. |
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Damage to the viral envelop does what? Why? |
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Fatally interrupts viral replication Because the enveloped virus is now unable to attach to the host cell. |
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Non-enveloped viruses have _____tolerance of harsh conditions and antimicrobial agents because they do not _____ on the envelop to attach to the target cell. |
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greater, depend |
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Protein function depends on it specific _____ shape. |
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3-D |
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Microbial life depends on continuous supply of _____ to function as _____ and structural molecules. |
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proteins, enzymes |
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A perfect antimicrobial agent or method would be |
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1.Inexpensive and fast-acting 2.Stable during storage 3.Control all microbial growth while being harmless to humans, animals, and objects |
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Factors affecting Efficacy of Antimicobial methods |
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1.What area is to be treated? 2.How susceptible or resistant is the microbe? 3.What are the Environmental conditions? |
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1.What area is to be treated? |
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Harsh chemicals and extreme heat cannot be used on humans, animals and fragile objects. Needles and scalpels carry a greater potential for infection so they must be sterilized. Items that contact the skin may be disinfected |
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2.How susceptible or resistant is the microbe? |
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Select a method to kill the hardiest microbes present and Assume that more fragile microbes are killed as well. |
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The three most resistant microbes are: |
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1.Bacterial endosproes 2.Species of Mycobacterium 3.Cysts of protozoa |
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The Hardest Microbes to Treat (1) 1. Bacterial Endospores |
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Endospores of Bacillus and Clostridium are the most resistant life forms |
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Bacillus and Clostridium can survive in _______of temperature, chemicals, and acidity |
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extremes |
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The Hardest Microbes to Treat (2) 2.Mycobacterium |
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cell walls have a waxy coat that prevents: 1.The entrance of water based chemical 2.Dehydration |
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The Hardest Microbes to Treat (3) 3. Protozoal cysts wall prevents entry of: |
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Most disinfectants Protects protozoa against drying Shields protozoa against heat, and radiation |
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The effectiveness of germicides can be classified as _____ or ______. |
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high or low |
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_____ level germicides kill all pathogens, including bacterial endospores. |
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high |
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3.Environmental Conditions affect ______ of antimicrobials |
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efficacy |
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High temperatures and extremely low or high pH usually ____ the effectiveness of antimicrobial agents. |
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increases |
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Biofilms, and fat, feces, emesis, and blood usually _______ the effectiveness of antimicrobial agents. Therefore, It is very important to ______ objects before using disinfectants or sterilization. |
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decrease, clean |
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What are the four Methods for Testing or Evaluating the Effectiveness Disinfectants and Antiseptics? |
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1.Phenol Coefficient 2.Use-Dilution Test 3.Disk-Diffusion Method 4.In-Use Test. |
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1. Phenol Coefficient Test (Carbolic acid) |
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Phenol (carbolic acid or benzene) was used by Lister in late 1850s Phenol was the standard to test all other disinfectants and antiseptics. |
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1.Phenol Coefficient Test (Carbolic acid) |
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Researchers evaluated the efficiency of disinfectants and antiseptics when compared to phenol (carbolic acid). |
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Phenol Coefficient Test has been replaced by newer methods because we |
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no longer extensively use phenol as a antiseptic. |
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2. Use-Dilution Test |
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Use-dilution test is another method of evaluating efficacy of disinfectants and antiseptics. |
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What is the first step used in the Use-dilution test? |
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1.Metal rings dipped into broth cultures of bacteria are dried at 37C. |
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What is the 2nd step used in the Use-dilution test? |
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2. Rings with dried cultures are placed in different dilutions of a disinfectant: Example: control (distilled water), 2%, 5%, 15% of Clorox solution. |
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What is the 3rd step used in the Use-dilution test? |
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3. Rings stay in solution for 10 min at 20°C (68F) and rinsed. |
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What is the 4th step used in the Use-dilution test? |
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4. Rings are transferred to nutrient agar and incubated to determine whether bacteria survived disinfectant treatment |
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What is the 5th step used in the Use-dilution test? |
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5. Look for growth on agar plate. The most effective agent is the one that entirely prevents microbial growth at the highest dilution. |
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3.Kelsey-Sykes Capacity Test |
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is the standard alernative assessment approved by the European Union to determine the capacity of a given chemical to inhibit bacterial growth. |
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3.Kelsey-Sykes Capacity Test step 1 |
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1. Researchers add a suspension P. aeruginosa or S. aureus to different concentrations of chemical being tested |
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3.Kelsey-Sykes Capacity Test step 2 |
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2.After predetermined time, move the mixture into broth with a disinfectant deactivator |
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3.Kelsey-Sykes Capacity Test step 3 |
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3.Incubate for 48 hours |
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3.Kelsey-Sykes Capacity Test step 4 |
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4.Measure turbidity |
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3.Kelsey-Sykes Capacity Test step 5 |
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5.Lack of turbidity indicates lack of bacterial reproduction |
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3. Disk-Diffusion Method aka Kirby-Bauer Method |
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demonstrates the effectiveness of disinfectants and antiseptics on pathogens. |
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Procedure for Disk-Diffusion Method |
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A disk of filter paper is soaked in different chemical agents and then placed on an agar plate just previously inoculated with bacteria. Bacteria are incubated and then observed. |
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Disk-Diffusion Method results |
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A clear zone around the disk indicates inhibition called zone of inhibition. The visible area around disk is where bacteria did not grow. |
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In Disk-Diffusion Method the ______ are measured to determine the microorganism’s sensitivity to the disinfectants, antiseptic or antibiotic. |
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zones of inhibition |
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The disk with the _____ zone of inhibition is the best agent to use against that particular pathogen. |
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largest |
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4.In-Use Test |
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The In-Use Test is a more realistic method for determining the effectiveness of a disinfectant or antiseptic. |
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In The In-Use Test Swabs are taken from ______before and after application of disinfectant or antiseptic. |
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actual objects (operating room equipment) |
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Describe what happens in the In-Use Test |
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The swabs are inoculated onto nutrient agar plates and incubated. The plates are monitored for growth before and after the disinfectant was used. |
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List the 10 types of Physical Methods of Microbial Control (Table 9.4 pg. 270) |
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1.Moist Heat = Boiling, Autoclaving (pressure cooking), Pasteurization and Ultrahigh-temperature sterilization. 2.Dry Heat = Hot air and Incineration 3.Refrigeration 4.Freezing 5.Desiccation (drying) 6.Lyophilization (freeze drying) 7.Filtration 8.Osmotic Pressure 9.Ionizing radiation (electron beams, gamma rays, X rays) 10.Nonionizing radiation (ultraviolet light) |
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Heat = one of the older and more common means of _______. |
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microbial control |
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High Temperatures = ______ proteins, interfere with cell walls and cytoplasmic membranes, and disrupt function and structure of ______. |
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denature, nucleic acids |
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Thermal death point is |
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lowest temperature required to kill bacteria in a broth in 10 minutes. |
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Thermal death time is |
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the time required to kill all bacteria in a broth at a given temperature. |
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Decimal reduction time (D time) is the |
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time required to kill 90% of the population of bacteria in a sample at a given temperature |
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Researchers measure the effectiveness of heat sterilization by calculating the |
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decimal reduction time. |
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Thermal death time is the time it takes to completely _____ a particular volume of liquid at a set_______. |
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sterilize, temperature |
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How does high temperature control microbes in the environment? |
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High temperatures denatures proteins, interferes with the integrity of cytoplasmic cell walls and disrupts the function and structure of nucleic acids. |
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List 6 heat-related methods used in microbial control. |
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1.Moist heat 2.Boiling 3.Autoclaving 4.Pasteurization 5.Ultrahigh-temperature sterilization 6.Dry heat |
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Moist Heat is used to do what 4 things? |
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disinfect, sanitize, sterilize, pasteurize. |
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4 Types of Moist heat |
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Boiling Autoclaving Pasteurization Ultrahigh-Temperature Sterilization |
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Boiling (100?C) kills _______ cells of bacteria and fungi, protozoan trophozoites, and most viruses within |
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vegetative, 10 minutes at sea level. |
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Boiling does not kill which 3 things and why? |
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endospores, protozoan cysts, and some viruses. because they can survive boiling for 10 minutes at sea level |
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Will it require longer boiling time in Denver or Los Angeles? |
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It takes a longer boiling time in Denver. |
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Why does it require longer boiling time in Denver or Los Angeles? |
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Water boils at lower temperatures at higher elevations because there is less air pressure and steam escapes more quickly and pulls of excess heat. |
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When is an autoclave required? |
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An autoclave is used when sterilization is required. |
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Autoclaving does not let the ____escape and water will boil at a ____temperature. |
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steam , higher |
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Autoclaves are used to sterilize ____? |
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medical and laboratory supplies that can tolerate heat and moisture. |
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The Autoclave conditions are? |
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121?C, 15 psi, 15 minutes. |
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what are used to check for sterility of the items being autoclaved. |
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Bacillus stearothermophilus endospores |
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Pasteurization is a method of _____ & ______Without altering the quality of the food |
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Heating foods to kill pathogens Control spoilage organisms |
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Pasteurization is used for: |
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Milk Ice cream Yogurt Fruit juices Beer and Wine |
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Pasteurization is not |
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sterilization. |
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Dairy industry and other food processors use:Ultrahigh-temperature sterilization To rid liquids of |
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all living microbes. |
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Liquids are passed through super heated steam at 140?C (284?F) for 1-3 second, then rapidly cooled. What is this? |
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Ultrahigh-temperature sterilization |
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milk and other liquid products passed through Ultrahigh-temperature sterilization can be |
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stored indefinitely at room temperature. |
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What is a better conductor of heat… water or air? |
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water |
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What is more effective in controlling microbes in the environment… moist heat or dry heat? |
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Moist heat is more effective than dry heat because water is better conductor of heat than air. |
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At sea level, what does boiling at 100C kill? What does it not kill? |
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Boiling (100?C) kills vegetative cells of bacteria and fungi, protozoan trophozoites, and most viruses not kill endospores, protozoan cysts, and some viruses |
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In Denver, will water boil at a greater than 100C or less than 100C? |
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less then because Water boils at lower temperatures at higher elevations because there is less air pressure and steam escapes more quickly and pulls of excess heat. |
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Will it take longer or less time to boil water for 10 minutes to kill microbes in Los Angeles as compared to Denver? |
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less time because there is more pressure |
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Autoclaving: |
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device that uses steam heat under pressure to sterilize chemicals and objects that can tolerate moist heat. |
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Autoclaving needs less than _____to sterilize an object at _______. |
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15 mins, 121 C |
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Autoclaving denatures______ and destroys______. |
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proteins, membranes |
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Pasteurization |
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the use of heat to kill pathogens and reduce the number of spoilage microorganisms in dairy products, fruit juices, beer, and wine |
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4 types of pasteurization of milk: |
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1.Historical (batch) pasteurization 2.Flash pasteurization 3.Ultrahigh-temperature pasteurization 4.Ultrahigh- temperature sterilization: |