*NURSING > STUDY GUIDE > Microbiology Exam Study Guide (All)
1. Approaches to Control Microbes a. Physical Methods i. Dry 1. incineration or dry oven sterilization ii. Moist heat 1. Boiling water, steam under pressure sterilization 2. Kills micr ... obes by denaturing enzymes 3. Ex. Autoclaving iii. Radiation 1. Irradiation – bombardment with radiation 2. Ionizing – can penetrate a solid barrier, bombard a cell, enter it, and dislodge electrons form molecules a. x-ray, cathode, gamma sterilization 3. Nonionizing – enters a cell, strike molecules, and excites them. Results? Mutation of DNA a. Note: non-ionizing radiation cannot penetrate a solid barrier b. UV disinfection iv. Chemical Methods 1. Antimicrobial chemicals disinfection or sterilization 2. Gases disinfection of sterilization v. Mechanical Methods 1. Filtration of air and liquids decontamination 2. Physical Controls a. Heat i. Moist heat – boiling water (100oC, 30 min) ii. Pasteurization – milk, fruit juices; flash method (~72oC, 15 sec) iii. Pressurized steam – autoclave (121oC, 15psi); used for surgical instruments, commercial canning (clostridium botulinum, problem in canning) b. Radiation i. Gamma radiation – DNA 1. Medical equipment, drugs, food-safe ii. Ultraviolet radiation – DNA iii. Microwave – heat 3. Factors in Treatment a. Situation – home, hospital, lab, factory i. Sepsis – the growth of microorganisms in the blood & other tissue b. Surface or medium c. Type and number of microorganisms i. Highest resistance = endospores ii. Moderate resistance = mycobacterium, S. aureus iii. Least resistance = non-endospore formers d. Environment e. Concentration of agent being used f. Mode of action 4. Mechanical Controls a. 2 kinds i. Fluid filtration ii. Air filtration – HEPA; hospitals b. Decontaminating Congress – letters containing Bacillus anthracis were opened in Hart Office of US Senate in 2001 i. B. anthracis is spore-forming – eradication is tough; building was heavily populated, needed to decontaminate heating/AC vents, carpet, furniture, office equipment, sensitive papers, artwork, personal belongings c. Decontamination Process i. Size/scope – samples taken from 25 buildings ii. Decontamination – vacuum with HEPA filter followed by tx with liquid chlorine dioxide (sterilant used for treatment of medical waste) or a decontamination foam; heavily contaminated areas used gaseous ClO2 5. Chemical Controls a. Factors for choosing appropriate germicide: storage/stability, residue, cost/availability, environmental risk b. Germicidal Chemical: i. Alcohols, hydrogen peroxide (H2O2), ethylene oxide (used on medical instruments, plastics; sugar, spices) 6. –static? or –cidal? a. Bactericide – a chemical that destroys bacteria except for those in the endospore stage b. Germicide/Microbicide – chemical agents that kill microorganisms c. Bacteristatic – prevent the growth of bacteria on tissues or on objects in the environment d. Fungistatic – inhibit fungal growth e. Microbistatic – antiseptics & drugs (used in the body) f. Degermination – reducing the number of microbes on the skin (ex. hand sanitizers) [Show More]
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