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study guide test 2

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  • Define sterilization.

    Sterilization is the process that destroys or removes all forms of microbial life, including spores.

  • What is disinfection?

    Disinfection is the process of eliminating most or all pathogenic microorganisms, except bacterial spores, on inanimate objects.

  • Describe antisepsis.

    Antisepsis is the process of reducing or inhibiting microbial growth on living tissue.

  • What is degerming?

    Degerming is the mechanical removal of microbes from a limited area, such as skin around an injection site.

  • Explain sanitization.

    Sanitization is the process of lowering microbial counts on eating utensils to safe public health levels.

  • What is a biocide or germicide?

    Biocide or germicide refers to any chemical agent that kills microorganisms.

  • Define bacteriostasis.

    Bacteriostasis is the inhibition of bacterial growth without killing the bacteria.

  • What is asepsis?

    Asepsis is the absence of significant contamination by pathogens.

  • How do phenol and phenolics control microbial growth?

    They injure lipids of plasma membranes, causing leakage and remain active in the presence of organic matter.

  • What are bisphenols and their action?

    Bisphenols contain two phenol groups connected by a bridge and disrupt plasma membranes.

  • Give examples of bisphenols and their uses.

    Hexachlorophene is used to control skin infections; Triclosan was used in antimicrobial soaps and toothpastes but mostly discontinued.

  • What are biguanides and their microbial targets?

    Biguanides disrupt plasma membranes and are effective against gram-positive bacteria, many gram-negative bacteria, and enveloped viruses.

  • Name two biguanides and their uses.

    Chlorhexidine is used in surgical hand scrubs; Alexidine works faster than chlorhexidine.

  • What are essential oils and their antimicrobial action?

    Essential oils are plant-extracted hydrocarbons; their antimicrobial action is mainly due to phenolics and terpenes, stronger against gram-positive bacteria.

  • How do halogens act as antimicrobial agents?

    Iodine impairs protein synthesis and alters membranes; chlorine acts as an oxidizing agent shutting down cellular enzymes.

  • What is the difference between tincture and iodophor?

    Tincture is iodine in aqueous alcohol; iodophor is iodine combined with organic molecules like povidone iodine used for skin antisepsis.

  • How do alcohols control microbes?

    Alcohols denature proteins and dissolve lipids but have no effect on endospores and nonenveloped viruses; require water to be effective.

  • What is oligodynamic action of heavy metals?

    Very small amounts of heavy metals like silver, mercury, copper, and zinc exert antimicrobial activity by denaturing proteins.

  • What are quaternary ammonium compounds (quats) and their action?

    Quats are cationic surface-active agents that denature proteins and disrupt plasma membranes; broad spectrum but ineffective against endospores and mycobacteria.

  • What are aldehydes used for in microbial control?

    Aldehydes inactivate proteins by cross-linking functional groups; glutaraldehyde is a liquid chemical sterilizer used on medical equipment.

  • What are gaseous chemosterilants and their mechanism?

    Gaseous sterilants like ethylene oxide cause alkylation, cross-linking nucleic acids and proteins; used for heat-sensitive materials.

  • How does microbial type affect control methods?

    Gram-negative bacteria are more resistant due to lipopolysaccharide; mycobacteria and endospores show high resistance; nonenveloped viruses are more resistant than enveloped viruses.

  • Why are prions difficult to disinfect?

    Prions resist standard disinfection; require immersion in NaOH and autoclaving at 121°C for 1 hour.