Chapter 11 Physical and Chemical Agents for Microbial Control Control of microbes Physical and chemical methods to destroy or reduce microbes in a given area OVERVIEW 3 Why do we want to control microbes? How do we do it? Relative resistance of microbes Least resistance Highest resistance – Bacterial endospores – Prions Moderate resistance – Pseudomonas sp. – Mycobacterium tuberculosis – Staphylococcus aureus – Protozoan cysts – – – – – most vegetative cells Fungal spores enveloped viruses Yeast Protozoan trophozoites Methods that kill microbes _______________ – a process that destroys all viable microbes, including viruses & endospores – Heat, sterilants _______________– a process to destroy vegetative pathogens, not endospores – disinfectants or germicides – chemical - kills pathogenic microorganisms – _____________________ – destroy/inhibit vegetative pathogens on exposed body surfaces – Sepsis – infection/growth in body – Asepsis – preventing entry of pathogens and infection Methods that reduce numbers _______________– any cleansing technique that mechanically removes microbes and reduces numbers to safe levels – _______________– reduces the number of microbes on skin ___________________________ – controls numbers by preventing growth (multipication) 8 Microbial death Permanent termination of an organism’s vital processes microbiological definition: Involves permanent loss of reproductive capability, even under optimum growth conditions Factors that influence microbial killing 10 How antimicrobial agents work: Cellular targets of control (mode of action) 1. Cell wall 2. Cell membrane 3. Cellular synthetic processes (DNA, RNA) 4. Proteins mode of action Cell wall Action: – Block synthesis – Digestion – Disrupt surface w/o cell wall, bacteria will lyse (especially gram positive… remember?) Examples: penicillin, detergents, alcohol Surfactants disrupt mode of action mode of action Affect on synthesis (DNA, RNA) Proteins – have many functions in the cell! Antimicrobials can block: DNA synthesis (master code), transcription, translation Mutagens (radiation = permanent inactivation of DNA) Antimicrobial therapy (drugs) Chemicals – some destroy nucleic acids mode of action Heat, pH, heavy metals can alter proteins Practical concerns Does the application require sterilization? Is the item to be reused? (time, $$) Can the item withstand heat, pressure, radiation, or chemicals? Is the method suitable? Will the agent penetrate to the necessary extent? Is the method cost- and labor-efficient & is it safe? Types of Control: I. Methods of Physical Control 1. Heat 2. Cold temperatures 3. Desiccation 4. Radiation 5. Filtration Physical Control 1. Heat Moist vs. dry Moist heat = lower temp and shorter time Causes coagulation/denaturation of protein Dry heat = higher temp/longer time Dehydrates cell, removes water, denatures proteins, oxidation (burning) Physical Control Physical Control 1. Heat – moist heat Moist heat uses hot water or steam sterilization _______________ 15 psi/121oC/10-40min (steam under pressure) intermittent sterilization – 100oC 30-60 min for 3 days (unpressurized steam) disinfection Boiling at 100oC for 30 minutes to destroy nonspore-forming pathogens _______________ kills Salmonella, Listeria & overall microbe count Physical Control Pasteurization Pasteurization – heat kill potential agents of infection and spoilage without destroying the food flavor or value 63°C–66°C for 30 minutes (batch method) 71.6°C for 15 seconds (flash method) Not sterilization – kills non-sporeforming pathogens and lowers overall microbe count; does not kill endospores or many nonpathogenic microbes 22 Physical Control 1. Heat – dry heat Dry heat uses higher temperatures than moist heat, can also sterilize incineration – 600-1200oC combusts & dehydrates cells dry ovens – 150-180oCcoagulate proteins Physical Control Thermal death Thermal death time (TDT) – shortest length of time required to kill all test microbes at a specified temperature Thermal death point (TDP) – lowest temperature required to kill all microbes in a sample in 10 minutes Physical Control 2. Cold temperatures _______________– slows the growth of microbes refrigeration 0-15oC & freezing <0oC used to ____________food, media and cultures Physical Control 3. Desiccation gradual removal of water from cells, leads to metabolic inhibition not effective microbial control – many cells retain ability to grow when water is reintroduced _______________ = freeze-drying Note: cold and dessication ARE NOT good methods of disinfection or sterilization. Physical Control 4. Radiation 1. _______________ radiation – deep penetrating power, breaks DNA – gamma rays, X-rays, cathode rays – used to sterilize medical supplies & food products 2. _______________ radiation – little penetrating power to sterilize air, water & solid surfaces – uv light creates thymine dimers, which interfere with replication Ionizing radiation Physical Control Nonionizing radiation - UV Physical Control UV treatment of wastewater Physical Control Physical Control Other “waves” Sound (high frequency) Can also be used to disrupt cells (vibrations) or generate heat Ultrasonic devices are used clean dental, medical instruments before sterilization Physical Control 5. Filtration physical removal of microbes by passing a gas or liquid through filter Pores of filter large enough for liquid but too small for microbe (<1 μm) used to OVERVIEW 33 Types of Control: II. Methods of Chemical Control Categories: • Halogens • Phenolics • Chlorhexidine • Alcohols • Hydrogen peroxide • Detergents & soaps • Heavy metals • Aldehydes Uses: •Disinfectants •antiseptics •sterilants •degermers •preservatives Chemical antimicrobials 10,000 manufactured today About 1,000 routinely used Society is obsessed with “killing germs” – to the point of being excessive Result: widespread overuse resistance of pathogens, death of natural flora Qualities of chemical antimicrobials Rapid action, even in low concentration Water/alcohol soluble, stabile Broad spectrum w/o being toxic Penetration, sustained action Resitance to inactivation Noncorrosive, nonstaining Sanitizing and deodorizing Inexpensive and available Levels of activity Factors that affect activity Type of microorganism being treated Material being treated Amt of contamination Exposure time Strength/action of germicide Appendix C shows procedures for testing effectiveness Ways to express strength/concentration Dilution (1:200 is one part chemical in 200 parts dilutant such as water) ppm – parts per million Percent – 70% alcohol, or mg/ml _______________ solutions – have water as the solvent _______________– are dissolved in alcohol Chemical control - categories 1. 2. 3. 4. 5. 6. 7. 8. Halogens Phenolics Chlorhexidine Alcohols Hydrogen peroxide Detergents & soaps Heavy metals Aldehydes 1. Halogens Ionic (halide) or nonionic Mostly _______________ Germicidal and sporicidial with long exposure Affect protein structure (bonds) 1. Halogens Chlorine – Cl2, hypochlorites (chlorine bleach - OCl), chloramines – In water – release hypochlorous acid (HOCl) – Denaturation of proteins by disrupting disulfide bonds – Can be sporicidal – 0.6-1 ppm Cl2 to clean water – Bleach – sanitization/disinfection 1. Halogens Iodine - I2, iodophors (betadine) – Denature proteins – similar to Chlorine but not affected by organic matter or pH – Broad spectrum microbicide, can be sporicidal – Milder medical & dental degerming agents, disinfectants, ointments, topical antiseptic – Betadine (iodophor) = iodine + neutral polymer; allows for slow release and increased penetration – used as antiseptic 44 2. Phenolics Phenol ring (aromatic carbon ring) + groups Disrupt cell membranes & precipitate (denature) proteins; bactericidal, fungicidal, virucidal, not sporicidal – _______________ – ____________antibacterial additive to soaps – Mouthwash! (thymol) – Can be VERY toxic! Not typically used as antiseptics. _______________ 3. _______________ Hibiclens, Hibitane A surfactant & protein denaturant with broad microbicidal properties Not sporicidal Used as skin _________ agents for preoperative scrubs, skin cleaning & burns 4. Alcohols Ethyl, isopropyl in solutions of 50-90% (water needed for protein coagulation) Act as surfactants dissolving membrane lipids and coagulating proteins of vegetative bacterial cells and fungi _______________ Isopropanol = rubbing alcohol, but vapors can be toxic 5. Hydrogen peroxide Weak (3%) to strong (25%) _______________ agent (steals electrons) Produce highly reactive hydroxyl free radicals that damage protein & DNA while also decomposing to O2 gas (bubbles) toxic to _______________ , overwhelms catalase in aerobes Strong solutions are sporicidal colonoscope 52 6. Detergents & soaps ________ compounds that work as _______________ Quaternary ammonia cpds (__________) act as surfactants that alter membrane permeability of some bacteria & fungi – Not sporicidal, ineffective against TB, hepatitis, pseudomonas Soaps- mechanically remove soil and grease containing microbes Figure 11.17 55 56 7. Heavy metals Solutions of silver & mercury kill vegetative cells in low concentrations by inactivating proteins Metallic salts Oligodynamic action Not sporicidal _________ to humans – Not used on broken skin 59 8. Aldehydes Glutaraldehyde & formaldehyde kill by alkylating protein & DNA (-CHO is reducing group) _______________ = H on AA is replaced by the aldehyde (and crosslinked) _______________ in 2% solution (Cidex) used as sterilant for heat sensitive instruments _______________ - disinfectant, preservative, toxicity limits use (formalin is aqueous solution) Gases & aerosols _______________, propylene oxide, betapropiolactone & chlorine dioxide Strong _______________ agents, sporicidal (sterilization) ________________________ – uses ethylene oxide 65 Miscellaneous antimicrobials Dyes – crystal violet, acriflavine Acids, bases (alkalies) – destroy but some are corrosive and hazardous – Pickling – acetic acid – Sauerkraut, olives – lactic acid – Benzoic, sorbic acid – in lots of processed foods (preservatives = _______________ )