Physical and Chemical Control of Microbes Chapter 11 Adapted from McGraw Hill by Dr. G Cornwall 11.1 Controlling Microorganisms • General Considerations in Microbial Control • Sterilization: the destruction of all microbial life • Disinfection: destroys most microbial life, reducing contamination on inanimate surfaces • Antisepsis: destroys most microbial life, reducing contamination on a living surface • Decontamination: the mechanical removal of most microbes from an animate or inanimate surface Microbial Control Methods Relative Resistance of Microbial Forms Primary targets of microbial control: microorganisms that can cause infection or spoilage that are constantly present in the external environment • Highest resistance • Bacterial endospores; prions • Moderate resistance • Protozoan cysts, fungal sexual spores, naked viruses, resistant vegetative bacteria • Least resistance • Most bacterial vegetative cells, fungal spores (nonsexual), enveloped viruses, yeasts, protozoan trophozoites Comparison of Resistance Terminology and Methods of Microbial Control • Sterilization • Removes all viable microorganisms including viruses and bacterial endospores • Material is said to be sterile • Usually reserved for inanimate objects • Mostly performed with heat • Sometimes chemicals called sterilants are used • Generally reserved for inanimate objects • Disinfection • The use of a physical process or chemical agent (disinfectant) to destroy vegetative pathogens • Does not destroy bacterial endospores • Usually used only on inanimate objects • Also removes toxins • 5% bleach solution, boiling water, iodine solutions Antisepsis • Antiseptics: applied directly to exposed body surfaces (and mucous membranes) to destroy or inhibit vegetative pathogens • Sepsis: the growth of microorganisms in the blood and other tissues • Asepsis: any practice that prevents the entry of infectious agents into sterile tissues • Examples: skin preparations with iodine for surgery, hydrogen peroxide in root canal, hand washing with germicidal soap. The Agents Versus the Processes • –cide: to kill • Bactericide: chemical that destroys bacteria (not endospores) • Fungicide: a chemical that can kill fungal spores, hyphae, and yeasts • Virucide: a chemical that inactivates viruses • Sporicide: can destroy bacterial endospores • Germicide and microbicide: chemical agents that kill microorganisms • Stasis and static: to stand still, prevent multiplication • Bacteristatic, Fungistatic • Microbiostatic: materials used to control microorganisms in the body Decontamination • Used when actual sterilization isn’t needed but need to decrease the risk of infection or spoilage (ex. food industry) • Sanitization: any cleansing technique that mechanically removes microorganisms to reduce contamination to safe levels • Sanitizer: compound such as soap or detergent that sanitizes • Sanitary: may not be free from microbes but are safe for normal use • Degermation: reduces the numbers of microbes on the human skin (ex. alcohol wipes) Practical Concerns in Microbial Control • Does the application require sterilization, or is disinfection adequate? • Is the item to be reused or permanently discarded? • If it will be reused, can it withstand heat, pressure, radiation, or chemicals? • Is the control method suitable for a given application? • Will the agent penetrate to the necessary extent? • Is the method cost- and labor-efficient, and is it safe? What is Microbial Death? • When various cell structures become dysfunctional and the entire cell sustains irreversible damage • The permanent loss of reproductive capability, even under optimal growth conditions, is the accepted microbiological definition of death Factors that Affect Death Rate • The number of microorganisms • The nature of the microorganisms in the population • The temperature and pH of the environment • The concentration of the agent • The mode of action of the agent • The presence of solvents, interfering organic matter, and inhibitors How Antimicrobial Agents Work: Their Modes of Action • The Cell Wall • The Cell Membrane • Protein and Nucleic Acid Synthesis • Protein Function Antimicrobial Effects on Cell Well • Block its synthesis • Digest it • Break down its surface • The cell becomes fragile and is lysed easily. Cell Membrane • All microorganisms have cell membrane • Many viruses as well • Disrupt cell membrane = cell loss of selective permeability • Detergents (surfactants) disrupt membrane Protein and Nucleic Acid Synthesis • Any level can be affected: Replication, Transcription, and/or Translation • Some agents bind to ribosomes to stop translation • Some agents bind irreversibly to DNA preventing transcription and translation • Mutagenic agents Protein Function • Proteins must be in native state • Disrupt the native state (denature) • Break the bonds of secondary or tertiary structures • Coagulation: heat, alcohol, acids, phenolics Concept Check What type of compound is isopropanol when the nurse wipes your arm with it before giving you an injection? A. Antibiotic B. Disinfectant C. Mutagen D. Antiseptic 11.2 Methods of Physical Control • Heat as an Agent of Microbial Control • Generally, elevated temperatures are microbicidal and lower temperatures are microbiostatic • Can use moist heat or dry heat • Moist heat is more effective • Mode of Action • Moist- coagulation and denaturation • Dry –remove water from organisms, incineration Heat Resistance and Thermal Death of Spores and Vegetative Cells • Bacterial endospores exhibit the greatest resistance • Spore destruction requires temperatures above boiling • Vegetative states of fungi and bacteria are least resistant to both moist and dry heat • also vary in their heat sensitivity to both dry and moist heat • Viruses surprisingly resistant to heat • For practical purposes, all non-heat resistant forms of bacteria, yeasts, molds protozoa, worms, and viruses are destroyed by exposure to 80∘C for 20 minutes Practical Concerns in the Use of Heat: Thermal Death Measurements • Temperature and length of exposure must be considered • Higher temperatures generally allow shorter exposure times; lower temperatures generally require longer exposure times • Thermal death time (TDT): • the shortest length of time required to kill all test microbes at a specified temperature • Thermal death point (TDP): • the lowest temperature required to kill all microbes in a sample in 10 minutes Common Methods of Moist Heat Control • Steam under pressure • Non-pressurized steam • Pasteurization • Boiling water Steam Under Pressure • Pressure raises the temperature of steam • Autoclave is used • Most efficient pressuretemperature combination for sterilization: 30 psi which yields 121°C (15 psi above our atmospheric pressure) • Kills all endospores • Home pressure cookerssame principle Non-pressurized Steam • Intermittent sterilization or tyndallization • Expose to free-flowing steam for 30-60 minutes, incubate for 23-24 hours, treat again; repeat for 3 days in a row • A single exposure is not sufficient to kill all spores • Used some for canned foods and certain media preparations Pasteurization & Boiling Pasteurization • Used to disinfect beverages • Heat is applied to liquids to kill potential agents of infection and spoilage, while retaining the liquid’s flavor and food value • Special heat exchangers • Flash method: expose to 71.6°C for 15 seconds • Batch method: expose to 63°C to 66°C for 30 minutes • Does not kill endospores or thermoduric microbes • Pasteurized milk is NOT sterile Boiling • For disinfection and not sterilization (used in home and clinics) • Expose materials to boiling water for 30 minutes • will kill most non-spore forming pathogens, including resistant species (staphylococci) • Also for unsafe drinking water Dry Heat: Hot Air and Incineration • Incineration • Ignites and reduces microbes to ashes and gas • Common practice in microbiology labincineration on inoculating loops and needles using a Bunsen burner • Can also use tabletop infrared incinerators Dry Oven • Usually an electric oven • Coils radiate heat within an enclosed compartment • Exposure to 150°C to 180°C for 2 to 4 hours • Used for heat-resistant items that do not sterilize well with moist heat • Glassware, metallic instruments, powders & oils that steam does not penetrate well Concept Check What temperature does an autoclave achieve at 15 p.s.i.? A. 100°C B. 121°C C. 132°C D. 250°C The Effects of Cold and Desiccation • To slow growth of cultures and microbes in food during processing and storage • Cold does not kill most microbes; freezing can actually preserve cultures • Desiccation: • dehydration of vegetative cells when directly exposed to normal room air • Lyophilization: • a combination of freezing and drying; used to preserve microorganisms and other cells in a viable state for many years Modes of Action of Ionizing Versus Non-ionizing Radiation • Radiation: energy emitted from atomic activities, and dispersed at high velocity through matter or space • Ionizing: ejects electron, causing ions to form • Non-ionizing: excites atoms but does not ionize them Ionizing Radiation: Gamma Rays, X Rays, and Cathode Rays • Cold sterilization – no heat • Dosage of radiation- measured in Grays • Exposure ranges from 5 to 50 kiloGrays (kGray = 1000 grays) • Gamma rays, most penetrating; X rays, intermediate; cathode rays, least penetrating Applications • Food products • Medical products • Main advantages: • Speed • Penetrating power • No heat Non-ionizing Radiation: UV Rays • Wavelength approximately 100 nm to 400 nm • Germicidal lamp: 254 nm • Not as penetrating as ionizing radiation • Powerful tool for destroying fungal cells and spores, bacterial vegetative cells, protozoa, and viruses • Wavelength: 200-300 nm • Poor penetrating power • Pyrimidine dimers • Mutations induced Applications of Ultraviolet Radiation • Usually disinfection rather than sterilization • Hospital rooms, operating rooms, schools, food prep areas, dental offices • Treat drinking water or purify liquids Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Filtration Liquid • Pass liquid or gas through a filter with sufficiently small pore size Filter • HEPA – high-efficiency particulate air filters • Advantages: No thermal damage Pore Filter Sterilized fluid Vacuum Pump suction (a) • Disadvantages: viruses not eliminated and must be either liquid or gas (b) b: © Fred Hossler/Visuals Unlimited Osmotic Pressure • Adding large amount of salt or sugar to food • creates hypertonic environment for bacteria • causes plasmolysis • impossible for cells to multiply • Curing meat • high sugar in preserves Concept Check Which of these is least likely to result in sterilization? A. Incineration B. Baking at 170°C C. Boiling D. Autoclaving 11.3 Chemical Agents in Microbial Control • Approximately 10,000 different antimicrobial chemical agents are manufactured • Approximately 1,000 used routinely in health care and the home • Occur in liquid, gaseous, or solid state • Aqueous: dissolved in pure water • Tinctures: solutions dissolved in pure alcohol or water-alcohol mixtures Chemical Agents in Health Care Choosing a Microbicidal Chemical • Rapid action even in low concentrations • Solubility in water or alcohol and long-term stability • Broad-spectrum microbicidal action without being toxic to human and animal tissues • Penetration of inanimate surfaces to sustain a cumulative or persistent action • Resistance to becoming inactivated by organic matter • Noncorrosive or nonstaining properties • Sanitizing and deodorizing properties • Affordability and ready availability Factors that Affect the Germicidal Activity of Chemicals • Nature of microorganisms being treated • Nature of the material being treated • Degree of contamination • Time of exposure • Strength and chemical action of the germicide Germicidal Categories According to Chemical Group • Halogen Antimicrobial Chemicals • Fluorine, bromine, chlorine, and iodine • Microbicidal and sporicidal with longer exposure • Chlorine compounds • Kills bacteria and endospores • Also kills fungi and viruses • Example: Household bleach • Iodine compounds • Topical antiseptic • Disinfectant • All classes of microorganisms are killed by iodine (proper concentration & exposure time) • Iodophores are complexes of iodine & alcohol (Betadine, Isodine) used in medical antisepsis (less irritating) Phenol and its Derivatives • Phenol coefficient: compares a chemical’s anti-microbic properties to those of phenol • High concentrations: cellular poisons • Lower concentrations: inactivate certain critical enzyme systems • Strongly microbicidal, but not reliably sporicidal • Bisphenols - a component of lysol • Triclosan - most widely used, found in soaps, kitty litter, sponges, laundry aides. Chlorhexidine • Brands: Hibiclens, Hibitane, Peridex • Complex organic base containing chlorine and two phenolic rings • Targets cell membranes and protein structure • At moderate to high concentrations, it is bactericidal for both gram-positive and gramnegative bacteria but inactive against spores • Mild, low toxicity, rapid action • Hand scrubbing, Preparing skin for surgery, obstetric antiseptic, preservative in eye solutions, irrigant, mouthwashes etc. Alcohols as Antimicrobial Agents • Only ethyl and isopropyl alcohols are suitable for microbial control • Mechanism of action depends in part upon its concentration • > 50% dissolves membrane lipids • 50-95% denatures proteins • Does not destroy bacterial spores at room temperature but can destroy resistant vegetative forms • More effective in inactivating enveloped viruses than nonenveloped viruses Hydrogen Peroxide and Related Germicides • Germicidal effects are due to the direct and indirect actions of oxygen • Oxygen forms hydroxyl free radicals which are highly toxic and reactive to cells • Can be harmful to tissue • Bactericidal, virucidal, and fungicidal • In higher concentrations is sporicidal Chemicals with Surface Action: Detergents • Act as surfactants • Cationic detergents are more effective because the positively charged end binds well with the predominantly negatively charged bacterial surface proteins • Soaps are weak microbicides but gain germicidal value when mixed with agents such as chlorhexidine or iodine Heavy Metal Compounds • Hg, Ag, Au, Cu, As, and Zn have been used • Oligodynamic action: having antimicrobial effects in exceedingly small amounts • Bind onto functional groups of proteins and inactivating them • destroys most microbes (not endospores) • Drawbacks to using metals in microbial control: • Can be very toxic to humans • Often cause allergic reactions • Large quantities of biological fluids and wastes neutralize their actions • Microbes can develop resistance to them Concept Check What kind of property do surfactants have? A. Hydrophilic B. Hydrophobic C. Amphipathic D. Hypotonic Aldehydes as Germicides • –CHO functional group on the terminal carbon • Glutaraldehyde and formaldehyde (formalinaqueous solution) - most often used in microbial control • cross-linking proteins on cell surface • Glutaraldehyde is more commonly used, often in conjunction with autoclaving Gaseous Sterilants and Disinfectants • Ethylene oxide (ETO) - a sporicide • Sterilization of pre-packaged medical devices, plastic materials, disposable petri dishes etc. • highly explosive, carcinogenic • Propylene oxide - less toxic • sterilization of foods (nuts, powders, spices) • Chlorine dioxide - also a sporicide • used for treatment of drinking water, waste water, and food processing equipment • Block DNA replication, protein function Dyes as Antimicrobial Agents • Primary source of certain drugs used in chemotherapy • Aniline dyes (crystal violet and malachite green) are very active against gram-positive species of bacteria and various fungi • treatment of ringworm • Yellow acridine dyes (acriflavine and proflavine) sometimes used for antisepsis and wound treatment • Limited applications because they stain and have a narrow spectrum of activity Acids and Alkalis • Very low or high pH can destroy or inhibit microbial cells • Limited in applications due to their corrosive, caustic, and hazardous nature • aqueous ammonium hydroxide is a component of many detergents, deodorizers, and cleansers • Organic acids are used in food preparation • Acetic acid as a pickling agent • propionic acid, lactic acid, benzoic acid, sorbic acids Main Ingredients Antimicrobial Products Concept Check Which of these would be the least likely to be removed by passage through a HEPA filter? A. Virus B. Yeast C. Bacteria D. Protist