Gerald E. McDonnell - Antisepsis, Disinfection, and Sterilization

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Antisepsis, Disinfection, and Sterilization: Types, Action, and Resistance Evaluating the efficacy of chemical antiseptics and disinfectants, and of physical methods of microbial control and sterilization. Understanding how to choose the proper biocidal product and process for specific applications. Classic physical and chemical disinfection methods, such as heat, cold, non-ionizing radiation, acids, oxidizing agents, and metals. Newer chemical disinfectants, including, isothiazolones, micro-and nano-particles, and bacteriophages as control agents. Antisepsis of skin and wounds and the biocides that can be used as antiseptics. Classic methods of physical sterilization, such as, moist heat and dry heat sterilization, ionizing radiation, and filtration, along with newer methods, including, the use of plasma or pulsed light. Chemical sterilization methods that use ethylene oxide, formaldehyde, or a variety of other oxidizing agents. A detailed look at the modes of action of biocides in controlling microbial growth and disrupting microbial physiology. Mechanisms that microorganisms use to resist the effects of biocides. The second edition of
is well suited as a textbook and is outstanding as a reference book for facilities managers and application engineers in manufacturing plants, hospitals, and food production facilities. It is also essential for public health officials, healthcare professionals, and infection control practitioners.

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b NA, not applicable.

TABLE 1.2 Some advantages and disadvantages of microorganisms

Advantage or disadvantage Example(s)
Advantages
Food and beverage production Saccharomyces cerevisiae : bread and beer production Saccharomyces ellipsoideus : wine fermentation
Antibiotic production Bacillus licheniformis : bacitracin Penicillium chrysogenum : penicillin
Vitamin metabolism Pseudomonas spp.: vitamin B 12production Escherichia spp.: vitamin K synthesis in the gut
Genetic engineering Agrobacterium tumefaciens : plasmids used for generating transgenic plants (e.g., herbicide or pathogen resistance)
Disease prevention Bacteroides, Enterococcus spp.: prevention of pathogen colonization of the intestinal tract
Bioremediation Desulfotomaculum spp.: arsenic detoxification
Disadvantages
Animal/human diseases Mycobacterium spp.: tuberculosis HIV:AIDS Plasmodium spp.: malaria
Plant diseases Phytophthora : potato blight Corynebacterium : vegetable infections
Surface damage Pseudomonas spp.: biofilm development and surface corrosion
Food spoilage Rhizopus : bread mold Streptococcus : milk souring
Allergic reactions Fungal spores, including Aspergillus spp.
General product contamination Bacterial and fungal spores, including Bacillus spp.

1.3.3.2 FUNGI

Fungi are eukaryotic cells, many of which can reproduce asexually (by cell division) or sexually (by the production of spores). A limited number of fungi have been implicated in plant and animal diseases (mycoses), but fungi are also widely used for bioremediation and biodegradation, product fermentation (e.g., beer, wine, and bread), and the production of biochemical products (e.g., antibiotics, enzymes, and vitamins). Due to their ubiquitous nature, they are often implicated in spoilage and as general contaminants. They are chemoheterotrophs (requiring organic nutrition), and many are saprophytes (living off dead organic matter), acquiring their food by absorption. They are generally classified as filamentous (molds) or unicellular ( Fig. 1.2).

Filamentous fungi multiply by cell division, but the cells do not separate and form long tubular structures known as hyphae (singular, hypha). The further development and branching of hyphae leads to the development of a mass of fungal growth on a surface known as a mycelium (plural, mycelia). Mycelia can often grow to such an extent that they are clearly visible to the naked eye on a surface (e.g., mold growth on bread). Fragments of hyphae can break off and allow the development of further mycelia. As the mycelia develop, a variety of fruiting bodies or other structures, which contain spores, are formed. Fungal spores can be present in a variety of shapes and sizes and can be asexual and/or sexual. The various molecular structures of fungal spores have not been studied in detail, but most are surrounded by a rigid wall distinguished by its low water content and low metabolic activity and which can contain lipids and pigments, as well as nutrient reserves; these are discussed further in section 8.10.

TABLE 1.3 Comparison of general prokaryotic and eukaryotic structures a

Structure Prokaryotes Eukaryotes
Basic structure Cytoplasmic membrane Organelles eg chloroplasts mitochondria - фото 11 Cytoplasmic membrane Organelles eg chloroplasts mitochondria - фото 12
Cytoplasmic membrane + +
Organelles, e.g., chloroplasts, mitochondria +
Nucleus defined by a membrane +
Ribosomes 70S 80S
Cell wall +/− +/−

a Prokaryotic cells are simple, smaller structures, while eukaryotic cells are larger and more organized. Structural differences will vary, depending on the microorganism. For example, some prokaryotes (e.g., mycoplasmas) and eukaryotes (animal cells) do not have a cell wall.

TABLE 1.4 Helminths associated with disease

Species Disease Comments
Nematodes (roundworms) Wuchereria bancrofti Elephantiasis blood or lymphatic system blockage - фото 13
Wuchereria bancrofti Elephantiasis (blood or lymphatic system blockage) Transferred via mosquitoes; can grow up to 10 cm long
Onchocerca volvulus River blindness Transferred via blackflies
Ascaris lumbricoides Generally asymptomatic, but can develop into ascariasis (pneumonitis and intestinal obstruction) From contaminated water, food, or direct surface contact; worms can grow up to 30 cm long
Enterobius vermicularis “Pinworms”; dysentery, intestinal blockage From contaminated water, food, or direct surface contact; worms ~1 cm long
Cestodes (tapeworms) Taenia saginata Generally asymptomatic but can cause mild intestinal - фото 14
Taenia saginata Generally asymptomatic, but can cause mild intestinal complications (including abdominal pain and diarrhea) Contaminated meat; worms can be very long (> 100 cm)
Trematodes (flukes) Antisepsis Disinfection and Sterilization - изображение 15
Fasciola hepatica Can be asymptomatic, with complications including liver abscesses Contaminated grasses; snails are intermediate hosts
Schistosoma spp. Schistomiasis; can cause many complications due to growth in the bloodstream and body tissues Water contamination; snails are intermediate hosts
FIGURE 11 A typical helminth life cycle example Enterobius vermicularis - фото 16

FIGURE 1.1 A typical helminth life cycle (example: Enterobius vermicularis ).

FIGURE 12 Typical fungal structures A Filamentous fungus mold Hyphae are - фото 17

FIGURE 1.2 Typical fungal structures. (A) Filamentous fungus (mold). Hyphae are shown as long lines of unseparated cells, with the development of a fruiting body with attached spores. (B) Typical unicellular fungal (yeast) cells. The cells are generally polymorphic. In one case, a budding cell is shown.

Unicellular fungi (yeasts) do not generally form hyphae and produce growth that appears similar to bacteria (see section 1.3.4.1). Asexual reproduction of yeasts can occur by binary fission (e.g., in Schizosaccharomyces ), similar to bacterial fission, or by budding directly from the parent cell (e.g., in Saccharomyces [ Fig. 1.2]). In addition, some fungi are dimorphic, growing as either unicellular or hyphal (or pseudohyphal) forms. Common fungi are listed in Table 1.5.

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