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Microbiology

STERILIZATION AND DISINFECTION


Dr. Tan | September 18, 2020 | Topic 4
MECHANISMS OF THERMAL INJURY (From
Overview Beshywap)
I. Definition of Terms
II. Methods of Sterilization 1) Production of single strand breaks in
III. Physical Methods of Sterilization
IV. Chemical Methods of Sterilization the DNA
V. Evaluation of Disinfectants § primary lethal event
§ Enzymatic in nature and the
result of activation of nuclease
DEFINITION OF TERMS 2) Loss of functional integrity of the cell
membrane
§ damage to the cell membrane
• Sterilization: process of completely causes small molecules to leak
destroying all microbial forms, including out of the membrane
bacteria spores § Ribonucleases are activated by
• Disinfection: process by which most heat → cause degradation of the
bacterial forms in non-living objects are ribosomes
destroyed, without necessarily destroying 3) Denaturation and coagulation of
saprophytes and bacterial spores proteins
• Biocide: germicide; kills organisms 4) Oxidative damage
• Sanitization: lowering microbial counts on § There is ATP being produced by
eating and drinking utensils to safe levels certain structures in the
• Aseptic technique: minimizes microorganism, so when we say
contamination oxidative damage- these ATP
• Asepsis: absence of significant that is being produced is
contamination decreased or lowered, making it
• Decimal reduction time (DRT): time in easier to kill the microorganism
minutes, in which 90% of a population of by physical method of
bacteria at a given temperature will be killed sterilization
5) Toxic effects of elevated levels of
electrolytes
METHODS OF STERILIZATION § There is no effective exchange of
1) Physical electrolytes (e.g. Na, K) causing
2) Chemical it to elevate and later create

PHYSICAL METHODS OF STERILIZATION 1. METHODS OF HEAT STERILIZATION

1) Heat A. Moist heat


- Most reliable and universally • Preferred over dry heat because of
applicable method of sterilization its more rapid killing 
action
- A gradual process; kinetics of death • Destroy vegetative forms of
is exponential microorganism at a 
temperature of
- Thermal death point (TDP): lowest
80oC for 5 to 10 min. 

temperature at which all the
microorganisms in a particular liquid • Spores are more resistant and
suspension will be kill in 10 minutes would require 4 minutes exposure at
- Thermal Death Time: the minimum 120oC or 5.5 hours at 100oC 

time required to kill a suspension of
organism at a predetermined FORMS OF MOIST HEAT
temperature in a specified 1) Boiling: kills all vegetative forms of
environment microorganism at 80-100oC BUT NOT
bacterial spores

Irelia: The Blade Dancer 1



Microbiology
STERILIZATION AND DISINFECTION
Dr. Tan | September 18, 2020 | Topic 4
2) Fractional Sterilization
(Tyndallization): used to sterilize 2. DESSICATION (DRYING)
materials that would be damaged by
autoclaving

• Mechanism of action: removal of
- The material to be sterilized is exposed
moisture → bacteria cannot grow in
to live steam for 30 mins. for 3
an environment without moisture →
consecutive days
bacterial multiplication is inhibited
• Bacterial spores are resistant to
3) Pasteurization: used in the
processing of milk, foods and other drying or desiccation

beverages.
 • Used only in the preservation of
- It does not sterilize the milk but it only food
inactivates disease producing
microorganism 
 3. FREEZING

- Rapid heating at temperature of 60o to


• Many microorganisms can survive
65oC followed by rapid cooling 
 low temperature for very long
periods of time → freezing cannot
4) Steam Under Pressure be used as a means of sterilization
(Autoclaving): most efficient method of • Used to preserve microorganism
sterilization
 and bacterial culture

- Steam is confined in a closed vessel → • Not reliable because spores are not
pressure reaches 15 psi → temperature destroyed
of the steam reaches 121oC → would • Lyophillization: a technique of
only take 15-20 mins. to sterilize the preserving microorganisms wherein
material. (The times required for the organism is frozen rapidly and
sterilization varies with bulk of the dehydrated in high vacuum and then
material.) 
 stored under vacuum in sealed
- Used In sterilization of surgical ampules in cold storage
bandages and instruments, culture
media, and other contaminated 4. RADIATION
materials 

A. Ultraviolet Light
B. Dry heat • The most effective bactericidal
• Requires higher temperature and wavelength of UVL is 240- 
280 nm
longer exposure to heat
with an optimum of 260 nm that
• Its effectiveness depends on the
corresponds to 
the maximum
penetration of heat 
through the
absorption of the bacterial DNA 

material to be sterilized
• Mechanism of action: disrupt H
• Most widely used type is the hot air
bonds in microbial cell resulting to
oven
the formation of thymine dimers →
• Sterilization takes place at 180oC produce 
lethal frame shift
for 2 hours 
 mutations 

• Used in the sterilization of powders, • Has limited application because of
oils, jellies and glasswares its poor penetrating 
ability and its
• Other useful forms: incineration and
absorption by glass and water 

open flame 

• Primarily used in the reduction of
airborne infections in 
enclosed
areas like operating rooms and
hospital wards 


B. Ionizing radiation
• Has greater penetrating ability than

Irelia: The Blade Dancer 2



Microbiology
STERILIZATION AND DISINFECTION
Dr. Tan | September 18, 2020 | Topic 4
UVL but are 
potentially hazardous
to human cells 
 CHEMICAL METHODS OF STERILIZATION
• Mechanism of action: cause the
formation of free radicals 
that FACTORS AFFECTING DISINFECTANT
chemically interact with proteins and POTENCY
nucleic acids causing cell death 
 1) Concentration of the chemical agent
• dependent on the material being
5. FILTRATION disinfected and the organism to be
destroyed
• A form of mechanical sieving or • Higher concentration will be
physical separation of bactericidal and a weaker
microorganisms from the fluid concentration will be bacteriostatic
• Makes use of high-efficiency 2) Time
particulate air filters or cellulose 3) Temperature
ester membranes but the filter pore • The killing of bacteria by chemical
size of 0.22 μm allows very small agents increases with an increase in
organism to pass through (e.g. temperature 

viruses, Mycoplasma, Chlamydia • Increase in temperature speeds up
and Rickettsia) the rate of chemical reaction
4) pH
6. OSMOTIC PRESSURE • The hydrogen ion concentration
influence both the organism and the
• When the concentration of the chemical agent 

solution surrounding the bacterial • Determines the degree of ionization
cell is altered, it may cause the of the chemical agent
bacterial cell to collapse or become 5) Nature of the Medium
turgid • The presence of extraneous
• Used in food preservation materials decreases the efficiency of
chemical agent by:
a) Surface absorption of the
7. ULTRASONIC AND SONIC VIBRATIONS disinfectant by protein colloids
b) Formation of chemically inert or less
• Principle: sound vibrations at high active compounds 

frequency in the upper audible and c) Binding of disinfectant by active
ultrasonic range are very useful in groups of the foreign proteins 

disrupting the cell
 6) Nature of the organism
• Sound wave generators employed
operate at a range of 9-100 kc EVALUATION OF DISINFECTANTS
• Mechanism: passage of sound
PHENOL COEFFICIENT TEST
through the liquid → produce
Ø Phenol is used as the standard in the
alternating pressures → cause
evaluation of new chemical agents
cavities to form in the liquid →
Ø Dilution test (tube dilution) is
cavities continue to grow in size →
designed to determine the ratio of the
burst violently → cause the cells to
highest dilution that will kill the organism
disintegrate
within a specified time to the greatest
• Cavitation also produces chemical dilution of phenol showing the same
and physical changes in the result
suspending medium which may be
deleterious to certain enzymes MECHANISMS OF ACTION OF CHEMICAL
AGENTS

1) Damage to the cell membrane


2) Denaturation of proteins
3) Modification of the functional groups and

Irelia: The Blade Dancer 3



Microbiology
STERILIZATION AND DISINFECTION
Dr. Tan | September 18, 2020 | Topic 4
nucleic acids • Bis-phenols- linked phenol
compounds whose activity is
DAMAGE TO THE CELL MEMBRANE enhanced by halogenation 


Chemical agents interfere with the normal 3) Alcohols


membrane function → release of small • Disorganize lipid structure by
metabolites and interference with active penetrating into the hydrocarbon
transport and energy metabolism
 region
• Denatures cellular proteins
1) Surface active disinfectants • Capable of destroying almost all
• Agents that alter the energy microbes except microbes
relationships at interfaces producing
• Inactivated by organic matters
a reduction of surface tension
• Activity is greater in the presence of
water
a) Cationic agents: quaternary
ammonium compounds
a) Ethyl alcohol
§ Most effective at concentration
Mechanism
of 50-70%
§ Distortion of cell membrane and
§ Widely used as skin disinfectant

loss of membrane permeability because it is bactericidal and
→ leakage of nitrogen and remove lipids from the skin
phosphorous containing
surfaces

compounds
§ Cannot destroy spores at
§ Denaturation of proteins 
 normal temperature
• Bacteriostatic at low concentration
and bactericidal at high b) Isopropyl alcohol
concentration but NOT 
effective § Bactericidal activity is slightly
against viruses & bacterial spores 
 greater than ethanol and less
• Most effective at alkaline pH volatile

• Example: zephiran, benzalkonium § Has greater toxic effect than
chloride, 
cetylpyridinium chloride 
 ethanol like narcosis due to the
absorption of vapors
b) Anionic agents
• Mechanism: disruption of the AGENTS THAT DENATURE PROTEINS
lipoprotein framework of the cell
membrane 

• The backbone of cellular
• Most effective at acid pH 

structures is made up primarily
• Example: soaps and detergents of proteins
• Enzymes that catalyzes
2) Phenolic compounds
metabolic reactions are also
• Mechanism: cause disruption of
made up of proteins 

lipid-containing membranes causing
leakage of cell contents and • Any change in these proteins
irreversible inactivation of would greatly affect the
membrane bound oxidases and structure of the cell 

dehydrogenases • Includes
• Phenols are now used only as § Acids and alkalis
reference to 
testing new chemical § Alcohol and acetone
agents because they are toxic to § Phenol and its
derivatives
human cells 

• Cresols are alkyl phenols that are
less toxic 
and more active than
phenol

Irelia: The Blade Dancer 4



Microbiology
STERILIZATION AND DISINFECTION
Dr. Tan | September 18, 2020 | Topic 4
REFERENCE
AGENTS THAT MODIFY FUNCTIONAL • Jawetz’ Medical Microbiology
th
GROUPS OF PROTEINS AND NUCLEIC 28 Edition
ACIDS • Dr. Tan’s PowerPoint
presentation
• 2021 Transcript
1) Heavy Metals • Beshywap Transcript
• Mechanism: poison the enzyme
activity forming mercaptides with the
SH groups of cysteine residues
• Includes Mercurials and Silver
Compound

2) Oxidizing Agents
• Mechanism: inactivates enzymes by
converting functional SH groups to
oxidized S-S form
• Stronger agents also attack amino
groups, indole groups and phenolic
hydroxyl group of tyrosine

Table 1. List of oxidizing agents


Oxidizing Remarks
Agents
Halogens Bactericidal and effective against
sporulating organisms (Eg. Iodine
as best antiseptic)
Chlorine Water disinfectant
Dyes Treatment of dermatologic lesions
and also used in staining bacteria
Alkalating Preservation of specimens and
Agents preparation of vaccines

Factors that influence the degree of killing

1) Type of organism
2) Size inoculum
3) Concentration of disinfecting agent
4) Nature of surface to be disinfected
5) Contact time
6) Temperature: generally at room
0 0C)
temperature (20 – 22
7) pH
8) Biofilm formation: community of bacteria
or other microorganisms that have a
protective layer over them à protected
from outside environmental factors
9) Compatibility of disinfectants and
sterilants

Irelia: The Blade Dancer 5

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