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sterilization
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removal or destruction of ALL microbes in or on an object
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sterilant
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sterilizing agent
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aseptic
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an environment or procedure that is free of all pathogenic contaminants
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sepsis
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microbial contamination
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disinfection
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using physical or chemical agents to destroy microbes/viruses on NON LIVING surface
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antisepsis
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reduction of microbes on LIVING tissue
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degerming
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removing microbes by mechanical means (ex. washing hands with soap)
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sanitization
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removing pathogens from objects to meet public health standard
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pateurization
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use of heat to destroy pathogen
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-stasis/-static
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a chemical or physical agent PREVENTS microbial metabolism and growth
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-cide/ cidal
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agents that destroy or permanently inactivate a particular type of microbe
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heat sterilization
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uses heat at specific time and temp. to denature and destroy cell membranes can be used to pasteurize, sterilize, sanitize and disinfect
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moist heat (boiling)
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kills vegetative bacterial pathogens, fungi, protozoa, and some virus
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dry heat (pressure chamber)
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most effective sterilization is when the steam penetrates the object
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pasteurization
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not sterilization kills pathogens
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refrigeration and freeze
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freeze - ice crystals puncture cell membranes
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filtration (masks)
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passing fluid through a sieve designed to trap particles (prevents airborne contamination by microbes)
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X rays and gamma rays
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kills microbes by creating oxygen radicals, breaking DNA, and ionizing.
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ultraviolet light
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nonionizing, kills microbes by being absorbed by DNA and creating mutations in DNA
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cells can acquire resistance 2 ways
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new mutations, acquiring genes on extra DNA
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enzyme
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destroys or deactivates drug
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prevent entry
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changes in structure to slow or stop entry of drug
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alteration
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alter target to the drug to affect binding
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metabolic chemistry
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resistant drugs can alter or abandon sensitive metabolic steps
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resistance pumps
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cell pumps antimicrobial out of cell
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unusual proteins
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resistance to fluoroquinolone drugs
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cross resistance
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resistance to one antimicrobial agent confers resistance to similar drugs
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microbial death
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permanent loss of reproduction ability when in perfect environment
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how to know if antimicrobial agent works
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calculate microbial death rate(microbes die at constant rate)
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alteration of cell wall and membranes
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in enveloped membranes when membrane is destroyed no way for viral attachments but non enveloped are have more tolerance to this method because of lack of cell wall.
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damage to proteins and nucleic acid
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extreme heat and chemicals are used to denature the DNA and proteins making the microbe inactive
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chemical agents
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destroy enveloped viruses, bacteria, fungi, protozoa, by affecting their cell walls and membranes, DNA and proteins
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phenol
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rarely used because irritates skin and smelly
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phenolics
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by product of phenol (less irritation) it is a low level disinfectant
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alcohols
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intermediate level microbe control that is ineffective against spores.
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halogens
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intermediate level effective agains bacteria/fungal cells and spores, some bacterial endospores, protozoan cysts and some viruses
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oxidizing agents
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high level release oxygen radicals (toxic oxygen). used to kill anaerobes in deep puncture wounds
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surfactants (soap)
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"surface active" chemicals
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aldehydes
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broad spectrum disinfectant (kills many microbe types) inactivate nucleic acids and enzymes
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gaseous agents
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cold sterilization for objects that are heat sensitive, penetrate objects readily destroying proteins and DNA
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natural chemicals
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microbial control produced by organisms
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administer high concentrations of drug
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use antimicrobials in combination
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limit use of antimicrobials to necessary cases
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development of new variations of existing drugs (e.g. second generation, third generation)
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1 number of microbes
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2 environment
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3 time of exposure
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4 microbial characteristics
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inexpensive fast acting and stable agents
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controls growth of microbes
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harmless to humans animals and objects
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site to be treated
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degree of susceptibility of microbes involved
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environment conditions
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chemotherapeutics
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drugs acting against a disease
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antimicrobials
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drugs used to treat infection
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chemotherapy
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the use of drugs to treat disease
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antibiotics
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naturally produced by an organism
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semisynthesis
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antibiotics chemically altered
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synthesis
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completely synthesized in a lab
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narrow spectrum of microbial activity
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work against few types of pathogens
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broad spectrum of microbial activity
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drugs work against many different kinds of pathogens . when pathogen is not able to be identified broad spectrum drug will be used
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toxicity
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allergies
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disruption of normal microbiota
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