26.1 heat sterilization sterilization –the killing or removal of all viable organisms within a...

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26.1 Heat Sterilization Sterilization The killing or removal of all viable organisms within a growth medium Inhibition Effectively limiting microbial growth Decontamination The treatment of an object to make it safe to handle Disinfection Directly targets the removal of all pathogens, not necessarily all microorganisms © 2012 Pearson Education, Inc.

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Page 1: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.1 Heat Sterilization

• Sterilization– The killing or removal of all viable organisms

within a growth medium

• Inhibition– Effectively limiting microbial growth

• Decontamination– The treatment of an object to make it safe to

handle

• Disinfection– Directly targets the removal of all pathogens, not

necessarily all microorganisms

© 2012 Pearson Education, Inc.

Page 2: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.1 Heat Sterilization

• Heat sterilization is the most widely used method of controlling microbial growth

• High temperatures denature macromolecules– Amount of time required to reduce viability tenfold

is called the decimal reduction time

– Some bacteria produce resistant cells called endospores

– Can survive heat that would rapidly kill vegetative cells

© 2012 Pearson Education, Inc.

Page 3: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.1 Heat Sterilization

• The autoclave is a sealed device that uses steam under pressure (Figure 26.3)– Allows temperature of water to get above 100C– Not the pressure that kills things, but the high

temperature

• Pasteurization is the process of using precisely controlled heat to reduce the microbial load in heat-sensitive liquids– Does not kill all organisms, so it is different than

sterilization

© 2012 Pearson Education, Inc.

Page 4: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.3Chamberpressuregauge

Steamexhaustvalve

Door

Thermometerand valve

Steam supplyvalve

Steam enters here

Steam exhaust

Jacket chamber

Air exits through vent

Total cycle time (min)

Tem

per

atu

re (

C)

Autoclave time

Stop steam

Beginpressure

Flowingsteam

Sterilization time

Temperatureof object beingsterilized

Temperatureof autoclave

© 2012 Pearson Education, Inc.

Page 5: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.2 Radiation Sterilization

• Microwaves, UV, X-rays, gamma rays, and electrons can reduce microbial growth

• UV has sufficient energy to cause modifications and breaks in DNA– UV is useful for decontamination of surfaces

– Cannot penetrate solid, opaque, or light-absorbing surfaces

© 2012 Pearson Education, Inc.

Page 6: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.4

© 2012 Pearson Education, Inc.

Page 7: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.2 Radiation Sterilization

• Ionizing radiation– Electromagnetic radiation that produce ions and

other reactive molecules

– Generates electrons, hydroxyl radicals, and hydride radicals

– Some microorganisms are more resistant to radiation than others

© 2012 Pearson Education, Inc.

Page 8: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.2 Radiation Sterilization

• Sources of radiation include cathode ray tubes, X-rays, and radioactive nuclides

• Radiation is used for sterilization in the medical field and food industry– Radiation is approved by the WHO and is used in

the USA for decontamination of foods particularly susceptible to microbial contamination

• Hamburger, chicken, spices may all be irradiated

© 2012 Pearson Education, Inc.

Page 9: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.3 Filter Sterilization

• Filtration avoids the use of heat on sensitive liquids and gases

– Pores of filter are too small for organisms to pass through

– Pores allow liquid or gas to pass through

• Depth filters– HEPA filters

– Membrane filters

– Function more like a sieve

© 2012 Pearson Education, Inc.

Page 10: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.6

© 2012 Pearson Education, Inc.

Page 11: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.3 Filter Sterilization

• Membrane filters (cont’d)– Filtration can be accomplished by syringe, pump,

or vacuum

– A type of membrane filter is the nucleation track (nucleopore) filter

© 2012 Pearson Education, Inc.

Page 12: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.7

© 2012 Pearson Education, Inc.

Page 13: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.8

© 2012 Pearson Education, Inc.

Page 14: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.4 Chemical Growth Control

• Antimicrobial agents can be classified as bacteriostatic, bacteriocidal, and bacteriolytic

© 2012 Pearson Education, Inc.

Page 15: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.9

Total cell count

Viable cell count

Time

Lo

g c

ell n

um

ber

Lo

g c

ell n

um

ber

Lo

g c

ell n

um

ber

Bacteriostatic Bacteriocidal

Bacteriolytic

Total cell count

Total cell count

Time

Time

Viable cell count

Viable cell count

© 2012 Pearson Education, Inc.

Page 16: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.4 Chemical Growth Control

• Minimum inhibitory concentration (MIC) is the smallest amount of an agent needed to inhibit growth of a microorganism – Varies with the organism used, inoculum size,

temp, pH, etc.

• Disc diffusion assay – Antimicrobial agent added to filter paper disc

– MIC is reached at some distance• Zone of inhibition

– Area of no growth around disc

© 2012 Pearson Education, Inc.

Page 17: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.10

Minimuminhibitoryconcentration

© 2012 Pearson Education, Inc.

Page 18: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.11

Nutrientagar plate

Discs containingantimicrobialagents are placedon surface

Inoculate platewith a liquidculture of a testorganism

Incubate for 24–48 h

Test organism showssusceptibility to someagents, indicated byinhibition of bacterialgrowth around discs(zones of inhibition)

© 2012 Pearson Education, Inc.

Page 19: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.5 Chemical Antimicrobial Agents for External Use

• These antimicrobial agents can be divided into two categories

– Products used to control microorganisms in commercial and industrial applications

• Examples: chemicals in foods, air-conditioning cooling towers, textile and paper products, fuel tanks

– Products designed to prevent growth of human pathogens in inanimate environments and on external body surfaces

• Sterilants, disinfectants, sanitizers, and antiseptics

© 2012 Pearson Education, Inc.

Page 20: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

III. Antimicrobial Agents Used In Vivo

• Antimicrobial drugs are classified on the basis of– Molecular structure

– Mechanism of action

– Spectrum of antimicrobial activity

© 2012 Pearson Education, Inc.

Page 21: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.12

CycloserineVancomycinBacitracinPenicillinsCephalosporinsMonobactamsCarbapenems

TrimethoprimSulfonamides

Quinolones

Cell wall synthesis

Folic acid metabolism

DNA gyrase

Nalidixic acidCiprofloxacinNovobiocin

Cytoplasmic membranestructure and function

PolymyxinsDaptomycin

THF

DHF

DNA

mRNA

Ribosomes

50 50 50

30 30 30

RNA elongation

Actinomycin

DNA-directed RNA polymerase

RifampinStreptovaricins

Protein synthesis(50S inhibitors)

Erythromycin (macrolides)ChloramphenicolClindamycinLincomycin

Protein synthesis(30S inhibitors)

TetracyclinesSpectinomycinStreptomycinGentamicinKanamycinAmikacinNitrofurans

Protein synthesis(tRNA)

Lipidbiosynthesis

MupirocinPuromycin

PlatensimycinCell wallCytoplasmic

membrane

PABA

© 2012 Pearson Education, Inc.

Page 22: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.13

Fungi

Eukaryotes Bacteria Obligately parasitic Bacteria Viruses

AzolesAllylamines

CycloheximidePolyenesPolyoxins

Nucleic acidanalogs

Echinocandins

Mycobacteria Gram-negativeBacteria

Gram-positiveBacteria

Tobramycin Penicillins

Streptomycin

SulfonamidesCephalosporins

Quinolones

Isoniazid Polymyxins

Tetracycline

VancomycinDaptomycin

Platensimycin

Chlamydia RickettsiaRNA

virusesDNA

viruses

Nonnucleosidereverse transcriptase

inhibitorsProtease inhibitorsFusion inhibitors

Nucleoside analogsInterferon

© 2012 Pearson Education, Inc.

Page 23: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.6 Synthetic Antimicrobial Drugs

• Paul Ehrlich studied selective toxicity in the early 1900s

– Selective toxicity is ability to inhibit or kill a pathogen without affecting the host

© 2012 Pearson Education, Inc.

Page 24: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.6 Synthetic Antimicrobial Drugs

• Sulfa drugs: discovered by Gerhard Domagk in the 1930s– Inhibit growth of bacteria (sulfanilamide is the

simplest;

– Isoniazid is a growth analog effective only against Mycobacterium

• Interferes with synthesis of mycolic acid

© 2012 Pearson Education, Inc.

Page 25: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.16

Sulfanilamide

Folic acid

p-Aminobenzoic acid

© 2012 Pearson Education, Inc.

Page 26: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.6 Synthetic Antimicrobial Drugs

• Nucleic acid base analogs have been formed by the addition of bromine or fluorine

• Quinolones are antibacterial compounds that interfere with DNA gyrase (e.g., ciprofloxacin)

© 2012 Pearson Education, Inc.

Page 27: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.17 Growth factor Analog

Phenylalanine(an amino acid) p-Fluorophenylalanine

5-Fluorouracil

5-Bromouracil

Uracil(an RNA base)

Thymine(a DNA base)

© 2012 Pearson Education, Inc.

Page 28: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.7 Naturally Occurring Antimicrobial Drugs: Antibiotics

• Antibiotics are naturally produced antimicrobial agents

– Less than 1% of known antibiotics are clinically useful

• Can be modified to enhance efficacy (semisynthetic)

• The susceptibility of microbes to different antibiotics varies greatly

– Gram-positive and gram-negative bacteria vary in their sensitivity to antibiotics

– Broad-spectrum antibiotics are effective against both groups of bacteria

© 2012 Pearson Education, Inc.

Page 29: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.8 -Lactam Antibiotics: Penicillins and Cephalosporins

• -Lactam antibiotics are one of the most important groups of antibiotics of all time– Include penicillins, cephalosporins, and

cephamycins– Over half of all antibiotics used worldwide

• Penicillins (Figure 26.19) – Discovered by Alexander Fleming– Primarily effective against gram-positive bacteria– Some synthetic forms are effective against some

gram-negative bacteria– Target cell wall synthesis

© 2012 Pearson Education, Inc.

Page 30: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.19

N-Acyl group

-Lactamring

Thiazolidinering

6-Aminopenicillanic acid

N-Acyl group Designation

NATURAL PENICILLIN

SEMISYNTHETIC PENICILLINS

Benzylpenicillin(penicillin G)

Methicillin

Oxacillin

Ampicillin

Carbenicillin

Gram-positive activity-lactamase-sensitive

acid-stable,-lactamase-resistant

acid-stable,-lactamase-resistant

broadened spectrum of activity(especially against gram-negativeBacteria), acid-stable,-lactamase-sensitive

broadened spectrum of activity(especially against Pseudomonasaeruginosa), acid-stable butineffective orally,-lactamase-sensitive

© 2012 Pearson Education, Inc.

Page 31: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.8 -Lactam Antibiotics: Penicillins and Cephalosporins

• Cephalosporins (Figure 26.20) – Produced by fungus Cephalosporium

– Same mode of action as the penicillins

– Commonly used to treat gonorrhea

© 2012 Pearson Education, Inc.

Page 32: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.20

Dihydrothiazinering

-Lactamring

© 2012 Pearson Education, Inc.

Page 33: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.9 Antibiotics from Prokaryotes

• Many antibiotics effective against Bacteria are also produced by Bacteria

– Aminoglycosides are antibiotics that contain amino sugars bonded by glycosidic linkage (Figure 26.21)

• Examples: kanamycin, neomycin, amikacin

– Not commonly used today• Neurotoxicity and nephrotoxicity• Considered reserve antibiotics for when other

antibiotics fail

© 2012 Pearson Education, Inc.

Page 34: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.21

Streptomycin Kanamycin

N-Acetyltransferase

© 2012 Pearson Education, Inc.

Page 35: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.9 Antibiotics from Prokaryotes

• Macrolides contain lactone rings bonded to sugars (Figure 26.22)

– Example: erythromycin

– Broad-spectrum antibiotic that targets the 50S subunit of ribosome

• Tetracyclines contain four rings (Figure 26.23)– Widespread medical use in humans and animals

– Broad-spectrum inhibition of protein synthesis

– Inhibits functioning of 30S ribsomal subunit

© 2012 Pearson Education, Inc.

Page 36: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.22

Macrolidering

Sugars

© 2012 Pearson Education, Inc.

Page 37: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.23

Tetracycline analog R1 R2 R3 R4

Tetracycline

7-Chlortetracycline (aureomycin)

5-Oxytetracycline (terramycin)

H

H

HOH

OH

OHOH H

Cl

CH3

CH3

CH3

© 2012 Pearson Education, Inc.

Page 38: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.9 Antibiotics from Prokaryotes

• Daptomycin (Figure 26.24)– Also produced by Streptomyces

– Used to treat gram-positive bacterial infections

– Forms pores in cytoplasmic membrane

• Platensimycin – New structural class of antibiotic (Figure 26.25)

– Broad-spectrum, effective against MRSA and vancomycin-resistant enterococci

© 2012 Pearson Education, Inc.

Page 39: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.24

© 2012 Pearson Education, Inc.

Page 40: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.25

© 2012 Pearson Education, Inc.

Page 41: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.10 Antiviral Drugs

• Most antiviral drugs also target host structures, resulting in toxicity

• Most successful and commonly used antivirals are the nucleoside analogs (e.g., AZT)

– Block reverse transcriptase and production of viral DNA

– Also called nucleoside reverse transcriptase inhibitors

• Nonnucleoside reverse transcriptase inhibitors (NNRTI) bind directly to RT and inhibit reverse transcription

© 2012 Pearson Education, Inc.

Page 42: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.10 Antiviral Drugs

• Protease inhibitors inhibit the processing of large viral proteins into individual components

• Fusion inhibitors prevent viruses from successfully fusing with the host cell

• Two categories of drugs successfully limit influenza infection:

– Adamantanes

– Neuraminidase inhibitors

• Interferons are small proteins that prevent viral multiplication by stimulating antiviral proteins in uninfected cells

© 2012 Pearson Education, Inc.

Page 43: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.11 Antifungal Drugs

• Fungi pose special problems for chemotherapy because they are eukaryotic (Figure 26.26)

– Much of the cellular machinery is the same as that of animals and humans

– As a result, many antifungals are topical

– A few drugs target unique metabolic processes unique to fungi

© 2012 Pearson Education, Inc.

Page 44: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.12 Antimicrobial Drug Resistance

• Antimicrobial drug resistance– The acquired ability of a microorganism to

resist the effects of a chemotherapeutic agent to which it is normally sensitive

© 2012 Pearson Education, Inc.

Page 45: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.12 Antimicrobial Drug Resistance

• Most drug-resistant bacteria isolated from patients contain drug-resistance genes located on R plasmids

• Evidence indicates that R plasmids predate the antibiotic era

• The use of antibiotics in medicine, veterinary medicine, and agriculture selects for the spread of R plasmids (Figure 26.28)

– Many examples of overuse of antibiotics– Used far more often than necessary

(e.g., antibiotics used in agriculture as supplements to animal feed)

© 2012 Pearson Education, Inc.

Page 46: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.12 Antimicrobial Drug Resistance

• Almost all pathogenic microbes have acquired resistance to some chemotherapeutic agents (Figure 26.29)

• A few pathogens have developed resistance to all known antimicrobial agents

– Methicillin-resistant S. aureus (MRSA)

• Resistance can be minimized by using antibiotics correctly and only when needed

• Resistance to a certain antibiotic can be lost if antibiotic is not used for several years

© 2012 Pearson Education, Inc.

Page 47: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

Figure 26.29

Gram-negativeGram-positive

Gram-positive/acid-fastFungus

Other gram-negative rods

Year

Candida albicans

Acinetobacter spp.

Enterococcus faecalis*

Streptococcus pneumoniae

Mycobacterium tuberculosis*

Haemophilus ducreyi

Salmonella typhi

Haemophilus influenzae

Neisseria gonorrhoeae

Pseudomonas aeruginosa*

Salmonella spp.

Shigella dysenteriae

Shigella spp.

Staphylococcus aureus

© 2012 Pearson Education, Inc.

Page 48: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.13 The Search for New Antimicrobial Drugs

• Long-term solution to antimicrobial resistance relies on the development of new antimicrobial compounds– Modification of current antimicrobial compounds

is often productive

– Automated chemistry methods (combinatorial chemistry) has sped up drug discovery

– 7,000,000 compounds must be screened to find a single useful clinical drug

© 2012 Pearson Education, Inc.

Page 49: 26.1 Heat Sterilization Sterilization –The killing or removal of all viable organisms within a growth medium Inhibition –Effectively limiting microbial

26.13 The Search for New Antimicrobial Drugs

• Computers can now be used to design molecules to interact with specific microbial structures

– Most successful example is saquinavir• Binds to active site of HIV protease

• New methods of screening natural products are being used

– Led to the discovery of platensimycin

• Combinations of drugs can be used (e.g., ampicillin and sulbactam)

• Bacteriophage therapy© 2012 Pearson Education, Inc.