the control of microorganisms · •the killing or removal of all microorganisms •inhibition...

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The Control of Microorganisms LCDR BRIAN BEARDEN, MS, PE US PUBLIC HEALTH SERVICE / USEPA R9 MARIANA ISLANDS WATER OPERATORS ASSOCIATION FEBRUARY 5, 2015

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Page 1: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

The Control of Microorganisms LC D R B R I A N B E A R D E N , M S , P E U S P U B L I C H E A LT H S E R V I C E / U S E PA R 9 M A R I A N A I S L A N D S WAT E R O P E R ATO R S A S S O C I AT I O N F E B R U A R Y 5 , 2 0 1 5

Page 2: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Topics

• Review of pathogens

• Disinfection terminology

• Physical methods of disinfection and sterilization

• Heat, radiation, filtration

• Chemical disinfection

• Oxidizers

• Metals

• Other chemicals

Page 3: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Source: Madigan, Martinko, Dunlap, & Clark (2008 )

Page 4: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Microorganisms of interest

• Protozoa: • Cryptosporidium cysts

• Giardia cysts

• Bacterial endospores

• Viruses

• Bacteria

HARDEST TO KILL

(most resistant)

EASIEST TO KILL

(least resistant)

Page 5: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

• Cryptoporidium:

• Giardia:

Source: Madigan, Martinko, Dunlap, & Clark (2008 )

Page 6: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

• Bacterial endospores

• Diseases:

• Anthrax

• Tetanus

• botulism

Source: Madigan, Martinko, Dunlap, & Clark (2008 )

Page 7: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

• Viruses

Page 8: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

• Bacteria

http://remf.dartmouth.edu/Cholera_SEM/images/03_Cholera%200395%20area1%2020kX.jpg

http://www.microbiologyinpictures.com/bacteria%20photos/mycobacterium%20tuberculosis%20photos/mycobacterium%20tuberculosis%20030.jpg

Tuberculosis: (Mycobacterium tuberculosis) Cholera: (Vibrio chlolerae)

Page 9: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Terminology

• Sterilization

• The killing or removal of all microorganisms

• Inhibition

• The limitation of the growth of microorganisms

• Decontamination: The treatment of an object or surface to make it safe to use. Example: wiping a table or cleaning dishes after a meal.

• Disinfection: Can involve killing or just inhibiting the growth of microorganisms. Not all are eliminated. Example: bleach.

Page 10: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Terminology: Chemical Methods • Sterilants

• Destroy all forms of microbial life, including bacterial endospores

• Disinfectants

• Chemicals that kill most, but not all microorganisms.

• Used on inanimate objects – not people!

• Sanitizers

• Reduce (but may not eliminate) microorganisms to a level that is considered safe

• Used to sanitize food equipment, household objects, and laundry

• Antiseptics & Germicides

• Kill or inhibit growth of microorganisms, but non-toxic enough to be applied to living tissues (people can use these on themselves)

Page 11: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Physical Methods of Control

• Heat

• Ionizing Radiation

• Filtration

• Ultraviolet Radiation

Page 12: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Heat (Thermal Destruction)

• Kills by: “Denaturation” – macromolecules lose structure & function. In other words, the basic components of the cell (proteins, DNA, outer membrane) and damaged and no longer function.

http://kimwootae.com.ne.kr/apbiology/Protein%20Denaturation.jpg

http://www.btci.org/k12/bft/pcr/PCR_studentscenario_files/denaturation.JPG

Page 13: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Heat (Thermal Destruction)

• AUTOCLAVE most common form of heat sterilization

• 121°C for 4 to 5 minutes will kill endospores

• Entire object must remain in autoclave long enough to achieve this – typically 10-15 minutes, more for larger, more moist materials

• Pasteurization another form (milk)

• BOIL water to sterilize:

• 1 minute at sea level (100°C);

• 3 minutes at altitudes above 1 mile (95°C)

Page 14: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Heat (Thermal Destruction)

• Autoclave (lab)

http://www.medsupplier.com/product-images/Autoclaves/Midmark/midmark-ritter-m11-autoclave-sterilizer-hi-res-3.jpg

• Autoclave (medical waste)

http://www.packworld.com/sites/default/files/styles/lightbox/public/images/issues/10_10/Images%20Features/Autoclave.jpg?itok=qISshWMT

Page 15: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Ionizing radiation

• Kills by: damage to macromolecules, esp. DNA

• Gamma rays, X-rays, electrons

• Used mostly in food processing; some experiments with sludge

http://people.chem.duke.edu/~jds/cruise_chem/nuclear/pics/fruit.gif

http://features.cgsociety.org/gallerycrits/86785/86785_1194093509_large.jpg

Page 16: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Filtration

• Kills by: Physically removing pathogens

• Must be sized for target organisms Pore size 5 µm: Algae and aquatic bacteria Pore size 0.2 µm: Leptospira interrogans

Source: Madigan, Martinko, Dunlap, & Clark (2008 )

Page 17: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment
Page 18: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Ultraviolet (UV) Radiation

• Kills by: Damaging the DNA/RNA, which prevents replication. Some wavelengths can do broader damage to other cell structures

• Commonly used for water disinfection

http://www.oemcollect.com/uv2.jpg

Page 19: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

• Note sensitivity of Crypto & Giardia to UV – cysts are transparent and allow UV radiation to penetrate easily.

Ultraviolet (UV) Radiation

Organism Ultraviolet Dose (pW-s/cm2) Required for 90% Reduction

Bacterial endospores 45,000 to 56,000

Adenovirus 23,600 to 56,000

Coxsackievirus 11,900 to 15,600

Hepatitis A virus 3,700 to 7,300

Cryptosporidium cysts 3,000

Giardia cysts 2,000

E. coli 1,300 to 3,000

Vibrio cholerae (Cholera) 650 to 3,400

Page 20: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Ultraviolet (UV) Radiation

• Strange phenomenon: photoreactivation

• Some UV-damaged bacteria can repair DNA when exposed to sunlight

• Total and fecal coliform are capable

• Fecal streptococci are not

• To prevent:

• Requires sufficient UV dose

• Prevent direct exposure of disinfected water to sunlight

• Use medium pressure or pulsed UV lamp (damages more parts of the cell than just DNA)

http://www.nature.com/nature/journal/v421/n6921/images/nature01408-f1.2.jpg

Page 21: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Chemical Methods of Control

• Strong oxidants:

• Chlorine, chloramines, chlorine dioxide, ozone

• Bromine and Iodine

• Metal ions

• Spray & wipe disinfectants

• Alcohol

Page 22: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Strong Oxidants

• Kill by: reacting with any organic molecule.

• Bacterial inactivation: damage to cell membrane, impairment of cellular functions, destruction/damage of DNA

• Virus inactivation: reaction with outer coating of virus (capsid), reaction with RNA/DNA

Source: Pepper, Gerba, & Gentry, (2014)

Page 23: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Strong oxidants

• Ozone

• Chlorine Dioxide

• Chlorine

• Chloramines

MOST POWERFUL

LEAST POWERFUL

Page 24: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Strong Oxidants

• Conditions that can interfere:

• pH

• Particulate matter & turbidity

• Organic matter

• Disinfection byproducts (“DBPs”):

• All oxidants react with many substances in water to create byproducts that are harmful to humans and regulated by EPA: • THMs (trihalomethanes)

• HAAs (haloacetic acids)

• Chlorite

• Bromate

Controls strength of some oxidants

Reacts with , blocks, or “uses up” oxidants

Page 25: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Comparison of effects of agents

Source: Pepper, Gerba, & Gentry, (2014)

Page 26: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Chlorine

• “Free Chlorine”

= HOCl + OCl-

• HOCl (hypochlorous acid) more effective than OCl- (hypochlorite ion)

• Effectiveness depends on pH: less effective at high pH

• “Combined Chlorine” results from reaction with ammonia (chloramines)

Source: Pepper, Gerba, & Gentry, (2014)

Page 27: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Chloramines

• Chlorine reacts with Ammonia to form chloramines

• Less powerful but longer lasting than free chlorine

• Created intentionally to provide longer-lasting residual in some water distribution systems

• “secondary” disinfection, following “primary” disinfection, such as by ozone

• Occurs naturally when ammonia present in water (especially in wastewater) – results in need to achieve “breakpoint chlorination”

Page 28: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Chloramines

• Breakpoint chlorination – satisfaction of organic and ammonia demand required before free chlorine can be achieved

Source: Pepper, Gerba, & Gentry, (2014)

Page 29: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Chlorine Dioxide

• Very strong oxidizer

• pH does not affect disinfection strength

• does not create THMs (important when there is organic matter in water), but does create chlorite as a DBP

• Dangerous – potentially explosive. Must be generated on-site by combining chlorine gas and sodium hypochlorite

Page 30: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Ozone

• Made by passing electric discharge (arc) through a stream of air or oxygen

• Does not produce THMs, but can make other byproducts that have health concerns (aldehydes and bromates)

• Effectiveness not influenced by pH or ammonia

• Much more powerful oxidant than Chlorine – lower C·t values

• Can even kill Cryptosporidium with C·t of 1 to 3

Page 31: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Ozone – kills Cryptosporidium

Source: Pepper, Gerba, & Gentry, (2014)

Page 32: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Strong Oxidants – Comparison of strength (by C·t values)

Organism C·t Values for 99% inactivation

Chlorine Chloramines Chlorine dioxide

Ozone

Cryptosporidium cysts 9,740 - 11,300

11,400 - 64,600

1,000 3.3 - 40

Giardia cysts 54 - 192 430 - 1,400 2.7 to 10.7 053 - 1.94

Bacterial endospores -- -- 25 --

Adenovirus 0.15 360 - 990 0.28 0.02

Coxsackie virus 0.15 - 2.16 -- -- 0.64 - 2.6

Hepatitis A 592 1.7 --

Polio virus 1.7 1420 0.2 to 6.7 0.2

E. coli 0.6 113 0.48 0.006 to 0.02

Page 33: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Source: Pepper, Gerba, & Gentry, (2014)

Page 34: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Bromine & Iodine

• Bromine:

• used in hot tubs and spas

• Not as fast acting as Chlorine (larger C·t values)

• Effective against bacteria, viruses, and protozoa

• Iodine

• Used in small applications such as for camping and survival

• Not effective against all protozoa: cryptosporidium cysts are very resistant to iodine

• Physiologically active; not recommended for very long periods

Page 35: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Metal Ions • Metals that exhibit antimicrobial activity:

• Copper, Silver, Zinc, Lead, Cadmium, Nickel, Cobalt

• Only Silver (Ag) and Copper (Cu) used for disinfection, due to toxicity of other metals

• Cu & Ag used as swimming pool and hot tub disinfectants

• Cu used in hospital distribution systems to control legionella growth

• Ag used in home faucet filters to prevent growth in activated charcoal

• Action is slow, but effective for long periods of time in water

Page 36: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Summary of water disinfectant attributes

Disinfection method Attribute

Killing Power

Crypto & Giardia

Residual Toxicity/ Lack of DBPs

Filtration (membrane)

Boiling

UV Radiation

Chlorine

Chloramines

Chlorine dioxide

Ozone

Bromine

Iodine

Silver & Copper

Page 37: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Spray & Wipe Disinfectants

• Quats (quaternary ammonium compounds)

• Antibacterial handsoaps, antiseptic wipes, mouthwashes, household & workplace cleaners

• Common compounds: benzalkonium chloride; cetylpyridinium chloride

• Kills common bacteria, but not endospores

• Effective against enveloped viruses (influenza, Ebola?)

• Some specific formulations effective against non-enveloped viruses

• Some microorganisms may develop increased tolerance to quats over time

• Tolerance does not mean the same thing as reistance! Quats remain effective at higher doses

Page 38: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Spray & Wipe Disinfectants

• Triclosan

• Anti-bacterial and antifungal agent

• Hand soaps, mouthwashes, shampoos, toothpastes, and also incorporated into materials such as cutting boards

• Mild to skin

• Some cases of increased tolerance, but still useful

• Some bacteria have built-in resistance to triclosan

Page 39: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Alcohol

• Kills by: dissolving/damaging cell membrane, damaging cellular proteins

• Used in: medical and laboratory sterilization, hand sanitizers

http://www.bizpacreview.com/wp-content/uploads/2015/01/sanitizer-2.jpg

Page 40: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Summary

• Methods of disinfection:

• Physical • Heat

• Radiation

• Filtration

• Chemical

• No method of disinfection is “perfect”

• Physical methods can removal all pathogens, but do not prevent re-growth

• Chemical methods vary in effectiveness and create byproducts or side effects

Page 41: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Summary

• Protozoa: • Cryptosporidium cysts

• Giardia cysts

• Bacterial endospores

• Viruses

• Bacteria

HARDEST TO KILL

(most resistant)

EASIEST TO KILL

(least resistant)

Page 42: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Summary

• Only sterilization results in 100% removal of microorganisms

• Heat

• Filtration

• Radiation

• But only chemical disinfection can prevent re-growth of microorganisms

Page 43: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

Final word

• Microbial resistance: does the widespread use of disinfectants risk the development of “superbugs”, as we often hear about in reference to antibiotic drugs?

NO - the methods of disinfection and sterilization in use today act very aggressively and non-specifically on all of the organic molecules which make up a microorganism, not like antibiotics which act with very specific mechanisms, against which microorganisms can evolve defenses.

Chlorine has been in use for over 100 years now, with no change in microbial resistance to it.

Page 44: The Control of Microorganisms · •The killing or removal of all microorganisms •Inhibition •The limitation of the growth of microorganisms •Decontamination: The treatment

References

Madigan, M. T., Martinko, J. M., Dunlap, P. V., & Clark, D. P. (2008). Brock Biology of Microorganisms (12th ed.). Benjamin Cummings.

Pepper, I. L., Gerba, C. P., & Gentry, T. J. (2014). Environmental Microbiology (Third.). Academic Press.