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STERILIZATION AND DISINFECTION
  • Yves Laure Pimentel

  • 問題数 33 • 2/15/2024

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    問題一覧

  • 1

    SPOROCIDAL

    STERILIZATION

  • 2

    NON-SPOROCIDAL

    DISINFECTION

  • 3

    TISSUE/ BLOOD VESSEL

    CRITICAL MATERIALS

  • 4

    MUCOUS MEMBRANE FOR WHAT MATERIALS?

    SEMI-CRITICAL MATERIALS

  • 5

    MATERIALS SKIN

    NONCRITICAL MATERIALS

  • 6

    Action Sterilant is for what materials?

    Critical materials

  • 7

    Action High disinfectant

    Semicritical materials

  • 8

    Action intermediate to low-level disinfectant is for what materials?

    Noncritical materials

  • 9

    High level disinfectant = _________ SPOROCIDAL/ non-SPOROCIDAL?

    SPOROCIDAL

  • 10

    = tuberculocidal l but not sporicidal

    Intermediate

  • 11

    what level = not tuberculocidal and sporicidal

    Low level

  • 12

    . – these two is for disinfection not sterilization

    Pasteurization and boiling

  • 13

    Pasteurization: Batch – _________

    63% FOR 30 MINS

  • 14

    Pasteurization: ? – 63% FOR 30 MINS

    Batch

  • 15

    Pasteurization: Flash _________

    72 DEGREES FOR 15 SECS.

  • 16

    Pasteurization: ? 72 DEGREES FOR 15 SECS.

    Flash

  • 17

    Boiling: _________ for 10-15min

    100 DEGCREES CELCIUS

  • 18

    Boiling: 100 DEGCREES CELCIUS for

    10-15min

  • 19

    : 100 DEGCREES CELCIUS for 10-15min

    Boiling

  • 20

    – long wavelength low energy UV light

    Non-ionizing radiation

  • 21

    – are chemical agents applied inanimate objects.

    Disinfectant

  • 22

    - disinfectant used on living tissue

    Antiseptic

  • 23

    -70% ethyl/isopropyl alcohol (non sporicidal)

    Alcohol

  • 24

    Alcohol -ex? (non sporicidal)

    70% ethyl/isopropyl alcohol

  • 25

    – 2 most EFFECTIVE alcohols

    Ethanol and isopropanol

  • 26

    _________% is optimal; EFFECTIVE: EVAPORATE

    60-90 %

  • 27

    THESE TWO USES Both antiseptic and disinfectant

    FURNITURES AND ELECTRICAL CORD

  • 28

    BEST ANTISEPTIC HALOGEN

    iodine

  • 29

    Two Forms OF HALOGEN

    Tincture and Iodophore

  • 30

    TINCTURE:

    IODINE + ALCOHOL

  • 31

    : IODINE + ALCOHOL

    TINCTURE

  • 32

    : IODINE + BLEACH/SURFACTANT

    IODOPHORE

  • 33

    IODOPHORE:

    IODINE + BLEACH/SURFACTANT

  • 34

    - iodine and alcohol (1 to 2 min contact time)

    Betadine

  • 35

    - iodine and alcohol (1 to 2 min contact time)

    Betadine

  • 36

    - iodine and alcohol (1 to 2 min contact time)

    Betadine

  • 37

    - iodine and alcohol (1 to 2 min contact time)

    Betadine

  • 38

    - iodine and alcohol (1 to 2 min contact time)

    Betadine

  • 39

    Betadine- ? (1 to 2 min contact time)

    iodine and alcohol

  • 40

    Betadine- iodine and alcohol (? contact time)

    1 to 2 min

  • 41

    antiseptic technique for blood culture:

    Alcohol --> Betadine --> Alcohol

  • 42

    Chlorine – _________and most commonly used disinfectant

    OLDEST

  • 43

    – OLDEST and most commonly used disinfectant

    Chlorine

  • 44

    most common use is disinfection of WATER

    Chlorine

  • 45

    – BEST DISENFECTANT

    Sodium Hypochlorite

  • 46

    Sodium Hypochlorite RATIO

    1:5-1:10

  • 47

    Sodium Hypochlorite CDC RECOMMENDED RATIO

    1:10

  • 48

    For disinfecting lab SINK

    Sodium Hypochlorite

  • 49

    Heavy metal – (2)

    copper and merthiolate

  • 50

    (1% eye drop solution)

    Silver nitrate

  • 51

    FOR GONOCOCCAL CONJUCTIVITIS

    Silver nitrate

  • 52

    SLOW BACTERICIDAL

    Heavy metal – copper and merthiolate

  • 53

    inactivated by blood

    QUATS (Quarternary ammonium compd.

  • 54

    reduced by hard water and soap

    QUATS (Quarternary ammonium compd.

  • 55

    RESISTANT TO QUATZ AND BENZALKONIUM CHLORIDE

    P.aeruginosa

  • 56

    P.aeruginosa RESISTANT TO

    QUATZ AND BENZALKONIUM CHLORIDE

  • 57

    STANDARD disinfectant

    Phenol

  • 58

    used in stable and biodegradable. Active in the presence of organic material

    Phenol

  • 59

    – Topical antiseptic. Rapid inactivation of LIPID VIRUS

    Chlorhexidine Gluconate

  • 60

    severe skin infection (skin irritant)

    Chlorhexidine Gluconate

  • 61

    Persistence – major attribute STAYS FOR 6 HOURS

    Chlorhexidine Gluconate

  • 62

    –assoc. to severe toxic effect -> death

    Hexachlorophene

  • 63

    : great at MTB but poor in Fungi -Overuse leads to CROSS-RESISTANCE OR CORESISTANCE TO OTHER ANTIMICROBIALS

    Triclosan

  • 64

    -destruction of all forms of life

    STERILIZATION

  • 65

    -most common method used for the elimination of microorganisms

    Heat

  • 66

    Moist Heat – Most effective method (autoclaveat?:

    121 @15 psi for 15 mins

  • 67

    – Most effective method (autoclaveat?: 121 @15 psi for 15 mins

    Moist Heat

  • 68

    Moist Heat – Most effective method (autoclaveat: 121 @15 psi for 15 mins) Biologic indicator :

    B.stearothermophilus

  • 69

    Shorter time than dry heat sterilization

    Moist Heat

  • 70

    Method of Choice for HEAT-_________ Objects

    STABLE

  • 71

    Dry heat a. Temp:

    160 – 180C for 1 ½ to 2 hours

  • 72

    Dry heat a. Temp: 160 – 180C for 1 ½ to 2 hours b. Biologic indicator:

    B. SUBTILIS VAN NIGER

  • 73

    For Heat Stable substances THAT ARE COVERED BY OIL WHICH CANNOT PENETRATE BY WATER

    DRY HEAT

  • 74

    a. Temp: 160 – 180C for 1 ½ to 2 hours b. Biologic indicator:

    Dry heat B. Subtilis Van Niger

  • 75

    – alternate heating

    Fractional

  • 76

    Tyndallization:

    100oC for 30 min for 3 days

  • 77

    : 100oC for 30 min for 3 days

    Tyndallization

  • 78

    Tyndallization: 100oC for 30 min for 3 days i. Day 1: ii. Day 2: iii. Day 3:

    VEGETATIVE SPORES DESTROY SPORES DESTROY REMAINING CELLS

  • 79

    Day ?: VEGETATIVE SPORES

    DAY 1

  • 80

    Day ?: DESTROY SPORES

    DAY 2

  • 81

    Day ?: DESTROY REMAINING CELLS

    DAY 3

  • 82

    - for culture media w/PROTEIN

    InsPissation

  • 83

    Inspissation TEMP

    75-80o CELSIUS 2 HOURS FOR 3 DAYS

  • 84

    TEMP 75-80o CELSIUS 2 HOURS FOR 3 DAYS

    Inspissation

  • 85

    Incineration – most common method for treating infection_________.

    WASTE

  • 86

    – most common method for treating infection WASTE.

    Incineration

  • 87

    SAFEST method to ensure no infective materials remain.

    Incineration

  • 88

    – plastic syringes, catheter or gloves. Short wavelength, high energy gamma rays

    Ionizing radiation

  • 89

    Ionizing radiation . Biologic indicator:

    B.pumilus

  • 90

    sterilization of disposable supplies such as syringes, catheters, and gloves

    Ionizing radiation

  • 91

    – for culture media that cannot be heated;

    Filtration

  • 92

    BEST STERILIXATION METHOD FOR ANTIBIOTIC / VACCINATION

    Filtration

  • 93

    . Filtration – for culture media that cannot be heated; a. Liquid: used

    Cellulose acetate or Cellulose nitrate

  • 94

    _________ - um (microliter) used for Most bacteria, yeasts, and molds but not Pseudomonas-like or

    0.45 & 0.8O um

  • 95

    _________- size for parenteral solutions

    0.22 um

  • 96

    Air: HEPA (high-efficiency particulate air) Filter: removes org. _________

    > .03

  • 97

    Air:? Filter: removes org. > .03

    HEPA (high-efficiency particulate air)