Infection Control Today - 06/2002: Who wants to be a Microbiologist?

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Who wants to be a Microbiologist?
Comical Clues to Cleaning and Disinfecting

By Kelli M. Donley

He sits across from you in the gray suit, with the perfectly matching gray tie. While he berates you with questions, the only thing you can concentrate on is your increased heart rate and perspiring brow. The room grows dark, spotlights circle, nerve-wracking music plays and you silently review your lifelines. No, that monochromatic gentleman isn't Regis Philbin -- he's your infection control practitioner (ICP). [Audience gasp!]

Don't be intimidated about cleaning and disinfecting. Be prepared to answer a bombardment of infection control-related questions.

Reviewing the Basics

$100
What is the definition of a microbe?

A. A small robe.
B. A unicellular organism.
C. An ultramicroscopic unit of protoplasm.
D. An antifungal agent.

$200

What is the definition of a bacterium?
A. A one-celled organism without a true nucleus.
B. A tumor-like growth.
C. A parasite that invades red blood cells.
D. A ring-like thickening of tissue.

$500

Categories of antimicrobials include all but one of the following:
A. Spongiforms
B. Disinfectants
C. Antiseptics
D. Germicides

$1,000

Viruses have all but one of the following characteristics:
A. They are the smallest organism identified by an electron microscope.
B. They have a core of either DNA or RNA.
C. They reproduce outside of cells.
D. They adhere to cell membranes to avoid destruction by the immune system.

$2,000

The clustering shape of bacteria is called?
A. Micrococci
B. Diplococci
C. Streptococci
D. Staphylococci

$4,000

What does the suffix stasis mean?1
Example: bacteriostasis
A. The study of matter at rest.
B. Infectious.
C. The inhibition of microbial growth by means other than killing.
D. Remaining in a fixed condition.

$8,000

Hans C.J. Gram, a Danish physician, created a method of staining bacteria to:
A. Identify certain microorganisms.
B. Determine their lifespan.
C. Determine their protein makeup.
D. Identify the number of bacteria present.

$16,000

The difference between disinfection and sterilization is:
A. Sterilization kills all organisms present.
B. An object can be partly sterilized.
C. Tissue cannot be disinfected.
D. Disinfectants kill only viruses.

$32,000

Antiseptics are used to clean:
A. Hospital surfaces
B. Intravascular medical instruments
C. Live tissue
D. Implantable devices

$64,000

Disinfectants work better under all but one of the following conditions:
A. When there are no endospores.
B. When cells are actively growing.
C. Against gram-negative bacteria.
D. On surfaces.

$125,000

All but one of the following are methods of sterilization:
A. Moist heat
B. HEPA filtration
C. Dry heat
D. UV radiation

$250,000

Enzymes have all but one of the following characteristics:
A. They cannot act outside of cells or live in vitro.
B. They are made of proteins.
C. They can catalyze numerous times.
D. They do not need an external energy source to react.

$500,000

A bacteriophage is a:
A. A virus that infects bacteria.
B. A substance that inhibits the growth of bacteria.
C. A buildup of proteins within bacteria.
D. The condition of having bacteria in the urine.

$1,000,000

If left on a stainless steel table for one month, which organism would die the fastest?1
A. E. coli suspended in a drop of water.
B. E. coli suspended in pus.
C. An endospore
D. Mycobacterium tuberculosis


Need a Lifeline?

By Kelli M. Donley

While polling your staffing audience for the right answer may help bring you down to the 50/50 mark, it is important to know when to call in the experts for additional help. Once such microbiology whiz is Stephen T. Abedon, PhD, professor and researcher at Ohio State University. Abedon, who created several of the aforementioned test questions for one of his course lectures, is a microbial evolutionary ecologist who runs a quirky Web site about his passion: phages. (www.phage.org/homepage.htm)

"The Web site represents a quasi-organized list of everything that I wish I knew off the top of my head, but don't," he says.

Abedon, who teaches medical microbiology, explains several principles healthcare workers (HCWs) should know about cleaning and disinfecting.

"To kill, a disinfectant must both penetrate and then destroy some aspect of a microorganism," he says. "It is easy to produce highly penetrating and deadly disinfectants. The problem, however, is one of handling those disinfectants. For instance, nuclear weapons probably do a wonderful job of killing off local microbial life, but hardly would qualify as a relatively innocuous disinfection procedure.

"Mycobacterium tuberculosis is resistant to disinfectants particularly because the waxy outer coating of mycobacteria prevents the penetration of various chemical antibacterials. The extra-slow growth rates of these bacteria may also give rise to their reduced susceptibility since disinfectants typically are more effective against actively growing bacteria than against not-growing bacteria. So, disinfectants tend to lack an ability to destroy everything (including all living things) in their vicinity, which is good because we often are in their vicinity, but also is bad because it limits their ability to kill the very organisms that you would hope they would kill."

And the details surrounding that million-dollar question?

"Endospores are notoriously resistant to desiccation (drying out), as are mycobacteria," he says. "So in the question that leaves the E. coli. It turns out that bacteria can be more stable suspended within organic-rich environments, such as pus. Note, however, that it once was a perfectly legitimate means of storage of at least some bacterial strains to simply place them in distilled water and then hold them there at room temperature."

Abedon, who has a penchant for all things tie-died, has comical, yet practical advice for those cleaning and disinfecting medical instruments.

"Wear gloves to protect yourself, keep your hands away from your face and also avoid using chemical disinfectants except in reasonably well-ventilated environments," he says. "In other words, take care of yourselves. Oh yes, and don't forget to read the directions on the disinfectant bottle."

And yes, that is his final answer.

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