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Duringtheirlaboratorytesting,ifdisinfectantsarecarriedoverinto

microbial cultures, could the results be affected? Explain.

Definedisinfection.Howdoesitdifferfromantisepsis?

Whatdoesbactericidalmean?Bacteriostatic?Virucidal?Fungistatic?

Whyarecontrolculturesnecessaryinevaluatingdisinfectants?

Whatfactorscaninfluencetheactivityofadisinfectant?

Whydomicroorganismsdifferintheirresponsetodisinfectants?

Whatmicroorganismsaremostsusceptibletodisinfectants?

Which microbial forms are most resistant to disinfectants?

Howcanbacteriostaticandbactericidaldisinfectantsbedistinguished?

10.What is an iodophor? What is its value? 11.Why are bacterial endospores a problem in the hospital environment? 12.Briefly discuss disinfection and antisepsis in relation to patient care. 13.In addition to using a hand scrub, what other precaution in necessary for

health-care personnel to prevent spreading infection by their hands when

in the operating room? 14.Would you expect that long or artificial fingernails interfere with the

effectiveness of hand scrubs? Why? 15.Why is it not suitable to wear rings with stones in hospital settings? 16.Why should hands be washed before and after dressing changes even

though gloves must be worn during the procedure?

Exercise 15.1

Questions 1. Defineanantimicrobialagent. 2. Whatismeantbyantimicrobialresistance?Susceptibility? 3. Whyarepureculturesusedforantimicrobialsusceptibilitytesting?

Woulditbeacceptabletouseamixedcultureforthistest?Why?

List three factors that can influence the accuracy of the test.

Whenperformingabrothdilutiontest,whyisitnecessarytoincludea

growth control tube? A sterility control tube?

Howcantheminimumbactericidalconcentrationofanantimicrobialagent

be determined from an MIC assay?

Couldanorganismthatissusceptibletoanantimicrobialagentin

laboratory testing fail to respond to it when that drug is used to treat the

patient? Explain.

Areantibacterialagentsusefulinviralinfections?Explain.

10.Why is it better to use the wordsusceptiblerather than the wordsensitive

in describing an organism’s response to a drug? When speaking of the

patient, what does the termdrug sensitivitymean? 11.Describe a mechanism of bacterial resistance to antimicrobial agents. 12.If the laboratory isolatesS. aureusfrom five patients on the same day, is it

necessary to test the antimicrobial susceptibility of each isolate? Why?

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