Microbiology PDF
Microbiology PDF
Microbiology PDF
Guide
Step II
PHARMACEUTICS-
III
(MICROBIOLOGY &
IMMUNOLOGY)
1st Edition
(p2c4)
-----------------------------------------------------------------------------------------------------------------------------
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Care has been taken to confirm the accuracy of the information present and to describe
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We DO NOT own the rights of the pictures and some context. All rights reserved to their
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The authors, editors, and publisher have exerted every effort to ensure that drug selection
and dosage set forth in this text are in accordance with the current recommendations and
practice at the time of publication.
Compiled By:
Abdul Sattar Rashid
Ali Ahsan
Ammara Khalique
Anmol Tahreem
Hamza Rohail
Mehrab Fatima
Memoon Babar
Ramsha Tahir
Sadia
Salbia Shereen
Sharmeen BaiG
Umair Javaid
Zafeer Naeem
Dedicated to Our Parents
And TeacherS
Acknowledgement
cells
1.9 EXPERIMENT TO DISPROVE
ABIOGENESIS THEORY 1.12 GERM THEORY
Pasteur (in 1861) performed experiments that The germ theory of disease states that some
ended arguments for all time. Actually, he did it diseases are caused by microorganisms. These
through a very simple and elegant experiment. He small organisms, too small to see without
took two goose neck flasks (see figure 3 for a magnification, invade humans, animals, and other
visual image) with a rich broth inside. Pasteur living hosts. Their growth and reproduction within
heated both flasks to boiling. Next, he broke the their hosts can cause a disease. "Germ" may refer
neck of one flask, allowing the broth to be exposed to a virus, bacterium, protist, fungus, or prion.
to the air. He left the other flask intact. Dust from Microorganisms that cause disease are called
the air was trapped in the bend of the flask and pathogens, and the diseases they cause are called
could not contaminate the sterile broth in the infectious diseases.
flask. He let the unbroken flask sit for months. KOCH’S POSTULATES (1884)
Nothing ever grew in the unbroken flask. This 1) A specific organism can always be found in
research leads to the Germ Theory. association with a given disease
2) The organism can be isolated and grown in pure
1.10 Fermentation by Louis culture in the laboratory
3) The pure culture will produce the disease when
Pasteur inoculated into a susceptible animal
4) It is possible to recover the organism in pure
culture from the experimentally animal
Gram +ve bacteria can be transformed to Gram –ve bacteria but Gram –ve bacteria can never be
transformed to Gram +ve bacteria.
BACILLUS THURINGIENSIS is a Gram-positive, soil-dwelling bacterium, commonly used as a
biological Insecticide
Chapter 2 BACTERIOLOGY
2.1 CLASSIFICATION OF BACTERIA
Eubacteria
Treponema Spirochetes
Azospirillum Gram Negative Aerobic/ Helical/vibroid
microaerophlic
Helicobacter
Spirillum
Spirosoma Gram Negative Curverd Non Motile
Acetobacter Gram Negative Aerobic/ Rods and cooci
Bordetella microaerophlic
Neisseria
Pseudomonas
Rhizobium
Xanthomonas
Escherichia Gram Negative Facultative anaerobic Rods
Shigella
Salmonella
Vibrio
Yersinia
Bacterioides Gram Negative Anaerobic Straingt curved and
Selenomonas helical
Thermotoga
Desulfovibrio Sulfur or sulfate
reducing bacteria
Veillonella Gram Negative Anaerobic Cocci
All of them are genus of bacilli shape bacteria. Bacillus is the biggest genus.
Bacillius are aerobic bacteria while clostridium is anaerobic (toxic to oxygen) and obligate parasite. But both of
them form spores unlike lactobacilli that do no form spores.
Lactobacilli acidophilus always produce acid.
discovered in 1997.
2.5.1 DETERMINATION OF SIZE OF BACTERIA
2.5 SIZE OF BACTERIA Size of bacteria is commonly determined by the
Bacteria are very small, most being approximately help of micrometry. Two types of micrometers are
0.5 to 1.0 um in diameters. An important used
consequence of the small size of microorganism is Stage Micrometer (Calibrated
that the surface area/volume ration of bacteria is micrometer)
exceedingly high as compared to large organisms Ocular Micrometer
of similar shape. A relatively large surface through Stage micrometer is used to calibrate the ocular
which nutrients can enter (or waste products can micrometer. Stage micrometer divisions are
leave) compared to a small volume of cell known (usually 0.01mm or 10um). The pure
substance to nourished accounts for usually high culture of bacteria is negatively stained with the
rate of growth and metabolism of bacteria. help of a special dye. The dye carries negative
Moreover because of the high surface are volume charge as the wall of bacteria, which repels each
ration, the mass of cell substance to be nourished other, making the bacteria prominent in a dark
is very close to the surface; therefore, no field. Nigrosine black dye is a common example of
circulatory mechanism is needed to distribute the dye used for this purpose. By the help of ocular
nutrients that are taken in and there is thought to micrometer the divisions are observed and
be little or no cytoplasmic movement within a recorded, which is used to calculate the size of
bacterial cell. Despite these advantages, a high bacteria.
surface area/volume ratio limits the size of
bacteria to microscopic dimensions. Thiomargarita 2.6 PLANT CELL VS. ANIMAL CELL VS.
BACTERIAL CELL
the cell are believed to pass along the hollow Bacteria having single flagellum at each end of
center of flagellum and are added to distal end of bacteria or a cluster of flagella at both end. e.g.
filament. Spirillum serpens
Bacteria propel themselves by rotating their helical
flagella. The principle involved can be illustrated 2.7.1.3 L OPHOTRICHOUS
by imagining the penetration of piece of cork by a Bacteria showing cluster of flagella at one end
corkscrew. There are two phases of movement only. E.g. Pseudomonas fluorescens
shown by the flagella: running and tumbling
(random movement other than the direction of 2.7.1.4 P ERITRICHOUS
previous movement). Bacteria becomes thin The flagella are present throughout the body of
during the movement. Prokaryotes flagella works bacteria. E.g. Escherichia coli and Salmonella typhi
as oars of boats which is differs in movement from
eukaryotes flagella which shows whip like
movement.
2.7.1.1 M ONOTRICHOUS
Bacteria having single flagellum. E.g. Vibrio cholera
and Pseudomonas aeruginosa
2.7.1.2 A MPHITRICHOUS
2.9.3 FUNCTION OF CELL WALL Bacterial capsule is the outermost covering i.e.
Cell wall helps in the maintaining of the envelope of the bacterial cell which are considered
shape of bacteria, i.e. rod shape or cocci as capsulated microbes or bacteria. There are
shape etc. certain bacteria which can never produce capsule
Cell wall provides the protection. which can be considered as non-capsulated
Cell wall may also be involved in the bacteria.
sexual reproduction of bacteria. Capsulated Bacteria
E.g. Bacillus anthracis and Streptococcus
2.9.4 DEGRADATION OF CELL WALL
pyogenes
Cell wall can be degraded or dissolved by the
antibodies or lysozymes. Non Capsulated Bacteria
E.g. Escherichia coli
Capsule provide intense protection to cell, so there
2.10 CAPSULE will be difficulty in removing the capsulated
bacteria by defensive system. So the capsule is
The position and number of spore help in VARIATIONS IN ENDOSPORE MORPHOLOGY: (1, 4) CENTRAL
ENDOSPORE; (2, 3, 5) TERMINAL ENDOSPORE; (6) LATERAL
classification of bacteria. The normal shape of the
ENDOSPORE
the spore is cylindrical/ spindle.
2.11.2 SPORE STAINING
The spindle shape spore are usually
There are two common method of spore staining.
present almost in center of the cell e.g.
Bacillus cereus
The spore sometime remains in centre
2.11.2.1 N ORMAL S PORE S TAINING
but the cell may appear as bamboo like In his method the less acidic dye (e.g. malachite
structure. E.g. Bacillus anthracis green) is flooded on slide containing the smear
and heat is passed through the slide as well so that
Sometimes the spores may be bigger than
the dye easily penetrate in the spore. After cooling
the diameter of cell. They may be on the
it down, decolorizer is used (e.g. glacial acetic acid)
terminal side and giving an appearance of
after decolorizing, the slide is washed at low
dumbbells shape. E.g. Clostridium tetani
stream and safranin red dye is used. It makes the
Slightly beneath the pole, spore show
green spore surrounded by red cytoplasm visible
bulging character, it is classified as sub-
under the microscope.
terminal spore. E.g. Clostridium
Second method of spore staining is similar to
subterminale
Normal spore staining but it is aided by the use of
Some also show central spore but
filter paper.
swalloen e.g. Clostridium perfringens
2.11.3 SPOROLATION
Sporolation is the process of spore formation.
Before the formation of spore the bacterial cell
grow in size.
2.14 SHEATHS
2.16 CYTOPLASM AND RIBOSOMES
Some species of bacteria, particularly those from
The cell material bounded by the cytoplasmic
freshwater and marine environments, form chain or
membrane may be divided into
trichomes that are enclosed by hollow tube called
sheaths. The cytoplasmic area, granular in
appearance and rich in the macromolecular
RNA protein bodies known as ribosomes on
2.15 CYTOPLASMIC MEMBRANE which proteins are synthesized
The plasma membrane or bacterial cytoplasmic The chormatinic area, rich in DNA
membrane is composed of a phospholipid The fluid portion with dissolved substance
bilayer and thus has all of the general functions of Unlike animal and plant cells, there is no
a cell membrane such as acting as a permeability endoplasmic reticulum to which ribosomes are
barrier for most molecules and serving as the bound; some ribosomes are free in the cytoplasm
location for the transport of molecules into the cell. and other especially those involved in the synthesis
In addition to these of proteins to be transported out of the cell, are
functions, prokaryotic membranes also function in associated with the inner surface of the cytoplasmic
energy conservation as the location about which a membrane. When the ribosomes of prokaryotes
proton motive force is generated. Unlike eukaryotes, undergo sedimentation in centrifuge they have
sedimentation coefficient of 70S (Svedberg unit) and Carboxysomes (involve in carbon fixation)
are composed of two subunit, a 50S and a 30S Cell signaling substance
subunit. This is in contrasting to the ribosomes of
eukaryotes organism which have sedimentation of
80S and are composed of 60S and a 40S subunit.
2.18 PLASMID
th
Plasmid is 1/100 part of nucleoid. A plasmid is a
small DNA molecule that is physically separate from,
and can replicate independently of, chromosomal
DNA within a cell. Most commonly found as small
circular, double-stranded DNA molecules in bacteria,
plasmids are sometimes present
in archaea and eukaryotic organisms. In nature,
plasmids carry genes that may benefit survival of the
organism (e.g. antibiotic resistance), and can
frequently be transmitted from one bacterium to
another (even of another species) via horizontal
gene transfer.
Use of Special Carbon or Nitrogen Source inoculum. The number of colonies formed are
Use of Dilute Media counted and multiplied by the dilution factor.
Usually less conc. bacteria are counted through this
Use of Inhibitory or Toxic Chemicals
method. The original sample is usually diluted so
that the number of colonies developing on the plate
3.12.2 PHYSICAL METHOD OF SELECTION will fall in the range of 30 -300. Within this range the
Heat Treatment – To select endospore count can be accurate and the possibility of
forming bacteria, a mixed culture can be interference of the growth of one organism with that
heated to 80’C for 10 mins before use to of another is minimized. Colonies are usually
inoculate culture media. counted by illuminating them from below (dark field
Incubation Temperature illumination) so that they are easily visible and a
large magnifying lens is often use.
pH of Medium
Cell Size and Motility 3.14.1.1 D ISADVANTAGES
Concentrated (need dilution)
3.12.3 BIOLOGICAL METHOD OF SELECTION
Overlapping of colony
A disease- producing species occurring in a
mixed culture can often be selected by
3.14.2 STANDARD PLATE METHOD (POUR PLATE
taking advantage of its pathogenic
METHOD )
properties. Known amount of (serial or parallel diluted) bacterial
sample (1ml) is first poured in a petri dish. Molten
3.13 PURE CULTURE media is added in it and the petri dish is slight jerked
to distribute the sample over the petri dish. Media is
Pure culture is the culture or growth of the organism
then made solidified and incubated. Each separate
of only one specific type of microbe.
colony will be formed in such a way that the quality
If the bacterial species being sought comprises a
(type) and quantity of bacteria can easily be noted.
suitable high proportion of the mixed population, it
Colonies may be visible as:
can be isolated in pure culture. A strain is usually
Imbedded colony – in between media
made up of succession of cultures and is often
derived from single colony; however, the number of Surface colony
bacteria which gave rise to the original colony is Bottom colony
usually unknown. If a strain is derived from a single
parent cell, it is termed as clone. Each strain is So the colony is counted from bottom as well.
designated by an identifying number and its history Any colony can be picked and transferred into the
is recorded. fresh media to obtain pure culture.
3.14.3 STREAK PLATE METHOD
3.14 METHOD OF ISOLATING PURE Streak Plate Method is also used to separate
different type of microbes (mixed culture and
CULTURE contaminated culture to pure culture). Molten
3.14.1 SPREAD PLATE METHOD (MILE AND media (i.e. at 45’C) is added in petri dish, and
MISRA COUNT) solidified. It is then incubated so that there is no
media present on it. Near the burner, sterile wire
This method allows determination of the number of
loop is used to pick up some culture from
cells that will multiply under certain defined
contaminated or mixed culture. Then that wire loop
condition. Molten media (not very hot and not
is used to make streak on the solidified media
coagulated i.e. about heated about 45’C) is solidified
present on petri dish.
in a petri dish and sterilized. A measured amount of
Wire loop is sterilized again and more streaks are
the bacterial suspension(0.1ml) is introduced into a
made by stretching the already present streak at
petri dish containing solidified media and spread
different angle. This process is repeated twice and
throughout the surface through L-shape glass rod.
thrice. In this way, sample is thin out on the agar
The petri dish is incubated. One organism give rise to
surface so that some individual bacteria separate
one colony, hence a colony count performed on the
from each other.
plate reveals the viable microbial population of the
When incubated, some visible isolated colonies of and solidified. A block is cut out of the wax
bacterial cells is formed. Indirectly the number of and preserved. Each time we need to use
bacterial cells can also be counted by this technique. the growth we have to melt it.
barium sulphate ppt. (Suspension) (Soln. of chloride and the sample is placed in it. Flask and sample is
+ sulphuric acid = barium sulphate ppt.). It also has weight again (W2) to calculate the actual weight of
some demerits as the pigmented microbes cannot sample (W= W1- W2). The sample is then heated for
be used in this method. 1 hour at 120’C. The assembly is cooled down in a
Graphical representation can be form for different desiccator containing phosphorous pentaoxide
parameters which saves the time. (P2O5) which prevents the absorption of moisture.
The Sample is heated and cooled down 3 times and
then weigh. This weigh will be the weight of cell wall.
Cell count can be calculated indirectly by the help of
total cell weight and total cell wall weight.
species have colonies possessing a highly wrinkled Depending on species colonies may be thin to thick
surface. and the surface may be flat or it may exhibit varying
3.22.4 ELEVATION degree of convexity.
Black Bacteroides
3.22.5 CONSISTENCY melaninogenicus
This can be determined by touching a transfer Pink Flectobacillus major
needle to the colony. Some bacterial species form Pink Staphylococcus roseus
colonies having a butyrous or butterlike consistency. Red Serratia marcescens
Others may form colonies that viscous, stringy, or Golden Yellow Staphylococcus aureus
rubbery. Citrus Yellow Staphylococcus citreus
3.22.6 OPTICAL FEATURES White Staphylococcus albus
Bacterial colony may be Yellow Micrococcus luteus (Sarcina
Transparent – light can pass through lutea)
Brown Derxia gummosa
Opaque - no light can pass through
Translucent – some light can pass through
3.22.8 CHARACTERISTIC OF BROTH CULTURE
Amount of growth: Scanty, moderate or
3.22.7 PIGMENTATION OR CHROMOGENESIS
abundant
Colour Typical Example
Distribution and type of growth
Violet color Chromobacterium violaceum
Green (ppt) Pseudomonas chlororaphis
Blue (Soluble in Pseudomonas aeruginosa
water) (Phycocyanim)
Bright Green Pseudomonas fluorescens
(Fluorescent)
o Osmosis Halophiles
Do You Know? o Hydrophiles Barophiles
Instead of 1 wire loop, a plastic bead may o Light (energy)
also be used. Plastic of known sizes are o pH
available in market. Plastic beads or glass is Acidophiles
added to broth culture to provide solid Alkalophiles
surface for better growth Neutrophiles
3.24 ENERGY
Energy is mainly obtained from sunlight the primary
3.23 FACTOR AFFECTING GROWTH source
Nutritional requirement Phototroph require light
Chemical requirement Chemotrophes require chemicals
o Media chemolethotroph need inorganic matter
Physical requirement chemoorganotroph need organic matter
o Temperature
o Gaseous requirement- Oxygen,
carbon dioxide
o
A growth factor is a vital requirement Mesophiles Grow Best Between 20 c And
without which there is no growth, these o
40 c (Mosty Cause Food Spoilage)
factors cannot be synthesized by the Thermophiles grow best at temperatures
microbes themselves during the entire o
above 40 C. (Pseudomonoas sp.)
process of their life; thus these factors must
be supplied from outside into the substrate
Thermoduric organisms can survive high
or media. This is the principal of
temperatures but don't grow well at such
microbiological assay.
temperatures. Organisms which form endospores
The growth is entirely dependent or directly
would be considered thermoduric.
related to quantity of growth factor. If we
Some organisms have exotic temperature
increase the growth factor to double the
requirements. Thermus aquaticus is a bright orange
growth will also be double.
gram negative rod isolated from hot water and
o E.g. Vitamins Amino Acids
steam vents at Yellowstone Park. This organism
o
grows best at temperatures between 70-75 C. Some
Vitamin K Bacteroides
of its unique enzymes are in demand for molecular
melaninogenicus
biological and industrial applications.
Thiamine (B1) Bacillus anthracis Neisseria sp. are called cold-sensitives
Riboflavin Clostridium tetani Pseudomonas are normal
Niacin (Nicotinic acid) Brucella abortus Slow down exyme activity, induce protective
Pyridoxine (B6) Lactobacillus species dormancy (3-4’C to inactivate most mesophiles
Cobalamin (B12) Lactobacillus species pathogen)
Biotin Leuconostoc Fever about 105’C can cause permanent brain
mesenteroides damage.
Folic acid Leuconostoc dextranicum
Pantothenic acid Morganella morganii
3.26.2 OXYGEN
Microbes display a great diversity in their ability to
use and to tolerate oxygen. In part this is because of
3.26 PHYSICAL REQUIREMENTS the paradoxical nature of oxygen which can be both
3.26.1 TEMPERATURE toxic and essential to life.
Obligate aerobes rely on aerobic respiration for ATP
Generally, an increase in temperature will increase
and they therefore use oxygen as the terminal
enzyme activity. But if temperatures get too high,
electron acceptor in the electron transport chain.
enzyme activity will diminish and the protein (the
Pseudomonas is an example of this group of
enzyme) will denature.
organisms.
On the other hand, lowering temperature will
Microaerophiles require O2 for growth but they are
decrease enzyme activity. At freezing temperatures
damaged by normal atmospheric levels of oxygen
enzyme activity can stop. Repeated cycles of freezing
and they don't have efficient ways to neutralize the
(thawing) and thawing can denature proteins. In
toxic forms of oxygen such as superoxide (O 2-) and
addition, freezing causes water to expand and also
hydrogen peroxide (H2O2). The Streptococci are
forms ice crystals, hence cells begin to rupture.
examples of this group.
Every bacterial species has specific growth
Obligate anaerobes will die in the presence of
temperature requirements which is largely
oxygen because they lack enzymes like superoxide
determined by the temperature requirements of its
dismutase and catalase.
enzymes. Each organism will have:
A minimum growth temperature, 3.26.3 IONIC STRENGTH AND OSMOTIC
An optimum growth temperature, PRESSURE .
And a maximum growth temperature.
LIGHT
Organisms can be classified according to their Optimum condition for growth is darkness.
optimum growth temperature. 3.26.4 PH OF THE MEDIUM
Psychrophiles Grow Best Between -5 c And
o
Most pathogenic bacteria grow best in pH 7.2-7.4.
o
20 c (Bacillus Stearothermophilus) Vibno cholerae can grow in pH 8.2-9.0
BACTERIOPHAGE
4.2.1.1 DNA
4.2 CLASSIFICATION OF VIRUSES
Example
th
Parvovirus Single Stranded Icosahedral Without Enveloped 5 Disease
Papovirus Double Stranded Icosahedral Without Enveloped Warts
Adenovirus Double Stranded Icosahedral Without Enveloped Respiratory
Infections
Herpes Virus Double Stranded Icosahedral Enveloped Chicken pox
Cold Sore
Poxvirus Double Stranded Complex Enveloped Small pox
4.2.1.2 RNA
Reovirus Double Stranded Icosahedral Without Enveloped Diarrhoea
Picornavirus Single Stranded Icosahedral Without Enveloped Polio
Common Cold
Togavirus Single Stranded Icosahedral Enveloped Yellow fever
Encephalitis
Orthomyoxcirus Segmented Single Helical Enveloped Influenza (8
Stranded Segments)
Paramyxovirus Single Stranded Helical Enveloped Measles
Mumps
Rhabdovirus Single Stranded Helical Enveloped Rabies
Retrovirus Single Stranded Helical Enveloped AIDS
Tumor Induction
Corona virus Single Stranded Helical Enveloped Cold Virus
Do You Know?
4.3 VACCINE Virus = Viridae (former name use in
A vaccine is a biological preparation that improves
classification)
immunity to a particular disease. A vaccine typically Making of antibodies start after at least 1
contains an agent that resembles a disease-causing week of incubation
microorganism. Vaccines are material derived from
living organism or they are directed or use as whole
material. Attenuated vaccines- a vaccine created by
reducing the virulence of a pathogen, but still 4.4 POXVIRUS / POXVIRIDAE
keeping it viable (or "live") e.g. Cow Pox vaccine. Small pox is representative of this class.
Sometimes death material is used such as in case of
Incubation period is 9- 15 days
typhoid-paratyphoid A and B vaccine (TAB Vaccine).
No proper treatment is present for viral Variola Major (Mortality rate 10-30%)
disease but prevention from complication Variola Minor (Mortality rate 0.1- 0.3%)
of secondary disease (cause usually by Gaurinier’s bodies are used to identify
bacteria) is important. viruses
Guarneri’s bodies are used to identify It is brick shape, double stranded DNA
viruses without envelope.
Attenuated vaccine is used for cow pox
4.4.1.1 H ISTORY
It is known to show it symptoms from 1122
B.C. In 1500 first known epidemic was
appeared and was carried by Cortez’s Troop
resulting in 3.5 million death, Collaps of
Inca; Azetec Civilization.
4.4.1.2 S YMPTOMS
A symptom appears after 8-18 days as headache,
backache, high fever, and vomiting then appearance
of red spot on third day of the start of symptoms.
They spread to the trunk and then to extremities.
They will appear in the form of macules (deep spots),
then pimple, then pustule (puss is added it is
converted to pink colors) then to blister (boil) and
vesicle scabs are removed leaving behind permanent
scars.
4.4.1.3 D IAGNOSIS
Direct Microscopic Examination
Giemsa Staining to Observer Guarneri’s 4.5.1.1 H ISTORY
bodies Major pandemic usually occur after 11 years
(periodically). Most dramatic pandemic occur in
Can be cultivated in chicken embryo and
1918 when 20 million people died throughout the
proceed world.
Paul’s Test
Rabbit eyes are injected with this virus 4.5.1.2 S YMPTOMS
Complement fixation test Due to viral destruction of cell lining of upper
respiratory tract, trachea, and bronchi.
4.4.1.4 V ACCINE The symptom begins suddenly which include fever,
Vaccine cow pox virus us attenuated and modified chill, headache, muscle ache, weariness, sore-throat,
into avirulent and use in the dilution of 1:1000. non-productive dry cough, and nasal obstruction.
Mostly deaths occur by disease complications which
are associated with bacterial pneumonia.
4.5 INFLUENZA Person suffering from heart or kidney disease
Each virus contains 500 copies of H-antigen diabetic persons, or having severe anemia, impaired
and 100 copies of N-antigen. immunological deafness are highly susceptible to the
Influenza is a Latin word meaning influence flue. So annual vaccination is recommended and it is
90% effective in reducing death rate.
of flue.
Influenza has3 types A, B, C 4.5.1.3 T REATMENT
‘A’ causes more severe illness as compare Amidative (medicine) prevent the flu however it is
to B. C rarely causes disease. ineffective if once the symptoms appears.
HIV-B
Neurological disease, myelopathy and
secondary infection
HIV-C
Similar to Herpes zoster multidermatomal,
leukoplakia, candidiasis
HIV-D
Secondary cancer (Kaposi’s sarcoma)
HIV- E
Abnormal neurological difficulties
4.6.1.3 T REATMENT
The disease may be life long, so the
sufficient time may be there to provide the
treatment. The life cycle of virus can be
4.6.1.1 H ISTORY interrupted in different steps:
In 1950, first reported in Central Africa. In o Decreasing the binding capacity of
1980, a deficiency in immune system was HIV to susceptible T-Lymphocyte
reported in young homosexual patient who with medication like soluble CD4
may also be extended to heterosexual o Synthesis of pro-viral nuclear
person. material could be inhibited by
The disease is developed as opportunistic reversed transcriptase i.e.
way. In some person it appears as skin Zidovudine
cancer in form of “Kaposi- Sarcoma”. A (azidothymidine AZT), it is
group of French scientist at Pasteur similar to an important building
institute in 1993, the scientist Montagnier block loosed in the synthesis
studied it in detailed. It was named ofviral DNA
lymphadenopathy associated virus (LAV) by Other anti-HIV agent include dideoxyinosine
him. (ddE) and dideoxycytidine (ddc), both can
American group named it lymphoric virus III be used with minimum sided effect.
and also Persistent- Generalized Other can also be used as anti-HIV i.e.
Lymphadenopathy (PGV). International foscarnet and ampligen. A vaccine for HIV
Commission Finally recommended it HIV. infection that protect human has not been
HIV may effect nervous system; developed yet inactivated whole virus may
megakaryotes, monocytes, macrophages protect susceptible animals
(reservoir of HIV virus). It is diagnosed after
6-8 weeks by ELISA Test (Enzyme-linked 4.7 HEPATITIS
Immunosorbent Assay), PCR (polymerase
Hepatitis is inflammation of liver. Hepatitis
chain reaction). It may be sympathetic or
is of two types
asympathetics.
Small spherical particles mostly of hepatitis
B
4.6.1.2 S YMPTOMS
HIV- A Tubular or Filamentous root
Fever, weight loss, unexpected diarrhea and An enveloped nucleocapsid structure also
ARC (AIDs related Complex Symptoms) known as Dane’s particle
1949, “The Flury Strain: vaccine was develop symptoms of rabies, the human victim must
developed by using duck embryonated to not be vaccinated.
give attenuated strain egg for rabies.
In 1980, an inactivated vaccine is prepare
from virus propagated in culture, if diploid
human cell, devoid of nerve tissues aging
was licensed to use. It appears safe as well
as highly immunogenic.
5.3 CLASSIFICATION
Group Characteristics Representative Diseases
Mastigophora Mastigo=whip; phora=bearer (whip bearer) African Sleeping sickness
(flagellated) Move by flagella *(or by undulating (Trypanosoma gambiense
membrane) and Trypanosoma
Reproduce asexually by longitudinal binary rhodesiense)
fission Chagas’s Disease
Sexual (trypanosoma cruzi)
reproduction absent Giardiasis lamblia (intestinal
infection)
Trichomonas vaginalis
(genital infection)
Arthrospores Sporothrix
Blastospores Coccidioides
Chlamydospores
Aquatic
Oomycetes (Aquatic Asexual zoospore, flagellated spore after growth they become non- Phytophthora
molds) flagellated, non-motile infestans, causes
Vegetative Spore potato blight
Looks like without cell wall or without chitin Controlled by
Contain N-acetyl glucosamine Bordeaux mixture
(CuSO4 and lime
water mixture)
FIGURE 2: PENICILLIUM
Lactobacilli
Diphtheroids
7.1.10 EAR
Pseudomonas
Enterobacter
Diphtheroids
Staphylococci (normally coagulase –ve)
7.1.13 NAIL
Fungi
o Aspergillus
o Penicillium
o Mucor
o Cladosporium
8.1.1 TRAPPING
Trap the microbial flora present in air in the water by
the help of glass beads leaving behind the air
without microbes. Beads facilitate capturing and
8.2 FACTORS AFFECT THE MICROBIAL
retaining of microbes. FLORA OF AIR
Environment factors
Physical Condition
o Temperature
o Season
o pH
o Humidity etc.
8.3.2 BY VIRUS
Small Pox
Influenza
Polio
Ground water is subterranean water that occurs 9.5 FACTORS AFFECTING MICROBES OF
where all pores in the soil or rock-containing
material are saturated. Bacteria as well as WATER
suspended particles are removed by filtration, in Temperature
varying degree, depending of the permeability Nutrition
characteristic of soil and the depth to which the
Dissolved Oxygen
water penetrates.
Source of Energy (availability of sunlight)
9.4 MICROBES PRESENT IN WATER Salinity
Hydrostatic pressure
(WATER BORNE DISEASES)
Turbidity
Thyphoid pH
Cholera Inorganic and Organic Constituents
Amoebiasis Plankton (Phytoplankton, Zooplankton)
Streptococcus faecalis
Clostridium perfringens
9.6 PURIFICATION OF WATER
C. welchii
Boil water at 80’C at reduced pressure
Penicillium
Cysts of Protozoa
Chapter 10 MICROBIOLOGY Bacteriophage
OF SOIL
10.3 EXAMINATION OF MICROBES OF SOIL
Geology: Science of soil
Most bacteria are in soil. Minimum 10
9 10.3.1 DIRECT MICROSCOPIC EVALUATION
bacteria are present per gram of soil. Soil is observed under microscope directly.
Clostridium tetani is present in soil. 10.3.2 SERIAL DILUTION METHOD
Serial dilution is best method for microbial
Soil is a region where geological systems
examination.
and biological system meets together. Soil sample is collected and check for
microbes.
All waste materials including dead bodies are buried
into the soil; by microbial action all the material is Soil sample should not be dried or muddy.
disintegrated into black colour stable mass which is The simplest way to check that is the
known as humus. Thus all these material also sample is not dried is to take the sample on
constituents the soil a piece of paper, and check if it is blown by
air or not, and it also confirm if the sample
10.1 CONSTITUENTS OF SOIL is muddy or not, if the sample is muddy it
Solid Particles will stick to paper.
o Large About 50g of sample is taken. It is stirred
o Small properly and 1g is dissolved in 10 ml of
o Sands water, to make dilution (1:10). Serial
Water dilution is made, using this first diluted
Minerals – Clay, fine particles sample and dissolving it in 9ml (1:100). This
Gases – O2, H2S, NH4, CH4, CO2, N2, SO2 method is continuing for 7 times. Last tube
7
Organic residue – plant, humus (last stage is 10 times diluted. Last three test tubes
of decomposition), dead bodies etc. are used while the rest are discarded.
Ores Incubated by pour plate method, and
counted. The number of count x dilatant
Biological System (dead bodies as well as 7
(10 ) = count/g of soil.
living microbes huge in number)
Soil mostly contains dead plant leaves which Complex organic materials deposited on or into the
comprises mostly of cellulose, so the soil growing Earth’s surface are degraded by microbes and end
microbes are usually celluloselytic microbes (use up with humus and its related products etc. The
cellulose as substrate). source of nutrients alter the texture of soil, help to
Cellulose broth is prepared, which contain no other produce water holding capacity and increasing of
carbohydrate except for cellulose. 1 of soil sample is buffering nature and availability of the nutrients. All
placed in this broth and incubated. Microbes growth these microbial activities going on in the soil bring
is replaced in fresh cellulose broth for several times various chemical changes, and show different cycles,
again and again to obtain celluloselytic microbes such as:
only. 10.4.1 NITROGEN CYCLE
microbiological defense
2 line Phagocytes (lymphocytes)
nd
3 Line Immunity
rd
contains an enzyme called lysozyme which Hiccups are the sign of defensive system
kill microbe. and these are due to the reflex action of
Sweating is a way of removing of waste epiglottis.
products. Hair of the nostrils entrapped dust particles.
Dry and over perspired skin is susceptible to The internal epithelia are known as mucosal
microbial attack. epithelia because they secrete viscous fluid
called mucus which contains glycoproteins
called mucins. Microbes coated in mucus
11.4.1.3 MICROBIOLOGICAL BARRIER: may be prevented from adhering to the
Mostly healthy epithelial surfaces are also epithelium and in the respiratory tract;
associated with a large population of microbes can be expelled in the outward
normally non-pathogenic bacteria known as flow of mucus driven by the beating of cilia
“Commensal bacteria” or “micro biota” on the mucosal epithelium.
These “Commensal bacteria” or “normal
flora” complete with pathogenic microbes 11.4.1.6 EYES/NOSE/ORAL CAVITY:
for nutrients and for attachment site on Lysozyme is present in
epithelial cell. 1) Tears
The normal flora also produces anti- 2) Saliva
microbial substances such as lactic acid 3) Sweat material
produced by lactobacillus species. Lysozyme is anti-microbial in nature and
preventing the microbe to invade the body
11.4.1.4 GASTROINTESTINAL TRACT: by killing it.
Nasal cilia are present which play important
11.4.1.4.1 MECHANICAL: role in the removal of micro-organism.
Peristaltic movement (one way) of stomach
is a part of defensive system of a body and 11.4.1.7 INTERLEUKINS (FEVER INDUCER):
is responsible for keeping the food and f Fever producing substances i.e. interleukins are
infectious agent moving through the body. naturally present in body. When microbes enter the
Failure of peristalsis is typically body which causes the pyrexia the interleukins
accompanied by the overgrowth of activated and cause the further increase in
pathogenic bacteria within the lumen of the temperature which become inhibitory for the
gut. microbes and cause death. However, a high
temperature exceeds 103 F, it is alarming and that
11.4.1.4.2 CHEMICAL:
can bring near to 101 F.
The low pH of stomach is due to the secretion of HCl
from the parietal cells of gastric mucosa. It is
11.4.1.8 TRANSFERRIN:
essential for proper digestion and it is anti-microbial
Transferrin is iron-binding blood plasma glycoprotein
and indicates good defensive system.
that controls the level of free iron in biological fluids.
11.4.1.4.3 MICROBIOLOGICAL: It plays a key role where erythropoiesis and active
Normally Escherichia coli are essential for cell division occur. It is also associated with immune
digestion but its number increases then it system. It is found in mucosa and bind iron. Thus,
may become parasite. creating an environment low in free iron that
The excessive use of antibiotics kills the impedes bacterial survival in a process called Iron
normal flora like E.coli and pathogenic withholding. The level of transferrin decreases in
bacteria frequently replace them and cause inflammation.
disease.
11.4.1.9 INTERFERONE:
11.4.1.5 RESPIRATORY SYSTEM: It belong to the large class of glycoproteins knows as
cytokines and are released by host cells in response
11.4.1.5.1 MECHANICAL: to the presence of pathogens such as virus or tumor
cells. Interferon is named after their ability to
“interfere” with viral replication within host cells.
They also activate immune cells such as natural killer immune system destroy the virus or bacteria by
cells and macrophages. producing inflammatory cytokines like
phospholipase A2 which also lead to fever 1/3 of
11.4.1.10 INFLAMATION: antibodies are contributed by it.
“A localized physical condition in which part of the Tonsils prevent the entry of microbes into the body
st
body becomes reddened, swollen, hot and often which is 1 line of defense and produce antibodies in
rd
painful and in some cases immobilization especially the case of infection which is 3 line of defense.
as a reaction to injury or infection is termed as
inflammation.”
TONSILLITUS:
Inflammation is part of the body’s immune response. It is the inflammation of tonsils most
Initially it is beneficial when, e.g. your knee sustains commonly caused by viral or bacterial
a blow and tissue needs care and protection. infection. Enlarged tonsils reduce the size
However, sometimes inflammation can cause further of the airway making snoring or sleep
inflammation it can become self-perpetuating. More apnea.
inflammation is created in response to the existing Majority of people recover completely
inflammation as it will cause to the secretion of with or without medicaments.
mediators like histamine, leukotriene etc. Symptoms may include sore throat and
Normally inflammation indicates the presence of fever when caused by bacterium
infection which leads to disease. belonging to the group A Streptococcus;
it is typically referred to as strep throat.
11.4.1.11 TONSILS: In 40% symptoms will resolve in three
Tonsils are police guard. It is the body’s first line of days and within one week in 85% of
defense as a part of the immune system. These people, regardless of whether
occur in pair and are the collection of lymphoid streptococcal infection is present or not.
tissue facing into the aero digestive tract. Saucuna lappa is the best medicine to
Under normal circumstances, as virus and bacteria cure tonsillitis.
enters the body the nose and mouth, they are
filtered in the tonsils within the tonsils WBC’s of the
Sequelae: a condition that is the consequence of a previous disease or injury
A person suffering from a disease would be resistance to any outbreak of a typical microbial infection
but as soon as the patient recovers from the previous disease they would become susceptible to that
infection.
Person suffering from infection of Streptococcus pyogene become susceptible to kidney disease after
recovery. Similarly person suffering from Rheumatic infection become susceptible to heart disease.
Herpes zoster (viral disease occurs to patient who was suffering from chicken pox.
Patient suffering from viral infection after recovery become susceptible to cancer.
st
Summary of 1 line defense:
Its involve skin which provides mechanical barrier in which sweat gland, Sebaceous gland are also present.
These secretions are chemically antimicrobial
That is why a dry skin is the susceptible, but over secretion by skin can also cause problem
50,000 l air is inhaled by us in a single day and hair of nostril mechanically stops the microbes from entering
the body. Hairs of nostrils are natural filters.
Tonsils are natural police guards.
Lysozymes are also antimicrobial present in saliva, eyes etc.
Flushing of urine and the excretory system also comes under chemical defense.
Removal of waste products.
st
Peristaltic movement is also 1 line mechanical defense.
Mucin layer(epithelium) present in GIT and other organs systems
HCl present in the stomach is also kills the microbes.
Reflex action of epiglottis i.e. coughing is a sign of defense.
Coughing, sneezing and fever is also defensive system.
If temperatures rises 102’F, it will kill microbes. Interlukin are proteins involve in fever production.
Iron binding substances like protein transferin help in defense system
11.8 OPSONINS
Antibodies produced by the involvement of
phagocytosis are called opsonins.
Memory cells are functionally inactive unless they The excessive dose of drug weakens the
are stimulated by the same antigen again. defensive system and promote microbial
product which ultimately lead to death.
11.12 ANTIGEN –ANTIBODY COMPLEX
It includes: 11.15 GROUPS OF T-CELLS
The pathogen clumping together makes These are as follow
them more vulnerable to phagocytes.
The antibody “tags” the bacteria when it 11.15.1.1 K ILLER T C ELLS
sinks to it, making it more easily The combine with the antigen on the surface of any
recognizable to phagocytes. invading cell and release a powerful group of
Any antigen acting as toxin in your body are chemical called lymphokines.
neutralized when antibody stick to it i.e. antibodies
can act as antitoxins. In a similar way, if a virus has 11.15.1.2 L YMPHOKINES
an antibody attach to it, it will no longer be able to They attack with macrophages, thereby increase the
attach or enter a host cell. phagocytic activity.
Migration inhibition factor (MIF). There will
11.13 T – LYMPHOCYTES be increase in phagocytosis by creating a
special type of macrophages known as
11.13.1.1 C ELL M EDIATED R ESPONSE angry macrophages.
T – Lymphocytes are also produced in bone marrow Migration activator factor (MAF) cause large
but they move to thymus for maturation. In the lysosomal granules which have increase
blood, t –cell make up 60-70% of peripheral capacity of killing
lymphocytes. These are also found in lymph nodes Specific macrophages arming factor (SMAF)
and spleen. they have increased killing capacity.
11.13.2 FUNCTIONS:
T-cells are cytotoxic cells and are toxic to
11.15.1.3 L YMPHOTOXIN
invader (foreign particle). These are tumor necrosis factor. It can even
destroy the potential pathogen
They directly kill the antigen by producing a
They don’t need the previous exposure of
product called interleukin
antigen.
They will release the chemical to dissolve
They are present in the blood stream and
the capsule which helps the phagocytosis of
protect the body specially rom viral
capsulated microbes
infection and tumor formation
It only targets the specific and invader and
They can also detect the abnormal cells and
does not harm the other cells
lyzed them by inserting a pure fermentation
They also kill tumor cells. These cell
protein “perforins” into the membrane of
confiner or sealed such clusters and
microbe (puncturing the microbe).
dissolve such cells.
It can also eliminate our own body cell that
11.15.1.4 H ELPER T C ELL
acquired antigenic determinants
Regulatory system of immune response by means of
It can also cause autoimmune disorders.
Helper T cells.
Helper cells has two approaches
11.14 FACTOR AFFECTING OUR IMMUNITY Increase the anitbodies production
Smoking is the factors which affects and Regulates the production i.e. prevent over
disturb our immunity. reaction that causes allergic reactions.
Radiations are also harmful and weaken the
defensive system 11.15.1.5 S UPPRESSOR T-C ELLS
Cyclosporine promotes the survival of It keep the immune system in check so that once the
microbes and excessive use of steroid also antigens have been dealt with the system is switch
weaken the defensive system off.
11.15.1.6 M EMORY T-C ELLS These cells are naturally present in the body. They
Remain after the pathogens have been killed to stop can also increase the quantity of interference.
re-infection.
11.16 IMMUNITY
11.15.1.7 N ULL C ELLS
It is the state of having sufficient biological defenses
There are certain cells which are neither A nor B
to neutralize infection, disease or other unwanted
such are called lymphocytes.
microbial invasion. It is the capacity of the body to
resist the harmful microbes from entering it.
11.15.1.8 N ATURAL K ILLER CELL (NKC)
Antibodies coat microbes and promote their compliment is already used. The antibody in this
ingestion by phagocytes. The process of coating case is called complement fixing antibody and the
particles for subsequent phagocytosis is called test is called complement fixing test.
opsonization It is the basis for various diagnostic tests to detect
the presence of a specific antigen or antibody.
11.27.3.1 O PSONIN
The antibody production during phagocytosis is 11.28 STRUCTURE OF ANTIBODY
called opsonins
Antibodies are glycoprotein bivalent molecules also
11.27.4 COMPLEMENT FIXATION known as immunoglobulin (Ig) is a large Y shape
An immune response in which an antigen-antibody
protein produced by plasma cell that is used by the
combination inactivates a complement so it is
immune system to identify and neutralize foreign
unable to participate in second antigen-antibody
objects such as bacteria and viruses. All antibodies
combination.
have two basic functions
Absence of compliment in patient serum indicates
the presence of disease because in diseased person
Agglutinins
They cause clumping of bacterial cells for which they
11.30 FUNCTIONAL NAMES OF ANTIBODIES are specific
They cause the lysis of bacterial or other cells that It is relatively easy to perform simple to interrupt
are specifically sensitive to their actions and is serological method of choice when suitable
cellular antigen can be prepared:
11.30.1.4 C OMPLEMENT F IXING Agglutination test are classified as
A NTIBODIES
These antibodies participate in complement fixation 11.34 SCREENING TEST
reactions
11.34.1.1 M ACROSCOPIC A GGLUTINATION
11.30.1.5 O PSONINS T EST
They render micro-organism more susceptible to A drop of bacterial suspension one drop of NaCl and
ingestion by phagocytes 1-3 drops of patient serum are taken in test tube and
The antibody is incorporated in gel in a test tube, Some related organism such as those of genus
above which is placed a column of plain agar and rickettsia, Salmonella, or Shigella may contain
antigen is layered on surface of this. Antibody and common antigens that cause several species or
antigen diffuse towards each other and form a band strains to agglutinate with anti-serum prepared from
of precipitate where they meet at optimum a specific species or variety of group. Hence they can
proportion be differentiated.
For Example
Antigen 1 Antigen
2
ABCDE EFGHI
Abs: abcde Abs:
efghi
“e” is the correspondence antibody , which is
common in both.
antibody in patient serum and negative Wassermann test for syphilis is one of the best
complement fixation test. applications of component fixation test. In this
instead of using the causative microorganism i.e.
11.40.1.2.1 N EGATIVE F IXATION TEST :- Treponema pallidum, artificial antigenic material is
Ag +? + C’→ serum (anti sheep RBCs prepared by used which heptophorical resemble the causative
inject the RBCs into rabbit)→blood(sheep agent. The artificial antigenic material is made by
RBCs)→haemolysis→ disease –ve extracting beef heart powder with ether and alcohol.
The second component is known as antigen This extract contains a complex phospholipid called
and patient serum added to a suspension of cardiolipin. Cholesterol and Lecithin; they are added
sheep RBC’s in addition to complement. as an electrolyte.
THses two components of the complement Since the material is not capable of inducing
fixation method are tested in sequence. antibody formation in an animal it is not a true
Patient serum is first added to the known antigen, but because it combines with syphilitic
antigen and complement is added to the antibodies in the complement fixationtest, it is
solution. If the serum contains antibody to reffered to as “non-specific antigen”
the antigen, the resulting antigen-antibody The antibody formed in response to cardiolipin is
complex will bind all of the complement. called “regain”
Sheep RBC’s and the anti-sheep antibody
are then added. If complement has not 11.42 KAHN TEST
been bound by an antigen-antibody
complex formed from the patient serum He modified Wassermaann Test which is cheap,
and known antigens, it is avaialbel to bind simpler and faster. Instead of using of Beaf heart he
to the indicator system of sheep cells and used alcoholic extract of beef eart muscle in which
antisheep antibody. cholesterol is added. The serum is made inactivated
If the patient’s serum does contain a by heating it at 56’C for about 30 minutes and is
complement fixing antibody, a positive mixed with known amount of antigen.
result will be indicated by the lack of RBC’s Incubation period for Wassermann test is 2 days
lysis. while for Kahn’s test is just 30 minutes.
Sample(patient) -Heat Attenuated Microbe includes the antibody bound to the well,
Auto Vaccine the antigen and the enzyme conjugated
Vaccine made from the patient serum is called auto antibody.
vaccine. If antigen is not present the enzyme bound
antibody will have been washed away. The
11.45 ELISA TEST (ENZYME LINKED enzyme substrate i.e. H2O2 is now added.
A color change reveals the presence of
IMMUNE ABSORBENT TEST) enzyme labeled antibody as well as it bound
Elisa test was first described Enguall and Permann in antigen
1971. Applied for microbiological diagnosis by Voller No color change indicates that antigen was
and his co-worker for AIDs, rubella virus and certain not present in the test fluid- a negative test
condition resulted by drug. result.
The enzyme linked immunosorbent assay (ELISA) is a 11.45.2 INDIRECT METHOD
common serological test for the presence of This indirect ELISA test is one that
particular antigen or antibody. determines whether a specific antibody
Enzyme activity in it is the measure of quantity of (e.g. HIV antibody) is present in a sample
antigen or antibody present in test sample such as serum. In this case the appropriate
Antigen and antibodies are detachable at levels of antigen is first attached to the wall of a
-10
about 10 g/ml or 1 part in 10 billion for immune microtiter plate.
assays. Serum that must contain antibody against
This test is used for the detection of HIV and the antigen is added to the well.
Hepatitis with great success. If the specific antibodies are present in the
There are two method of this assay sample they will bind to the antigen
11.45.1 DOUBLE ANTIBODY SANDWICH attached to the well
METHOD (DIRECT METHOD) Washing removes any antibodies that do
In this method, specific monoclonal not specifically attach to the antigen
antibody is first attached on to the walls of absorbed to the well.
microtiter plate. If antibodies do attach to the antigen they
A suspension of serum or other fluid is can be detected by the addition of an
added to the well to test for the presence of antibody-enzyme conjugate. As the serum
a complementary antigen. contains human antibodies due to this
If the antigen is present in the specimen it enzyme conjugated anti human IgG
will bind to the antibodies that are attached antibodies are used,
to the walls of well. If the antibody is present in the serum it will
Binding of the antigen to antibody is strong bind to the attached antigen and enzyme
enough to withstand washing that removes conjugated antibody will bind to this
the test fluid and unbound antigen. complex. Washing is again done to remove
After washing to remove unbound antigen, any unbound antibodies
another aliquot of the monoclonal antibody The substrate for the enzyme is added
is added to the well. IN this antibodies are A colour change indicates that serum
modified so that they carry enzyme contains antibodies that react against the
conjugate i.e. peroxidase. It is designed to original antigen which indicates the positive
produce color change when the enzyme result.
reacts with its substrate.
The sample is again washed. If the antigen
is present, a complex is formed that
O LD T UBERCULIN T EST
The virulence of microbe is decrease by
making them old or diluted thorough
serial dilution. It is diluted in the ratio of
1:10,000. It is checked after 48 hours.
12.5 INFECTION
Chapter 12 STERILIZATION Once bacteria establish, multiply and occupy a
part, it does not allow other microbe to grow there
12.1 STERILIZATION and use your body metabolites causing damage
and is called infection
“A process through which a substrate or an article
is made free from all life, by removal of all types of
microbes.”
12.6
OR “Blood get septic” e.g. Streptococcus enters blood
“Removal of all microbes from a material/ due to any cut inbuccal cavity and form capsule.
substrate/ article”
12.7 INFESTATION
12.2 PROCESS OF STERILIZATION Presence of microbes on or inside the body
“Any attempt towards sterilization, is considered Trillion of microbes is carried by an individual.
13
as sterilization” Body has 10 cells and bacterial/ microbes cell it
14
carries is about 10 .
12.3 STERILE
“A condition in which no microbial life is retained.”
12.8 INFLAMMATION
OR Redness, hotness, swelling, pain, immobilization at
“A condition, area or system which is free from the site of infection as a sign of infection.
microbes”
12.9 ASEPTIC
12.4 SEPTIC “Free from contamination caused by harmful
Enterance of microbe on a material/ substrate or bacteria, viruses, or other microorganisms;
article” surgically sterile or sterilized.”
Septicemia
High temperature holding method: Heat The process itself takes about 30min-1hr,
o
at 72 C for 15 seconds however it is repeated again and again up
Heated at Ultra-high temperature of to duration of 5 days. It is incubated so
o
149 C for 2 seconds that the spores formed are germinated.
The key to the process of pasteurization is that This is because when these spore forms
each and every particle is exposed to the desired are converted into vegetative form, they
temperature to enable proper sterilization. This is become thermo-labile, and are removed
why the process is known as holding. when heated again.
Advantages of High Temp Method (High Repetition of the process ensures the
temperature short time method) removal of all spore forms.
Mycobacterium Killed This method is not feasible for substances
Spore forming Killed which become denatured above 100 C,
o
MENACE”
12.17 SCREENING OF MILK
Although pasteurization was a good process to
sterilize milk, the problem was still there for the Milk does not contain preservative, and is
shelf life of milk. The scientists wanted milk to excellent media for microbial growth so it
have its nutritional value even after sterilization. must be free from pathogenic microbes.
Pasteur’s death was an obstacle. These were dark
times in the milk business. Scientists worked on
60
Cobalt is mostly used for radiation The bacteria which were considered or deemed
sterilization. It has a half-life of 5 years. dead previously have recovered and are in a live
Every anti-body has a half-life. state again. Hence, photo-reactivation
Gamma rays are generated by cobalt OMG Zombie bacteria!!
rods, which are immersed in water within
a protected region of the radiation 12.33 CONTROL OF MICROORGANISMS
facility. Materials to be sterilized are
loaded onto a monorail conveyor system Organism Median
and automatically transported past the lethal dose
radiation source. (rads)
Cesium-137 is used in some facilities, Viruses Tobacco mosaic 200,000
radiation is effective if it can generate Rabbit papilloma 100,000
peroxidase.
Radappertization is a form of food Bacteria Escherichia coli 5000
irradiation which applies a dose of
Bacillus 130,000
ionizing radiation sufficient to reduce the
mesentricus
number and activity of viable
Algae Mesotenium 8500
microorganisms.The dose is 4.5-5.6
megarods.Radappertization is derived Pandorina 4000
from the combination of radiation
Protozoa Colpidium 330,000
andNicholas Appert, the name of the
French scientist and engineer who Paramecium 300,000
invented sterilized food for the troops of
Vertebrates Goldfish 750
Napoleon.
Gamma rays are important source for Mouse 450
preservation of food. Eg: potato
Bacillus thuringiensis, also called Rabbit 800
crystalofarusbacterio, is a spore and Rat 600
crystal forming bacteria. However, it is
not harmful to humans. The relevant Monkey 450
thing to the topic here is that it can humans 400
resist150 Krads. And In case you may
have forgotten, it’s a biological
insecticide. A “rad” (radiation absorbed dose) is the dose
Serratiamarcescens, which is a non-spore which delivers 100 ergs/g of irradiated material. It
13
forming bacteria, can resist 30 Krads. is equal to 6x10 eV.
soil also has radioactive properties A “rad” is also abbreviated as “rd”, wow I was able
half-life of measles is very long to save so much time by removing the “a” part in
our body also emits radiations, people of rad and making it just rd.
Gilgit emits more radiations because their
food contains radioactive elements 12.34 LETHAL DOSES OF DIFFERENT
Mutants are present amongst us (just RADIATIONS
something I wrote on my register coz I
was bored) Type of Cathode Gamma X-rays
12.32.2 PHOTOREACTIVATION organism rays rays From
The word “photoreactivation” means repairing of From Van From cobalt 3-MEV
a DNA. In this case, it’s the repairment of the DNA de Graff 60 source
of bacteria. The procedure is following: accelerators
Expose to U.V light Vegetative
Immediately count the amount of Non- 0.1-0.25
microbe who survived pathogenic
Expose them to visible light right after Pathogenic 0.45-0.55 0.15-0.25 0.03-
exposure to UV light 0.5
Then finally count Bacterial 0.5-2.1 1.5(approx.) 0.5-
spores 2.0
Molds 0.25-1.15 0.2-0.3 0.25-
Moist heat
dishes
Dry heat
X-ray, gamma, and cathode Sterilization of heat-sensitive Expensive and requires special
radiation surgical materials and other facilities for use
medical devices
Filtration/ sedimentation
in the petri dishes of the culture, these The drug is combined with trimethoprim which
vacant spots were due to the growth of inhibits another step in folic acid synthesis. The
penicillin. That’s how he came to discover name of this drug is Bactrim. It is used for urinary
it. and intestinal infections, and pneumocytic
SahachiroHata (not a name of microbe) pneumonia.
performed research on chemical control Isoniazide (INH) Isonicotonic acid hydrazide:
of syphilis. (syphilis seems to be a very It is an anti-tuberculosis drug. When resistance
popular disease in history). He found out develops, INH is combined with rifampin and
that there were some compounds such as ethambitol. These drugs are then absorbed into
Ars-phenol. (The ars is for arsenic). They the body and they show their anti-tuberculosis
had anti-microbial action, effect. Normally, it is hard to find such a specific
eg: Ars-phenamine. It was called drug.
compound #606. (they had twitter back Nalidixic acid:
then?). It is a compound from the quinolone group. It
The compound was modified and inhibits and blocks DNA synthesis in gram-ve
converted into a modern therapeutic bacteria, which are responsible for causing urinary
agent and then called Salvarsan. A dye of infection.
red colour was added known as Prontosil. The synthetic nalidixic acid is used in form of fluro
quinolone which is used against shigella,
A heart touching story “daddys little girl”. salmonella, gonnorhea.
Once upon a time there was a scientist Typical example of quinolone group is
named Domagk. He had a daughter. One Ciprofloxasin.
day she fell gravely ill. The poor soul was Flagyl: it is an amoebic drug
suffering from septicemia. Her father Chloroquin: It eliminates malarial parasite inside
tried everything but nothing worked. At the blood cell
last, in 1935, when Domagk was working Primaquin: It eliminates malarial parasite outside
on prontosil, he injected the dyes in his the blood cell
daughter and in a miracle, she recovered. Para amino Salicylic acid (PAS):
And they lived happily ever after, They act as therapeutic agents, are used in
probably because he received a Nobel combinations.
prize for his work in 1939. Lucky guy he Dapsone:
was. Diamidophenylsulphone, used to prevent leprosy.
Research started on the dye. The active
principle of prontosil was first isolated by 12.43 CHEMICAL ANTI-
Jacques and Trefouel in the form of
sulphonamide.
SEPTICS/DISINFECTANTS :
it was first synthesized by “Glemo” in 1. Phenol
1908, and it was extensively used in world 2. Alcohols
war 2. 3. Dyes
In 1940, Wood and Fildsused certain 4. Iodine
sulphonamide to interfere with the 5. Chlorine
growth of bacteria without tissue 6. Quaternary ammoniated compounds
damage, this was because of competitive 7. Soaps/detergents
inhibition. 8. Heavy metals
This ends the history portion. Back to the future! 9. Others: Fumigants, Formaldehyde
The human body lacks in folic acid, so it must be 10. Gases
consumed in food. In the production of folic acid, High level Germicides: Ethylene oxide,
bacterial enzymes join together 3 important Glutaraldehyde
components. Eg: Para amino benzoic acid (PABA), Intermediate Germicides: 2% Glutaraldehyde: not
which acts similar to sulphonamide. Thus, the kill spores
modern sulphonamides are classified by Low level Germicides: Limited to certain kind of
sulphamethazole which is used basically for bacteria
urinary tract infection. It is caused by gram-
vecocci. (Neisseriameningitits). 12.44 PHENOL
Bactrim:
It was discovered by Joseph Lister. It can be used
as anti-septic, disinfectant,
germicidal,bacteriocidal and almost all the forms. Chlorohexidine can be used for gram +ve
It kills vegetative cells. it can damage nervous and –ve organisms, even for fungi, viruses
system. and bacteria without spores. They do not
It has cresol, and Lysol. Bis-phenol is a however, show any action on spore
combination of phenol. It is taken as standard formers.
disinfectant. Chlorohexidine interferes with plasma
membrane permeability. They are used as
12.44.1.1 P HENOL CO - EFFICIENT TEST anti-septic lotions.
Phenol co-efficient: Def: “It is a ratio of the
effectiveness of a given or new disinfectant, which 12.49 QUATERNARY AMMONIATED
can kill the given microbe in a proper
concentration, within 10 minutes, but not in 5 COMPOUNDS
minutes, compared to the effectiveness of the CetylPyridinium Chloride: cationic
phenol against the same microbe under same surfactant +ve, wetting agents to remove
conditions.” (Believe me, all of that is part of the oil
definition) Zephiran: To control Cyst protozoa
Phenol is being considered the standard here, and Phemerol
the 5 minute limit is there for our own safety,
“warna microbe humarekaylagte hen”
Phenol however, is taken as a standard
12.50 ETHYLENE OXIDE TREATMENT
because it is the nearest to an ideal (ETO)
disinfectant. Most of these products are sterilized by
ETO. Ethylene oxide treatment. Infect,
12.45 ALCOHOLS 60% of products are sterilized by ETO.
It is usually ethyl alcohol 70%. It causes death of This treatment is not changeable with
microbes by coagulation. It is used to disinfect oven or incubator.
thermoemters. Ethylene Oxide (ETO) sterilization is
Isopropanol is used to reduce microbes on skin. mainly used to sterilize medical and
pharmaceutical products that cannot
support conventional high temperature
12.46 DYES steam sterilization - such as devices that
Methylene Blue is an example incorporate electronic components,
plastic packaging or plastic containers.
o
12.47 IODINE The temperature is kept at 60 C, and the
humidity is kept at 30.
Strong Iodine solution can be an anti-dote to a It is lightly toxic and explosive, which is
snake bite. (I have no idea why this statement is reduced by mixture with Freon in
written in this topic). Iodine solution cannot cryoxide or 90%CO2 in carboxide.
replace phenol because Iodine burns skin. Also known as Gas-autoclave. It is used to
It can decontaminate water and wounds. sterilize paper, leather,wood,rubber and
A compound, iodophore is analgesic, however, petri dishes.
iodine is not. It is basically used for plastic (heat-labile)
for upto 4 hours.
12.48 CHLORINE Care should be taken in humid conditions,
may cause cold burns.
Direct quote from the professor
It is also used to sterilize
“behtreen germicidal”. They can
catheters,artificial heart valves, heart-
decontaminate water and wounds.
lung machine components and optical
A compound of chlorine called
equipment.
Hypochlorous acid can kill virion. It used
ETO can however, damage nucleic acid
against E.coli, Salmonella typhi and
and proteins, it is microcidal and
Entamoebahistolytica. It is a very
spermicidal.
effective oxidative agent.
The NASA uses the gas for sterilization of
The slow poisoning effect of interplanetary space capsule.
hypochlorous acid is less than chlorine. A similar closely related but less explosive
A group of compounds called gas is β-propionolactone.(BPL)
hypochlorides can eradicate HIV.
Penicillin griseofulvin(10,000
Griseofulvin fold)
Penicillin urtica
Penicillinni garicus
Dechlorination/hydrogenatio
Tetracycline n of chlorotetracycloneby
direct fermentation of
chlorinated medicines
generally promoting mixing of cells and nutrients. turbulence. There has been considerable research
Impellers are mounted on a rotating vertical stirrer into novel, energetically more efficient methods of
shaft which is mechanically driven by a powerful aeration, and the next generation of fermenters
electric motor. This is a major expense as very may include some that are radically different in
large amounts of energy are consumed. Baffles design.
located at the vessel perimeter further increase
Aseptic systems are used to transfer the inoculum identical. In recent years a number of
to the vessel, to allow the removal of routine manufacturers have moved from using these
samples during fermentation, for early harvesting relatively cheap but chemically undefined complex
of aliquots when the vessel becomes full as a nutrients to defined media, thus reducing
consequence of the media additions and to variability in their fermentation processes. The
transfer the final contents to the extraction plant batched medium contains subsidiary nitro- gen
when fermentation is complete. Asepsis is assured sources and additional essential nutrients such as
by engineering design and by steam, which must calcium (added in the form of chalk to counter the
reach all parts of the vessels and associated natural acidity of the CSL), magnesium, sulphate,
pipework. Any pockets of air or rough surfaces phosphate, potassium and trace metals. The
that steam does not penetrate could act as medium is sterilized with steam at or above 120°C
reservoirs for foreign growth. Sampling is essential either in the fermenter itself or in ancillary plant,
to monitor the amount of growth, the running which may be worked continuously.
levels of key nutrients and the penicillin 13.3.5 FED NUTRIENTS
concentration. It is necessary also to check that The sterile medium is stirred and aerated and its
there has been no contamination by un- wanted pH and temperature are adjusted to the
microorganisms. appropriate values. It is then inoculated and the
growth phase begins. The initial carbon source is
13.3.3.6 C ONTROL OF THE FERMENTATION sufficient in quantity to maintain early growth but
If growth in the fermenter proceeds unchecked at not sufficient to provide the energy that penicillin
the rate prevailing in the seed stages, the culture production and maintenance of the cell population
would become very dense and the available need during the rest of the fermentation. Carbon
aeration would no longer be sufficient to maintain for these subsequent stages is ‘fed’ continuously in
penicillin production. Should oxygen availability such a way as to limit net growth. Either sucrose or
fall below a critical level, benzylpenicillin glucose is used, possibly as cheaper, impure forms,
biosynthesis is greatly reduced although culture such as molasses or starch hydrolysate. As the
growth continues. Accordingly, conditions are so concentration of residual sugar in the broth is too
adjusted that fast growth is achieved only until the low to measure, the rate of feeding has to be
cell population has reached the maximum density learned by experience and modified on the basis
that the vessel can support. Further net growth is of systematic observation. An alternative way of
constrained by deliberately limiting the supply of a attaining carbon limitation with- out the
key nutrient (in practice, a sugar). The cells can complication of a carefully monitored carbon feed
then be stimulated to an ‘overproduction’ of rate is to supply all the carbohydrate at the outset
benzylpenicillin while restricting the amount of as lactose. The rate-limiting hydrolysis of lactose to
growth and a stable, highly productive cell hexose is then relied upon to give a steady, slow
population can be sustained. feed of assimilable carbohydrate. Originally, all
13.3.4 BATCHED MEDIUM benzylpenicillin was manufactured using lactose in
The medium initially batched into the fermenter is this way and some manufacturers still prefer this
a complex one but designed only to support the technique. Calcium, magnesium, phosphate and
desired amount of early growth. The principal trace metals added initially are usually sufficient to
nitro- gen source is corn steep liquor (CSL), a by- last throughout the fermentation, but the
product of the maize starch-producing industry. microorganisms need further supplies of nitrogen
This material was originally found to be specifically and sulphur to balance the carbon feed. Fed
useful for the penicillin fermentation, but it is nitrogen is often supplied as ammonia gas. The
recognized as valuable in many fungal antibiotic word ‘balance’ is used quite deliberately; the
media. Apart from its primary purpose in supplying whole system is a balanced one. Thus, the carbon
cheap and readily available nitrogen, CSL also and nitrogen feeds not only satisfy the organisms’
contains a useful range of carbon compounds, requirements for these elements in the correct
such as acids and sugars, together with inorganic molar ratio, they also maintain an adequate
ions and growth factors—in short, it is virtually a reserve of ammonium ion and contribute to pH
complete growth medium in itself. However, like control, the carbon metabolism being acidogenic
some of the fed nutrients, CSL is a complex and balanced by the alkalinity of the ammonia.
nutrient, not chemically defined, derived from Sulphate is usually sup- plied in combination with
natural products and with significant batch-to- the sugar feed and, by obtaining the correct ratio,
batch variation. It is therefore one of the reasons there is a balanced presentation of sulphate with
why no two fermentations are ever absolutely an adequate pool of intermediates. The growth
of the manufacturing process. Basic GMP 6 Records are to be made during manufacture
requirements outlined in the Medicines Control which demonstrate that all the steps required by
Agency Rules and Guidance (the “Orange Guide”) the defined procedures have been taken and that
are as follows: the quantity and quality of the product was as
1 All manufacturing processes should be clearly expected. Any significant deviations are to be fully
defined and be capable of consistently producing recorded and investigated.
material of the required quality and complying 7 Records of manufacture and distribution, which
with specification. enable the complete history of a batch to be
2 Critical steps of manufacturing processes and traced, are retained in a comprehensible and
significant changes to processes should be accessible form.
validated. 8 The distribution (wholesaling) of the products
3 All necessary facilities for GMP should be pro- minimizes any risk to quality.
vided including: 9 A system is available to recall any batch of
(a) appropriately qualified and trained personnel; product, from sale or supply.
(b) adequate premises and space; 10 All complaints are examined, the cause of
(c) suitable equipment and services; quality defects investigated and appropriate
(d) correct materials, containers and labels; measures taken in respect of the defective
(e) approved procedures and instructions; and products and to prevent recurrence. Failure to
(f) suitable storage and transport. comply with current GMP may result in a number
4 Instructions and procedures are written in an of sanctions from the regulatory authorities, up to
instructional form in clear and unambiguous and including recall of product from the
language, specifically applicable to the facilities marketplace and withdrawal of manufacturing and
provided. marketing licences. Thus appropriate standards for
5 Operators are trained to carry out procedures the manufacture of antibiotics are monitored and
correctly. maintained.
14.2 DEfiNITIONS
Several terms used in industrial and hospital
production must be defined to enable the reader to
Chapter 14 FACTORY AND follow this chapter. The inter-relationship between
HOSPITAL HYGIENE quality assurance, good manufacturing practice,
quality control and in-process control is shown
below:
14.1 INTRODUCTION 14.2.1 MANUFACTURE
There are many definitions of quality (see Sharp, Manufacture is the complete cycle of production of a
2000). For the purpose of pharmaceutical products medical product. This cycle includes the acquisition
the term quality is usually taken to mean fitness for of all raw materials, their processing into a final
purpose. Not only must the product have the de- product, and its subsequent packaging and
sired therapeutic properties; it must also be safe for distribution.
administration by the route intended. Some 14.2.2 QUALITY ASSURANCE (QA)
products such as injections must be sterile, while This term refers to the sum total of the
others such as oral drugs need not be sterile, but arrangements made to ensure that the final product
must be free from pathogens that can be contracted is of the quality required for its intended purpose. It
via the oral route (British Pharmacopoeia, 2003, consists of good manufacturing practice plus factors
Appendix XVI D). A great deal more space in the such as original product design and development.
literature is dedicated to quality of sterile products,
but this reflects the additional quality assurance
required compared with that for non-sterile
products (Sharp, 2000). Manufacturing is carried out
in both industry and hospitals. In the latter, batches
tend to be much smaller, sometimes only one item,
and the products are stored for much less time,
usually less than 24 hours (Beaney, 2001).
The difficulty in demonstrating quality is that the
tests carried out are designed to detect its absence.
For example, the test for sterility (Chapter 20)
involves taking samples at random and testing for
microorganisms. The absence of microorganisms
only allows an estimate of the statistical probability
that the batch is sterile. Therefore it is important
that a product be manufactured in a suitable 14.2.3 GOOD MANUFACTURING PRACTICE
environment by a procedure that minimizes the (GMP)
possibility of contamination occurring. At the end of Good manufacturing practice (GMP) comprises that
this process the tests can be performed as an part of quality assurance that is aimed at ensuring
additional measure. The UK Orange Guide (Rules and the product is consistently manufactured to a quality
Guidance for Pharmaceutical Manufacturers and appropriate for its intended use. GMP re- quires
Distributors, 2002) emphasizes the fundamental that:
point that the manufacture of sterile products: must (i) the manufacturing process is fully de- fined
strictly follow carefully established and validated before it is commenced; and
methods of preparation and procedure. Sole reliance (ii) the necessary facilities are provided. In
for sterility or other quality aspects must not be practice, this means that:
placed on any terminal process or finished product • personnel must be adequately
test. trained
This chapter summarizes measures for the control, • suitable premises and equipment
during manufacture, of one important feature of employed
product quality, the level of microbial • correct materials used
contamination. • approved procedures adopted
manufacturing area and can lead to contamination must be adequately trained and their aseptic
of both the environment and final product. Materials technique monitored both by observation and
of natural origin, plant or animal, are usually microbial testing. Air filter and sterility efficiency
associated with an extensive microbial flora and must also be evaluated. The final tests that are
require careful storage to prevent growth of the usually conducted on the finished product are those
organisms and spoilage of the material. If stable, for pyrogens (endotoxin test) and sterility.
natural products with a high microbial count may be Documentation is a vital part of quality assurance.
sterilized. Staff handling raw materials must be given Details of starting materials, packaging materials,
adequate training to prevent cross-contamination. and intermediate, bulk and finished products should
Water for manufacturing may be potable mains be recorded, so that the history of each batch may
water, water purified by ion exchange, reverse be traced. Distribution records must be kept. This
osmosis or distillation, or Water for Injection. Water information is of paramount importance in the event
used for parenteral products must be apyrogenic that a defective batch has to be recalled.
and is usually produced in a specially designed still. 14.3.7 PACKAGING, STORAGE AND TRANSPORT
Although pyrogens are not volatile, some are carried Packaging serves a number of functions: it keeps the
over mechanically into the distillate with the contents in, it should keep contaminants out and it is
entrainment (spray), so a spray trap, consisting of a labelled to permit identification of its con- tents. The
series of baffles, is fitted to the distilling flask to product is contained within primary packaging. In
prevent spray and pyrogens from entering the industry these packages are then placed inside
condenser tubes. Water prepared in this way can be secondary packaging for storage and transport. This
used immediately for the preparation of injections, secondary packaging may take the form of cartons,
provided they are sterilized within 4 hours of water boxes, trays or shrink-wrapping. Consideration must
collection. Alternatively, the water can be kept for be given to both the fabrics of the packaging and its
longer periods at a temperature above 65°C (usually cleaning and also the actual process of packaging.
80°C) to prevent bacterial growth with consequent Where terminal sterilization is carried out, the
pyrogen production. Ultraviolet radiation may be packaging must be suitable for the process.
useful in reducing bacterial count but must not be Packaging of aseptically processed products into a
regarded as a sterilizing agent. sterile container must be carried out in grade A
14.3.5 PROCESS DESIGN environment.
The manufacturing process must be fully defined
and capable of providing, with the facilities avail- 14.4 MANUFACTURE OF STERILE PRODUCTS
able, a product that is microbiologically acceptable
and conforms to specifications. The process must be For production purposes an important distinction
fully evaluated before starting to ensure that it is exists between sterile products which have been
suitable for routine production operations. terminally sterilized and those which are not.
Processes and procedures must also be subject to Terminal sterilization involves the product being
frequent reappraisal and should be re-evaluated sealed in its container and then sterilized, usually by
when any significant changes are made in the heat, but ionizing radiation or, less commonly,
equipment or materials used. ethylene oxide may be employed. Such a product
must be produced in a clean area. A product that
14.3.6 QUALITY CONTROL AND DOCUMENTATION
cannot be terminally sterilized is pre- pared
The lower the microbiological count of the starting
aseptically from previously sterilized materials or by
materials, the more readily the quality of the
sterile filtration and then filled into sterile
product can be controlled. Microbiological standards
containers. Strict aseptic conditions are required
should be set for all raw materials as well as
throughout. Vaccines, consisting of dead
microbial limits for in-process samples and the final
microorganisms, microbial extracts or inactivated
product. Microbiological quality assurance also
viruses may be filled in the same premises as other
covers the validation of cleaning and disinfectant
sterile medicinal products. The completeness of
solutions and the monitoring of the production
inactivation (or killing or removal of live organisms)
environment by microbial counts. This monitoring
must be proved before processing. Separate
should be carried out while normal production
premises are needed for the filling of live or
operations are in progress. In addition, sterile
attenuated vaccines and for the preparation of other
manufacture requires extra safeguards. Operators
products derived from live organisms. Non-sterile
products and sterile products must not be processed False ceilings should be adequately sealed to
in the same area. prevent contamination from the space above.
Use should be made of well- sealed glass panels,
especially in dividing walls, to ensure good
visibility and allow satisfactory super- vision.
Doors and windows should be flush with the
walls. Windows should not be openable.
Internal fittings such as cupboards, drawers and
shelves should be kept to a minimum. They
must be sited where they do not interfere with
the laminar flow of the filtered air supply.
Stainless steel or laminated plastic are the
preferred materials for such fittings. Stainless
steel trolleys may be used to trans- port
equipment and materials within the clean and
aseptic areas but must remain confined to their
respective units. Equipment must be designed
so that it may be easily cleaned and sterilized or
disinfected.
Filtered air is used to achieve the necessary changing room should be from a ‘black’ to a ‘grey’
standards; this should be maintained at positive area, via a dividing step-over sill. Movement through
pressure throughout a clean or aseptic area, with the these areas and finally into the clean room is
highest pressure in the most critical rooms (aseptic permitted only when observing a strict protocol,
or clean filling rooms) and a progressive reduction whereby outer garments are removed in the ‘black’
through the preparation and changing rooms; a area and clean room trouser-suits donned in the
minimum pressure differential of 10–15 Pa is ‘grey’ area. After hand-washing in a sink fitted with
normally required between each class of room. A elbow- or foot-operated taps the operator may
minimum of 20 changes of air per hour is usual in enter the clean room.
clean and aseptic rooms. The air inlet points should
be situated in or near the ceiling, with the final filters 14.5.1.7 C LEANING AND DISINFECTION
placed as close as possible to the point of input to A strict disinfection policy is necessary if microbial
the room. The greatest risk of contamination of a contamination is to be kept to a minimum. Cleaning
product comes from its immediate environment. agents used include alkaline detergents and ionic
Additional protection is needed in both the filling and non-ionic surfactants. A wide range of chemical
area of the clean room and in the aseptic suite. This disinfectants is available. Clear soluble phenolics are
can be provided by a workstation supplied with a commonly used for interior services and fittings.
unidirectional flow of filtered sterile air. This is Disinfectants for working surfaces are alcohols (70%
known as a laminar flow cabinet. Displacement of air ethanol or isopropanol) or, less commonly, chlorine-
may be vertical or horizontal with a minimum base agents such as hypochlorites. Skin may be
homogeneous airflow of 0.45 m/sat the working disinfected with cationic detergents such as
position. Consequently airborne contamination is cetrimide or chlorhexidine, usually formulated with
not added to the workspace and any generated by 70% alcohol to avoid the need for rinsing. Gloved
manipulations is swept away by the laminar air hands may be disinfected with these detergents (so
currents. A fuller description of high efficiency offering residual activity) or 70% alcohol alone.
particulate air (HEPA) filters in laminar flow cabinets Rotation of different disinfectants reduces the risk of
is given by Gardner and Peel (1998). The efficacy of the emergence of resistant strains. In-use dilutions
the filters through which the air is passed should be must not be stored unless sterilized. Disinfectants
monitored at predetermined intervals. Air quality and detergents for use in grade A/B areas must be
may be monitored by volumetric air sampler or sterile prior to use. Smooth polished surfaces are
settle plate. most readily cleaned. Floors and horizontal surfaces
should be cleaned and disinfected daily, walls and
14.5.1.5 C LOTHING ceilings as often as required, but the interval should
Clothing worn in the clean area must be of non- not exceed 1 month. Regular microbiological
shedding fibres; terylene is a suitable fabric. monitoring should be carried out to determine the
Airborne contamination, both microbial and efficacy of disinfection procedures. Records must be
particulate, is reduced when trouser suits, close- kept and immediate remedial action taken should
fitting at the neck, wrists and ankles, are worn. Clean normal levels for that area be exceeded.
suits should be provided once a day, but fresh
headwear, overshoes and powder-free gloves are 14.5.1.8 O PERATION
necessary for each working session. Special The number of persons involved in sterile
laundering facilities are desirable. manufacture should be kept to a minimum to avoid
the inevitable turbulence and shedding of particles
14.5.1.6 C HANGING FACILITIES and organisms associated with the operatives. All
Entry to a clean or aseptic area should be through a operations should be undertaken in a con- trolled
changing room fitted with interlocking doors; this and methodical manner as excessive activity may
acts as an airlock to prevent influx of air from increase this turbulence and shedding. Containers
outside. This route is for personnel only, not for the made from fibrous materials such as paper,
transfer of materials and equipment. Staff entering cardboard and sacking are generally heavily
the changing room should already be clad in the contaminated (especially with moulds and bacterial
standard factory or hospital protective clothing. For spores) and should not be taken into clean areas.
entry into a clean area, passage through the Ingredients that must be brought into clean areas
must first be transferred to suitable metal or plastic membrane filter. Workbenches, including laminar
containers. flow units, and equipment, should be disinfected
Containers and closures for terminally sterilized immediately be- fore and after each work session.
products must be thoroughly cleaned before use and Equipment must be of the simplest design possible
should undergo a final washing and rinsing process for the operation being performed. Aseptic
in apyrogenic distilled water (which has been passed manipulations must be carried out in the grade A air
through a bacteria-proof membrane filter) of a laminar flow cabinet. Speed, accuracy and
immediately prior to filling. Containers and closures economy of movement are essential features of
for use in aseptic manufacture must, in addition, be good aseptic technique. It is therefore essential that
sterilized after washing and rinsing in preparation for workers are well trained and motivated and familiar
aseptic filling. with the task in hand. Observation and
microbiological monitoring of the operator and of
14.5.1.9 C LOTHING the environment are very important. Air quality is
Clothing requirements are necessary for aseptic measured using settle plates or slit samplers, work
areas. The operative is a potential source of surfaces by taking swabs or by use of contact plates.
microorganisms and it is imperative that steps are Under no circumstances must living microorganisms,
taken to prevent this contamination. The operative including those used for vaccine preparation and for
must wear sterile protective headwear, totally biological monitoring, be introduced into the aseptic
enclosing hair and beard, powder-free rubber or area.
plastic gloves, a non- fibre-shedding facemask (to
prevent the release of droplets) and footwear. A 14.5.1.12 I SOLATOR AND BLOW / fiLL / SEAL
suitable garment is a one- or two-piece trouser-suit. TECHNOLOGY
Fresh sterile clothing should be provided each time a All aseptic packaging should be carried out in a grade
person enters an aseptic area. A environment with a grade B background. Advances
in technology now permit the production of self-
14.5.1.10 E NTRY TO ASEPTIC AREAS contained workstations, or isolators, which
Entry to an aseptic suite is usually through a ‘black- incorporate many of the design principles of clean
grey-white’ changing procedure, where white rooms and laminar flow cabinets. The isolator
represents the highest level of cleanliness. protects both the product from contamination by
Movement from ‘black’ to ‘white’ is via two changing the operator and the operator from any hazardous
rooms, the ‘grey’ area also serving as an entry to the materials. Direct interaction between the operator
clean room. and the product is minimized by providing a grade A
laminar flow of air with a positive pressure, the
14.5.1.11 E QUIPMENT AND OPERATION internal space being accessed by means of a
Any articles entering the aseptic area must be glove/sleeve system. A grade D background is
sterilized. In order to achieve this, articles should be considered adequate for such operations.
transferred via a double-ended sterilizer (i.e. with a Blow/fill/seal units are purpose-built pieces of
door at each end). If they are not to be discharged equipment, which carry out these three steps in a
directly to the aseptic area, they should be continuous process within a controlled environment.
(i) double-wrapped before sterilization; Containers, which are formed from thermo- plastic
(ii) transferred immediately after sterilizing granules, are blown to form the correct shape, filled
into a clean environment until and heat-sealed. These units are fitted with a grade
required; A air shower and operated in a grade C environment
(iii) transferred from this clean environment via for aseptic manufacture and a grade D background
a double-doored hatch (where the for products which are to be terminally sterilized.
outer wrapping is removed) to the
aseptic area (where the inner wrapper 14.6 GUIDE TO GOOD PHARMACEUTICAL
is removed at the work- bench).
Hatches and sterilizers must be designed so that only MANUFACTURING PRACTICE
one door may be opened at any one time. Solutions Between 1971 and 1983 the essential features of
manufactured in the clean room may be brought GMP were covered in the UK by three editions of the
into the aseptic area through a sterile 0.22-mm Guide to Good Pharmaceutical Manufacturing
Practice, frequently referred to as ‘The Orange Greater stringency is required for terminally
Guide’. This guide was prepared by the UK sterilized products. Such environmental and process
Medicines Inspectorate in consultation with controls might seem overzealous, but it is better to
industrial, hospital, professional and other minimize risk at all stages rather than to rely on final
interested parties. The principles of this national product testing. The lower the bioburden the easier
guide were subsequently assimilated into the EC it is to achieve the required sterility assurance level
Guide to Good Manufacturing Practice for Medicinal in the terminal sterilization process. It is also
Products in 1989 and are now published as Rules and important to exclude pyrogens and particulate
Guidance for Pharmaceutical Manufacturers and matter that would not be removed by sterilization.
Distributors (2002) by the Medicines Control Agency, Where products are processed aseptically even
Department of Health. Two important recent higher standards of cleanliness are necessary. The
publications from the Pharmaceutical Press are importance of the knowledge and commitment of
Quality in the Manufacture of Medicines and Other the operatives cannot be overemphasized, both in
Health Care Products (Sharp, 2000) and Quality hospital and industry. A majority of reported
Assurance of Aseptic Preparation Services (Beaney, incidents of defective products have been traced to
2001), which discusses manufacturing in hospitals. human rather than technological error.
Compliance with GMP is one of the major factors
considered by the Licensing Authority when
examining an application for a license to
manufacture under the Medicines Act (1968). Similar
codes exist in the USA and other countries.
14.7 CONCLUSIONS
Quality assurance is not just a process; it is a way of
thinking. All staff should be well trained and
motivated and be working to a common goal: the
production of a pharmaceutical product of a quality
that is safe for the patient. The procedures should
not be seen as a chore or burden to make work
more difficult, but essential steps in the production
of a safe, satisfactory product. Self-inspection and
external audit of procedures are important
processes in maintaining standards of cleanliness.
Even after manufacture and distribution it is vital
that the products are used properly, especially multi-
use containers that are subject to potential in-use
contamination. The manufacture of non-sterile
products requires that certain standards of
cleanliness, personal hygiene, production methods
and storage must be met. Many such products are
for oral and topical use and one might wonder why
such stringent parameters need be in place.
However, there have been controlled hospital
studies and case reports associating these products
with nosocomial (hospital- acquired) infection.
Furthermore, methods of controlling pathogens also
control spoilage organisms, which could cause the
industry considerable expense. Spoilage organisms
can alter the aesthetic qualities (such as smell, taste,
and appearance), physical properties (pH, viscosity)
and efficacy of the product, in addition to producing
toxins.
Milk is an excellent medium for microbial growth, E.g. Old microbes are less virulent.
and when stored at ambient temperature bacteria Vaccine may Monovilent (contains 1 types of
and other pathogens soon proliferate. microbes), Bivilent, Trivilent, Polyvilent……
Pasteurization can prevent include tuberculosis, Vaccine can be prepared by heating the cell of
o
diphtheria, scarlet fever, it also kills the harmful microbes at 56 C at for 1 hour, that all his toxiphoric
bacteria Salmonella, Yersinia, Campylobacter, Staph portion is destroyed and its antigenicity remains
ylococcus aureus, and Escherichia coli. alive.
Mycobacterium tuberculosis is the indicator microbe
of Milk. 15.7 BACTERIAL VACCINE
Pasteurization is the reason for milk's extended shelf
life. 15.7.1 PREPARATION OF BACTERIAL
Pasteurized milk is free from Mycobacterium VACCINE
tuberculosis. It has 3 steps:
Preparation of culture.
15.5 DEAD VACCINE Preparation of Bacterial suspension.
The vaccine having dead microbes that Counting of microbes present in the vaccine
cannot replicate but can still trigger the production (Standardization).
of antibodies.
Dead vaccine. (E.g. TBA vaccine
15.7.2 BCG VACCINE
BCG vaccine provides immunity or protection against
Typhoid).
tuberculosis (TB). The vaccine may be given to
persons at high risk of developing TB. It is also used
15.6 ATTENUATED VACCINE to treat bladder tumors or bladder cancer.
Any physical or chemical process, by which we Calmelte & Guerin makes BCG (T.B) vaccine.
reduce the virulence and increase the antigenicity, is It consists of suspension of living tubercular bacilli of
called Attenuation. bovine type .
Dilution is also a way of Attenuation, the active The bacterium is render a virulent by cultivating it on
substances are very diluted. Glycerin-bile patato media.
Vaccines can be prophylactic (example: to prevent or The BCG vaccine can be anywhere from 0 to 80%
ameliorate the effects of a future infection by any effective in preventing tuberculosis for a duration of
natural or "wild" pathogen), or therapeutic (e.g., 15 years.
vaccines against cancer are also being investigated. Usual dose is 0.5 ml.
An attenuated vaccine is a vaccine created by BCG vaccine can be implemented after the birth
reducing the virulence of a pathogen, but still intradermally.
keeping it viable (or "live"). A tuberculin skin test should always be done before
Attenuation takes an infectious agent and alters it so administering BCG.
that it becomes harmless or less virulent. BCG is given as a single intradermal injection at the
Attenuation can be done by several method: insertion of the deltoid.
India and Pakistan: India and Pakistan introduced
Heat ( low or high temperature inactive the
BCG mass immunization in 1948, the first countries
microbes)
outside Europe to do so.
Phenol (5% phenol is used for attenuation). 15.7.3 CHOLERA VACCINE
Formaldehyde (4% is used). Cholera vaccine is a vaccine used against cholera.
Potash alum (ppt the microbe and seprated) The first vaccines used against cholera were
Aluminum phosphate (1% is used). developed in the late nineteenth century.
It consists of sterile suspension of vibrio cholera
Virulence can be increase by allowing the microbe in 8000 cell/ ml.
living tissues. Virulence can be decrease when Vaccine is prepared by general method containing 2
microbe can be allow to grow on artificial media in types of microbes serotype.
the lab. Bacteria culture can be weak by keeping in Vibrio Cholera Inaba type.
the refrigerator. Vibrio Cholera Ogawa type.
th
chickenpox, leading to malignant diseases such as It is 1 of the smallest virus (1/100,000 of
intravascular coagulation, hypotention, staphylococcus).
cardiovascular collapse or bleeding of skin and Dumb polio
intestinal tract. Abortive polio, (causing fever, headache,
The vaccine has provided protection to 95% of the vomiting).
vaccinated individuals.
Paralytic polio, (causing respiratory
The vaccine will provide protection after 2 days of its
administration. difficulties).
It offers the best possible protection against a
possible exposure to smallpox. Non- Paralytic polio cause convulsions, stiffness of
neck.
15.9.2 INFLUENZA VACCINE
Polio multiply in never cells of Monkey and Man.
Influenza vaccine boast up immunity against
The kidney of infected person/animal are removed,
Influenza virus.
grinded into cubes of 1mm and vaccine is prepared.
Influenza vaccines may be administered as an
Oral vaccine consisting living poliovirus from monkey
injection, also known as a flu shot, or as a nasal
kidney tissues which are cultivated and checked.
spray.
The oral vaccine is prepared in the form of syrup/
Laidlaw discovered Influenza virus in 1933.
head gelatin capsule containing stock vaccine(which
Vaccine is mixture of sterile suspension of Influenza
is stored), described by Sabin .
virus prepared in normal saline.
Viral particle multiply in the canal and developed
Dose: 1:1000 dilution.
immunity.
Vaccine is prepared in chicken embryo.
Salk vaccine: (dead vaccine) Monkey tissues
15.9.3 YELLOW FEVER VACCINE containing polio virus is treated with formaldehyde
The vaccine consists of a live, but attenuated, strain to prevent paralysis.
of the yellow fever virus.
Vaccine is prepared in chicken embryo.
The embryo is incubated for 17 days as a result it 15.10 ANTI-IDIOTYPIC VACCINES
become weaken and used as vaccine. Anti-idiotypic vaccines comprise antibodies that
The chicken embryo filter through millipore, 0.5 µm have three-dimensional immunogenic regions,
as a standard size. designated idiotopes, that consist
The sample is taken through syringe by creating of protein sequences that bind to cell receptors.
vacuum. Idiotopes are aggregated into idiotypes specific of
15.9.4 POLIOMYELITIS (POLIO) VACCINE their target antigen.
Two polio vaccines are used throughout the world to An example of anti-idiotype antibody
combat poliomyelitis (or polio) Salk vaccine and is Racotumomab.
Sabin vaccine. 15.10.1 USE:
The first vaccine by Jonas Salk was developed and Because the antibody produced using the "anti-
tested in 1952. idiotypic" process closely resembles the original
An oral vaccine by Albert Sabin was developed in epitope of the antigen, these antibodies can be used
1957 using attenuated poliovirus. to induce immune responses from cellular to
Vaccine may be prepared by 3 immunological type of antibody-antigen for a given antigen, e. g., TAA,
poliovirus. when administered as a vaccine to a human.
They are mainly used for high risk cancer patients.
TERMINOLOGIES
Abiogenesis
Abiogenesis is the process by which a living organism arises naturally from non- living matter, as opposed to
biogenesis
Acid-fast
Acid-fastness is a physical property of certain bacteria (and, less commonly, protozoa), specifically their resistance
to decolorization by acids during staining procedures e.g. Mycobacterium tuberculosis, and Mycobacterium leprae
etc.
Aerobe
A microorganism which grows in the presence of air or requires oxygen for growth. E.g. Myobacterium tuberculosis
Agar
A dried polysaccharide extract of red algae (Rhodophyceae) used as a solidifying agent in microbiological media.
Agglutination
The clumping of cells.
Agglutinin
An antibody capable of causing the clumping or agglutination of bacteria or other cells.
Anaerobe
An anaerobic organism or anaerobe is any organism that does not require oxygen for growth. It may react
negatively or even die if oxygen is present, which means that it can perform its bodily functions better in the
absence of oxygen. E.g. Escherichia coli, Clostridium botulinum (which causes food poisoning)
O BLIGATE ANAEROBES , which are harmed by the presence of oxygen. E.g. Clostridium tetani and Bacteroides tectus
A EROTOLERANT ORGANISMS , which cannot use oxygen for growth, but tolerate the presence of it
F ACULTATIVE ANAEROBES , which can grow without oxygen but use oxygen if it is present. E.g. Escherichia coli and
Shewanella oneidensis (Gram negative)
Animalcules
Animalcule is an older term for a microscopic animal or protozoan
Antagonism
The killing, injury or inhibition of growth of one species of microorganism y another when one organism adversely
affect the environment of the other.
Antibiotic
A substance of microbial origin that has antimicrobial origin that has antimicrobial activity in very small amounts.
Antimicrobial agent
Any chemical or biological agent that either destroys or inhibits the growth of microorganism.
Antibody
Any of a class of substances (proteins) produced by an animal in response to the introduction of antigen.
Antiseptic
Antiseptics are antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection,
sepsis, or putrefaction.
Autoclave
An apparatus using pressurized steam for sterilization
Autotroph
These are bacteria which are able to synthesize their own organic food from inorganic substances.
Photoautotrophic Bacteria
The photoautotrophic bacteria possess photosynthetic pigments in membrane bound lamellae (or thylakoids) and
utilise solar energy. The bacterial photosynthesis is different from that of green plants since here water is not used
as a hydrogen donor. Hence oxygen is not released as a byproduct. For this reason, the process is described as
anoxygenic photosynthesis. E.g. cyanobacteria
Chemosynthetic Bacteria
These are bacteria which manufacture organic compounds from inorganic raw materials utilising energy liberated
from the oxidation of inorganic substances. Following are the common types of chemo autotrophic bacteria.
Nitrifying bacteria which derive energy by oxidizing ammonia into nitrates. Eg: Nitrobacter vulgari
Sulphur bacteria which derive energy by oxidising hydrogen sulphide to sulphur. Eg: Thiobacillus aquaesulis
Iron Bacteria which derive energy by oxidising ferrous ions into ferric form. Eg: ferrobacillus ferrooxidans
Autolysis
The disintegration of cells by the action of their own enzymes.
Bacterial Conjugation
Bacterial conjugation is the transfer of genetic material (plasmid) between bacterial cells by direct cell-to-cell
contact or by a bridge-like` connection between two cells.
Bacteriostatic
Inhibiting the growth of bacteria without killing them.
Bergey’s Manual
An international reference work which classifies and describes bacteria.
Binomial nomenclature
Binomial nomenclature (also called binominal nomenclature or binary nomenclature) is a formal system of naming
species of living things by giving each a name composed of two parts, both of which use Latin grammatical forms,
although they can be based on words from other languages. The first part of the name identifies the genus to
which the species belongs; the second part identifies the species within the genus. For example, humans belong to
the genus Homo and within this genus to the species Homo sapiens.
Biodegradable
Biodegradation is the chemical dissolution of materials by bacteria or other biological means.
Biogenesis
Biogenesis is the production of new living organisms or organelles
Biomass
The mass of living matter present in a specified area
Brownian motion
A peculiar dancing motion exhibited by finely divided particles and bacteria in suspension due to bombardment by
the molecules of the fluid.
Budding
Budding is a form of asexual reproduction in which a new organism develops from an outgrowth or bud on another
one. Common Yeast show the phenomena of budding commonly. One bud is formed at one time and the
maximum number of buds that can be formed during the life of common yeast is seven.
Carrier
A person in apparently good health who harbors a pathogenic microorganism.
Colony
The resultant of a single cell or it is a progeny of a single cell is called colony.
Colony Forming Unit (CFU)
The cell or aggregate of cells which gives rise to single colony in the plate-count technique.
Complement
A normal thermo-labile protein constituent of blood serum that participates in antigen-antibody reactions.
Contaminated Culture
The culture containing a few unknown microbes or the entrance of unknown microbe/s in the pure or mixed
culture.
Cytolysis
The dissolution or disintegration of a cell.
Disinfectant
Disinfectants are substances that are applied to non-living objects to destroy microorganisms that are living on the
objects.
Endemic
In epidemiology, an infection is said to be endemic in a population when that infection is maintained in the
population without the need for external inputs. For example, chickenpox is endemic (steady state) in the UK, but
malaria is not.
Epidemic
A widespread occurrence of an infectious disease in a community at a particular time.
Epidemiology
Epidemiology is the study (or the science of the study) of the patterns, causes, and effects of health and disease
conditions in defined populations.
Etiology
The cause, set of causes, or manner of causation of a disease or condition.
Fermentation
Fermentation is a metabolic process converting sugar to acids, gases and/or alcohol. It occurs in yeast and
bacteria, but also in oxygen-starved human muscle cells
Fission
In biology, fission is the subdivision of a cell (or body, population, or species) into two or more parts and the
regeneration of those parts into separate cells (bodies, populations, or species). Binary fission produces two
separate cells, populations, species, etc., whereas multiple fission produces more than two cells, populations,
species, etc.
Flagellum
A flagellum is a lash-like appendage that protrudes from the cell body of certain prokaryotic and eukaryotic cells.
Fluorescence
The emission of light of a particular wavelength by a substance which has absorbed light of a shorter wavelength.
For example, the emission of green light by the molecules of fluorescein dye which have absorbed blue light.
Germicidal
An agent that kills germs, especially pathogenic microorganisms
Gram negative bacteria
Gram-negative bacteria are bacteria that do not retain crystal violet dye in the Gram staining protocol. In a Gram
stain test, a counterstain is added after the crystal violet, coloring all gram-negative bacteria with a red or pink
color. E.g. Escherichia coli (E. coli), Salmonella typhus and Shigella Dysentery.
Gram positive bacteria
Gram-positive bacteria are those that are stained dark blue or violet by Gram staining. This is in contrast to gram-
negative bacteria, which cannot retain the crystal violet stain, instead taking up the counterstain and appearing
red or pink. E.g. Clostridium tetani (cause of tetnus), and Bacillus anthracis (cause of anthrax)
Gram Stain
Gram staining (or Gram's method) is a method of differentiating bacterial species into two large groups (Gram-
positive and Gram-negative). The name comes from its inventor, Hans Christian Gram.
Heterotroph
A heterotroph is an organism that cannot fix carbon and uses organic carbon for growth. E.g. Escherichia coli
Immunity
A natural or acquired resistance to a specific disease
In vitro
(Literally “In Glass”) pertaining to biologic experiments performed in test tube or other laboratory vessels.
In vivo
In vivo is experimentation using a whole living organism
Infection
Infection is the invasion of a host organism's bodily tissues by disease-causing organisms, their multiplication, and
the reaction of host tissues to these organisms and the toxins they produce
Inhibition
The prevention of the growth or multiplication of microorganism
Inoculation
The artificial introduction of microorganism or other substances into the body or into a culture medium
Inoculum
The substance, containing microorganisms or other material that is introduced in inoculation
Lypholization
The preservation of biological specimens by rapid freezing and rapid dehydration in a high vacuum
Microbes
Any microscopic organism; a microorganism. E.g. bacteria, fungi, virus etc.
Microbiology
The study oforganisms of microscopic size including their culture, economic importance, pathogencity etc.
Mixed Culture
The culture conitaing two or more than two types of known microbes.
Mortality Rate
Death rate
Normal Flora
The normal flora are bacteria which are found in or on our bodies on a semi-permanent basis without causing
disease.
Passive immunity
Passive immunity is the transfer of active humoral immunity in the form of ready-made antibodies, from one
individual to another.
Pathogensity
Pathogenicity is the potential capacity of certain species of microbes to cause a disease.
Pandemic
A pandemic is an epidemic of infectious disease that has spread through human populations across a large region;
for instance multiple continents, or even worldwide.
Phagocytosis
Phagocytosis is the process of engulfing a solid particle by a phagocyte or a protist to form an internal phagosome
Pilus
A pilus is a hairlike appendage found on the surface of many bacteria.
Plague
Plague is a deadly infectious disease that is caused by the enterobacteria Yersinia pestis, named after the French-
Swiss bacteriologist Alexandre Yersin.
Plasmid
A plasmid is a small DNA molecule that is physically separate from, and can replicate independently of,
chromosomal DNA within a cell.
Pure Culture
Pure culture is the culture or growth of the organism of only one specific type of microbe.
Obligate Parasite
An obligate parasite is a parasitic organism that cannot complete its life cycle without exploiting a suitable host
Rickettsia
Obligate parasitic bacteria of arthropods; many are pathogenic for humans and other mammals.
Smear
The sample spread out on the slide evenly as thin as possible is called smear
The smear should be prepared by minimum quantity of the sample, evenly, homogenously spread out on an area
2
of about 1cm in one direction at one attempt.
Spontaneous generation
The hypothetical process by which living organisms develop from nonliving matter
Spore
In biology, a spore is a unit of asexual reproduction that may be adapted for dispersal and for survival, often for
extended periods of time, in unfavorable conditions.
Sterilization
The elimination of microbiological organisms to achieve asepsis, a sterile microbial environment
Substrate
Substrate is considered as the food for the microorganism
Syphilis
Syphilis is a sexually transmitted infection caused by the spirochete bacterium Treponema pallidum
Taxonomy
A field of science that encompasses the description, identification, nomenclature, and classification of organisms
Transcriptase
A polymerase that catalyzes the formation of RNA from a DNA template in the process of transcription.
Transduction
Transduction is the process by which DNA is transferred from one bacterium to another by a virus
Vaccination
Vaccination is the administration of antigenic material to stimulate an individual's immune system to develop
adaptive immunity to a pathogen. Vaccines can prevent or ameliorate morbidity from infection
Vacine
A vaccine is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an
agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the
microbe, its toxins or one of its surface proteins. The agent stimulates the body's immune system to recognize the
agent as foreign, destroy it, and keep a record of it, so that the immune system can more easily recognize and
destroy any of these microorganisms that it later encounters.
The term vaccine derives from Edward Jenner's 1796 use of cow pox (latin form vacca = cow)
Viable
Capable of working successfully; feasible.
Virulence
The degree of pathogenicity within a group or species of parasites as indicated by case fatality rates and/or the
ability of the organism to invade the tissues of the host. The pathogenicity of an organism - its ability to cause
disease - is determined by its virulence factors.
Viruses
A virus is a small infectious agent that replicates only inside the living cells of other organisms.
VIRIODS
An infectious particle, similar to but smaller than a virus, that consists solely of a strand of RNA and is capable of
causing disease in plants. Viroids are common plant pathogens which are a serious economic problem.
Recombinant Organism
An organism that contains a different combination of alleles from either of its parents.
Recombinant DNA
A form of artificial DNA
PYROGEN
A substance that produces fever.
ANTITOXIN
An antitoxin is an antibody with the ability to neutralize a specific toxin.
REFERENCE BOOKS
1. Jawetz, Medical Microbiology and Immunology, 11th edition, Churchill Livingstone, London, 2001.
2. W B Hugo & A D Russell, Pharmaceutical Microbiology, Black Well Science Ltd, London, 7th Ed, 1998.
3. Lippincott, Microbiology, 4th Ed, by lippincott, William & Willkins, USA, 2004.
4. Alcamo, Introduction to Microbiology, John Bartlett Publishers, 6th Ed., 2003.
5. Collin and Lynes, Microbiological Methods, 8th Ed, Vutterworth Heineman, Oxford, 2004.
6. M Mekallee, Microbiology: Essentials and Application, McGraw-Hill Inc, 2nd Ed.
7. Singleton and Sainsbury, Dictionary of Microbiology and Molecular Biology, 3rd Ed, John Willey & Sons, New
York, 2006.
8. Pelczar, Microbiology, 5th Ed, McGraw-Hill Inc,2002.
9. Prescott, Harley, Microbiology, 6th Ed, Klein Wm, C Brown Publishers, 2006.