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Microbiology, 2021

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542 13 • Control of Microbial Growth<br />

used to clean wounds. Hydrogen peroxide is used to sterilize items such as contact lenses. (credit photos: modification of work by Kerry<br />

Ceszyk)<br />

Plasma, a hot, ionized gas, described as the fourth state of matter, is useful for sterilizing equipment because it<br />

penetrates surfaces and kills vegetative cells and endospores. Hydrogen peroxide and peracetic acid, another<br />

commonly used peroxygen, each may be introduced as a plasma. Peracetic acid can be used as a liquid or<br />

plasma sterilant insofar as it readily kills endospores, is more effective than hydrogen peroxide even at rather<br />

low concentrations, and is immune to inactivation by catalases and peroxidases. It also breaks down to<br />

environmentally innocuous compounds; in this case, acetic acid and oxygen.<br />

Other examples of peroxygens include benzoyl peroxide and carbamide peroxide. Benzoyl peroxide is a<br />

peroxygen that used in acne medication solutions. It kills the bacterium Propionibacterium acnes, which is<br />

associated with acne. Carbamide peroxide, an ingredient used in toothpaste, is a peroxygen that combats oral<br />

biofilms that cause tooth discoloration and halitosis (bad breath). 22 Last, ozone gas is a peroxygen with<br />

disinfectant qualities and is used to clean air or water supplies. Overall, peroxygens are highly effective and<br />

commonly used, with no associated environmental hazard.<br />

CHECK YOUR UNDERSTANDING<br />

• How do peroxides kill cells?<br />

Supercritical Fluids<br />

Within the last 15 years, the use of supercritical fluids, especially supercritical carbon dioxide (scCO 2 ), has<br />

gained popularity for certain sterilizing applications. When carbon dioxide is brought to approximately 10<br />

times atmospheric pressure, it reaches a supercritical state that has physical properties between those of<br />

liquids and gases. Materials put into a chamber in which carbon dioxide is pressurized in this way can be<br />

sterilized because of the ability of scCO 2 to penetrate surfaces.<br />

Supercritical carbon dioxide works by penetrating cells and forming carbonic acid, thereby lowering the cell<br />

pH considerably. This technique is effective against vegetative cells and is also used in combination with<br />

peracetic acid to kill endospores. Its efficacy can also be augmented with increased temperature or by rapid<br />

cycles of pressurization and depressurization, which more likely produce cell lysis.<br />

Benefits of scCO 2 include the nonreactive, nontoxic, and nonflammable properties of carbon dioxide, and this<br />

protocol is effective at low temperatures. Unlike other methods, such as heat and irradiation, that can degrade<br />

the object being sterilized, the use of scCO 2 preserves the object’s integrity and is commonly used for treating<br />

foods (including spices and juices) and medical devices such as endoscopes. It is also gaining popularity for<br />

disinfecting tissues such as skin, bones, tendons, and ligaments prior to transplantation. scCO 2 can also be<br />

used for pest control because it can kill insect eggs and larvae within products.<br />

CHECK YOUR UNDERSTANDING<br />

• Why is the use of supercritical carbon dioxide gaining popularity for commercial and medical uses?<br />

Chemical Food Preservatives<br />

Chemical preservatives are used to inhibit microbial growth and minimize spoilage in some foods. Commonly<br />

used chemical preservatives include sorbic acid, benzoic acid, and propionic acid, and their more soluble salts<br />

potassium sorbate, sodium benzoate, and calcium propionate, all of which are used to control the growth of<br />

molds in acidic foods. Each of these preservatives is nontoxic and readily metabolized by humans. They are<br />

also flavorless, so they do not compromise the flavor of the foods they preserve.<br />

Sorbic and benzoic acids exhibit increased efficacy as the pH decreases. Sorbic acid is thought to work by<br />

22 Yao, C.S. et al. “In vitro antibacterial effect of carbamide peroxide on oral biofilm.” Journal of Oral <strong>Microbiology</strong> Jun 12, 2013.<br />

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682087/. doi: 10.3402/jom.v5i0.20392.<br />

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