Paper I
2018 July (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Bacterial spore and methods for its disinfection

Q25 marksShort Essays

Answer

Bacterial spore: a dormant, highly resistant, metabolically inactive form produced by certain Gram-positive bacteria (chiefly Bacillus and Clostridium species) under adverse environmental conditions (nutrient depletion, desiccation, heat) — a survival mechanism, not a means of reproduction. Its resistance derives from a high concentration of calcium dipicolinate in the core (stabilizing DNA/proteins against heat, radiation, desiccation), a thick, impermeable, multilayered protein coat (resisting chemical disinfectants and enzymatic digestion), and very low core water content (reducing heat-mediated protein denaturation).

Methods for destroying/disinfecting spores (only methods validated for actual sporicidal activity, since ordinary disinfection/pasteurization does NOT reliably kill spores):

  • Autoclaving (moist heat under pressure) — 121°C at 15 lbs/sq inch for 15–20 minutes; the most reliable sporicidal method, kills spores by protein denaturation/coagulation.
  • Hot air oven (dry heat) — 160°C for 1 hour; kills spores by slow oxidation, requiring much higher temperature/longer time than moist heat.
  • Tyndallisation (intermittent sterilization) — 100°C steaming on three successive days with intervening incubation, exploiting spore germination between cycles to expose the resulting vegetative forms to the next heating cycle; used for heat-labile fluids/media that cannot be autoclaved.
  • Ionizing radiation (gamma rays) — used industrially for sterilizing pre-packaged heat-sensitive disposable items.
  • Chemical sporicidal agents — glutaraldehyde (2% activated solution, prolonged exposure), ethylene oxide gas, and high-concentration hydrogen peroxide/peracetic acid — used for heat-sensitive medical equipment (e.g., endoscopes) requiring sporicidal-level disinfection/sterilization (“high-level disinfection”).
  • Incineration — complete combustion, guaranteed destruction of spores along with the material itself, used for infectious/biomedical waste.

Clinical/practical significance: because ordinary boiling (100°C) and pasteurization do NOT reliably kill spores, validated sterilization procedures must specifically target them — spores of Clostridium tetani, C. perfringens, C. botulinum, C. difficile, and Bacillus anthracis are the reference organisms used to validate sterilization protocols (e.g., biological indicators using Geobacillus stearothermophilus spores for autoclave validation).

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