Infection Control · single question

Which of the following best demonstrates the efficiency level of a surface disinfectant used in a dental office?

  1. Ability to kill Mycobacterium tuberculosis (tuberculocidal activity)
  2. Ability to kill all bacteria including spores (sporicidal activity)
  3. Ability to kill Staphylococcus aureus only
  4. Ability to kill hepatitis B virus
Show answer and explanation

Correct answer: A. Ability to kill Mycobacterium tuberculosis (tuberculocidal activity)

The standard used to demonstrate intermediate-level disinfection efficacy is tuberculocidal activity (ability to kill Mycobacterium tuberculosis). Mycobacterium tuberculosis is among the most resistant non-spore-forming organisms and is used as a benchmark because if a disinfectant can kill it, it will also kill most other vegetative bacteria, fungi, and lipid-enveloped viruses. Disinfectants are classified as low-level (kills most bacteria and some viruses), intermediate-level (tuberculocidal; also kills non-lipid viruses), or high-level (kills all except large numbers of bacterial spores). Sporicidal activity would indicate sterilization, not disinfection. The ADA and CDC use tuberculocidal efficacy as the standard for dental surface disinfectants.

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