1. Contribution of Joseph Lister
(1827-1912)
For B.Sc. Microbiology
By: Dr. MohammedAzim Bagban
2. • Joseph Lister, 1st Baron Lister,
(5 April 1827 – 10 February
1912), known between 1883 and
1897 as Sir Joseph Lister, was a
British surgeon and a pioneer of
antiseptic surgery.
• Joseph Lister studied at the
University of London and he
entered the Royal College of
Surgeons when he was 26. Lister
worked as a professor of surgery
at universities in both Glasgow
and Edinburgh.
• He was born on April 5th 1827.
• He died on February 10th
1912.His family were members of
a religious group called the
Quakers.
3. What is he best known for?
ď‚—He was trying to stop bacteria from getting into a humans body.
ď‚— Lister tested carbolic acid, or phenol, which was used to remove the smell from
sewage.
ď‚—He sprayed it on surgical instruments , wounds and dressings, and found a big
reduction of gangrene and infections.
ď‚—Wounds no longer became septic, so the carbolic acid was anti-septic.
ď‚—He made surgeons wear gloves and wash their hands before and after
operations with carbolic acid diluted in water.
4. ORIGINS OF ANTISEPTICS
Joseph Lister (1827 - 1912)
• Realised that deaths from operations mostly occurred
from infection contracted during the operation as a result
of unclean practices.
• He started using Carbolic acid (phenol) during operations
to maintain aseptic conditions with significant
improvements.
• Like Semmelweiss he initially encountered opposition,
but use of his methods by the Germans during the Franco-
Prussian war in 1870 provided his major breakthrough
and over the next 10 years, the practise of aseptic surgery
became accepted.
5. • Lister's work led to a reduction in post-operative
infections and made surgery safer for patients,
distinguishing him as the "father of modern
surgery.
• Before Lister's studies of surgery, most people
believed that chemical damage from exposure to
bad air was responsible for infections in wounds.
Hospital wards were occasionally aired out at
midday as a precaution against the spread of
infection via miasma, but facilities for washing
hands or a patient's wounds were not available.
A surgeon was not required to wash his hands
before seeing a patient because such practices
were not considered necessary to avoid
infection.
6. • n 1834, Friedlieb Ferdinand Runge discovered
phenol, also known as carbolic acid, which he
derived in an impure form from coal tar. At that
time, there was uncertainty between the
substance of creosote – a chemical that had
been used to treat wood used for railway ties
and ships since it protected the wood from
decay – and carbolic acid. Upon hearing that
creosote had been used for treating sewage,
Lister began to test the efficacy of carbolic acid
when applied directly to wounds.
7. • Therefore, Lister tested the results of spraying instruments, the surgical
incisions, and dressings with a solution of carbolic acid. Lister found that
the solution swabbed on wounds remarkably reduced the incidence of
disease.
8. Antiseptics and disinfectants
- a group of drugs that are able to inhibit the growth, development
or leads to death of microorganisms in the environment
surrounding the patient or on the surface of the body.
Antiseptics -(anti- against; septicas - putrid). This is a group of
medicines that are used to eliminate pathogens in the wound
(skin, mucous membranes) in the gastrointestinal tract and
urinary tract. Causes bacteriocidal or bacteriostatic effect
depending on the concentration.
Disinfectants - used for disinfection of medical instruments,
utensils, facilities, equipment, etc. Disinfection - a complex of
measures aimed at prevention of infection in the wound (in the
body as a whole) or to prevent the spread of infection.
• Draw a sharp line between antiseptics and disinfectants is not
always possible, because many substances used in low
concentrations as antiseptics, and higher - for disinfection.
9. Requirements for antiseptics
and disinfectants.
• Must have a broad spectrum of action;
• Rapid onset of action;
• Should have a small latency period;
• Should have a high activity;
• Must be chemically resistant;
• High availability and low cost;
• Lack of local irritant or allergic effects on tissues;
• Minimal absorption from the place of their application;
• Low toxicity.
10. Sources of antiseptics
• Early antiseptics were probably
vegetable extracts
– Many spices contain antibacterial
agents
• Essential oils extracted from plants
often have antibacterial properties
• Lister used carbolic acid which
chemically is a solution of phenol
– Phenol was originally extracted from
coal tar.
– Coal tar preparations are still used
today in therapeutic soaps and
shampoos.
•To characterize the antimicrobial activity of the antiseptic
agents used phenol ratio which indicates action force of
the antimicrobial agent in comparison with the phenol.
•The difference between antiseptics and disinfectants -The
objectives of their application.