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The effects of salt concentration and growth phase on MRSA solar and germicidal ultraviolet radiation resistance.

The extensive use of antimicrobial drugs has led to the widespread emergence of resistant bacterial strains. One such organism, methicillin-resistant Staphylococcus aureus, is now found extensively in both healthcare facilities and diverse community settings such as households, correctional facilities, and athletic teams. The importance of ultraviolet radiation as an adjunctive therapy to reduce bioburden and improve wound status in patients has been documented. An in vitro study to assess the effects of different types of ultraviolet radiation on antibiotic-resistant strains was conducted to provide information that will aid in the development of rational UV irradiation medical protocols. Methicillin-resistant Staphylococcus aureus was found to be sensitive to both germicidal (ultraviolet C) and solar (ultraviolet A and B) ultraviolet radiation (ultraviolet C substantially more lethal). For both types of ultraviolet radiation, as the medium concentration of sodium chloride increased, the methicillin-resistant Staphylococcus aureus cells exhibited increased sensitivity. It also was shown for both types of ultraviolet radiation that kill curves were comparable for log and stationary phase methicillin-resistant Staphylococcus aureus cells. Photoreactivation was observed for Pseudomonas aeruginosa PAO-1 but not for methicillin-resistant Staphylococcus aureus when ultraviolet C was applied to log phase cells. The Gram-negative Pseudomonas aeruginosa PAO-1 was considerably more sensitive than the Gram-positive methicillin-resistant Staphylococcus aureus to ultraviolet C radiation. The experiments reveal that medium composition exerts a substantial effect on methicillin-resistant Staphylococcus aureus ultraviolet resistance and that this species lacks photoreactivation capacity. This suggests that in a clinical setting, eradication of the bacterium may be achieved at far lower doses of ultraviolet radiation than would be indicated by treatment protocols that do not account for ionic conditions.

Body Burden↗

Efficacy of a germicidal post milking barrier-type teat dip in preventing intramammary infections.

Five commercial dairy herds with 269 lactating cows participated for 12 months in a field trial to determine the effectiveness of a barrier teat dip containing chlorous acid/chlorine dioxide germicide. The right quarters of the cows in two herds and the left quarters of the cows in three herds were dipped in the experimental teat dip after the removal of the milking machine. The other quarters were dipped in a conventional 0.5 per cent iodophor product. Compared with this control product, teat dipping with the experimental dip reduced the number of new intramammary infections by 18.8 per cent, infections with major pathogens by 13.6 per cent, infections with minor pathogens by 16.8 per cent and clinical mastitis by 33.3 per cent. Statistical analysis indicated a trend towards decreased intramammary infections with coliforms and coagulase-negative staphylococci when the experimental teat dip was used. It was concluded that under the conditions of this investigation it was effective in preventing new infections due to both contagious and some environmental pathogens. However, the data suggested that it could adversely affect the condition of the skin of the teat when it was used after incorrect preparation of the udder.

Animals↗

Effect of chemical germicides on the integrity of hemodialyzer membranes.

Epidemiologic investigations of bacteremia in dialysis patients by the Centers for Disease Control (CDC) identified an association with the use of dialyzers disinfected with a specific chemical germicide. A collaborative study by the CDC and the Food and Drug Administration (FDA) was conducted to determine the effect of dialyzer disinfectants on five types of dialyzer membranes: three cellulosic (Cuprophan, cellulose acetate, cuprammonium rayon); and two synthetic (polysulfone, polyacrylonitrile). The disinfectants tested were: 4% formaldehyde; Renalin; Cidex Dialyzer; Sporicidin HO; Warexin; and RenNew-D. Water was the control. Dialyzers were reprocessed up to 15 times. Each reprocessing consisted of rinsing, air-leak testing, filling with fresh disinfectant, and storing for 2 to 4 days. After 15 reprocessings or air-leak failure, each dialyzer was microbiologically challenged for membrane integrity. Membranes exposed to Renalin, Cidex Dialyzer, and water passed all tests. Cellulosic membranes exposed to Warexin failed all tests after 2 to 9 reprocessings. Cellulose acetate membranes exposed to Sporicidin HD failed microbiologic testing. One polysulfone dialyzer exposed to RenNew-D and one exposed to 4% formaldehyde failed microbiologic testing. These results and those obtained from epidemiologic studies suggest that membrane integrity testing (e.g. an air-leak test) should be an integral part of dialyzer reprocessing.

Biocompatible Materials↗

Suitability of a propanolic PVP-iodophor preparation as preoperative skin disinfectant: germicidal activity and chemical stability.

The preparation Solutio Betadini propanolica 3% w/w, used as a pre-operative skin disinfectant was examined for its germicidal activity and its chemical stability. The additive activity of iodine and propanol resulted in a wide range of antimicrobial activity against bacteria, including bacterial spores, and fungi, with a rapid onset and sustained duration of action. The solution is easily manufactured and analyzed, its stability is guaranteed for 6 months. Because of its staining property, there is no need of coloured additives to mark the disinfected area. In addition, no skin irritations by the disinfectant were observed so far. Thus, the preparation fulfills the essential requirements for preoperative skin disinfectants and is suitable for the preparation and the compounding in hospital pharmacies.

Bacteria↗

[New heterocyclic derivatives of benzimidazole with germicidal activity. II. Mechanism of action of fluoro-5-(nitro-2'-furyl)-2-benzimidazole in B. subtilis and C. albicans].

Study of the microbiological activity of 5-fluoro-(2'-nitrofuryl)-2-benzimidazole F-O-NO2 (I) was continued. The substance was tested on cultures of B. subtilis and C. albicans. From the microbial strains studied, the mortality rate, the minimum inhibitory and bacterial concentrations and the cytotoxicity were determined. The action mechanism was studied using tritiated leucin, uracil and thymidine. Acute toxicity in the mouse (DL50 = 275 mg/kg) was also determined. The germicidal activity of (II), homologous N-ethyl derivative of (I), was also studied. On the basis of the results obtained, a possible mechanism of action of compound (I) is discussed.

Animals↗

Differential retinoic acid inhibition of ornithine decarboxylase induction by 12-O-tetradecanoylphorbol-13-acetate and by germicidal ultraviolet light.

Several retinoids including retinoic acid effectively inhibit phorbol ester-mediated tumor promotion and ornithine decarboxylase (ODC) induction in mouse epidermis. To understand better the possible cellular site of action of retinoids, the inhibitory action of retinoic acid on the induction of ODC was compared for two distinctly different inducers, namely, 12-O-tetradecanoylphorbol-13-acetate (TPA) and germicidal ultraviolet light (UV), in primary mouse epidermal cell cultures. It was found that the induction of ODC by TPA is almost completely prevented by 0.1 to 1 microM retinoic acid while the induction by UV is only moderately inhibited. Maximum inhibition is achieved by treating cells continuously with retinoic acid from 4 hr after plating, although pretreatment or simultaneous treatment relative to either inducer is almost as effective. When added after the inducer, retinoic acid loses its effectiveness as an inhibitor more rapidly for TPA induction than for UV induction of ODC. The differential inhibition of enzyme induction cannot be accounted for by selective retinoid inhibition of DNA, RNA, or protein synthesis either alone or in concert with TPA or UV. Other agents known to modulate the induction of ODC by TPA (fluocinolone acetonide, tosyl-L-lysylchloromethane, and local anesthetics) do not act differentially on UV induction. These agents possibly act at transcription or translation, both of which are required for ODC induction by TPA or UV. The preferential inhibition by retinoic acid of ODC induction by TPA is interpreted to result from specific interference at a unique and early site of interaction of TPA with the cell.

Animals↗

Development of an agar-diffusion method for the assay of quaternary ammonium germicides.

Five quaternary ammonium germicides (QAGs) were tested for their adsorption by agar. This was found to be in the following ascending order: alkylbenzylmethyl-ammonium chloride, alkyltrimethylammonium bromide, cetyltrimethylammonium bromide, cetylpyrimidinium chloride and cetylbenzyldimethylammonium chloride. An inverse relationship was established between the extent of agar binding of the QAGs and their inhibition zones. In an attempt to develop a sensitive cup-plate assaying technique suitable for QAGs, important factors affecting the agar-diffusion of QAGs were investigated. These included the influence of various polysorbates, buffer ions, agars and test organisms. Furthermore, the effect of the pH and/or the concentration of the selected polysorbate and the buffer were studied. The best medium developed for the sensitive agar-diffusion assay of QAGs was nutrient agar-Tris (0.05 M, pH 8) provided that distilled water and polysorbate 20 (0.5%) were used as diluents for the mixed alkyl and the pure cetyl QAGs, respectively.

Adsorption↗