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PubMed1984

A simple method for the evaluation of antiseptic and disinfectant virucidal activity.

A simple method for evaluating the virucidal activity of water-soluble antiseptic and disinfectant products using poliovirus type 1 (Sabin strain) is described. Using a commercial concentrator, kinetic studies of four products were carried out. It was shown that 2% glutaraldehyde and 5% povidone iodine are rapidly virucidal. 0.2% glutaraldehyde and 2.5% noxythiolin (37 degrees C) are considerably less effective. 0.05% chlorhexidine digluconate has no virucidal activity.

Anti-Infective Agents, Local↗
PubMed1984

An experimental evaluation of antiseptic wound irrigation.

An experimental wound infection model was used to assess the value of four proprietary antiseptics applied topically in preventing the development of wound sepsis. Irrigation of wounds with either saline or noxytiolin 15 min after contamination with Staphylococcus aureus did not reduce either the incidence or degree of infection. Benzalkonium chloride and, to a lesser degree, povidone-iodine significantly reduced the infection rate, but were inferior to chlorhexidine gluconate which eliminated all overt signs of infection. The rate of healing of the chlorhexidine-treated, contaminated wounds was found to be no different from control non-infected wounds. When irrigation was carried out 45 min before wounds were contaminated, chlorhexidine was the only treatment which reduced the rate of infection (P less than 0.001). It is concluded that the superior activity of chlorhexidine in this model is a good indication that it should be a highly effective agent in the prevention of staphylococcal wound infection, and that this is probably due to a combination of bactericidal and persistent action together with low toxicity.

Animals↗
PubMed1987

Comparative susceptibility of hospital isolates of gram-negative bacteria to antiseptics and disinfectants.

The sensitivity of hospital isolates of Gram-negative bacteria to cationic antiseptics, mercuric chloride and two organomercury compounds has been measured. A comparison was made with laboratory strains of known sensitivity which acted as standards. All strains of Escherichia coli showed a uniformly high sensitivity to chlorhexidine diacetate; other organisms tended to be less sensitive to the biguanide. Quaternary ammonium compounds were less effective than chlorhexidine. Resistance to mercuric chloride was observed frequently, but there was little evidence of organomercurial resistance except in Pseudomonas aeruginosa isolates.

Anti-Infective Agents, Local↗
PubMed1988

Antimicrobial properties of antiseptic-impregnated biological dressings.

Three antiseptics--chlorhexidine acetate, silver nitrate and povidone-iodine--were incorporated into biological dressings (human skin and amnio-chorion) and evaluated in vitro against disparate micro-organisms. Results indicated that antimicrobial levels of chlorhexidine and silver were released from the dressings over a clinically relevant time period, whereas povidone-iodine was ineffective. Chlorhexidine dressings demonstrated broad-spectrum activity, whereas silver dressings were most effective against Pseudomonas aeruginosa.

Anti-Infective Agents, Local↗
PubMed1991

An assessment of antiseptic bladder washout solutions using a physical model of the catheterized bladder.

The antibacterial activity of six antiseptic solutions formulated for use in bladder washout procedures has been examined in a simple model of the catheterized bladder. The experiments were carried out under conditions which examined the efficacy of the formulations against organisms that had recently contaminated the bladder urine. At cell densities of 10(4) cfu ml-1 all the solutions tested proved effective in eliminating bacteria from the bladder urine. Under conditions simulating heavy contamination (10(7)-10(8) cfu ml-1) however, only mandelic acid (1% w/v) eliminated the range of bacterial species commonly responsible for catheter-associated urinary tract infection.

Administration, Intravesical↗
PubMed1991

Non-toxic antiseptic irrigation with chlorhexidine in experimental revascularization in the rat.

The effect of different wound irrigation fluids upon femoral arteries and veins was investigated in the rat, using microsurgical techniques. Toxicity was evaluated by microscopical observation after selective staining of histological slides. Povidone-iodine, 10%, proved to be a very irritant solution, provoking an attack on the vascular endothelium and secondary thrombosis. Chlorhexidine at 0.05%, 0.02% and 0.001% was found by contrast to have a very low toxicity which was comparable to physiological saline. Experimental investigation of antiseptic solutions should not only include the determination of the antibacterial effect, but also the potential for cell toxicity, using an irrigation technique.

Animals↗
PubMed1992

Substrate specificity and energetics of antiseptic and disinfectant resistance in Staphylococcus aureus.

Clinical isolates of Staphylococcus aureus carry various antiseptic and disinfectant resistance determinants (qac genes) on a variety of plasmids. The biochemistry and specificity of these resistance genes in S. aureus is the subject of this report. The qac genes were separated into two families on the basis of resistance profiles and DNA homology. Isotopic and fluorimetric assays demonstrated that the qac genes encode efflux systems that rely on proton motive force.

Anti-Infective Agents, Local↗
PubMed1991

Structure and evolution of a family of genes encoding antiseptic and disinfectant resistance in Staphylococcus aureus.

Resistance to antiseptics and disinfectants in Staphylococcus aureus, encoded by the qacC/qacD gene family, is associated with genetically dissimilar small, nontransmissible (pSK89) and large conjugative (pSK41) plasmids. The qacC and qacD genes were analysed in detail through deletion mapping and nucleotide sequence analysis, and shown to encode the same polypeptide, predicted to be 107 aa in size. Direct repeat elements flank the qacD gene, elements which also flank the qacC gene in truncated forms. These elements contain palA sequences, regions of DNA required for replication of some plasmids in S. aureus. The qacC gene is predicted to have evolved from the qacD gene, and in the process to have become reliant on new promoter sequences for its expression. The entire sequence of the 2.4-kb plasmid pSK89 (which contains qacC) was determined, and is compared with other plasmids from Gram + bacteria.

Amino Acid Sequence↗
PubMed1993

Topology, structure and evolution of two families of proteins involved in antibiotic and antiseptic resistance in eukaryotes and prokaryotes--an analysis.

Analysis of deduced amino acid sequences has demonstrated that the sequences of eukaryotic and prokaryotic proteins mediating resistance to antibiotics and antiseptics are highly related. Hydropathy analysis and alignment of conserved motifs revealed that these proteins can be divided into two separate families with either 12 or 14 transmembrane segments (TMS). Conserved motifs have been identified which are either characteristic for each family or conserved in both families. The conservation of these motifs suggested that they may be essential for the function of these proteins. Phylogenetic and structural analysis revealed that the two families may have evolved from a common ancestor with six TMS.

Amino Acid Sequence↗
PubMedDate not supplied

Antibiotic use in the emergency department. II The aminoglycosides, macrolides, tetracyclines, sulfa drugs, and urinary antiseptics.

The aminoglycoside, macrolide, tetracycline, and sulfa classes of antibiotics provide antimicrobial coverage pertinent to many infectious diseases diagnosed in the emergency department (ED). The aminoglycosides are parenteral agents that are useful in Gram-negative infections and as synergistic drugs in the management of some Gram-positive infections. The macrolides, of which erythromycin is the prototype, are used for a number of Gram-positive and atypical bacterial infections, while the tetracyclines are appropriate for ED treatment of a diverse group of infections such as chlamydiae, spirochetes, and rickettsiae. The sulfa agents are appropriate for many urinary and respiratory tract infections, and also have particular utility in some infections encountered primarily in patients with AIDS. The urinary antiseptics are a group of antimicrobials that may be effective for cystitis but have no systemic efficacy. This article, which is the second in a four-part series on antibiotic use in the ED, reviews the pharmacology and clinical utility of these diverse agents for the emergency physician.

Adult↗
PubMed2005

[Clinical use of antiseptic and antibiotic impregnated catheters].

In order to decrease the risks of colonisation and infection of central venous catheters, their impregnation has been suggested using anti-infectious agents (antiseptic, antibiotic, silver). Many methodological flaws and contradictory results have been reported in the published trials. The use of impregnated catheter should only be discussed when the issues of anatomic site and type of insertion of the catheter have been adequately addressed.

Anti-Bacterial Agents↗
PubMed2002

The fingerpad protocol to assess hygienic hand antiseptics against viruses.

Many types of viruses can be spread by the hands of caregivers and food handlers, and regular and proper decontamination of hands is crucial in interrupting such spread. Standardized methods to assess the virus-eliminating potential of handwash and handrub agents have not been available and this test method addresses this gap. Each fingerpad of an adult subject receives 10 microl of the test virus suspension and the inoculum allowed to dry. The contaminated area is then exposed to 1 ml of a control or test agent for the desired contact time and virus remaining on the fingerpad is eluted, and the eluates are titrated for infectious virus along with the required controls. The method can also allow the determination of further virus removal due to post-treatment rinsing of the fingerpads with water and/or their subsequent towel- or air-drying. Percent reductions in the amounts of infectious virus after treatment with the control and test agents are then determined. The method gives results that are comparable to those obtained using the whole-hand. The activities of all major classes of germicidal chemicals used in hygienic hand antiseptics have been tested against several enveloped and non-enveloped viruses of human origin.

Anti-Infective Agents, Local↗
PubMed1989

Contact sensitivity to nonoxynols as a cause of intolerance to antiseptic preparations.

Twelve cases of allergic contact dermatitis caused by antiseptic preparations are presented. The reactions resulted not from the active principles but rather from nonoxynols used in the offending substances as nonionic surface-active agents. Nonoxynols are ethoxylated alkyl phenols or nonylphenylethers that conform in general to the formula C9H19C6H4(OCH2CH2)nOH. They have emulsifying, wetting, foaming, and solubilizing properties and are used in a large number of industrial, household, agricultural, cosmetic, and pharmaceutical products. They also are used as spermicides. There are very few reports in the literature of skin problems caused by nonoxynols.

Adult↗
PubMed2001

Hand antiseptics: rubs versus scrubs, alcoholic solutions versus alcoholic gels.

This report describes three different investigations undertaken to demonstrate the advantage of fluid alcoholic hand disinfectants. In the first study, the skin compatibility of Sterillium, a liquid alcoholic rub-in hand disinfectant was compared with that of Hibiscrub, a water-based handwashing antiseptic. Using various parameters such as image analysis of removed squames (D-squames), skin roughness or transepidermal water loss, Hibiscrub was found to be significantly inferior to Sterillium. Hibiscrub caused skin irritation in 15 volunteers who could not complete the test. In a second study, the microbicidal efficacy of Sterillium and Hibiscrub was tested in surgical hand disinfection. The microbial reduction by Sterillium was significantly greater than that of Hibiscrub, immediately after application as well as after the surgical procedure. In a third study, certain alcoholic gels were tested according to the EN 1500 'hygienic hand disinfection'. None of the gels tested passed the EN 1500 within 30s. However, Sterillium met the EN 1500 requirement within 30s. We conclude that Sterillium is superior to Hibiscrub in terms of skin tolerance and microbicidal efficacy in surgical hand disinfection. It is also superior to alcoholic gels.

1-Propanol↗
PubMed1985

Antiseptic vs. saline lavage in purulent and faecal peritonitis.

A prospective randomized trial compared antiseptic solutions and normal saline as a means of preventing morbidity and mortality from residual sepsis in patients with generalized peritonitis. Fifty-three patients, all given broad-spectrum antibiotics, were entered into the study. Twenty patients received a saline lavage, 19 lavage with chlorhexidine-gluconate and 14 a saline lavage with instillation of povidone-iodine. All deaths were due either to the severity of the presenting disease or co-existing complicating conditions. The incidence of postoperative pyrexia, wound infection and duration of hospital stay of the surviving patients were unaffected by lavage grouping.

Adolescent↗
PubMed1985

A clinical trial to compare the effect of two antiseptic mouthwashes on gingival inflammation.

A trial was made comparing the effects of efficient and thorough removal of plaque and debris alone, and with a daily antiseptic mouthwash. The results showed considerable variation but no significant difference in gingival inflammation between hygienic treatment and a daily mouthwash with chlorhexidine-gluconate or povidone-iodine. Povidone-iodine caused less staining of the teeth than chlorhexidine-gluconate.

Anti-Infective Agents, Local↗
PubMed1989

Daily change of an antiseptic dressing does not prevent infusion phlebitis: a controlled trial.

We carried out a controlled, randomized study in which we compared the incidence of infusion phlebitis in 83 patients whose povidone-iodine dressing over the infusion site was changed daily with a control group of 84 patients whose original dressing was left unchanged. Over 3 days the cumulative incidence of phlebitis in the study group was 60% and in the control group 59%. We conclude that the daily change of an antiseptic dressing does not reduce the risk of infusion phlebitis.

Adolescent↗
PubMed1995

The antiviral spectrum of Listerine antiseptic.

The mechanism of activity and the antiviral spectrum of Listerine antiseptic have not been examined thoroughly. We therefore tested its effect on laboratory strains of herpes simplex type 1 and type 2 (enveloped DNA viruses), influenza A virus (enveloped RNA virus), rotavirus (nonenveloped RNA virus), and adenovirus type 5 (nonenveloped DNA virus). Each virus was mixed with an equal volume of Listerine for 30 seconds to 5 minutes, and the residual infectivity of the virus was assessed. An antiviral effect was defined as greater than 95% reduction of infectivity. Exposure to Listerine for 30 seconds had an antiviral effect against herpes simplex type-1 and type-2 (96.3% and 100% reduction in infectious virus, respectively) and influenza A (100% reduction). In contrast, rotavirus-induced plaque formation was reduced by 12.2% after 30 seconds of exposure to Listerine, whereas 5 minutes of exposure to Listerine resulted in a 21.5% increase in plaque formation. Exposure of adenovirus to Listerine had a minimal effect on the cytopathocity of the virus, with a 33.4% reduction in virus levels after 5 minutes. The antiviral activity of Listerine is thus not related to the viral genome but is probably directed to the viral envelope.

Adenoviridae↗