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PubMed2006

Effectiveness of using a mat filled with a peroxygen disinfectant to minimize shoe sole contamination in a veterinary hospital.

OBJECTIVE: To determine the effectiveness of using a disinfectant mat filled with a peroxygen compound to prevent mechanical transmission of bacteria via contaminated footwear between the food animal ward and common breezeway of a veterinary teaching hospital. DESIGN: Observational study. SAMPLE POPULATION: Shoe soles of individuals entering and exiting from the ward. PROCEDURES: A mat filled with peroxygen disinfectant was placed at the entrance to the food animal ward, and participants wiped each shoe twice on the mat surface (n = 16) or walked on the mat surface but did not wipe their shoes (17) before entering and exiting from the ward. Swab specimens were collected from the shoe soles of participants before and after mat use and submitted for bacterial culture. RESULTS: For both study days, as participants entered the ward, median number of aerobic bacteria isolated from shoe swab specimens collected prior to use of the disinfectant mat was not significantly different from median number isolated after use of the disinfectant mat. However, as participants exited the ward, median number of aerobic bacteria isolated from shoe swab specimens collected prior to use of the disinfectant mat was significantly higher than median number isolated after use of the disinfectant mat. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that placing a mat filled with a peroxygen disinfectant at the exit from the food animal ward of a veterinary teaching hospital may help reduce mechanical transmission of bacteria on the footwear of individuals leaving the ward.

Animals↗
PubMed2000

[Spanish disinfectants for the 21st century].

There are two chemical disinfectants patents from Spain that permit to obtain advantageous products on other disinfectants: Nduopropenide (two iodures of quaternary ammonium) and "Peroxidine" (hydrogen peroxide that active to lactic acid and a surfactant mixture). The first product is used as an antiseptic or disinfectant, but the second, only act as disinfectant. DISINFECTION: It is studied (by germ-carrier methods), the microbicide effect on different microorganisms (Gram positive cocci, Gram negative bacilli, fungus, Mycobacteria and B subtilis spores), comparing these two products with different disinfectants as 2% glutaraldehyde, 1/8 phenate-glutaraldehyde, peracetic acid compounds, 11% oxygen peroxide and 2% sodium hypoclorite. It is obtained that 1/4 Peroxidine in 5 minutes or 1/6 Peroxidine in 10 minutes, are the most effective disinfectant on all microorganisms used (includes the most resistant) since it produces destruction of 4 log-10 of spores and 5 log-10 of Mycobacteria. Moreover, it can destroy, completely, the inoculum of commercial spores, routinely used for sterilization process evaluation, in 20 minutes, when 2% glutaraldehyd needs 3-10 hours. ANTISEPSIE: It is studied the "hygienization" and surgical handwashing with Nduopropenide solution, in comparison with classical washing methods (neutral soap in routinely handwashing and 5% chlorhexidine or 10% iodine-povidone in surgical washing): 1) Nduopropenide and alcohol solution is more effective that routinely handwashing. 2) This product is more effective and persistent, after surgical washing that chlorhexidine or iodine-povidone. Moreover, it does not must be applied with brush. 3) The mixture Nduopropenide and chlorhexidine makes a synergy, then it can be used in hand or skin washing, on heath personnel or patient people, being advantageous on the other products.

Anti-Infective Agents, Local↗
PubMed2000

[The disinfection efficiency comparison of different treatments on dental impression and gypsum casts].

OBJECTIVE: In this study, the disinfecting efficiency of five disinfecting methods to three bacterial: Staphylococcus epidermidis, Streptococcus sanguis and Bacillus subtilis were evaluated. METHODS: Germ free impressions and gypsum casts were divided into three teams contained 16 impressions and 5 gypsum casts for each one. Each team was smeared with each one of the three bacterial solutions. Then four disinfecting methods were administrated on these impressions separately, 2% glutaraldehyde immersion, 2% glutaraldehyde spray, 5% Eric immersion, 5% Eric spray. And ozone treatment was administrated on gypsum casts. Control teams were set up. After the treatment the impressions and gypsum casts were sampled at standard sites. The colonies were counted after culture and were used to deduce the germicidal ratio as the standard of disinfecting efficiency. RESULTS: There was no difference between the efficiencies of five disinfecting methods for Streptococcus sanguis and Staphylococcus epidermidis. But for B. subtilis, the immersion methods have the highest efficiency among the methods and the ozone treatment has the least efficiency. CONCLUSION: 2% glutaraldehyde immersion, spray, 5% Eric immersion, spray are all effective disinfecting methods for impressions and ozone treatment is an effective method in disinfecting the gypsum casts.

Bacillus subtilis↗
PubMed1992

[Virucidal effectiveness of some commercial products for chemothermal disinfection methods for temperature resistant viruses and bacteriophages--evaluation of a test model].

In the laboratory assay of chemothermal virus disinfection procedures a test system is required which allows to differentiate between the physical effects of the temperature and the chemical effects by the disinfectant used. From the four test viruses recommended by the German Association for the Control of Virus Diseases (Deutsche Vereinigung zur Bekämpfung der Viruskrankheiten) only SV 40 tumor virus showed a sufficient thermal stability at 55 degrees C to take it in consideration as test virus for chemothermal disinfection procedures. Bacteriophage Phi x 174 and lactococci phages P001, P008 and P109 are suggested for the evaluation of chemothermal disinfection procedures in food processing industries because of their thermal stability at 55 degrees C, for short exposition times even at 60 degrees C. For procedures which work at 60 degrees C, e.g. laundry disinfection, especially bovine parvovirus can be recommended as test virus. In case of a binary product consisting of two different compounds for mechanically cleaning and disinfection of surgical instruments we were able to evaluate the virucidal effectivity at 55 degrees C for both parts separately. Generally our results showed that products with insufficient virucidal activity against naked viruses even at 60 degrees C may not be assumed as sure virucidal disinfectants.

Adenoviridae↗
PubMed2005

An evaluation of disinfectants for the sanitation of porcine reproductive and respiratory syndrome virus-contaminated transport vehicles at cold temperatures.

The objective of this study was to evaluate the efficacy of commercially available disinfectants to sanitize porcine reproductive and respiratory syndrome virus (PRRSV) contaminated trailer models in cold climates (-20 degrees C and 4 degrees C). Disinfectants evaluated included Synergize, Aseptol 2000, Biophene, Sentramax, Virkon, Tek Trol, and DC&R. All products were applied to trailers via fumigation at 4 degrees C. Following experimental contamination of model trailers with PRRSV MN 30-100 (5 x 10(5) TCID50), models were tested for the presence or absence of PRRSV-RNA by polymerase chain reaction (PCR) on swabs collected 0, 30, and 60 min after treatment. Treatments included washing only, washing plus disinfectant fumigation, washing plus fumigation, and washing plus overnight drying. The PRRSV-RNA detected across trailers ranged from 0/12 replicates in trailers treated with Synergize or allowed to dry for 8 h. These trailers were also negative for the presence of infectious PRRSV, based on the lack of sentinel pig infection (0/4 replicates). In contrast, the detection of PRRSV-positive swabs by PCR ranged from 3/12 (Aseptol) to 10/12 (Biophene). Based on these results, the efficacy of Synergize was evaluated at -20 degrees C. In an attempt to reduce the impact of freezing on disinfectant activity, 30 mL of disinfectant was added to a 3840 mL of a 40% methanol solution, a 10% propylene glycol (PG) solution, or water alone. The PRRSV-contaminated trailers were treated with 1 of 3 disinfectant mixtures via fumigation, stored for 8 h at -20 degrees C, allowed to thaw, and sampled as described. Trailers treated with 40% methanol or 10% PG did not freeze and were negative for PRRSV-RNA and infectious virus following thawing. In contrast, trailers treated with disinfectant and water were frozen within 60 min at -20 degrees C, and decontamination was not successful.

Animals↗
PubMed1975

[Test methods for surgical hand disinfection (author's transl)].

As exemplified by a test preparation, methods for assessing the effect of hand disinfection on the resident flora are put up for discussion. The test of a method for hand disinfection must make allowance for conditions prevailing in practice. Accordingly, the following steps should be taken into consideration: A. Single use 1. Immediate disinfecting effect 2. Duration of the disinfecting effect B. Repeated use 3. Course of the initial colony count 4. Immediate disinfecting effect 5. Behaviour of colony count after interruption of the disinfecting method applied. For the purpose of comparing the total count, as with all other disinfecting methods, the colony count must be determined by fractional collection methods; to this end, Traub's procedure may be modified, possibly using the plastic bag method described by Gaschen. A careful statistical evaluation with appropriate transformation of the results is indispensable.

Bacteria↗
PubMed1994

[Aspects of disinfectants for control of nosocomial infections].

Use of disinfectants is regarded as the most important procedure for preventing the transmission of nosocomial infections. Because microorganisms exhibit a wide range of resistance to disinfectants, it follows that the kinds of microorganisms known and the characteristics of selected disinfectants must be consideration. Chemical disinfectants can be classified to three categories according to its germicidal action, namely, high-, intermediate-and low -level disinfectant. The efficacy of disinfection is affected by a number of factors, each of which nullify or limit the efficacy of the process. Some of the factors are the organic load on the object; the prior cleaning of the object; the type and level of microbial contamination; the concentration of and exposure time to the germicide; the temperature and pH of the disinfection process. Handwashing is the single most important procedure for preventing nosocomial infections. Although plain soaps have been shown to be adequate for routine handwashing in the absence of a true emergency, antimicrobial handwashing products should be used for handwashing before personnel take care of newborns, severely immunocompromised patients and patients in high-risk units. It will be possible to reduce the nosocomial infection that the use of rationale handwashing technique, motivation and knowledge about the importance of handwashing are achieved.

Cross Infection↗
PubMedDate not supplied

[Virus resistance in a hospital environment: overview of the virucide activity of disinfectants used in liquid form].

Human pathogenic viruses can be detected in the hospital environment, on contaminated surfaces or medical instruments. Their transmission to patients or staff has already been reported. Lipophilic viruses (HIV, HBV, HCV,...) are susceptible to many liquid chemicals, but they can survive during short time on inadequately disinfected surfaces. Hydrophilic viruses, without envelope, are more resistant, but generally not associated with severe illnesses. Viruses survival in environment depends on many factors and is always improved with viral aggregation and low temperature, whereas organic matters and relative humidity effects are contrasted. The mechanism of virucide disinfectants is not yet well established, and their targets are not known with precision. Different disinfection procedures (disinfectant concentration, contact time, temperature, pH) can provide a similar virucidal activity on a given virus. The virucidal activity of a disinfectant is evaluated with a cell culture assay in Afnor guidelines. But, there are three major problems with this method, concerning need of high viruses titers, residual disinfectant cytotoxicity on cell culture, and non cultivable viruses. Non standardized tests are also described in papers, but their results can generally not be compared. Molecular biology improvements may lead to reproducible and sensitive tests. At present, no general disinfection procedure effective for most of the viruses, without risks for staff or materials, and with an acceptable economic cost can be recommended.

Communicable Disease Control↗
PubMed1998

Model tests for the efficacy of disinfectants on surfaces. IV. Communication: dependence of test results on the amount of contamination and the kind of active substance.

In the assessment of efficacy of surface disinfectants, many influencing factors have to be taken into account. One essential item is whether the surface to be disinfected is clean or soiled. Among the feasible soilings, the blood is of particular consequences because it ads impediments to many disinfecting agents. This paper shows to what extent the impairment of the efficacy of typical active agents depends on the blood burden of the surfaces. Therefore, test surfaces (varnished plywood) were contaminated with 0.01 to 0.08 ml of coagulating blood per test area (3 cm2). The blood contained cells of Staphylococcus aureus as test germs. The disinfection was effected by immersing the test objects in the disinfecting solution for 5 seconds and mingling the adhering disinfecting solution (about 0.02 ml) with the coagulated blood on the test surface with a glass spatula for about 20 seconds. Subsequently, the test objects remained in a horizontal position at room conditions for 4 hours and then the numbers of surviving test germs were determined. The graphical representation of the results shows that the efficacy curves of formaldehyde and phenol lie very closely together, i.e. their effect is hardly impaired by the different blood burdens of the test areas. The efficacy curves of glutaraldehyde, peracetic acid, chloramine T, and quaternary ammonium compounds lie very far apart from each other. To achieve the same microbicidal effect (log N/N0 = -5) when the contaminating amount is raised from 10 microliters/3 cm2 to 80 microliters/3 cm2, the concentration of chloramine T has to be raised by a factor of 5.4, peracetic acid by a factor of 9, glutaraldehyde by a factor of 24, quaternary ammonium compound even by a factor of 67. Ethanol and sodium hypochlorite showed a divergent behaviour. For ethanol, the efficacy diminution produced by increasing the contamination amount by a factor of 4 can be compensated by raising the concentration from 50% to about 70%. But again and again, there were test objects on which the number of germs able to reproduce had only been lowered by a factor of about 10(-3). At the highest contamination of 80 microliters/3 cm2, even 95% ethanol proved to be completely insufficient. With sodium hypochlorite even at the lowest contamination of 10 microliters/3 cm2, a microbicidal effect of only about 10(-5) was obtained. With increasing contamination, the highest achievable microbicidal effect clearly decreased. It is remarkable that the microbicidal effect of this active agent decreased with increasing concentrations. The results show how important it is in testing the efficacy of disinfecting agents to exactly lay down the amount of contaminating substances. To find out how safely an agent works under harder circumstances, the dependence of the microbicidal effect from the amount of contaminating substances per test area has to be determined.

Blood↗
PubMed2003

Genotoxicity of surface water treated with different disinfectants using in situ plant tests.

Disinfection of surface drinking water, in particular water chlorination, results in many by-products with potential genotoxic and/or carcinogenic activity. In the present study, we evaluated the genotoxicity of surface water after treatment with different disinfectants by means of in situ plant genotoxicity assays (micronucleus and chromosomal aberration tests) which can detect both clastogenic and aneugenic effects. The study was carried out at a pilot plant using lake water after sedimentation and filtration. This water supplied four stainless steel basins: three basins were disinfected with sodium hypochlorite, chlorine dioxide, and peracetic acid and the fourth basin containing untreated lake water was used as a control. Plants were exposed in situ in the basins. The study was carried out using water collected in different seasons over a period of about 1 year in order to assess the treatments in different physical and chemical lake water conditions. The micronucleus test in root cells of Vicia faba (Vicia faba/MCN test) revealed genotoxicity in many samples of disinfected water. The micronucleus test in Tradescantia pollen cells and the chromosome aberration test in root cells of Allium cepa showed genotoxic effects only in some disinfected samples, but also revealed genotoxicity in raw water. The results of the study indicated that the Vicia faba/MCN test was the most sensitive plant assay for disinfected water and that peracetic acid disinfection produced similar or lower genotoxicity than sodium hypochlorite or chlorine dioxide treatment.

Chlorine Compounds↗
PubMed2002

A protocol for evaluation of the role of disinfectants in limiting pathogens and weed moulds in commercial mushroom production.

In vitro and in vivo evaluations of the effects of three commercial disinfectants on isolates of Trichoderma harzianum Rifai and Cladobotryum dendroides (Bull) W Gams & Hoozemans were combined in the development of methodologies for realistic assessment of disinfectant performance. 'Environ' and 'Purogene' incorporated into agar media at 50 mg AI litre-1 were effective in totally preventing the mycelial growth of T harzianum and C dendroides isolates, whereas with 'Sudol' a concentration of 500 mg AI litre-1 was required. Evaluation of a model in vivo system was combined with observations on the fungicidal effects of disinfectants. Spore suspensions of T harzianum (Th1), T harzianum (Th2) and C dendroides prepared from culture washings with sterilised distilled water were used as contaminating inoculum. Environ, Sudol and Purogene in aqueous solutions at 1000 mg AI litre-1 were sprayed onto these building structure surfaces before or after artificial contamination with spore suspensions. Re-isolation from surfaces was carried out using agar swabs, which were prepared in visking tubing, applied to treated surfaces and incubated at 25 degrees C for 24, 48, 72 or 96 h. Environ and Purogene were more effective than Sudol in limiting the recovery of Trichoderma spp and C dendroides. All three disinfectants applied 12 h after artificial contamination onto wood, concrete or glazed surfaces were able to reduce the recovery of these isolates more effectively than when they were applied 12 h before artificial contamination. Greater persistence of contamination was noted on the rougher surfaces (wood and concrete) than on the smoother glazed surface. It was concluded in this in vivo evaluation that, in many cases, the protection achieved by the physical nature of the smooth glazed tile surfaces was equivalent to that available from the application of disinfectants, thus highlighting the attention needed to the nature of building surfaces in the structures used in the mushroom industry. The artificial contamination and re-isolation techniques allowed significant comparison between disinfectant materials, timings and surface types. In the in vivo experiments using a single standardised test concentration, the relative fungicidal effects of the disinfectants, which varied in the complexity of their active ingredients, were better discriminated than the effects observed in vitro, although the general trend was similar.

Agaricales↗
PubMed2004

Combined skin disinfection with chlorhexidine/propanol and aqueous povidone-iodine reduces bacterial colonisation of central venous catheters.

OBJECTIVE: Central venous catheter (CVC)-related infections may be caused by micro-organisms introduced from the skin surface into deeper tissue at the time of CVC insertion. The optimal disinfection regimen to avoid catheter-related infections has not yet been defined. This study compares three different approaches. DESIGN: Prospective randomised trial. SETTING: A tertiary care hospital. PATIENTS AND PARTICIPANTS: One hundred nineteen patients scheduled electively to receive 140 CVCs. INTERVENTIONS: Skin disinfection was performed with either povidone-iodine 10% (PVP-iodine), chlorhexidine 0.5%/propanol 70%, or chlorhexidine 0.5%/propanol 70% followed by PVP-iodine 10%. Prior to disinfection, a swab from the site of insertion was taken for culture. CVCs were removed if no longer needed or infection was suspected. All catheters were cultured quantitatively after removal. MEASUREMENT AND RESULTS: Bacteria could be isolated from 20.7% of the catheter tips. Bacterial growth was found in 30.8% of the catheters placed after skin disinfection with povidone-iodine, in 24.4% after disinfection with propanol/chlorhexidine and in 4.7% after disinfection with propanol/chlorhexidine followed by povidone-iodine ( p=0.006). In 15 cases, the same organism was isolated from the skin swab and the catheter tip. Ten of these paired isolates showed the same pattern in a pulsed-field gel electrophoresis analysis. CONCLUSIONS: Skin disinfection with propanol/chlorhexidine followed by PVP-iodine was superior in the prevention of microbial CVC colonisation compared to either of the regimens alone. These results support the concept that catheter infections can originate from bacterial translocation at the time of catheter insertion.

1-Propanol↗
PubMed1989

The accuracy and efficacy of disinfection by spray atomization on elastomeric impressions.

Five disinfectants applied by spray atomization were examined for possible dimensional distortion of elastomeric impression materials, polyether, polysulfide, and addition silicone, and the associated improved, type IV gypsum casts. The disinfectants did not affect, in a clinically significant manner, the three dimensions measured with an instrument accurate to 1 micron on improved gypsum casts that reproduced a stainless steel standard. The master cast represented two teeth of a fixed partial denture prepared for complete veneer retainers. The use of control casts from elastomeric impressions that were not treated with the disinfectants further supported previous investigations reporting the accuracy of dental casts as the function of the impression material. The use of a spray disinfectant will not appreciably alter the dimensional accuracy of improved stone casts made within elastomeric impressions. The most accurate stone cast system was produced by addition silicone impressions disinfected by a surface spray. It was also shown that four of the disinfectants applied by spray atomization were effective in disinfecting the surface of an elastomeric impression material contaminated with selected test organisms.

Aerosols↗
PubMed1991

Effects of laboratory disinfecting agents on color stability of denture acrylic resins.

This study determined the effects of chemical disinfecting agents on denture acrylic resins. Tested resins included the products CH Lucitone, Triad VLC, and Truliner. The disinfecting agents were sodium hypochlorite, Exspor, Cidex, and Wescodyne-D. Acrylic resin samples were placed in the various disinfecting agents and then evaluated for color changes at time intervals ranging from 15 minutes to 72 hours. No observable color change of any acrylic resin was seen before 2 hours. Both 1% sodium hypochlorite and 2% Cidex disinfectants produced the least discoloration of the acrylic resins, and Wescodyne-D disinfectant produced the most acrylic resin discoloration. Truliner resin discolored more than Triad VLC resin, and both underwent more color change than CH Lucitone resin. If manufacturers' recommended disinfecting times are followed, clinical and laboratory disinfection of acrylic resin dentures should cause no observable color change.

Acrylic Resins↗
PubMed1994

Bond strengths between elastomeric impression materials and disinfected preliminary impressions.

Bond strengths between disinfected putty impressions and subsequent wash applications were determined in specimens made to simulate clinically an interrupted two-step impression technique. The effect of a disinfectant on the bond strength between a disinfected wash impression and a subsequent wash application was also evaluated to simulate perfecting a disinfected final impression clinically. Vinyl polysiloxane (putty or wash) and polyether (wash only) impression materials were placed in perforated metal cylinders, allowed to set, and dipped in an iodine or glutaraldehyde disinfectant. Wash material was then applied to the disinfected material by use of another metal cylinder and allowed to set before the specimen was tested in tensile mode. Significant decreases in bond strengths were found in both clinical simulations but were limited to specific impression material and disinfectant combinations.

Dental Bonding↗
PubMed1995

Evaluation of three glutaraldehyde-based disinfectants used in endoscopy.

The European suspension test was applied to compare the in vitro activity of three glutaraldehyde-based disinfectants: a 1:10 dilution of a 10% glutaraldehyde solution containing 0.5% phenylphenol-0.1% amylphenol, a 2% acid glutaraldehyde solution, and a 2% alkaline glutaraldehyde solution. The microbicidal effect of the disinfectants was evaluated by counting surviving cells of three indicator microorganisms (Pseudomonas aeruginosa, Mycobacterium chelonae and phage f2) after exposure times of 5, 10, 20 and 40 min to the agents at 20 degrees C. An inactivation factor (IF) of > or = 5 log10 was used as the criterion for effective disinfection. This IF was achieved with every microorganism/disinfectant combination after 5 min exposure except in experiments with phage f2 and the 1% glutaraldehyde-based disinfectant. The diminished inactivation noticed with the 1% glutaraldehyde-based disinfectant supports the recommendation to use a disinfectant containing a minimum of 2% glutaraldehyde for high level disinfection.

Bacteria↗
PubMed1991

Disinfection of endoscopic equipment.

Patients undergoing endoscopy are at risk of infection from the use of contaminated equipment. Dangers arise from the transmission of organisms from one patient to another and from the introduction of opportunist organisms which colonize endoscopic equipment on storage and can lead to sepsis and death in those who are immunocompromised and at ERCP. Staff are in danger from needle-stick injury and sensitivity to aldehyde disinfectants. These risks can be eliminated by careful attention to disinfection techniques. The most important part of endoscope disinfection is thorough mechanical cleaning first, followed by 5-10 min total immersion of the instrument and all channels in 2% glutaraldehyde (or the equivalent). At the end of the endoscopy list, following the disinfection protocol, all equipment should be dried internally and externally prior to storage. Staff must be fully aware of the risks of infection in endoscopy, be protected from hepatitis B by vaccination, and be fully trained in disinfection techniques. Glutaraldehyde should be used only in closed systems or in well-ventilated areas with the operator protected from direct contact from splashing and fumes. Institutions should designate an individual to be responsible for preparing, monitoring and overseeing disinfection procedures within the endoscopy room and for ensuring that regular microbiological testing of equipment (including automatic disinfecting machines) is undertaken.

Disinfection↗
PubMed1995

Eradication of contaminating Mycobacterium chelonae from bronchofibrescopes and an automated bronchoscope disinfection machine.

The results of a follow-up study concerning the decontamination of Mycobacterium chelonae subspecies abscessus from the bronchofibrescopes and the automated bronchoscope disinfection machine are described in this paper. After modification of the methods for disinfecting the bronchofibrescopes (adding a disinfection procedure with 70% alcohol before using the automated bronchoscope disinfection machine, increasing glutaraldehyde concentration to 3%, and changing the glutaraldehyde solution once a week), and the automated bronchoscope disinfection machine (recirculating used disinfectant), M. chelonae has not been detected from either the bronchofibrescopes or the automated bronchoscope disinfection machine (examined every 6 months for 4 yr by microscopy and cultures). Moreover, no M. chelonae has been clinically detected from bronchial washings for 4 yr.

Bronchoalveolar Lavage Fluid↗