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PubMed2000

Elimination of volatile chemicals in disinfectant evaluation procedures by freeze drying.

Standard methods for the removal or inactivation of disinfectants from reaction mixtures are often unsatisfactory when dealing with high concentrations of particulate organic matter. A method employing freeze drying was developed to eliminate residual disinfectant activity from reaction mixtures. Following the addition of volatile chemicals to sterilized cattle slurry, samples were removed from the mixture, freeze dried, and the dried material was reconstituted with diluent containing Escherichia coli as the test micro-organism to determine if the volatile chemicals had been removed. Twelve chemicals and one commercial disinfectant (Virkon S) were evaluated at different concentrations. The chemicals selected were acetone, ammonium hydroxide, carbon tetrachloride, chloroform, dichloromethane, ethyl alcohol, formalin, hydrogen peroxide, isopropyl alcohol, peracetic acid, sodium hypochlorite and xylene. Eight chemicals, acetone, ammonium hydroxide, carbon tetrachloride, chloroform, dichloromethane, ethyl alcohol, isopropyl alcohol and xylene were removed by freeze drying. The remaining four chemicals and the commercial disinfectant, which were not removed by freeze drying, could not be evaluated by this method.

Animals↗
PubMed1999

The influence of alcohol disinfection of nail samples in the laboratory.

Samples of two hundred finger- and toenails cultured after a 70% alcohol disinfection for 2 min were compared with non-disinfected samples cultured on a classical way. Alcohol treatment caused a significant decrease in isolation of yeast and moulds. Both organisms were cultivated at 25.5 and 31%, respectively, when not treated with alcohol, whereas the isolation rate dropped to 10 and 17.5%, respectively, after alcohol treatment. Isolation of dermatophytes decreased from 27.5 to 23.5% when alcohol disinfection was used. In conclusion, although alcohol disinfection of nail samples in the laboratory effectively decreases the isolation rate of unwanted contaminants on Sabouraud glucose agar without cycloheximide, it hampers the isolation of dermatophytes and pathogenic yeasts on cycloheximide-containing media.

Disinfection↗
PubMed1999

Efficacy of conventional endoscopic disinfection and sterilization methods against Helicobacter pylori contamination.

BACKGROUND: Iatrogenic transmission of Helicobacter pylori via contaminated endoscopic devices is well documented. Despite the prevalence of this infectious agent, few controlled studies have investigated the major factors that impact on reprocessing of endoscopes contaminated with H. pylori. MATERIALS AND METHODS: An endoscope (Pentax) was contaminated with 108 cfu/ml of H. pylori in 5% bovine calf serum as standardized inoculum. The endoscope then was passed through one of eight arms (five repetitions per arm = 40 total runs), as follows: 1, recovery control (no cleaning or disinfection); 2, manual cleaning alone; 3-5, manual precleaning followed by either 10-, 20-, or 45-minute exposure to 2% glutaraldehyde and ethanol (ETOH) drying; 6, manual cleaning followed by automated reprocessing by STERIS System; 7 and 8, automated reprocessing by STERIS with and without active peracetic acid sterilant (wash-off control). Suction-biopsy channels and air-water channels were harvested for microbiological culture. RESULTS: Control runs recovered more than 1 x 106 cfu per site, confirming the viability of the test organism and the adequacy of the biological burden for challenge. When instruments underwent manual cleaning alone (without subsequent disinfection), test organisms remained in 40% of runs at the air-water site. Manual cleaning followed by 10-, 20-, or 45-minute glutaraldehyde exposure and ETOH drying removed all test organisms from all sites in all runs (i.e., 100% disinfection). The automated STERIS system with or without active peracetic acid sterilant also removed all test organisms from all sites in all runs, as did manual cleaning followed by STERIS use. CONCLUSION: Manual cleaning alone does not effectively remove H. pylori from an endoscope. Current joint association recommendations for minimal disinfection (manual cleaning followed by at least 20 minutes of immersion in glutaraldehyde and ETOH drying) are effective in preventing cross-transmission of H. pylori. Reprocessing using the automated STERIS system according to manufacturer's recommendations also is highly effective in sterilizing endoscopes contaminated with H. pylori.

Cross Infection↗
PubMed2000

The use of electrolyzed solutions for the cleaning and disinfecting of dialyzers.

Recently, the use of electrolyzed solutions has attracted considerable interest in Japan. This study investigates the efficiency of electrolyzed solutions as disinfecting agents (DA) in the reuse of dialyzers and compares their efficiency to that of other disinfectants currently in use. The following 3 methods were employed. First, the rinsing time and rebound release of reused dialyzers were measured and compared after electrolyzed solutions, electrolyzed strong acid aqueous solution (ESAAS) and electrolyzed strong basic aqueous solution (ESBAS), made from reverse osmosis (RO) water (ESAAS, ESBAS; Generating apparatuses: Super Oxseed alpha 1000, Amano Corporation, Yokohama, Japan), 2% Dialox-cj (Teijin Gambro Medical, Tokyo, Japan), and 3.8% formalin were used as DAs. This involved performing dialysis with 2 types of dialyzers: a cellulose acetate membrane (CAM) dialyzer and a polysulfone membrane (PSM) dialyzer. The dialyzers were cleaned and disinfected using the different DA and left for 48 h. Next, after performing dialysis the dialyzer membranes were cleaned with a saline solution (0.9% NaCl) and RO water and then cleaned with the various DA. These membranes were observed using a scanning electron microscope (SEM) to check for the presence of physical and biological contaminants. Finally, in vitro tests were performed to determine the level of dialyzer clearance when PSM dialyzers were reused after having been cleaned and disinfected with the electrolyzed solutions. The rinsing time results for both the CAM and PSM dialyzers showed the electrolyzed solutions (ESBAS and ESAAS) as being undetectable within 10 min. With regard to the rebound release, for both the CAM and PSM dialyzers, the electrolyzed solutions were undetectable at all checking times between 30 and 240 min. Observation by SEM showed that cleaning with both ESAAS and ESBAS left the fewest contaminants, and cleaning with 2% Dialox-cj left the highest level of contaminants in the CAM dialyzers. With regard to experiments concerning use in vitro, no major changes in the dialyzer clearance were noticed after 6 uses. In every experiment, the previous investigations showed the electrolyzed solutions to be superior to 3. 8% formalin and 2% Dialox-cj DA for the reuse of dialyzers.

Acids↗
PubMed1999

Properties of an enzyme-based low-level iodine disinfectant.

An enzyme-based iodine (EBI) disinfectant that continuously generates free molecular iodine in a controlled fashion was developed and evaluated for use in disinfecting flexible fibreoptic endoscopes (FFEs). EBI is a powder concentrate that produces iodine from sodium iodide and calcium peroxide when catalyzed by horseradish peroxidase. After dissolution in water, it delivers relatively high concentrations of free molecular iodine (> 15 ppm) at relatively low concentrations of total iodine (30-40 ppm). It demonstrates the ability to function as an effective low level iodine disinfectant by rapidly inactivating bacteria, fungi and viruses. A unique feature of the EBI system is the ability to reoxidize reduced iodine which results in a constant level of active (free molecular) iodine during use. EBI inactivates Mycobacterium bovis var BCG more rapidly than 2% glutaraldehyde (Cidex-7). Its sporicidal activity, however, was found to be slower than the aldehyde formulation. The qualification of EBI for use as a practical disinfectant was shown by its negligible toxicity in dermal, ocular, oral and inhalation studies on animals, which is attributed to the low level of total iodine in the solution.

Animals↗
PubMed2000

Evaluation of the cleaning and disinfection efficacy of the DEKO-190; award-based automated washer/disinfector.

The DEKO-190 Washer-Disinfector combines both automatic washing and thermal disinfection functions and is designed for the decontamination of ward utensils (such as bedpans and urine bottles) and instruments used in minor surgery prior to sterilization. We undertook a microbiological evaluation of the disinfection efficacy of the machine, using its short wash plus disinfection programme and sealed suspensions of test organisms placed at various points within the instrument. Suspensions of Enterococcus faecalis and Poliovirus were totally inactivated, the counts of aerobic organisms within a stool specimen being reduced by a factor of 10(4)whilst spores of Clostridium perfringens were unaffected. The cleaning efficacy of the DEKO-190 was also evaluated under clinical conditions by visual inspection and was found to be satisfactory. Ward-based combined washer-disinfection machines, such as the DEKO-190, have the potential to improve the efficacy of cleaning protocols within healthcare institutions.

Cross Infection↗
PubMed2002

The effect of disinfectants on the properties of dental gypsum, part 2: surface properties.

PURPOSE: This study is part of an ongoing investigation to evaluate the surface properties of dental stones mixed with disinfection solutions, and to determine the effect of adding gum arabic and calcium hydroxide on the same properties. MATERIALS AND METHODS: Aqueous solutions of 2 chemical disinfectants were used in mixing 2 types of dental stones (type III and type V). These dental stones were modified further by adding 1% gum arabic and 0.132% calcium hydroxide to their hemihydrate powders before mixing. Five specimens prepared from each type of dental stone were classified into 7 groups according to the hemihydrate powder modification and mixing liquid/powder ratio. Surface roughness was tested by 2-dimensional profilometery and scanning electron microscopy (SEM). Knoop hardness testing was carried out, and detail reproduction was assessed using ADA specification 25 in addition to SEM and 3-dimensional profilometer studies. RESULTS: Dental stones mixed with chemical disinfectants showed higher average roughness (R(a)) values than those of the controls. However, adding gum arabic and calcium hydroxide to the hemihydrate powders before mixing restored values to the level of the control. The additives seemed to have a role in the improvement of surface hardness. There was no significant difference between the experimental and the control group in the terms of detail reproduction. CONCLUSIONS: Using SEM, 3-dimensional profilometry, and ADA testing methods, we found that the surface roughness of stone casts was adversely affected by using the disinfectant solutions as mixing water substitutes. Gum arabic and calcium hydroxide additives can yield a harder stone surface without compromising other surface properties.

Analysis of Variance↗
PubMedDate not supplied

Comparison of two methods for presurgical disinfection of the equine hoof.

OBJECTIVES: To determine for equine hooves the normal resident aerobic bacterial population and the efficacy of 2 methods of disinfection. Study Design-Measurement of total bacterial, gram-positive bacterial, and gram-negative bacterial surface populations from the frog, sole, and hoof wall after each step of 2 different preoperative surgical disinfection techniques. ANIMALS: Six adult horses. METHODS: Hoof wall, sole, and frog samples were collected for quantitative bacteriology before, during, and after 2 multistep antiseptic preparation techniques: Method A-6-minute scrub with povidone-iodine soap, followed by 24-hour submersion in povidone-iodine solution-soaked cotton; and Method B-initial removal of superficial layer of hoof capsule before completing Method A disinfection procedures. RESULTS: Removal of the superficial hoof layer, application of the povidone iodine scrub, and completion of the povidone-iodine soak all significantly (P < .0008) decreased total bacterial numbers. Method B had significantly lower bacterial counts than method A at each consecutive step. Final total bacterial counts remained greater than 10(5) bacteria per gram of tissue regardless of preparation method. CONCLUSIONS: The hoof surface hosts a broad spectrum of aerobic gram-positive and -negative bacteria, many of which are potential pathogens. Bacterial numbers can be significantly reduced by removal of the superficial hoof surface, by application of a povidone-iodine scrub, and by use of a 24-hour povidone-iodine soak. However, bacterial populations >10(5) g per tissue persist after these disinfection procedures. CLINICAL RELEVANCE: Regardless of the preparation methods used in this study, bacterial populations capable of inducing wound infection remain on the hoof capsule.

Animals↗
PubMed2003

Improvement of the automatic endoscopic reprocessor: self-cleaning disinfecting connectors between endoscope and reprocessor.

BACKGROUND AND STUDY AIMS: We have previously pointed out a defect of automatic endoscopic reprocessors, i. e. the contamination of the connecting part between the endoscope and the reprocessor. We evaluated a newly designed connector (MH-861; Olympus, Tokyo, Japan) with a self-cleaning and disinfection mechanism, which enabled cleaning and disinfection of both the connector itself and its interface with the suction and air/water valves during a reprocessing cycle, which was not previously possible. METHODS: Ten upper gastrointestinal endscopes were examined in the study. Swabs were taken from the suction and air/water valves for microbiological culture before and after reprocessing by the washer-disinfector. The numbers of contaminated endoscopes before and after reprocessing with the new connector were compared. RESULTS: Before the procedure there were five contaminated endoscopes and none after the procedure. When the new connector was used, the difference in cleaning and disinfection of the connecting parts was significant (P = 0.0325). CONCLUSIONS: We conclude that the newly developed connector permits effective cleaning and disinfection by automatic reprocessors.

Automation↗
PubMed2004

[Surface disinfection in nursing homes--what is really happening? Study of control success in three Duisburg nursing homes].

The effectiveness of cleaning and disinfection of environmental surfaces was evaluated in three nursing homes using bacteriological monitoring. Samples from inmates (nose, throat and wounds) and surface cleaning equipment were also taken. Cleaning solutions, disinfectants and cleaning clothes were found to be highly contaminated in two of three institutions. Referring to the surfaces in some cases disinfection didn't reduce bacterial colony counts and seeded MRSA as a potential pathogen in one nursing home. Six MRSA-positive inmates and identical strains were registered in the environment. MRSA can be used as a marker organism to demonstrate effectiveness of cleaning. To achieve further improvement bacteriological monitoring can help in focussing special cleaning and disinfection related problems.

Bacterial Infections↗
PubMedDate not supplied

[Preoperative skin disinfection in interventions on the hip joint].

Gram-positive cocci in particular, mainly Staphylococcus aureus and Staphylococcus epidermis, can be identified on patients' skin as facultative causes of wound bed infection. Disinfection the evening prior to surgery causes a statistically significant reduction in the number of skin organisms. The only explanation of the increase in the number of such organisms in isolated patients following disinfection the evening prior to surgery, and also after preoperative disinfection, is recontamination of the disinfected skin areas. Covering them with sterile surgical trousers and adhesive foils does not provide sure protection from recontamination. Studies of this kind may enable specific hospitals to establish a perioperative antibiotic prophylaxis for their own spectrum of micro-organisms.

Bacteriological Techniques↗
PubMed2003

The occurrence of disinfection by-products in the drinking water of Athens, Greece.

Application of chlorination for the disinfection of drinking water results in the formation of a wide range of organic compounds, called disinfection by-products (DBPs), which occur due to the reaction of chlorine with natural organic materials. The occurrence of DBPs was studied in samples from four drinking-water treatment plants (WTPs) and from the distribution network of Athens, Greece. Twenty-four compounds, which belong to different categories of DBPs, were monitored, including trihalomethanes (THMs), haloacetic acids (HAAs), haloacetonitriles (HANs), haloketones (HAKs), chloral hydrate (CH) and chloropicrin (CP). Sampling was performed monthly for a period of two years, from three different points at each WTP and from eight points atthe distribution network. Samples were analyzed by GC-ECD methods, which included pretreatment with liquid-liquid extraction for volatile DBPs and acidic methanol esterification for HAAs. The results of the analyses have shown the presence of disinfection by-products belonging to all categories studied in all water samples collected after prechlorination. The major categories of DBPs detected were THMs and HAAs, while the other volatile DBPs occurred at lower concentrations. The concentrations of DBPs did not in any case exceed the maximum contaminant levels (MCL) set by USEPA and WHO. However, monitoring these compounds needs to be continued, because their levels could increase due to changes in the quality of water entering the water treatment plants. Reduction of the concentrations of DBPs could be achieved by optimization of the chlorination conditions, taking into account the effect of time. Moreover, research on alternative disinfection methods (e.g. ozone, chlorine dioxide, chloramines) and their by-products should be conducted to evaluate their applicability in the case of the drinking water of Greece.

Chlorine Compounds↗
PubMed1986

Relationship of drinking water disinfectants to plasma cholesterol and thyroid hormone levels in experimental studies.

The effects of drinking water containing 2 or 15 ppm chlorine (pH 6.5 and 8.5), chlorine dioxide, and monochloramine on thyroid function and plasma cholesterol were studied because previous investigators have reported cardiovascular abnormalities in experimental animals exposed to chlorinated water. Plasma thyroxine (T4) levels, as compared to controls, were significantly decreased in pigeons fed a normal or high-cholesterol diet and drinking water containing these drinking water disinfectants at a concentration of 15 ppm (the exception was chlorine at pH 6.5) for 3 months. In most of the treatment groups, T4 levels were significantly lower following the exposure to drinking water containing the 2 ppm dose. Increases in plasma cholesterol were frequently observed in the groups with lower T4 levels. This association was most evident in pigeons fed the high-cholesterol diet and exposed to these disinfectants at a dose of 15 ppm. For example, after 3 months of exposure to deionized water or water containing 15 ppm monochloramine, plasma cholesterol was 1266 +/- 172 and 2049 +/- 212 mg/dl, respectively, a difference of 783 mg/dl. The factor(s) associated with the effect of these disinfectants on plasma T4 and cholesterol is not known. We suggest however that these effects are probably mediated by products formed when these disinfectants react with organic matter in the upper gastrointestinal tract.

Animals↗
PubMed1997

The effect of discontinuation of postmilking teat disinfection in low somatic cell count herds. I. Incidence of clinical mastitis.

Results are described of a split-udder trial on the effect of discontinuation of postmilking teat disinfection on the incidence of clinical mastitis in seven dairy herds with a low bulk milk somatic cell count and a high incidence of clinical mastitis. Overall incidence of clinical mastitis was non-significantly lower (18%), whereas the incidence of the most prevalent pathogen associated with clinical mastitis, Escherichia coli, was significantly lower in quarters for which postmilking teat disinfection was discontinued. We concluded that discontinuation of postmilking teat disinfection may decrease the incidence of clinical Escherichia coli mastitis in herds for which standard mastitis prevention measures are executed adequately, bulk milk somatic cell count is low, and incidence of clinical mastitis is high. However, because an increase in intramammary infections with contagious pathogens may occur, care is recommended when advising discontinuation of postmilking teat disinfection.

Animals↗
PubMed2003

Survival of intestinal spirochaete strains from chickens in the presence of disinfectants and in faeces held at different temperatures.

This study aimed to evaluate the efficacy of some commonly used disinfectants in inactivating the pathogenic avian intestinal spirochaetes Brachyspira intermedia and Brachyspira pilosicoli, and to examine spirochaete survival in chicken caecal faeces held at 4 degrees C, 25 degrees C or 37 degrees C. Six disinfectants were evaluated at their recommended working concentrations: alkaline salts, quaternary ammonium, iodine as an iodophor, chlorine from a chlorine-release agent, glutaraldehyde and hydrogen peroxide. All but alkaline salts inactivated two different concentrations of both spirochaete species in less than 1 min in the presence of organic matter. Both spirochaete species at three different cell concentrations survived in caecal faeces at 37 degrees C for between 2 and 17 h. B. intermedia tended to survive for longer than B. pilosicoli, but the maximum survival time for both species at 4 degrees C was only 72 to 84 h. Hence, avian intestinal spirochaetes are rapidly inactivated by several common disinfectants, and their survival time in chicken caecal faeces is much less than has been reported for porcine intestinal spirochaetes in porcine faeces. It should be relatively easy to break the cycle of infection between batches of laying birds by resting sheds for a few days, and by using disinfectants on any residual faecal matter.

Animals↗
PubMed2006

Sodium ferrate (IV) and sodium hypochlorite in disinfection of biologically treated effluents. Ammonium nitrogen protection against THMs and HAAs.

The work described in this paper presents an evaluation of disinfection by-products generation in four different biological treatment plant effluents, making use of sodium hypochlorite and sodium ferrate (IV) at varying concentration and reaction time. Correlations between pH, chemical oxygen demand, total organic carbon, ammonium nitrogen, combined chlorine and trihalomethanes (THMs) and haloacetic acids (HAAs) were carried out. Disinfection by-products generation presented a direct relation with concentration and sodium hypochlorite reaction time. For the highest hypochlorite concentration employed (20 mg L(-1)) and highest reaction time (168 h), the THMs total did not exceed 312.96 microg L(-1), a value that lies below the Brazilian emission standard for treated effluents (1 mg L(-1) of chloroform). The THMs presented an inverse correlation with ammonium nitrogen, when inverse (R(2) = 0.646; P < 0.001) and exponential (R(2) = 0.707; P < 0.001) function were used. As per HAAs this same relation was observed for logarithmic (R(2) = 0.0397 P < 0.001) and exponential (R(2) = 0.508; P < 0.001) functions. The more nitrified the effluent, the bigger the chlorinated disinfection by-product generation. The disinfectant sodium ferrate (IV) does not lead to halogenated by-product formation.

Acetates↗
PubMed1989

The role of antiseptics and disinfectants in the control of nosocomial infections.

More than 600,000 cases per year of nosocomial infection in Italy reflect, in part, the scant attention given to the vehicles of infection, conditions which favour cross-contamination and not least to the inappropriate use of antiseptics and disinfectants in our hospitals. Disinfection procedures are intended to remove or neutralise sources of potentially pathogenic organisms or to prevent their transmission by blocking the routes of transmission. Data to support many disinfection policies, particularly those of routine disinfection of inanimate surfaces, i.e. floors and walls, appear unable to show significant benefit to the patient. With the exception of particular areas, a correlation between reduction in counts of airborne bacteria and microbial colonisation or clinical infection has failed to be demonstrated. However, certain antiseptic practices e.g. correct hand washing procedures, surgical skin preparation and instrument sterilisation are of invaluable use in the control of nosocomial infection. It is therefore of critical importance in this period of cost cutting and financial restraint within the hospital services that we adopt those infection control measures which are of greatest cost effectiveness. A recent critical evaluation of the use of antiseptics in several Italian hospitals, illustrates the principal characteristics of antiseptics and their fundamental role in the control of hospital infection. This study also highlights common misuses of antiseptics and their cost/benefit ratio.

Anti-Infective Agents, Local↗
PubMedDate not supplied

Disinfection by-products in small Alberta community drinking-water supplies.

Complacent attitudes toward drinking-water quality can lead to compromised disinfection practices, as noted in such episodes as Walkerton and North Battleford. The first priority for drinking-water providers must be to ensure microbial safety. However, it is recognized that effective disinfection may not be risk free. Consequently, drinking-water guidelines seek to balance the certain danger posed by microbial pathogens with the potential adverse health hazards that may arise from disinfection by-products (DBPs). Providers of drinking water in small communities often do not have the means to reduce concentrations of DBPs, compared to utilities in larger municipalities. A significant portion of Alberta's population receives drinking water from smaller scale treatment plants or from private wells. A survey of selected DBPs was conducted in 11 rural Alberta communities, with populations ranging from 60 to 2300. The objectives were to evaluate source water quality, as measured by total organic carbon, and to measure representative concentrations of trihalomethanes (THMs) and haloacetic acids (HAAs) at a point within each distribution system as well as within each water treatment plant. During the 5-wk study, our data show: (1) averages of THM3 (chloroform, bromodichloromethane, chloro dibromomethane) concentrations often exceed 100 microg/L (Health Canada's running annual average guideline for total THMs); (2) source waters with the highest TOC concentrations (15 mg/L) had the highest average THM3 concentrations (200 microg/L); and (3) poor source water quality may necessitate using alternative disinfection options to ensure compliance with microbial and chemical drinking-water guidelines.

Alberta↗