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The role of disinfectant resistance of Salmonella enterica serotype enteritidis in recurring infections in Pennsylvania egg quality assurance program monitored flocks.

The Pennsylvania egg quality assurance program (PEQAP) has made major gains in the reduction of Salmonella enterica serotype enteritidis (S. enteritidis). However, S. enteritidis continues to be a major food safety concern for the commercial egg laying industry. Despite intensive control efforts through PEQAP, some commercial egg layer houses still remain positive for S. enteritidis. The primary objective of this study was to determine whether S. enteritidis isolates obtained from historically environmentally S. enteritidis-positive houses were resistant to commonly used disinfectants. Archived S. enteritidis isolates (environmental, rodent, or egg) were compared with recently obtained isolates from the environment, rodents, or eggs from the same S. enteritidis-positive house. In addition, the isolates were compared with archived isolates from those premises that appeared to have eliminated S. enteritidis from their layer facilities. The official methods of the use-dilution analysis of the Association of Official Analytical Chemists were used to evaluate each disinfectant product. Two phenolic, one quaternary ammonium, and one combination product containing quaternary ammonium and formaldehyde were evaluated, in addition to one sodium hypochlorite detergent. All products diluted according to the manufacturers' recommendations killed the S. enteritidis isolates in this test system. There was no difference in susceptibility or resistance to the disinfectants used between the isolates from those facilities that remained S. enteritidis-positive and those that appeared to have eliminated S. enteritidis from their facility.

Animals↗

The effect of a 1-stage full-mouth disinfection on oral malodor and microbial colonization of the tongue in periodontitis. A pilot study.

Oral malodor affects a large proportion of the population and may be the cause of a significant social and psychological handicap. This pilot study aimed to examine whether a 1-stage full-mouth disinfection in periodontitis patients (scaling and root planing of all pockets within 24 hours together with the application of chlorhexidine to all intra-oral niches followed by chlorhexidine mouth rinsing for 2 months) resulted in a significant improvement in malodor when compared to a fractionated periodontal therapy (consecutive root planings per quadrant, at a 1 to 2 week interval). The baseline and outcome data concerning oral malodor were linked to the presence of tongue coating and to its roughness (fissures). Twenty-four patients with severe periodontitis were randomly allocated to test and control groups. At baseline and after 1 and 2 months, the concentration of volatile sulfur compounds (VSC) in the mouth was measured and organoleptic ratings (expired air and total mouth air) were given. Plaque samples were collected from the dorsum of the tongue to calculate the number of colony forming units (CFU) per ml (anaerobic culturing) as well as the number of pigmented CFU/ml. Both the baseline organoleptic ratings and the VSC scores correlated well with the presence of tongue coating but not with the tongue roughness. Because a correlation between tongue coating and its microbial load could not be detected, it was hypothesized that the tongue coating per se, and not the bacteria, might be responsible for the malodor. The 1-stage full-mouth disinfection resulted in a faster and additional reduction in the organoleptic ratings of the oral malodor, even after 2 months. This might be explained by the improved periodontal outcome and/or the more significant reduction in the CFU/ml of pigmented species. In contrast to the organoleptic ratings, which were significantly reduced in both treatment groups (when compared to baseline), the VSC levels remained unchanged. This pilot study indicates that a 1-stage full-mouth disinfection has, in comparison to a standard periodontal therapy, additional beneficial effects in the treatment of oral malodor.

Adult↗

History and future perspectives of the use of disinfectants in animal health.

Programmes for the prevention, control and eradication of animal diseases are closely interlinked in many ways. In the field of animal health over the last 100 years, surveillance, diagnostics, rapid response, regulatory and legal authorities, epidemiological investigations, together with guidelines for dealing with diseased animals and contaminated premises and materials, have proved to be the critical links in the chain of actions needed to prevent, control and eradicate diseases. Disinfection, as an integral part of the protection of animal health, has become more sophisticated and more effective over this period. The historical trends suggest that disinfection will be even more important in the future, and that disinfectants and procedures must be further developed to keep pace with new scientific findings, changing agricultural structures and contemporary social concerns.

Animal Diseases↗

Disinfecting poultry production premises.

Hygiene and sanitation play a major role in any effective disease control programme for poultry production premises. One of the important requirements to facilitate hygiene and sanitation is adoption of the 'all-in/all-out' method (i.e. all the birds within a single establishment should be of the same age group), together with the restriction of each enterprise to a single type or species of bird. Poultry premises and buildings should comply with requirements for isolation from the environment and strict observance of principles of hygiene and disease prevention (e.g. restrictions on movement of staff, equipment and vehicles). A poultry site must be prepared methodically for the entry of each new batch (removal of birds, litter and manure; vector and rodent control; dry and wet cleaning; disinfection; fumigation). Attention should be paid to the terminal sanitation of houses and equipment after depopulation (physical and chemical cleaning, pressure washing, disinfection, fumigation). Particular care should be exercised in the performance of sanitary procedures after a disease outbreak. Immediate disposal of dead and diseased birds is an important and effective tool in preventing the dissemination of any disease. Disposal methods include the use of burial pits, tanks, burial in trenches, burning, rendering and composting. Regular visual inspection, together with routine testing by microbiological monitoring methods, is very effective in checking the efficacy of cleaning and disinfection.

Animal Husbandry↗

Disinfection and wildlife.

Capture, handling or transport of wildlife for purposes such as research, disease monitoring, wildlife damage control, relocation, and collection of zoological specimens can create risks of disease spread. Cleaning and disinfection procedures for equipment used in these activities must be routine and designed to eliminate the spread of pathogens to either animals or humans. General methods and materials for cleaning and disinfection apply to wildlife studies. Concepts involved in preparing a protocol specific to a wildlife investigation are discussed. The control of the spread of livestock and poultry pathogens via free-ranging mammals and birds prior to disinfection of contaminated premises is approached through an accurate assessment of the problem and, where necessary, the selection of appropriate wildlife control measures. The authors discuss the development of a problem assessment, and review potential methods for use in the control of wildlife. For an accurate problem assessment, information is needed on the presence of wild mammals and birds at the site, exposure of wild mammals and birds to the pathogen, and the potential for further transmission. When wildlife control is deemed necessary, techniques may be selected to disperse or exclude animals from premises or to depopulate the site. Dispersal or exclusion from premises is appropriate when movement of animals within or away from the contaminated premises would not result in further transmission of the pathogen. Depopulation is necessary when the continued presence or dispersal of wild mammals or birds would potentially result in further spread of the disease.

Animals↗

Drinking water quality and solar disinfection: effectiveness in peri-urban households in Nepal.

The study examined pH, turbidity and fecal contamination of drinking water from household water storage containers, wells and taps, and the Godawari River, and tested the effectiveness of solar disinfection (SODIS) in reducing levels of fecal contamination from household containers. The research was conducted in 40 households in a village 6 km outside the capital city of Kathmandu, Nepal. Three rounds of data were collected: a baseline in March 2002 followed by training in solar disinfection, and follow-ups in June and July 2002. Untreated drinking water was found to have levels of contamination ranging from 0 to too numerous to count fecal coliform CFU 100ml(-1). Source water was significantly more contaminated than water from the household storage containers. Wells were less contaminated than taps. SODIS reduced the level of contamination under household conditions. Turbidity from taps was above 30 NTU in the rainy season, above the maximum for effective solar disinfection. SODIS was routinely adopted by only 10% of the participating households during the study.

Disinfection↗

UV disinfection of wastewater effluents for unrestricted irrigation.

Wastewater reuse in arid regions is important for the production of a water resource to be utilised for non-potable purposes and to prevent the environmental transmission of disease-causing agents. This study was conducted to evaluate the effect of water quality on the comparative disinfection efficiency of viruses, bacteria and spores by UV irradiation. Furthermore, the microbial quality of effluent produced by coagulation, high rate filtration (HRF) and either UV irradiation or chlorination was determined. Using low pressure collimated beam, a UV dose of 80 mWs/cm2 was needed to achieve a 3-log10 inactivation of either rotavirus SA-11 or coliphage MS2, whereas over 5-log10 inactivation of E. coli was reached with a dose of only 20 mWs/cm2. B. subtilis inactivation was found to be linear up to a dose of 40 mWs/cm2 and then a tailing up to a UV dose of 120 mWs/cm2 was observed. It is worth noting that effluent turbidity of < 5 NTU did not influence the inactivation efficiency of UV irradiation. Operation of a pilot plant to treat secondary effluent by coagulation, HRF and UV disinfection at a UV dose of 80 mWs/cm2 resulted in the production of high quality effluent in compliance with the Israel standards for unrestricted irrigation (< 10 CFU/100 mL faecal coliform and turbidity of < 5 NTU). Sulphite reducing clostridia (SRC) were found to be more resistant than coliphages and F coliform for UV irradiation. The results of this study indicated that UV disinfection is suitable for the production of effluents for unrestricted irrigation of food crops.

Bacteria↗

Indoor glutaraldehyde levels in the endoscope disinfecting room and subjective symptoms among workers.

We measured the environmental glutaraldehyde (GA) levels during the disinfection of endoscopes and also investigated the subjective symptoms of the workers engaged in that work. At 6 hospitals in the Tokyo and Kanagawa area, 8 rooms for endoscope washing and disinfecting the endoscopy equipment were surveyed. The geometric mean environmental GA levels in the 8 rooms were 1.3 to 19.6 ppb. The personal exposure levels at the time of replacing the antiseptic solution containing GA in two of the disinfecting rooms were 94.2 and 84.9 ppb. Subjective symptoms such as ophthalmic, nasal, respiratory, pharyngeal symptoms and nausea were more prevalent among workers than controls as evidenced from the questionnaire survey.

Adult↗

Colonization by Staphylococcus aureus on chapped teat skin: effect of iodine and chlorhexidine postmilking disinfectants.

The abilities of common postmilking teat disinfectant solutions and a teat skin ointment to retard Staphylococcus aureus colonization and promote healing of chapped skin were studied. Ten Holstein cows, free of S. aureus intramammary infections and mammary epidermal colonization, were used. All teats were experimentally chapped with 1N sodium hydroxide and dipped in S. aureus broth culture of 5 x 10(6) cfu/ml after three consecutive milkings. Postmilking teat disinfectant treatments were applied, starting after the second application of S. aureus broth culture, and were continued for the next 19 milkings. Quarters of each cow received one of the following postmilking teat treatments: 1% iodine plus 10% glycerin solution; .5% chlorhexidine plus 4.87% glycerin solution; 1% chlorhexidine ointment; and no postmilking treatment. After milking and before treatment application, samples of skin swabbings of the teat end and teat side and samples of milk were collected. Daily teat skin chapping visual scores were made to assess chapping and healing. Teat skin chapping decreased with time, and the decline was similar among treatments. The concentration of S. aureus recovered from teat skin swabbing solutions decreased over time. Staphylococcus aureus were recovered at significantly lower concentrations from swabbing solutions of teats that were dipped with iodine and chlorhexidine solutions as compared with untreated teats. Staphylococcus aureus was in marginally higher concentrations on ointment-treated teats than on dipped teats. Results indicate the importance of using postmilking teat dips on chapped teats and suggest no advantage in applying a disinfectant ointment to chapped teats to reduce S. aureus colonization and improve skin healing.

Analysis of Variance↗

Effect of formaldehyde on disinfection of filtered air under positive pressure (FAPP) type house.

Effect of formaldehyde liberated from formalin on disinfection of the surface of a filtered air under positive pressure (FAPP) house and the surface of equipment placed in the house was studied. Escherichia coli, Staphylococcus aureus and avian adenovirus were used in this study as a indicator to evaluate degree of disinfection. Satisfactory degree of disinfection of the house and equipment was obtained when formaldehyde was liberated from 40 ml. of formalin per 1 m.3 capacity. Bacteria and virus used in the experiments, as well as air-borne organisms in the house, were perfectly inactivated by fumigation for 24 hours at the level of formalin mentioned above.

Air Microbiology↗

Hydrogen peroxide as an alternative hatching egg disinfectant.

The present study examined the effectiveness of H2O2 at different concentrations to disinfect broiler hatching eggshell surfaces and to maintain hatching potential. Under pure culture conditions, .50% H2O2 yielded over a 6 log kill in 30 s of three potential eggshell bacterial contaminants. Under higher H2O2 demands, such as occurs on eggshell surfaces, H2O2 concentrations of 5% (vol/vol) were required to disinfect the shell surfaces (approximately 5 log reduction). Hatchability of fertile eggs from a 44-wk-old flock was significantly increased by 2% following spraying 5% H2O2 in comparison to untreated controls. Level of contaminated eggs and "early-dead" embryos were significantly reduced in the H2O2-treated eggs. In comparison with formaldehyde fumigation, no significant difference in hatchability due to H2O2 treatment was detected in eggs from a 30- or 56-wk-old flock. Eggshell permeability, as measured by egg moisture loss in an incubator, was not significantly affected by H2O2 (5%) or formaldehyde fumigation when compared with untreated or water-sprayed control eggs. These results demonstrated that H2O2 compared favorably to formaldehyde as a hatching egg disinfectant without adversely affecting hatching potential. Under some conditions, H2O2 actually improved the hatching potential of fertile broiler eggs compared with hatchability of untreated eggs.

Animals↗

Effectiveness of cleaning and disinfection procedures on the removal of enterotoxigenic bacillus cereus from infant feeding bottles.

Reconstituted infant milk formulas are considered a food class of high risk because of the susceptibility of the infant population to enteric bacterial pathogens, severe response to enterotoxins, and increased mortality. Twenty infant feeding bottles, contaminated with different levels of enterotoxigenic Bacillus cereus, were subjected in triplicate to a variety of commonly used cleaning and disinfection procedures Although thorough cleaning reduced microbial numbers, it did not remove all B. cereus present. Three commercially available disinfection procedures (i.e., one chemical and two thermal) successfully eliminated this organism when the level of contamination was <10(5) organisms ml(-1). However, the chemical disinfection method failed to eliminate enterotoxigenic B. cereus totally at potentially hazardous contamination levels (i.e., greater than or equal to 10(5) organisms ml(-1)) that may be encountered under storage abuse conditions in the home.

Animals↗

Alfalfa sprouts and Salmonella Kottbus infection: a multistate outbreak following inadequate seed disinfection with heat and chlorine.

Raw sprouts have been implicated in a number of foodborne disease outbreaks. Because contaminated seeds are usually responsible, many sprout producers attempt to disinfect seeds before germination and detect sprout contamination during production. In March 2001, we detected an increased number of Salmonella serotype Kottbus isolates in California. Overall, we identified 31 cases from three western states. To identify the cause, we conducted a case-control study with the first 10 identified case-patients matched to 20 controls by age, sex, and residential area. Our case-control study found illness to be statistically associated with alfalfa sprout consumption. The traceback investigation implicated a single sprouter, where environmental studies yielded Salmonella Kottbus from ungerminated seeds and floor drains within the production facility. Pulsed-field gel electrophoresis patterns of all patient, seed, and floor drain Salmonella Kottbus isolates were indistinguishable. Most implicated sprouts were from seeds that underwent heat treatment and soaking with a 2,000-ppm sodium hypochlorite solution rather than the Food and Drug Administration (FDA)-recommended 20,000-ppm calcium hypochlorite soak. Other implicated seeds had been soaked in a calcium hypochlorite solution that, when tested, measured only 11,000 ppm. The outbreak might have been averted when screening tests of sprout irrigation water detected Salmonella in January; however, confirmatory testing of these samples was negative (but testing improperly utilized refrigerated irrigation water). Producers should use the enrichment broth of positive screening samples, not refrigerated irrigation water, for confirmatory testing. Until other effective disinfection technologies are developed, producers should adhere to FDA recommendations for sprout seed disinfection.

Adult↗

Virucidal efficacy of four new disinfectants.

Virucidal efficacy was evaluated for four recently available disinfectants: chlorine dioxide, potassium peroxymonosulfate, a quaternary ammonium compound, and citricidal (grapefruit extract). Sodium hypochlorite (3%) and tap water were used as positive and negative controls respectively. Feline herpesvirus, feline calicivirus, and feline parvovirus were exposed to the manufacturers' recommended dilutions of the evaluated disinfectants. Both chlorine dioxide and potassium peroxymonosulfate completely inactivated the three viruses used in this study. These disinfectants can aid in controlling nosocomial transmission of viruses with less of the deleterious effects of sodium hypochlorite. The quaternary ammonium compound evaluated in this study and citricidal were not effective against feline calicivirus and feline parvovirus.

Animals↗

Antiseptics and disinfectants. Current issues.

The authors address current issues regarding use of antiseptics and disinfectants with particular emphasis on the problems associated with claims made by manufacturers of various chemical agents. Other issues include the efficacy and limitations of commercial products, selecting the most appropriate formulation for proper disinfection, especially with instruments that come in contact with the patient, and preventing or minimizing iatrogenic infections in clinical practices. The authors stress that low-level and some intermediate-level disinfectants are unreliable because of their narrow safety margin and that chemical agents with a high level of activity should be used by all practitioners because of multi-drug resistant microorganisms and acquired immune deficiency syndrome (AIDS).

Acquired Immunodeficiency Syndrome↗

Disinfection and sterilization in dentistry. Use of potentiated glutaraldehyde (DIBA-GLAXO) in the water systems of dentistry units: analysis of microbiological activity, physico-chemical compatibility and residues in washing water.

Glutaraldehyde is a potent sterilizing agent with a very broad-spectrum of biocidal activity including Gram-positive and -negative bacteria, spores and viruses such as HBV and HIV (the aetiological agents responsible for hepatitis B and AIDS, respectively). The aim of this study was to evaluate, in experimental conditions simulating the operative risk in dental practice, a 2% potentiated acid glutaraldehyde-based product (DIBA-GLAXO) not only in the disinfection and sterilization of the water circuits of dental units, but also with regard to physico-chemical compatibility, as well as from the toxicological viewpoint. DIBA, in the dental unit disinfection cycle, proved capable of destroying the bacterial cultures of all 16 pathogens used to contaminate artificially the water circuits of the unit handpieces. When the contamination was produced using bacterial spores, 5 hours of contact were sufficient to obtain sterility. The residual concentrations of glutaraldehyde in the circuit washing water, after optimization of the washing process, may be regarded as safe for the patient. Lastly, the product analysed was found to be compatible with the mechanical components of dental unit water circuits. No corrosion phenomena were observed even after total immersion in DIBA for a period equivalent to approximately 20,000 disinfection cycles.

Bacterial Infections↗

General hospital and personal use devices: proposed classification of liquid chemical sterilants and general purpose disinfectants--FDA. Proposed rule.

The Food and Drug Administration (FDA) is proposing to classify both liquid chemical sterilants intended for use as the terminal step in processing critical and semicritical medical devices prior to patient use, and general purpose disinfectants intended to process noncritical medical devices and equipment surfaces. Under the proposal, liquid chemical sterilants would be classified into class II (special controls) and general purpose disinfectants would be classified into class I (general controls). FDA also proposes to exempt general purpose disinfectants from the premarket notification requirements. The agency is publishing in this document the recommendations of the General Hospital and Personal Use Devices Panel (the Panel) regarding the classification of these devices. After considering public comments on the proposed classification, FDA will publish a final regulation classifying these devices. This action is being taken to establish sufficient regulatory controls that will provide reasonable assurance of the safety and effectiveness of these devices.

Device Approval↗

In-use testing of four glutaraldehyde disinfectants in the Cidematic washer.

Four glutaraldehyde disinfectants (Cidex, Glutarex, Sonacide, and Sporicidin) were tested in routine use in the Cidematic washer to identify the most economic, effective disinfectant among them. An in vitro killing test with Pseudomonas aeruginosa (10-min exposure) and Mycobacterium smegmatis (20-min exposure) was used. All four disinfectants were effective prior to first use. In the use tests, Cidex killed both organisms for its claimed effectiveness period of 2 weeks. Glutarex was effective against Pseudomonas for its claimed effectiveness period of 4 weeks but was effective against Mycobacterium only 3 weeks. Sonacide, claimed to be effective for 4 weeks, killed Pseudomonas for 2 weeks but was ineffective against Mycobacterium after 1 week. Sporicidin (1:15 dilution), claimed to be effective for 30 days, did not kill either test organism after 5 days. Glutarex used for a 3-week period was found to be the most economic, effective substitute for Cidex in the Cidematic machine.

Disinfectants↗