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Evaluation of potential disinfectants for preslaughter broiler crop decontamination.

The broiler crop has recently been implicated as a major source of Salmonella contamination at commercial processing. Furthermore, feed withdrawal has been positively correlated with increased Salmonella incidence in the crop, probably due to coprophagy. In the present study, a rapid screening assay was developed to evaluate several potential disinfectants in the presence of large quantities of organic matter, simulating the crop environment. An apparent synergistic combination of d-Limonene (DL) and citric acid (CA) was observed when evaluating the potential to eliminate Salmonella in the presence of organic material. A method of encapsulation of DL and CA was developed for voluntary consumption by broilers during feed withdrawal. During an 8-h feed withdrawal individual 8-wk-old broilers voluntarily consumed an average of 21.5 capsules (total of 3.44 g material). When eight capsules were force-administered to Salmonella-challenged 8-wk-old broilers during an abbreviated 4 h feed withdrawal, Salmonella was not recovered using selective enrichment. To evaluate the effect of voluntary capsule consumption, 8-wk-old broilers were challenged with 1 x 108 cfu of Salmonella 5 d prior to an 8 h feed withdrawal. When these broilers were allowed unlimited continuous access to capsules containing DL/CA during an 8 h feed withdrawal, 24.8 capsules per broiler were ingested without affecting Salmonella recovery from crops. When access to capsules containing DL/CA was limited to the final 45 min of an 8 h feed withdrawal in a similar experiment, an average of 22.2 capsules were consumed by each broiler, resulting in a significant decrease in the number of Salmonella-positive crops. Although a number of practical questions and considerations remain, these data suggest that appropriate disinfectants could be administered during preslaughter feed withdrawal for the purpose of reducing foodborne pathogens in crops.

Acetic Acid↗

Bacterial contamination of health care workers' pagers and the efficacy of various disinfecting agents.

Health care workers in our facility were surveyed, and their pagers were cultured before and after disinfection with various agents. All pagers were contaminated with bacteria, including the pathogens Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella spp. and methicillin-resistant S. aureus. Disinfection reduced bacterial contamination. No risk factors for pager contamination with pathogens were identified.

Bacteria↗

Skin condition associated with intensive use of alcoholic gels for hand disinfection: a combination of biophysical and sensorial data.

Although hand hygiene is an important and inexpensive measure to prevent nosocomial infections in clinical settings, the compliance of healthcare workers remains low. In Europe, alcoholic hand disinfection is first choice, but there exists a limited user acceptability due to estimated adverse effects on skin condition. This study was designed to investigate skin tolerance to alcohol-based disinfecting gels and changes in skin condition depending on humectant concentration, alcohol grades, as well as type of alcohol used. A comparison of 6 alcohol-based gels was made based on a randomized double-blind study under in use conditions for 1 day. Skin condition was evaluated by measuring transepidermal water loss (TEWL), stratum corneum hydration, apparent skin pH, redness and degree of scaliness. With respect to user acceptability, all gels were sensorially evaluated using a questionnaire. We saw that none of the alcohol-based gels, applied under in use conditions, altered TEWL or caused irritation. All gels hydrated the skin, proportionally to their glycerine content, and decreased skin pH. Elevated ethanol concentrations resulted in increased scaliness. Sensorial assessment revealed less appreciation for isopropanol. From this study, it was concluded that gels containing an elevated glycerine concentration and 70% (v/v) ethanol are preferred.

Adult↗

Amoebae in domestic water systems: resistance to disinfection treatments and implication in Legionella persistence.

AIMS: Monitoring of microbial changes during and after application of various disinfection treatments in a model domestic water system. METHODS AND RESULTS: A pilot-scale domestic water system consisting of seven galvanized steel re-circulation loops and copper dead legs was constructed. Culture techniques, confocal laser scanning microscopy after fluorescent in situ hybridization and viability staining with the BacLight LIVE/DEAD kit were used for planktonic and biofilm flora monitoring. Before starting the treatments, the system was highly contaminated with Legionella pneumophila and biofilm populations mainly consisted of beta-proteobacteria. In the water and the biofilm of the loops, continuous application of chlorine dioxide (0.5 mg l(-1)), or chlorine (2.5 mg l(-1)) were very effective in reducing the microbial flora, including L. pneumophila. Heterotrophic bacteria, although strongly reduced, were still detectable after ozone application (0.5 mg l(-1)), whereas with monochloramine (0.5 mg l(-1)) and copper-silver ionization (0.8/0.02 mg l(-1)), the contamination remained significantly higher. Monochloramine and copper-silver did not remove the biofilm. During copper-silver application, Legionella re-growth was observed. Only chlorine dioxide led to detectable effects in the dead leg. Amoebae could not be eliminated, and after interrupting the treatments, L. pneumophila quickly recovered their initial levels, in all cases. CONCLUSIONS: Chlorine dioxide, applied as a continuous treatment, was identified in this study as the most efficient for controlling L. pneumophila in a domestic water system. Chlorine dioxide showed a longer residual activity, leading to improved performance in the dead leg. Amoebae resisted to all the treatments applied and probably acted as reservoirs for L. pneumophila, allowing a quick re-colonization of the system once the treatments were interrupted. SIGNIFICANCE AND IMPACT OF THE STUDY: Control of microbial contamination requires maintenance of a constant disinfectant residual throughout the water system. Treatment strategies targeting free-living amoebae should lead to improved control of L. pneumophila. Such treatment strategies still have to be investigated.

Amoeba↗

A more accurate method for measurement of tuberculocidal activity of disinfectants.

The current Association of Official Analytical Chemists method for testing tuberculocidal activity of disinfectants has been shown to be inaccurate and to have a high degree of variability. An alternate test method is proposed which is more accurate, more precise, and quantitative. A suspension of Mycobacterium bovis BCG was exposed to a variety of disinfectant chemicals and a kill curve was constructed from quantitative data. Data are presented that show the discrepancy between current claims, determined by the Association of Official Analytical Chemists method, of selected commercially available products and claims generated by the proposed method. The effects of different recovery media were examined. The data indicated that Mycobacteria 7H11 and Middlebrook 7H10 agars were equal in recovery of the different chemically treated cells, with Lowenstein-Jensen agar having approximately the same recovery rate but requiring incubation for up to 3 weeks longer for countability. The kill curves generated for several different chemicals were reproducible, as indicated by the standard deviations of the slopes and intercepts of the linear regression curves.

Culture Media↗

Effects of starvation on physiological activity and chlorine disinfection resistance in Escherichia coli O157:H7.

Escherichia coli O157:H7 can persist for days to weeks in microcosms simulating natural conditions. In this study, we used a suite of fluorescent, in situ stains and probes to assess the influence of starvation on physiological activity based on membrane potential (rhodamine 123 assay), membrane integrity (LIVE/DEAD BacLight kit), respiratory activity (5-cyano-2,3-di-4-tolyl-tetrazolium chloride assay), intracellular esterase activity (ScanRDI assay), and 16S rRNA content. Growth-dependent assays were also used to assess substrate responsiveness (direct viable count [DVC] assay), ATP activity (MicroStar assay), and culturability (R2A agar assay). In addition, resistance to chlorine disinfection was assessed. After 14 days of starvation, the DVC values decreased, while the values in all other assays remained relatively constant and equivalent to each other. Chlorine resistance progressively increased through the starvation period. After 29 days of starvation, there was no significant difference in chlorine resistance between control cultures that had not been exposed to the disinfectant and cultures that had been exposed. This study demonstrates that E. coli O157:H7 adapts to starvation conditions by developing a chlorine resistance phenotype.

Bacteriological Techniques↗

DISINFECTION OF AEROSOLIZED PATHOGENIC FUNGI ON LABORATORY SURFACES. I. TISSUE PHASE.

The effect of several fungicides on laboratory surfaces contaminated with the tissue phase of aerosolized Blastomyces dermatitidis, Coccidioides immitis, Cryptococcus neoformans, and Histoplasma capsulatum was ascertained. A statistical analysis of the data shows the correlation between fungi, surfaces, time, and concentration of disinfectant. All fungicides were effective at established times and concentrations, and the type of contaminated surface affected the fungicidal efficacy. By interpolating plotted graphs, laboratory personnel may determine, with a given fungicide, the concentration and time required to disinfect instruments, pipettes, gloves, bench tops, and floors contaminated with a tissue phase of pathogenic fungi.

Antifungal Agents↗

DISINFECTION OF AEROSOLIZED PATHOGENIC FUNGI ON LABORATORY SURFACES. II. CULTURE PHASE.

The effect of several fungicides on laboratory surfaces contaminated with the culture (spore) phase of aerosolized Blastomyces dermatitidis, Coccidioides immitis, and Histoplasma capsulatum was ascertained. The culture (spore) phase was more resistant to the action of the fungicides than was the tissue (yeast) phase. The addition of a wetting agent increased the efficiency of several fungicides. The time required for disinfection with a given concentration of fungicide, or the concentration required to disinfect within a given time, can be determined by interpolating the plotted graphs.

Acetates↗

Chlorine dioxide: a new agent for dialysis monitor disinfection in a pediatric center.

In order to evaluate the bacterial and endotoxin contamination in the dialysis fluids of our pediatric center and the effectiveness of chlorine dioxide (CD) compared with a conventional method, (1) deionized water, (2) dialysate fluid, (3) basic concentrate, and (4) acid concentrate were tested in 4 dialysis machines. Monitor sterilization was made using CD in protocol A and sodium hypochlorite/acetic acid in protocol B. Once every 2 weeks the deionized water set of distribution was routinely disinfected with peracetic acid. Each protocol lasted 1 months and the samples were taken, under aseptic conditions, on the 15th, 22nd and 27th day. All samples, at all stages of the study, showed an endotoxin concentration below the limits recommended by the Canadian Standard Association. Fifty-nine out of 72 samples in A and 62 out of 72 samples in B showed a bacterial count within the range recommended by the Association for the Advancement of Medical Instrumentation. The data show that both protocols produced the same results. However, protocol A is to be preferred for its simultaneous disinfecting-cleaning and descaling activity which proves time-saving.

Bacteria↗

Disinfection of nitrous oxide inhalation equipment.

Cross-infection by contaminated equipment is a potential hazard associated with conscious sedation with nitrous oxide and oxygen . Nosocomial infections have occasionally been linked wih the use of unsterile inhalation devices; microbial contamination of sterile nasal hoods routinely occurs during administration of nitrous oxide; and in vitro experiments indicate that subsequent use of contaminated nasal masks may lead to aspiration of microorganisms. Although the incidence of respiratory disease after such contamination is unknown, it is clear that disinfection of the nitrous oxide apparatus between patients is desirable. A simple cleaning method involving alkaline glutaraldehyde is described that provides adequate disinfection of the rubber goods used in the administration of gas. Superiority of this technique over previously recommended cleaning methods is shown.

Aldehydes↗

Impact of disinfecting nesting boards on chalkbrood control in the alfalfa leafcutting bee.

The alfalfa leafcutting bee, Megachile rotundata (F.), is a solitary, cavity-nesting bee that has been managed in large numbers to pollinate alfalfa, Medicago spp., seed crops since the 1960s. Propagation of these bees from 1 yr to the next has been seriously hampered by chalkbrood, a larval disease caused by the fungus Ascosphaera aggregata Skou. In the United States, attempts to control the disease have been fairly unsuccessful, but include removing nests from the nesting boards and then disinfecting the boards with heat treatments or a fumigant. The problem is that many boards are made of polystyrene (so heat cannot be used), and very few fumigants are registered for this use. In this study, ozone was tested as a fumigant and compared with heat treatments and methyl bromide fumigation. Ozone was found to be inadequate for killing A. aggregata spores and for reducing chalkbrood levels in the field. Methyl bromide and heat treatments did greatly reduce spore viability in the boards, but did not reduce chalkbrood levels in the field. Surprisingly, larvae in new nesting boards (boards free of contamination) and chalkbrood infection levels were similar to those from nests in contaminated, used boards. Disinfecting nesting boards may be necessary for controlling chalkbrood, but the results reported here indicate that it is not sufficient in and of itself. Some other source of spores was present in the field that was greater than the effect of contamination from the boards, but the source still needs to be determined.

Animals↗

Application of disinfectants in poultry hatcheries.

Veterinary control and routine sanitary procedures in commercial poultry hatcheries should include the following: choice of a suitable geographical location to ensure an isolated site; proper hatchery design with separation of major operations; one-way flow of work within the hatchery; adequate ventilation of each room; routine cleaning and disinfection; formaldehyde fumigation or alternative method for disinfection of eggs, equipment and incubators; a routine programme for monitoring microbial contamination levels within the hatchery.

Aerosols↗

New disinfection and sterilization methods.

New disinfection methods include a persistent antimicrobial coating that can be applied to inanimate and animate objects (Surfacine), a high-level disinfectant with reduced exposure time (ortho-phthalaldehyde), and an antimicrobial agent that can be applied to animate and inanimate objects (superoxidized water). New sterilization methods include a chemical sterilization process for endoscopes that integrates cleaning (Endoclens), a rapid (4-hour) readout biological indicator for ethylene oxide sterilization (Attest), and a hydrogen peroxide plasma sterilizer that has a shorter cycle time and improved efficacy (Sterrad 50).

Disinfectants↗

Fungicidal effect of 15 disinfectants against 25 fungal contaminants commonly found in bread and cheese manufacturing.

Resistance of 19 mold and 6 yeast species to 15 commercial disinfectants was investigated by using a suspension method in which the fungicidal effect and germination time were determined at 20 degrees C. Disinfectants containing 0.5% dodecyldiethylentriaminacetic acid, 10 g of chloramine-T per 1, 2.0% formaldehyde, 0.1% potassium hydroxide, 3.0% hydrogen peroxide, or 0.3% peracetic acid were ineffective as fungicides. The fungicidal effect of quaternary ammonium compounds and chlorine compounds showed great variability between species and among the six isolates of Penicillium roqueforti var. roqueforti tested. The isolates of P roqueforti var. carneum, P. discolor, Aspergillus versicolor, and Eurotium repens examined were resistant to different quaternary ammonium compounds. Conidia and vegetative cells were killed by alcohols, whereas ascospores were resistant. Resistance of ascospores to 70% ethanol increased with age. Both P. roqueforti var. roqueforti and E. repens showed great variability of resistance within isolates of each species.

Bread↗

[Contamination of a bronchial fiberscope by mycobacteria linked to an automated bronchoscope disinfection machine].

Mycobacteria are being isolated with increasing frequency from automated bronchoscope disinfection machines. This has led to misdiagnosis and nosocomial infections. In this study, we isolated Mycobacterium chelonae from a bronchoscope disinfection machine and found one strain to be resistant to 2% glutaraldehyde and sensitive to 70% ethanol. Since we began cleaning the sink of the machine with 70% ethanol, no mycobacteria has been seen throughout the machine.

Bronchoscopy↗

The effect of disinfecting alginate and addition cured silicone rubber impression materials on the physical properties of impressions and resultant casts.

Four commercially available disinfectants were tested and the dimensional stability and detail reproduction of impressions and their resultant casts were measured according to ANSI/ISO specifications. Results showed that alginate impressions immersed in chlorhexidine exhibited considerable dimensional change if not poured immediately. Moreover, alginate impressions soaked in a paraldehyde agent (Virkon) for more than 2 minutes produced casts of inferior surface quality whilst those sprayed and left in contact with phenol derivatives (C&J Spray) for 30 minutes resulted in casts which demonstrated statistically and clinically significant dimensional changes. Addition cured silicone impressions exhibited minimal dimensional change regardless of the disinfection regime employed and the resultant casts were accurate with acceptable surface quality.

Alginates↗

[The development of a technology for producing a new disinfecting agent with a universal spectrum of antimicrobial action].

The paper summarizes the findings of the physicochemical and potency of potassium fluoride peroxohydrate (PFP-1), a new Russian disinfecting agent having a universal spectrum of antimicrobial effects. It also summarizes the results of long-term practical use for the routine and final disinfection of rooms, sanitary engineering equipment, glassware, medical instruments against both sanitary indicative microorganisms, and actual pathogens of disease in infective and somatic hospitals, tuberculous dispensaries, sanatoria, schools, kindergartens, military hospitals, maternity houses of Russian different cities, towns, and localities. The paper presents comparative data on the mechanism of action of various modifications of PFP on microbial spores, on the stability of agents and their solutions during storage, on the damaging activity on the materials of the processed objects, on toxicological and ecological risks. The results of comparative studies of the bactericidal and sporicidal activities of the modifications PFP-1, PFP-2, PFP-3 confirmed that it is necessary to develop a procedure for preparing modifications containing high levels of hydrogen peroxide in the dry preparation and that they can be obtained at the pilot unit developed to prepare PFP-1 modifications.

Bacteria↗