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Disinfectants
Antiseptic
Preservatives
Chemical disinfectants,
antiseptics, & preservatives
Are chemicals which have the ability to
destroy or inhibit the growth of
microorganisms, and are used for this
purpose
Other terms
preservatives
Are chemicals included in pharmaceutical
preparations to prevent microbial spoilage
of the products
disinfection
is the process of removing pathogenic ===
m.o. from the surfaces of objects
reducing them to a level acceptable for a===
defined purpose
a level which is harmful neither to health===
nor to the quality of perishable products
antisepsis
Destruction or inhibition of m.o. on living tissues ===
The effect is to limit or prevent the harmful result of =
infection
Applied to skin & mucous membranes=
they must be not toxic or irritating for skin=
mostly used to reduce the microbial population on skin=
prior to surgery or on hands to help prevent the spread
of infection by this route
Preservatives
Chemicals included in pharmaceutical===
preparations to prevent microbial spoilage of the
product
Preservatives
should kill any microbial contaminant =
introduced inadvertently during use in
sterile products (eye drops & multidose
injections(
must be not toxic in relation to the =
intended route of administration of the
product
a- concentration
b- temperature
c- pH
d- formulation
Microbial challenge
the type of m.o. & the levels of microbial ==
contamination (bioburden( have a significant
effect on the outcome of chemical treatment
---
---
vegetative bacteria---disinfectant***
should be capable of killing most
vegetative bac. Within reasonable contact
period
antiseptic & preservatives are also==
expected to have a broad spectrum
antimicrobial activity
Mycobacterium tuberculosis
equipments for respiratory investigations or ==
therapy can be contaminated & must be
disinfected to safe level
Bacterial spores
the majority of antimicrobial agents have no ==
useful sporicidal action with exception of
aldehydes***
hypochlorites***
some peroxygens***
Physical methods of sterilization
Viruses ===enveloped
non enveloped
===
Moderate resistance
Pseudomonas sp.
Mycobacterium tuberculosis
Staphylococcus aureus
Protozoan cysts
Least resistance
21
Killing-Resistant Microorganisms
22
intended application
intended application of an antimicrobial ==
agent whether preservative, antiseptic or
disinfectant will influence it's selection &
also affect it's performance
e.g. medical preparations ingredients in the
formulation may antagonize preservative activity
environmental factors
organic matter can have a drastic effect on==
antimicrobial activity
adsorption
#
chemical inactivation
#
Reducing the conc. of active agent in solution--
Acting as a barrier for penetration of disinfectant-
Blood, body fluids, pus, milk (reduce the effectiveness
of antimicrobial agents even in small amounts)
Types of compounds
Types of compounds
acids & esters-1
alchohols-2
aldehydes-3
biguanides-4
halogens-5
heavy metals-6
H2O2& peracid compounds-7
phenols (carbolic acid(-8
surface-active-agents-9
Sorbic acid
widely used preservative
Potassium salt(=potassium sorbate(
inhibit mold growth in acidic food **
(cheese(
its activity in decreasing pH**
pharmaceutical preservative for gums, **
mucilage, & syrups
parabens
inhibit mold growth in galenicala, liquid**
cosmetics, food, & shampoos
very effective against fungi**
less effective against bacteria**
alchohols
alchohols
Disinfectant & antiseptic
(ethanol & isopropanol(
.bactericidal = vegetative bact**
not sporicidal**
have cleaning action= degermination of skin**
.surface before injection by wiping out the m.o
**
**
benzyl alcohol***
chlorbutol***
phenyl ethanol***
phenoxy ethanol***
bronopol***
aldehydes
Gluteraldehyde
Formaldehyde
antimicrobial==
sporicidal==
Gluteraldehyde
broad spectrum=
vegetative bac.= in minutes
spores = 3 hours
--
--
aldehydes
highly toxic agents=
used as sterilants=
high-level disinfectants kill spores=
tissue preservatives=
inactivate viruses during vaccine preparation =
biguanides
Chlorhexidine
Alexidine
low-level disinfectant used in hospitals & dental=
offices & veterinary clinics
skin degerming agents in preoperative scrubs or=
oral rinse (skin & mucous membrane(
cannot kill spores or T.B. , limited antifungal=
Chlorhexidine
residual chemicals that remain active on=
surfaces for extended periods of time, providing
longer-lasting antimicrobial effects
peridex==
halogens
Chlorine
Iodine
Bromine
Fluorine
Chlorine
---
---
Iodine
skin antiseptic (surgical scrub( ==
.bac. Fungi, viruses, spores, T.B ==
insoluble in water==
combination of iodine & an organic --
molecule (solubilizing agent=surfactant(
==iodine released gradually
iodophores
Fluoride
antiseptic==
water treatment==
toothpaste==
Heavy metals
Copper, zinc, mercury, silver
germicides==
low-level disinfectant or antiseptic==
not sporicidal==
teeth fillings==
Thimerosol==vaccine preservative
silver nitrate eye drops
restricted==toxic
==
---
H2O2
H2O +
nescent oxygen
sporocidal==
contact lenses preservative==
preservative==
Bactericidal, fungicidal, virucidal==
not sporicidal==
active at acidic pH==
caustic effect on skin==
toxic -- systemic==
surface-active-agents (surfactants)
anionic**
According to the ionization of the hydrophilic
cationic** group of the molecule
non-ionic**
Anionic= mainly used as sanitizers
Cationic=are quaternary ammonium compounds
( QUATS
(
Detergent
Dish soap
Household cleaners
Some mouth washes
and
those compounds that evaporate or
degrade rapidly are non-residual, ie
. alcohols
hydrogen (H(***
hydroxyl (OH( ions***
H ions # destroy the a.a. bond in nucleic acid
modify the cytoplasmic pH
#
precipitate proteins
#
#
#
***
impairing permeability
the sensitivity is depend on the capacity of the bacterial--
cell to absorb such molecules
Gm.-ve.=lipoprotein & liposaccharides on the outer
membrane
Gm.+ve =wall protein
Thus able to enter & destroy membrane
loss of viability
Phenolic compounds
Phenol acts specifically on the cell membrane &
inactivates intracytoplasmic enzymes by forming
unstable complexes
the lipophilic molecules are trapped by the--
membrane phospholipids
in low concentration**
nucleic acid is liberated out side
##
in high concentration**
denaturation of protein
##
lysis of the cell membrane
##
Biguanides
Chlorhexidine =primary site of action is cytoplasmic
membrane
modification of membrane
permeability
this is due to electrostatic interaction of the##
chlorhexidine with the acid phospholipids in the
cytoplasmic membrane
Iodine compounds
The activity requires to know the behavior of
iodine in
aqueous
*
alcoholic solution
*
Iodine containing products == antiseptic#
iodine monochloride == disinfectant#
Iodine decrease the oxygen requirement of
aerobic m.o = interferes at the level of the respiratory
chain of the m.o. by blocking the transport of electrons
through electrophilic reactions with the enzymes of the
respiratory chain
interact with the proteins of the
=
.cytoplasmic membrane
Aldehyde compounds
Formoldehyde === acts on
protein by denaturation
nucleic acid by alkylation
##
##
adeno virus
86
87
Evaluation of non-antibiotic
antimicrobial agents
in the lab. & under favorable condition***
when a fresh medium is inoculated with a given##
number of bacterial cells
cell growth
by the time***
growth rat
death
Dynamic of disinfectants
Dynamics= study the forces acting upon a
body
Dynamics of microbial growth=a study of
environmental forces that act
either to promote
Or
has died
100000 left 90%
.if is treated for another min
died
10000 90%
time/min
Deaths/min
Number of
survivors
1000000
900000
100000
90000
10000
9000
1000
900
100
90
10
constant
straight line
Related to organisms to be
killed
kind of organism- 2
dynamics of disinfection
1-The process is a gradual operation in which the
number of organisms killed in unit time is greater in the
beginning, but becomes less and less as the exposure
period is increased.
The log of number of the surviving organisms in unit .2
. volume plotted against time gives a straight line curve
Other factors
Temperature##
.pH##
.pH
during the disinfection process a charge of ----
pH can effect
rate of growth ***
the cell --
Standardization of disinfectants
evaluation of liquid disinfectant
Standardization of disinfectants
evaluation of liquid disinfectant
To standardize antimicrobial agents, several kinds of
properties are evaluated.
Preservatives
preservatives
Are chemicals included in pharmaceutical
preparations to prevent microbial spoilage
of the products
should be stable
--elegant during storage and use by addition of preservatives
and also by product design and by product formulation and
packaging
---
Sources of Contamination
Microbial contamination from
raw materials,
#Dry powders of natural origin #
packaging materials#
environment#
effect of containers**
pH**
Sterility assurance
solutions
Parenteral
Chlorocresol (0.1%)Benzylalcohol (1.0%)
Cresol (0.3%)Phenylmercuric nitrate,
Phenol (0.5%)acetate or borate (0.002%)
Chlorbutol
Opthalmic
Chlorhexidine acetate or gluconate (0.1%)Thiomersal (0.1%)
Benzalkonium chloride (0.3%)Chlorbutol (0.5%)
Oral liquids
Methyl, ethyl and propyl p-hydroxybenzoate
(parabenz) (0.3%)
Benzoic and sorbic acid (0.3-0.5%)
Chloroform (0.25%)
Bronopol (0.5%)
Creams
Parabenz (0.3%)Cetyltrimethylammonium
Chlorocresol (0.1%) bromide (1.0%)
Bronopol (0.5%)Phenylmercuric nitrate
(0.01%)