Fast, broad-range disinfection of bacteria, fungi, viruses and prions

Michael Beekes1, Karin Lemmer, Achim Thomzig

  • 1P24, Transmissible Spongiform Encephalopathies, Robert Koch-Institut, Nordufer 20, 13353 Berlin, Germany. BeekesM@rki.de

Insights

New disinfectant formulations containing SDS, NaOH, and n-propanol show potent activity against diverse pathogens, including prions, bacteria, fungi, and viruses. This broad-spectrum efficacy ensures effective reprocessing of surgical instruments and safe handling of medical devices.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Biochemistry

Background:

  • Effective disinfectants are crucial for surgical instrument reprocessing and safe medical practices.
  • A broad spectrum of antimicrobial and antiviral activity is required for comprehensive pathogen control.

Purpose of the Study:

  • To evaluate new disinfectant formulations containing sodium dodecyl sulfate (SDS), sodium hydroxide (NaOH), and 1-propanol (n-propanol).
  • To assess their efficacy against a wide range of pathogens, including bacteria, fungi, viruses, and prions, under various contamination conditions.

Main Methods:

  • Disinfection and inactivation tests were performed in suspension and on contaminated carriers (steel).
  • Organic contaminants like coagulated blood and brain homogenate were used to simulate real-world conditions.
  • Coomassie blue staining assessed protein fixation to surfaces.

Main Results:

  • A mixture of 0.2% SDS, 0.3% NaOH, and 20% n-propanol effectively decontaminated prion-contaminated carriers (PrP(TSE)), reducing infectivity by over 5.5 logs.
  • The formulation inactivated non-enveloped viruses (poliovirus, hepatitis A, norovirus) in suspension.
  • Significant reductions in bacteria (>6 logs), fungi (>5 logs), and poliovirus (>4 logs) were observed on carriers with organic load.
  • No significant protein fixation was observed compared to water.

Conclusions:

  • SDS, NaOH, and n-propanol exhibit synergistic disinfectant properties.
  • This formulation provides fast, broad-spectrum disinfection suitable for surgical instrument reprocessing.
  • The disinfectant is effective against challenging pathogens like prions and resistant bacteria, even in the presence of organic matter.

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