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Published on: April 21, 2023
Antimicrobial Activity of Copper Alloys Against Invasive Multidrug-Resistant Nosocomial Pathogens
Ozgen Koseoglu Eser1, Alper Ergin, Gulsen Hascelik
1Department of Medical Microbiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey, ozgen.eser@hacettepe.edu.tr.
Abstract:
The emergence and spread of antibiotic resistance demanded novel approaches for the prevention of nosocomial infections, and metallic copper surfaces have been suggested as an alternative for the control of multidrug-resistant (MDR) bacteria in surfaces in the hospital environment. This study aimed to evaluate the antimicrobial activity of copper material for invasive MDR nosocomial pathogens isolated over time, in comparison to stainless steel. Clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA) (n:4), OXA-23 and OXA-58 positive, MDR Acinetobacter baumannii (n:6) and Pseudomonas aeruginosa (n:4) were evaluated. The antimicrobial activity of coupons containing 99 % copper and a brass alloy containing 63 % copper was assessed against stainless steel. All the materials demonstrated statistically significant differences within each other for the logarithmic reduction of microorganisms. Among the three materials, the highest reduction of microorganisms was seen in 99 % copper and the least in stainless steel. The result was statistically significant especially for 0, 2, and 4 h (P = 0.05). 99 % copper showed a bactericidal effect at less than 1 h for MRSA and at 2 h for P. aeruginosa. 63 % copper showed a bactericidal effect at 24 h for P. aeruginosa strains only. Stainless steel surfaces exhibited a bacteriostatic effect after 6 h for P. aeruginosa strains only. 99 % copper reduced the number of bacteria used significantly, produced a bactericidal effect and was more effective than 63 % copper. The use of metallic copper material could aid in reducing the concentration of bacteria, especially for invasive nosocomial pathogens on hard surfaces in the hospital environment.
Insights
High-purity copper surfaces effectively kill hospital-acquired bacteria, including multidrug-resistant pathogens. This study shows copper is superior to stainless steel in reducing bacterial load on surfaces.
Area of Science:
- Infection Control
- Materials Science
- Microbiology
Background:
- Antibiotic resistance necessitates new strategies to prevent hospital-acquired infections.
- Metallic copper surfaces show promise for controlling multidrug-resistant (MDR) bacteria in healthcare settings.
Purpose of the Study:
- To evaluate the antimicrobial efficacy of copper materials against invasive MDR nosocomial pathogens.
- To compare the antimicrobial activity of 99% copper and 63% copper (brass alloy) against stainless steel.
Main Methods:
- Clinical isolates of MRSA, MDR Acinetobacter baumannii, and Pseudomonas aeruginosa were used.
- Antimicrobial activity was assessed on 99% copper, 63% copper, and stainless steel coupons.
- Logarithmic reduction of microorganisms was measured over time.
Main Results:
- All materials showed statistically significant differences in bacterial reduction.
- 99% copper demonstrated the highest antimicrobial activity, followed by 63% copper, and then stainless steel.
- 99% copper exhibited a bactericidal effect within 1-2 hours for MRSA and P. aeruginosa.
Conclusions:
- 99% copper surfaces are highly effective in reducing bacterial concentrations, particularly for nosocomial pathogens.
- Metallic copper offers a superior alternative to stainless steel for antimicrobial hard surfaces in hospitals.
- Copper's bactericidal properties can aid in preventing the spread of antibiotic-resistant bacteria in healthcare environments.
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