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Published on: February 14, 2025
Mutant selection window of disinfectants for Staphylococcus aureus and Pseudomonas aeruginosa
Masato Kawamura1, Shigeru Fujimura1, Koichi Tokuda2
1Division of Clinical Infectious Disease & Chemotherapy, Tohoku Medical and Pharmaceutical University, 4-4-1 Komatsushima, Aoba-ku, Sendai 981-8558, Japan.
Objectives:
The aim of this study was to determine the mutant selection window (MSW) of various disinfectants against Staphylococcus aureus and Pseudomonas aeruginosa clinical isolates to determine the tendency of these strains to acquire resistance to disinfectants.
Methods:
A total of 60 S. aureus isolates [30 methicillin-resistant S. aureus (MRSA) and 30 methicillin-susceptible S. aureus (MSSA)] and 30 P. aeruginosa, including 2 multidrug-resistant P. aeruginosa (MDRP), were collected in Japan. The minimum inhibitory concentrations (MICs) and mutant prevention concentrations (MPCs) of disinfectants, including sodium hypochlorite (NaOCl), against these strains were established to determine the MSW.
Results:
The MSW50, MSW80 and MSW100 for sodium hypochlorite against S. aureus and P. aeruginosa were 4×, 8× and 16× MIC, respectively. Strains surviving in the sodium hypochlorite MSW remained at a concentration of ≤0.3% (≤3072μg/mL).
Conclusions:
This is the first evaluation of the bactericidal activity against S. aureus and P. aeruginosa strains surviving in the MSW of disinfectants. Environmental disinfection at low concentrations of sodium hypochlorite does not kill micro-organisms. Proper use of sodium hypochlorite shows a bactericidal effect against various pathogenic micro-organisms and is inexpensive, making it frequently used globally.
Insights
This study determined the mutant selection window (MSW) for sodium hypochlorite against Staphylococcus aureus and Pseudomonas aeruginosa. Low disinfectant concentrations may not kill bacteria, but proper use is effective and inexpensive.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Disinfection
Background:
- Disinfectants are crucial for controlling pathogenic bacteria like Staphylococcus aureus and Pseudomonas aeruginosa.
- Understanding the mutant selection window (MSW) is vital to prevent the emergence of disinfectant resistance.
- Sodium hypochlorite is a widely used, cost-effective disinfectant globally.
Purpose of the Study:
- To determine the MSW of various disinfectants against clinical isolates of S. aureus and P. aeruginosa.
- To assess the potential for these bacteria to develop resistance to disinfectants.
- To evaluate the bactericidal activity of disinfectants within their MSW.
Main Methods:
- Collected 60 S. aureus (30 MRSA, 30 MSSA) and 30 P. aeruginosa isolates.
- Determined minimum inhibitory concentrations (MICs) and mutant prevention concentrations (MPCs).
- Calculated the MSW for disinfectants, including sodium hypochlorite (NaOCl).
Main Results:
- The MSW for sodium hypochlorite against S. aureus and P. aeruginosa was 4x, 8x, and 16x MIC.
- Bacterial strains surviving within the NaOCl MSW remained at concentrations of ≤0.3% (≤3072μg/mL).
Conclusions:
- Environmental disinfection with low NaOCl concentrations may not eradicate microorganisms.
- Appropriate concentrations of sodium hypochlorite demonstrate bactericidal effects against pathogenic bacteria.
- Proper use of inexpensive sodium hypochlorite is essential for effective disinfection.
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