In vitro activity of commercially manufactured disinfectants against Pseudomonas aeruginosa
Abstract:
The in vitro activity of 17 commercially manufactured disinfectants routinely used in a large teaching hospital was tested against 128 strains of Pseudomonas aeruginosa isolated from hospitalized patients and the hospital environment. Except for quaternary ammonium salts, all the disinfectants at dilutions higher or equalling those recommended by the manufacturer were adequate to suppress P. aeruginosa. Chlorhexidine-, povidone-iodine- and glutaraldehyde-based disinfectants at dilutions 4 to 8-fold lower than the normal use dilution had a marked bactericidal effect ( > 3 log10 reduction of viable cells) within a short time (10 to 120 min). Similar formulations produced by different manufacturers exhibited comparable activity against P. aeruginosa.
Insights
Most hospital disinfectants effectively control Pseudomonas aeruginosa, except quaternary ammonium salts. Chlorhexidine, povidone-iodine, and glutaraldehyde show strong bactericidal effects even at lower concentrations.
Area of Science:
- Microbiology
- Infection Control
- Hospital Hygiene
Background:
- Pseudomonas aeruginosa is a significant nosocomial pathogen.
- Effective disinfection is crucial for preventing healthcare-associated infections.
Purpose of the Study:
- To evaluate the in vitro efficacy of common hospital disinfectants against Pseudomonas aeruginosa.
- To compare the activity of different disinfectant formulations and concentrations.
Main Methods:
- Tested 17 commercial disinfectants against 128 Pseudomonas aeruginosa strains.
- Isolated strains from patients and hospital environments.
- Assessed bactericidal activity at various dilutions and time points.
Main Results:
- Most disinfectants, except quaternary ammonium salts, were effective at manufacturer-recommended dilutions.
- Chlorhexidine, povidone-iodine, and glutaraldehyde demonstrated potent bactericidal activity (>3 log10 reduction) within 10-120 minutes, even at 4-8 fold lower concentrations.
- Disinfectants from different manufacturers showed comparable efficacy.
Conclusions:
- Standard disinfectant dilutions are generally adequate for controlling Pseudomonas aeruginosa.
- Specific disinfectants like chlorhexidine, povidone-iodine, and glutaraldehyde offer enhanced efficacy at reduced concentrations.
- Formulation consistency across manufacturers supports reliable infection control practices.
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