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Which conditions promote a remanent (persistent) bactericidal activity of chlorine covers?
1Institute for Hygiene, University of Innsbruck, Austria.
Abstract:
The interaction of disinfectants containing active chlorine compounds (hypochlorite, chloramine T) with skin surfaces produces a so called chlorine cover which is a true chemical transformation of the protein matrix of the outermost horny skin layer by forming covalent N-Cl bonds. Though its intensity can easily be measured, the results on its remanent (persistent) bactericidal action until now have not been described consistently. While Gottardi and Karl observed a well-defined remanent action which correlated with the cover strength in the artificially with E. coli contaminated arm, Koller, Rotter, and Gottardi were not able to prove it, neither in artificially contaminated hands nor in the case of the resident bacterial colonization. To clarify these not consistent results, the bactericidal activity of chlorine covers on transient (dry contamination of the finger tips with Micrococcus luteus) as well as on resident colonization (after wearing gloves for 3 h) has been re-investigated using contact plates for recovering the bacteria. The results are showing that the remanent bactericidal action of chlorine covers strongly depends on the skin milieu, with moist conditions caused by sweat (surgical gloves) favoring the bactericidal activity. Elution experiments prove that protein constituents (detected by UV-spectrometry) continuously are transported to the skin-surface. It is obvious that the latter equilibrate with the chlorine cover by forming bactericidal N-Cl compounds with the effect that oxidation capacity fixed at the protein matrix is mobilized enabling the remanent bactericidal action.