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Inactivation of HIV-1 by chemical disinfectants: sodium hypochlorite

Published online by Cambridge University Press:  15 May 2009

J. Van Bueren
Affiliation:
Laboratory of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, UK
R. A. Simpson*
Affiliation:
Laboratory of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, UK
H. Salmax
Affiliation:
Laboratory of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, UK
H. D. Farrelly
Affiliation:
Laboratory of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, UK
B. D. Cookson
Affiliation:
Laboratory of Hospital Infection, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, UK
*
* Current address: Healthcare Science Ltd. Unit 5, Northend Industrial Estate, Burymead road, Hitchin, Herts. SGo 1KT.
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The efficacy of sodium hypochlorite was assessed against human immunodeficiency virus type 1 suspended in low (8% v/v) or high (80% v/v) concentrations of serum or in a high (80%) concentration of blood. In the presence of 8% serum. 100 p.p.m. available chlorine in the disinfectant test mixture inactivated 3·75 log TCID50 HIV/ml within 30 s. When the test mixture contained 80% serum. 500 p.p.m. available chlorine inactivated more than 4 log TCID50 HIV/ml in 1–2 min. Lower concentrations of available chlorine were unable to inactivate the virus completely. In the presence of 80% blood. 1000 p.p.m. available chlorine in the disinfectant test mixture was unable to inactivate 3·75 log TCID50 HIV/ml. although 2500 p.p.m. available chlorine was able to inactivate at least 1·5 log TCID50 HIV/ml. In all test mixtures, the chlorine rapidly became combined and thus less active. Our results emphasise the importance of cleaning prior to disinfection with sodium hypochlorite since it may prove to be ineffective in the presence of high levels of organic matter. In cases where prior cleaning is impossible, care must be taken to use the higher recommended concentration (a minimum of 10000 p.p.m. available chlorine).

Type
Research Article
Copyright
Copyright © Cambridge University Press 1995

References

1.Centers for Disease Control. Recommendations for prevention of HIV transmission in health-care settings. MMWR 1987; 36: 1S18S.Google Scholar
2.Department of Health. Health Circular HC(91)33. Decontamination of equipment, linen, or other surfaces contaminated with hepatitis-B and/or human immunodeficiency virus. London: Department of Health. 1991.Google Scholar
3.WHO. Guidelines on sterilization and disinfection methods effective against human immunodeficiency virus (HIV). Geneva: WHO AIDS. 1989: Series 2.Google Scholar
4.Dychdala, GR. Chlorine and chlorine compounds. In: Block, SS. ed. Disinfection, sterilization and preservation. Philadelphia: Lea and Febiger. 1991; 131–51.Google Scholar
5.Ortenzio, LF, Stuart, LS. The behaviour of chlorine-bearing organic compounds in the A.O.A.C. available chlorine germicidal equivalent concentration test. J Assoc Off Agricult Chemists 1959; 42: 630–3.Google Scholar
6.Trueman, JR. The halogens. In: Hugo, WB. ed. Inhibition and destruction of the microbial cell. London: Academic Press. 1971: 137–83.CrossRefGoogle Scholar
7.van Bueren, J, Simpson, RA, Jacobs, P, Cookson, BD. Survival of HIV in suspension and dried onto surfaces. J Clin Microbiol 1994; 32: 571–4.CrossRefGoogle ScholarPubMed
8.British Standards Institution BS 6424. British Standard specification for QAC based aromatic disinfectant fluids. London: BSI. 1984.Google Scholar
9.Bayliss, GJ, Jesson, JW, Mortimer, PP, McLean, KA, Evans, BA. Cultivation of human immunodeficiency virus from whole blood. J Med Virol 1990; 31: 161–4.CrossRefGoogle ScholarPubMed
10.Kärber, G. Beitrag zur kollektiven behandlung pharmakologischer reihenversuche. Arch Exp Path Pharm 1931; 162: 480–3.CrossRefGoogle Scholar
11.Mosmann, T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods 1983; 65: 5563.CrossRefGoogle ScholarPubMed
12.Hoffman, PN, Death, JE, Coates, D. The stability of sodium hypochlorite solutions. S. A. B. Technical Series 1981; 16: 7783.Google Scholar
13.American Public Health Association. Standard methods for examination of water and waste water. New York: American Public Health Association, 1976: 329–32.Google Scholar
14.Coates, D. Relative stability of sodium hypochlorite liquids and sodium dichloro-isocyanurate effervescent disinfectant tablets. J Hosp Infect 1987; 10: 96–7.CrossRefGoogle Scholar
15.Fabian, TM, Walker, SE. Stability of sodium hypochlorite solutions. Am J Hosp Pharm 1982; 39: 1016–7.Google ScholarPubMed
16.Bloomfield, SF, Smith-Burchnell, CA, Dalgleish, AG. Evaluation of hypochlorite-releasing disinfectants against the human immunodeficiency virus (HIV). J Hosp Infect 1990; 15: 273–8.CrossRefGoogle ScholarPubMed
17.Benarde, MA, Israel, BM, Olivieri, VP, Ganstrom, ML. Efficiency of chlorine dioxide as a bactericide. Appl Microbiol 1965; 13: 776–80.CrossRefGoogle ScholarPubMed
18.Benarde, MA, Snow, WB, Olivieri, VP. Chlorine dioxide disinfection temperature effects. J Appl Bacteriol 1967; 30: 159–67.CrossRefGoogle ScholarPubMed
19.Benarde, MA, Snow, WB, Olivieri, VP, Davidson, B. Kinetics and mechanism of bacterial disinfection by chlorine dioxide. Appl Microbiol 1967; 15: 257–65.CrossRefGoogle ScholarPubMed
20.Cousins, CM, Allan, CD. Sporicidal properties of some halogens. J Appl Baeteriol 1967; 30: 168–74.CrossRefGoogle ScholarPubMed
21.Cousins, CM, Hoy, WA, Clegg, LFL. The evaluation of surfaee active disinfectants for use in milk production. J Appl Baeteriol 1960; 23: 359–71.CrossRefGoogle Scholar
22.Weber, GR, Levine, M. Factors affecting germicidal efficiency of chlorine and chloramine. Am J Public Health 1944; 34: 719–28.CrossRefGoogle ScholarPubMed
23.Ho, DD, Moudgil, T, Alain, M. Quantitation of human immunodeficiency virus type-1 in the blood of infected persons. N Engl J Med 1989; 321: 1621–5.CrossRefGoogle ScholarPubMed
24.Masquelier, B, Faivre, R, Paty, MC, Fleury, HJA. HIV-1 quantitation in infected patients: a comparison of cell viraemia, plasma viraemia and R-HEV. Res Virol 1992; 143: 1722.CrossRefGoogle ScholarPubMed
25.Bloomfield, SF, Miller, EA. A comparison of hypochlorite and phenolic disinfectants for disinfection of clean and soiled surfaces and blood spillages. J Hosp Infect 1989; 13: 231–9.CrossRefGoogle ScholarPubMed
26.Aranda-Anzaldo, A, Viza, D, Busnel, RG. Chemical inactivation of human immunodeficiency virus in vitro. J Virol Meth 1992; 37: 7182.CrossRefGoogle ScholarPubMed
27.Martin, LS, McDougal, JS, Loskoski, SL. Disinfection and inactivation of the human T lymphotropic virus type III/lymphadenopathy-assoeiated virus. J Infect Dis 1985; 152: 400–3.CrossRefGoogle ScholarPubMed
28.Resnick, L, Veren, K, Salahuddin, SZ, Tondreau, S, Markham, PD. Stability and inactivation of HTLV-III/LAV under clinical and laboratory environments. JAMA 1986; 255: 1887–91.CrossRefGoogle ScholarPubMed
29.Shapshak, P, McCoy, CB, Rivers, JE et al. , Inactivation of human immunodeficiency virus-1 at short time intervals using undiluted bleach. AIDS 1993; 6: 218–9.Google ScholarPubMed
30.Spire, B, Barré-Sinoussi, F, Montagnier, L, Chermann, JC. Inactivation of lymphadenopathy associated virus bv chemical disinfectants. Lancet 1984; ii: 899901.CrossRefGoogle Scholar
31.Coates, D, Wilson, M. Use of dichloroisocyanurate granules for spills of body fluids. J Hosp Infect 1989; 13: 241–51.CrossRefGoogle ScholarPubMed
32.Coates, D, Wilson, M, Powders, composed of chlorine-releasing agent acrylic resin mixtures or based on peroxygen compounds, for spills of body fluids. J Hosp Infect 1992; 21: 241–52.CrossRefGoogle ScholarPubMed