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Antimicrobial Activity of Glucoprotamin: A Clinical Study of a New Disinfectant for Instruments

Published online by Cambridge University Press:  02 January 2015

Andreas F. Widmer*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University of Basel Hospitals & Clinics, Basel, Switzerland
Reno Frei
Affiliation:
Bacteriology Laboratory, University of Basel Hospitals & Clinics, Basel, Switzerland
*
University Hospital Basel, Division of Hospital Epidemiology, Petersgraben 4, 4031 Basel, Switzerland

Abstract

Objective:

To determine the in vitro efficacy of glucoprotamin for the disinfection of instruments.

Design:

Prospective observational study.

Setting:

University women's hospital.

Methods:

Instruments were immersed in saline solution after use, and glucoprotamin was added to a concentration of 1.5% before soaking for 60 minutes. Biocidal activity was determined by the difference in colony-forming units (CFU) on instruments before and after disinfection.

Results:

One hundred thirty-seven instruments were collected during 10 days and exposed to a 1.5% dilution of glucoprotamin without prior washing. Bioburden before disinfection ranged from 2 × 105 to 7.1 × 107 CFU per instrument. Average bacterial killing was 5.98 log10 CFU ± 0.48 under aerobic conditions and 6.75 log10 CFU ± 0.54 under anaerobic conditions, despite the presence of large amounts of proteins on instruments that were frequently bloody. No vegetative bacteria were isolated in any sample after disinfection.

Conclusion:

This clinical study confirmed excellent in vitro efficacy of glucoprotamin without prior removal of proteins and debris.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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References

1.Widmer, AF, Frei, R. Decontamination, disinfection, and sterilization. In: Murray, PR, Baron, EJ, Pfaller, M, Jorgensen, JH, Yolken, R, eds. Manual of Clinical Microbiology, 8th ed. Washington, DC: American Society of Microbiology Press; 2003:77108.Google Scholar
2.Rutala, WA, Cole, EC. Ineffectiveness of hospital disinfectants against bacteria: a collaborative study. Infect Control 1987;8:501506.Google Scholar
3.Sagripanti, JL, Bonifacino A Resistance of Pseudomonas aeruginosa to liquid disinfectants on contaminated surfaces before formation of biofilms. J AOAC Int 2000;83:14151422.Google Scholar
4.Terleckyj, B, Axler, DA. Quantitative neutralization assay of fungicidal activity of disinfectants. Antimicrob Agents Chemother 1987;31:794798.CrossRefGoogle ScholarPubMed
5.Disch, K. Glucoprotamine: a new antimicrobial substance. Zentralbl Hyg Unweltmed 1994;196:357365.Google Scholar
6.Meyer, B, Kluin, C. Efficacy of glucoprotamin containing disinfectants against different species of atypical mycobacteria. J Hosp Infect 1999;42:151154.CrossRefGoogle ScholarPubMed
7.Van Klingeren, B, Pullen, W. Glutaraldehyde resistant mycobacteria from endoscope washers. J Hosp Infect 1993;25:147149.Google Scholar
8.Griffiths, PA, Babb, JR, Bradley, CR, Fraise, AP. Glutaraldehyde-resistant Mycobacterium chelonae from endoscope washer disinfectors. J Appl Microbiol 1997;82:519526.CrossRefGoogle ScholarPubMed
9.Spaulding, EH. Chemical disinfection of medical and surgical materials. In: Block, S, ed. Disinfection, Sterilization and Preservation. Philadelphia: Lea & Febiger; 1968:517531.Google Scholar