Evaluation of chlorine compounds for surface disinfection by laboratory and in-use testing.

The disinfecting properties of chloramine and compounds containing chlorinated trisodium phosphate and potassium bromide or sodium dichlorisocyanurate and detergents were studied by laboratory and in-use tests and compared with a phenolic disinfectant containing detergents. In a modified Kelsey test all the preparations were effective in the recommended dilutions in clean conditions. The effectiveness of the chlorine-bromine disinfectant substantially decreased in the presence of organic material. The in-use testing was performed in infectious disease and intensive care wards. Chloramine was so disliked that the in-use test could not be carried out. In the infectious disease ward the total bacterial colony counts of the floors (disinfected once a day) were twice as high as those of the intensive care ward (disinfected 3 times a day) during the use of the phenolic and chlorine-bromine disinfectants. The frequent cleaning routine seemed thus to have an effect on the microbial contamination of the floors. The same difference was found in the contamination of the other non-vertical surfaces although they were disinfected only once a day in both wards. In both wards the total bacterial colony counts of all non-vertical surfaces were lower during the use of halogen compounds than during the use of the phenolic disinfectant. The staff, however, complained of the irritation of the skin and the mucous membranes when using chlorine disinfectants.