Surdeau N, Laurent-Maquin D, Bouthors S, Gellé M P
INSERM ERM 0203, Interfaces Biomateriaux/Tissus-Hôtes, IFR 53 Biomolécules, Reims Cedex, France.
J Hosp Infect. 2006 Apr;62(4):487-93. doi: 10.1016/j.jhin.2005.09.003. Epub 2006 Feb 14.
The effective concentrations of disinfectants were determined for planktonic bacteria using the norms EN 1040 and NF T 72-150. This concentration corresponds to biocide efficacy after 5 min of contact, followed by neutralization. However, micro-organisms often colonize a substratum and form microcolonies or biofilms where they are enclosed in exopolymer matrices. Biofilms are commonly resistant to a broad range of antimicrobial agents, and resistance mechanisms involve exopolymer matrices, changes in gene expression and metabolic alterations. Due to these different resistance mechanisms, it is difficult to select and titrate antimicrobial agents to be effective against biofilms. In this context, SODIFRA developed a new disinfectant, Oxsil 320N (French patent 94 15 193). Oxsil 320N is an association of three active principles: hydrogen peroxide, acetic acid/peracetic acid and silver. This biocide was tested on planktonic bacteria and on 24-h biofilms formed on AISI 304 stainless steel surfaces. The effective concentration of Oxsil 320N was also determined on biofilms using SODIFRA recommendations (without neutralization of the biocide). Data showed that the antimicrobial efficacy measured on planktonic bacteria is not a reliable indicator of performance when biofilm is present. When biofilms were exposed to Oxsil 320N, the concentration needed to achieve a 10(5)-fold decrease in concentration was 10 times higher than that for bacterial suspensions (0.313% Oxsil 320N). An effective concentration of Oxsil 320N of 3.13% was required.
使用欧洲标准EN 1040和法国标准NF T 72 - 150测定了消毒剂对浮游细菌的有效浓度。该浓度对应于接触5分钟后再进行中和处理时的杀生剂效力。然而,微生物常常在基质上定殖并形成微菌落或生物膜,它们被包裹在胞外聚合物基质中。生物膜通常对多种抗菌剂具有抗性,其抗性机制包括胞外聚合物基质、基因表达变化和代谢改变。由于这些不同的抗性机制,很难选择和滴定能有效对抗生物膜的抗菌剂。在此背景下,SODIFRA公司研发了一种新型消毒剂Oxsil 320N(法国专利94 15 193)。Oxsil 320N由三种活性成分组成:过氧化氢、乙酸/过氧乙酸和银。对该杀生剂针对浮游细菌以及在AISI 304不锈钢表面形成的24小时生物膜进行了测试。还根据SODIFRA公司的建议(不进行杀生剂中和)测定了Oxsil 320N对生物膜的有效浓度。数据表明,当存在生物膜时,对浮游细菌测得的抗菌效力并非性能的可靠指标。当生物膜暴露于Oxsil 320N时,要使浓度降低10⁵倍所需的浓度比细菌悬液高10倍(Oxsil 320N浓度为0.313%)。需要3.13%的Oxsil 320N有效浓度。