Durability of amide N-chloramine biocides to ethylene oxide sterilization

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Date
2012-07-01
Authors
Zhao, Nan
Logsetty, Sarvesh
Liu, Song
Journal Title
Journal ISSN
Volume Title
Publisher
Oxford University Press
Abstract

The objective of this work is to study the stability of three novel topical antimicrobial dressings consisting of amide N-chloramine structures against ethylene oxide sterilization. Cotton gauze samples bonded with one of three amide N-chloramine structures were subjected to standard ethylene oxide (EtO) sterilization. The amounts of amide N-chloramine structures before and after the sterilization were quantified to indicate the stabilities of these amide N-chloramine structures to the sterilization. The samples after sterilization were challenged with a clinical isolate of healthcare-associated multidrug-resistant Escherichia coli. N-Chloramine structure converted from polymethacrylamide (dressing 2) had the highest durability (89.7% retained active chlorine) toward EtO sterilization; that from hydantoin (dressing 3; 86.3% retained active chlorine) followed; and poly(N-chloroacrylamide) (dressing 1) had the lowest (64.0% retained active chlorine). After EtO sterilization, all the samples still reduced E. coli presence at 5 minutes of contact, with dressing 2 retaining a log 6 reduction. The three tested amide N-chloramine structures could all survive EtO sterilization while retaining percentages of active chlorine ranging from 64.0 to 89.7%. Dressing 2 showed the best durability, whereas dressing 1 had the poorest durability. With the remaining amounts of amide N-chloramine structures after EtO sterilization, all the dressings could still reduce E. coli numbers within 5 minutes of contact, and dressing 2 resulted in a log 6 reduction in colony count.

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Keywords
N-Chloramine, biocides, Ethylene Oxide Sterilization, antimicrobial wound dressings
Citation
Zhao, N.; Logsetty, S.; Liu, S.* Durability of amide N-chloramine biocides to ethylene oxide sterilization. Journal of Burn Care and Research, 2012; 33(4): e201-6