Effects of NaOCl Aqueous Solutions and Ethyl Alcohol Solutions on Removing Protein Surface Contaminants and Re-establishing Antibacterial Activities of Copper-Alloyed Stainless Steel

Influence of chlorides and phosphates on the antiadhesive, antibacterial, and electrochemical properties of an electroplated copper-silver alloy

Antimicrobial surfaces such as copper alloys can reduce the spread of pathogenic microorganisms, e.g., in healthcare settings; however, the surface chemistry and thus the antibacterial activity are influenced by environmental parameters such as cleaning and disinfection procedures. Therefore, the purpose of the present study was to assess how copper-complexing compounds (chlorides and phosphates), common to the clinical environment, can affect the surface chemistry and the antiadhesive and antibacterial properties of a newly developed antibacterial copper-silver alloy and the single alloying metals. The authors demonstrated that the antiadhesion efficacy against S. aureus 8325 was the highest when the copper-silver alloy and copper surfaces (four- and two-log bacterial reduction compared to stainless steel controls, respectively) were exposed to chloride-containing suspensions. This was explained by the electrochemical activity of copper that dissolved as Cu⁺, highly toxic to the bacterial cells, in the presence of Cl^- and eventually formed a chlorine- and oxygen-rich layer with the incorporation of phosphorus, if also phosphates were present. If chlorides were omitted from the wet environment, there was no difference (P > 0.05) in bacterial counts on copper-silver alloy, copper, silver, and AISI 316 stainless steel control surfaces, due to the fact that no oxidizing conditions were established and therefore there was no dissolution of copper ions from copper-silver alloy and copper surfaces. However, under dry conditions, copper-silver alloy and pure copper surfaces were antibacterial also in the absence of chlorides, suggesting a marked difference between dry and wet conditions in terms of the interactions between surfaces and bacteria. The authors conclude that an attentive design of control policies integrating disinfection interventions and antimicrobial surfaces, such as the copper-silver alloy coating, can be a beneficial solution in fighting the spread of antibiotic resistant bacterial strains and potentially reducing the number of disease outbreaks.

Antimicrobial efficacy and compatibility of solid copper alloys with chemical disinfectants

INTRODUCTION

Chemical disinfection is state of the art in preventing spread of infectious agents in the healthcare setting. Additionally, the antimicrobial properties of solid copper alloy surfaces against various microorganisms have recently been substantiated. Thus, antimicrobially active copper surfaces may serve as an additional barrier against distribution of pathogenic microorganisms and be combined with chemical disinfection measures in the hospital. The aim of this study was therefore to investigate on a quantitative basis whether the combination of chemical disinfectants with copper alloy surfaces results in an overall compromised, combined or even synergistic antimicrobial efficacy.

METHODS

Experiments were carried out using the quantitative carrier test devised by the German Society for Hygiene and Microbiology (DGHM) to study antimicrobial efficacy of chemical disinfectants. Requirements for microbicidal efficacy as defined by prEN 14885 were applied. The chemical disinfectants tested in our study contained alcohols (ethanol, 1-propanol), quaternary ammonium compounds (benzalkonium chloride) and glutaraldehyde as actives. Quantitative carrier tests were carried out on different carriers (tiles, copper alloy discs, stainless steel discs) using Pseudomonas aeruginosa, Staphylococcus aureus, Kocuria rhizophila and Candida albicans as test organisms.

RESULTS

For the alcohol-based disinfectant no difference in antimicrobial efficacy was observed when applied to antimicrobial active copper alloy carriers, tiles or stainless steel discs. For all test organisms microbial contamination was reduced to the detection limit of < 1 log (CFU/ml) within a contact time of 2 min indicating a ≥ 5 log reduction for the tested bacteria and a ≥ 4 log reduction for the yeast, as being requested for chemical disinfectants by prEN 14885. In order to elucidate a potential synergism the chemical disinfectant based on quaternary ammonium compounds (benzalkonium chloride) and glutaraldehyde was used at a sub-effective concentration. Hence, no complete reduction of microbial contamination was achieved on stainless steel or tile carriers for Pseudomonas aeruginosa and Candida albicans. Interestingly, when using copper alloy carriers complete reduction indicating a ≥ 5 log reduction for P. aeruginosa and a ≥ 4 log reduction for C. albicans was detected. Thus, data of this study indicates that solid copper alloy surfaces and disinfectants synergize.

CONCLUSIONS

According to this data, commercially available disinfectants based on alcohol, quaternary ammonium compounds and aldehyde can effectively be combined in a dual strategy with solid copper alloy surfaces to reduce microbial contamination.