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INTRODUCTION
Most chemical actives are not effective against bacterial spores, and most are only
mildly effective against mycobacteria or lipophobic viruses. Some actives are relatively
ineffective against fungi, while others are insufficiently effective against Pseudomonas
spp. Not all bacterial or fungal species are equally susceptible to a given concentration
of a given product, and even different strains of the same species of bacteria, fungus or
virus may vary in resistance.
For the above reasons, a large number of active chemicals are now commercially
available. It should be possible to choose at least one active substance (or a combination
of actives) to obtain the best results in any given situation.
Most of the active chemicals on the above-mentioned list (8) fall into particular
chemical groups, and most are well established. Only approximately one-third of the
available actives are commonly used in the veterinary field.
Active disinfectant substances may be classified into the following groups:
- QACs
- phenols
- halogen-releasing compounds
- halogenated phenols
- aldehydes
- biguanides and polymeric biguanides
- amphoterics
- iodine-based compounds
- alcohols
- acids
- peroxygen-based compounds
- alkalis
- miscellaneous.
Details of the active ingredients are presented below, together with a discussion of
potential enhancing additives.
or an aryl group. R and R are usually short-chain alkyl groups. X is usually a chloride
3 4
x-
FlG. 1
CH 3 CH,
I
Br CnH:2n+1 V — C H Cl
C H
n 2n+ i - N — CH
+
3 n
n
n n + 1
CH, CH,
alkyltrimethyl ammonium bromide dialkyldimethyl ammonium chloride
CH 3
I
• 0 — (CH ) 6 2 (CH )n 2 CH 3 Br
CH 3
domiphen bromide
CH, CH3 CH3
i i
>-CH 2 l\T — C H - C H 0 - CH - C H 0 - <
2 2 2 — C — CH — C - C H 2 2 CH 02
l I I
CH 3
CH3 CH3
benzethonium chloride
CH 3
f
-CH —N 2
+
C H n 2 n + 1
cr >— N* — ( C H ) — C H 2 1 5 3 Cl H 0
2
CH 3
CH 3
c H n 2 n + 1 — r — CH 3
I
CH 2
I
^ Cl
Cl
alkyI(dichlorophenyl)methyldimethyI chloride
CHoCI CH,
— 0 — C H — C H — N — CH 2 2
+
2 C H — N — CH — CH —
2
+
2 2
CH 3 CH 3
FIG. 2
All Q A C s are cationic. The first use of these compounds dates back to 1916 (6) but
not until 1935, when the chemistry had been further developed, did Q A C s begin to
e n t e r c o m m o n use (3). Since then, Q A C s have b e e n widely used in disinfectants,
antiseptics, pharmaceuticals and cosmetics.
Since 1935, it has been shown that QACs are much more effective in preventing the
growth of bacteria than in killing them. Q A C s have been shown to be far more active
against Gram-positive bacteria than against Gram-negativ e bacteria, to have m o r e
bactericidal than fungicidal activity, and to be effective against lipophilic viruses but not
against lipophobic viruses. QACs may be sporostatic (7), but they are not sporicidal and
are relatively ineffective against mycobacteri a (9). N o t w i t h s t a n d i n g the abov e
comments, the bactericidal activity of QACs against most bacteria is sufficient for them
to have found many applications.
Used alone, Q A C s possess a certain degree of surface activity, but they are usually
formulated with compatible non-ionic detergents to increase detergency. The activity of
Q A C s declines in the presence of h a r d water, and they are usually formulated in
combination with chelating agents (e.g. the salts of ethylenediaminetetraacetic acid
[ E D T A ] ) or chemicals such as sodium citrate or t r i p o l y p h o s p h a t e (which r e m o v e
calcium and magnesium ions from the water). The activity of QACs is greatly reduced
in the presence of soiling matter, and it is therefore best to clean away heavy soiling
before using these c o m p o u n d s . Q A C s are not compatible with soaps or ordinar y
anionic detergents; if these are used for cleaning, they must be rinsed off before
applying Q A C s or the disinfectants will lose much of their activity. Q A C s are m o r e
effective in alkaline conditions t h a n in acid conditions, and a n u m b e r of Q A C
formulations contain alkalis, such as sodium carbonate or metasilicate. Some care must
be taken in composing such formulations, as QACs can lose some of their activity if the
ratio of the various constituents is incorrect.
Q A C s are sometimes formulated in combination with o t h e r actives (notably
Chlorhexidine or polymeric biguanides) to increase their efficacy against some Gram-
negative species, or they may be formulated in combination with glutaraldehyde to kill
the whole spectrum of microorganisms more rapidly than glutaraldehyde alone.
Q A C formulations (both alone and in combination with other substances) have been
widely used in veterinary disinfectants.
The action of these formulations is reasonably rapid, they have a high concentration
exponent, and a rise in t e m p e r a t u r e increases their activity. In use dilutions, Q A C s
are usually non-corrosive to surfaces, but strong concentrations can corrode mild steel
or iron.
A wide range of QAC-based products exists and selection is difficult. The literature
supplied by manufacturer s should be consulted, but l a b o r a t o r y tests on these
formulations give highly variable results, and the only way to prove their efficacy in a
given situation is to assess the products in practice.
PHENOLS
Phenols are among the oldest established active disinfectant substances. Originally
derived from coal tar, they were extensively used in the early 20th century and still play
a major role in the disinfectant armoury today. In the Unite d Kingdom and Ireland,
over 3 0 % of disinfectants used in veterinary applications are based on phenols.
However, in Germany, only 7% of veterinary disinfectants are phenolic (4). All these
substances are chemically based on the phenol molecule (Fig. 3).
61
Phenols
o-ethylphenol o-phenylphenol
Chlorinated phenols
OH OH
CI
CH, CH, CH 3
CH,
CI CI
4-chloro-3,5-metaxylenol (PCMX) 2,4-dichlorometaxylenol (DCMX)
OH OH
-CH,-
CI CI
4-chloro-2-o-phenylphenol (MCOPP) 2-benzyl-4-chlorophenol (OBPCP)
PCMX: parachlorometaxylenol
FIG. 3
Phenol itself is rarely used now, as it is highly toxic and corrosive, but the higher
homologues (cresols, xylenols and ethylphenols) are still used. Phenols have a wide
spectrum of activity against bacteria, viruses, fungi and mycobacteria, while their
sporicidal activity is minimal. Phenols have poor surface activity and have therefore
traditionally been formulated in soap solutions to increase their penetrative power. The
choice of soaps which may be used is very limited: the sodium or potassium salts of
castor oil, linseed oil or resin acids have generally been used for this purpose. Soaps
based on tallow, tall oil or oleic acid markedly decrease the activity of phenols.
'Clear solubles' are so called as they yield a clear, opalescent solution in distilled
water. T h ey essentially consist of cresol, xylenol, o-ethylphenol (alone or in
combination) dissolved (20-30%) in a liquid soap. Ethyl alcohols or glycols may also be
included in the formula. Such products are effective under conditions of heavy soiling
and are therefore among the products of choice where such conditions exist. Clear
solubles are incompatible with acids or strong alkalis. Acids break down the soap, and
alkalis convert the phenol to the phenate ion, which is less effective than the phenol
molecule and can cause resinification, resulting in loss of activity. Products based on
cresol are corrosive to skin, but those based on xylenols or higher phenols are less
corrosive. Clear solubles have a low concentratio n exponen t and are almost as
bactericidal as bacteriostatic; they must therefore be used at the r e c o m m e n d e d
concentration or their activity will be lost.
'White fluid' phenols are produced by making a colloidal solution of a low boiling-
point tar acid fraction and so-called ' n e u t r a l ' oil (a complex eutectic mixture of
naphthalene, dimethylnaphthalenes, acenaphthene and other aromatic hydrocarbons)
in water. This is usually made in a colloid mill or in a homogeniser, but ultrasonics can
also be used. A small amount of soap is usually added and the emulsion is held together
by a colloid protectant (usually glue or casein). White fluids have a distinct advantage
over nearly all other types of disinfectant in that they can be diluted with seawater or
brackish water without breaking down or losing their activity (nearly all the navies of
the world formerly used these disinfectants). They are effective in conditions of heavy
soiling and have a wide spectrum of microbicidal activity. White fluid phenols have been
used extensively for terminal disinfection in farm buildings. However, they are toxic and
have a tarry odour, and if the emulsion breaks down they can leave tarry deposits.
'Black fluid' phenols are based on a tar fraction of higher boiling-point than that used
for the white fluids. This tar fraction is a complex mixture of higher homologues of
phenol, naphthols, indanols, anthracols, etc. It is quite insoluble in water and must
therefore be solubilised in 'neutral' oil. This mixture is then solubilised with a soap
solution or an ethoxylated castor oil sulphonate; glycerols or glycols may also be added.
T h e high boiling-point tar acids used in these product s do not have the same wide
spectrum of activity as those used in the white fluids. These products are effective
against a wide range of Gram-negative and Gram-positive bacteria, but are relatively
ineffective against Pseudomonas spp. and mycobacteria, and are not effective against
lipophobic viruses. However, their level of fungicidal activity is quite high.
63
Black fluid phenol products are effective in conditions of heavy soiling. They form
white emulsions w h e n diluted and h a v e a tarry odour. By formulating tar acids in
combination with sulphonic acids and acetic acid, highly bactericidal, fungicidal and
virucidal products have been formulated for farm use. Formulations have also b e e n
developed using triethanolaminedodecylbenzene sulphonate as an emulsifier.
Formulating with phenols requires great care, as the activity of the formulation relies
on both oil/water partition and micelle concentration.
HALOGEN-RELEASING COMPOUNDS
Sodium hypochlorite solutions are probably the best known of the halogen-releasing
compounds and are among the oldest and most common of all disinfectants. They are
extremely effective against all types of microorganisms (Table I) but lose much of their
activity in the presence of soiling. Sodium hypochlorite solutions do not wet surfaces
effectively and have consequently been formulated with various detergents (e.g. amine
oxides, soaps, alkane sulphonates and ether sulphates) to enhance their detergency.
These additions do not affect the microbicidal activity of these products.
For many years, sodium hypochlorite solutions have been used in water treatment, in
dairying operations, in the food industry and in the home.
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66
HALOGENATED PHENOLS
ALDEHYDES
This section details the properties of alexidine, Chlorhexidine and the polymeric
biguanides.
All these actives h a v e a b r o a d s p e c t r u m of antibacterial activity, but they have
limited fungicidal and virucidal properties. They function across a limited pH: 5-7 in the
case of alexidine and Chlorhexidine, and 5-10 for the polymeric biguanides. They are all
incompatible with anionic detergents and inorganic anionic compounds.
Chlorhexidine itself is insoluble in water, but Chlorhexidine gluconate is quite soluble
and is the salt most generally used. Chlorhexidine gluconate is much more bacteriostatic
than bactericidal; it has virucidal properties but is not sporicidal or mycobactericidal. It
has been formulated in aqueous or alcoholic solutions for pre-operative skin treatment
and has been used in conjunction with quaternary ammonium compounds in antiseptic
and detergent sanitiser formulations.
Alexidine has mainly been used in oral antiseptics.
68
AMPHOTERIC COMPOUNDS
Amphoterics can possibly be used to enhance the activity of some phenols (E. Reeve,
personal communication).
IODINE-BASED COMPOUNDS
Iodine itself is not very soluble and is generally too toxic, corrosive and staining for
use as a microbicidal active, although it is among the most active disinfectant substances
known.
In the early 20th century, iodine was used extensively as an antiseptic, in solutions in
which the iodine was dissolved in alcohol and potassium iodide. These tinctures of
iodine were found to be too irritative to skin and mostly fell into disuse. Iodine was
discovered to be reactive with neutral polymers, particularly polyvinyl pyrrolidine, to
yield a product which has found extensive use as a surgical hand-wash and antiseptic.
Iodine was also found to react with ethoxylated surfactants to p r o d u c e i o d o p h o r s .
These iodophors are usually stabilised with either acids or acidic buffers. They have an
extremely wide spectrum of activity against bacteria, spores, mycobacteria, fungi and
viruses, and have found extensive use in the veterinary field.
Iodophors have a low temperature coefficient compared to most other products, and
therefore work almost equally well at low and high temperatures.
Iodophors cannot be mixed with other products, nor can they be used in alkaline
conditions. They can cause staining if not used properly.
69
ALCOHOLS
Although some alcohols have been extensively used as skin disinfectants, they are
not particularly active. Ethyl alcohol, isopropyl alcohol and M-propyl alcohol are most
active at 7 0 % concentratio n and retain some activity down to approximately 1 0 % .
However, alcohols have found extensive use as solvents and have b e e n used in
formulations of disinfectants in combination with phenols, halogenated phenols, QACs
and Chlorhexidine. Alcohols have the advantage of evaporating quickly and leaving no
residues; they have therefore been used as spray disinfectants in the food industry.
T e r p e n e alcohols also have s o m e germicidal p r o p e r t i e s and have b e e n used in
combination with halogenated phenols in so-called 'pine fluids'.
P h e n o x y e t h a n o l and phenylethyl alcohol have also been used in formulations to
increase activity against Pseudomonas spp.
ACIDS
Inorganic acids (e.g. nitric, hydrochloric, sulphuric, phosphoric and sulphamic acids)
are used as cleaners for removing limescale, milk stone, etc. They all have microbicidal
properties due to the low p H levels, but are generally slow-acting. Inorganic acids are
efficient cleaners, but have strict limitations due to corrosiveness to b o t h skin and
materials.
In addition , m a n y organic acids (e.g. formic, citric, lactic, mallic, glutaric and
propionic acids) have been used in disinfectant formulations to enhance virucidal and
fungicidal p r o p e r t i e s . T h e ir activity is greatly e n h a n c e d in t h e p r e s e n c e of anionic
detergents of the sulphonate or ether sulphate type, and this property has been used in a
number of sanitiser formulations; these formulations usually use hydratropes, such as
substituted alkylmonocarboxylic acids.
Acetic acid and benzoic acid work through the action of the undissociated molecule.
Acetic acid has an acrid smell but has been used as a disinfectant in lavatory cleaners
and in combination with some phenolic formulations; it is a component part of peracetic
acid. Benzoic acid is most often used as a preservative in the soft drinks industry.
All acids are slow-acting and have a low concentration exponent.
PEROXYGEN-BASED COMPOUNDS
ALKALIS
Sodium and potassium hydroxide have b e e n extensively used for their cleaning
properties in the food and dairy industries. They have microbicidal properties as well as
good grease- and debris-removing properties, but their activity is slow. The activity of
these chemicals is much increased by raising the t e m p e r a t u r e and using high
concentrations. Sodium and potassium hydroxide are very corrosive and must be
handled with care. They are used extensively in 'cleaning-in-place' systems, usually
followed by an acid rinse.
Quicklime (calcium oxide) has often been used to disinfect animal corpses. Sodium
carbonate and sodium metasilicate have little microbicidal activity but have been used
in formulations with other actives to increase their grease-removing properties, enhance
penetration and raise the pH.
MISCELLANEOUS MICROBICIDES
CONCLUSION
The formulator of microbicidal products is therefore faced with a wide choice, while
not all products are suitable for all applications. When deciding which formulation to
use for a particular application, the user must first define the conditions of use and then
ask some of the following questions:
- Is heavy soiling present?
- If cleaning is to be performed first, is the product compatible with the cleaning agent?
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Appendix
Types of product in use in the United Kingdom for particular veterinary applications
Regulatory
Application area Efficacy Ellert ot Use CorrosionToxicological codes
of Standard tests Typical products
soiling temperature properties
practice
Cattle farming/dairy
Housing/equipment Wide spectrum of Thorough clean Hot or cold Non-corrosive LowtoxicityDiseases of Foot and mouth Chlorine-based
animal pathogens first if possible. No taint Animals Act disease test iodophors, QACs,
Active in presence BS 5305 BS 6734 amphoterics; not
of milk BS 5226 phenolics
Calf pens Wide spectrum of Clean first. Hot or cold Non-corrosive Low toxicity in Diseases of Foot and mouth Phenolics, iodophors,
animal pathogens Active in presence use dilution Animals Act disease test glutaraldehyde/
of straw, excreta - BS 6734 peroxygen products
Teat skin, udders Active against Active in presence Cold - Must not cause Medicines Act Lyophilised pig Chlorhexidine,
organisms causing of milk irritation skin test iodophor
mastitis
Fish farming
Equipment/housing Active against fish Active in presence Cold Non-corrosive Low toxicity MAFF Code BS 6734 Lime, chlorine-
pathogens of slime, fish to fish of Practice releasing products,
(bacteria, fungi scales or protein hypochlorite,
and viruses) iodophors, QACs,
sodium hydroxide
Eggs Active against fish Active in presence Cold Non-corrosive Non-toxic MAFF Code of - Iodophors
pathogens of fish, eggs and to fish eggs Practice
(bacteria, fungi related soiling
and viruses)
Sheep farming
Housing/lambing Sheep pathogens Active in presence Cold - Low toxicity in Diseases of BS 6734 Phenolics, iodophors,
pens of straw, excreta use dilution Animals Act glutaraldehyde/
peroxygen products
Equine practice Active against Active in presence Cold - Low toxicity to Diseases of BS 6734 Phenolics, iodophors,
Equipment/housing equine pathogens, of dirt, hair, straw, horses in use Animals Act BS 2462 glutaraldehyde/
bacteria, fungi, excreta. dilution BS 541 peroxygen
viruses Clean first if BS 808 combinations
possible CA Test
Pig farming
Equipment/housing Active against pig Active in presence Cold - Low toxicity to Disease of Swine vesicular Glutaraldehyde,
pathogens of dirt, straw, pigs in use Animals Act disease test iodophors,
excreta. dilution BS 6734 phenolics
Clean first if BS 2462
possible BS 541
BS 808
CA test
Poultry farming
Equipment/housing Active against Active in presence Cold - Low toxicity to Diseases of Newcastle disease Phenolics, iodophors,
poultry pathogens of litter, excreta. poultry in use Animals Act (fowl pest) test glutaraldehyde,
Clean first if dilution. BS 6734 formaldehyde
possible No taint BS 2462
BS 808
Eggs Active against Used on clean Controlled - Non-toxic and - BS 6424 Formaldehyde,
poultry and eggs conditions non-staining BS 6471 iodophors, chlorine-
human pathogens releasing products,
QACs
Veterinary practice Wide spectrum Clean first. Some Hot or cold Non-corrosive Low toxicity Diseases of BS 6734
required soiling present but to surfaces Animals Act; BS 2462
generally light and instruments Medicines Act BS 541
BS 808
CA test
Abbatoirs
Housing/equipment Wide spectrum Active in presence Hot or cold - Non-tainting MAFF Code of - Caustic products,
required of blood, excreta, Practice chlorine-releasing
body fluids, fat, products
protein. Clean first
Layerage Wide spectrum Active in presence Cold - - Diseases of BS 6734 Iodophors,
of straw, excreta Animals Act BS 2462 phenolics,
BS 541 glutaraldehyde
73
BS 808
BS: British Standard QAC: quaternary ammonium compound MAFF: Ministry of Agriculture, Fisheries and Food CA: Crown agents
Rev. sci. tech. Off. int. Epiz., 1995,14 (1), 47-55
INTRODUCTION
bacterial strains).
- Several active compounds have less inhibitory effect on Pseudomonas spp. than
on Bacillus spp., due to the presence of lipoproteins and liposaccharides on the outer
layer of peptidoglycane.
- In Pseudomonas spp., the higher content of phospholipids and n e u t r a l lipids
increases resistance. Benzalkonium chloride makes the cell more permeable. The same
phenomenon is observed in Enterobacter cloacae.
- In Gram-positive bacteria, the product becomes bound to the wall proteins and is
thus able to enter and destroy the membrane.
- U n i f o r m a b s o r p t i o n may be observed in Gram-positive and G r a m - n e g a t i v e
bacteria, c o r r e s p o n d i n g to an increase in permeability and loss of viability
50
Iodine also interacts preferentially with the proteins of the cytoplasm membrane in a
form with a positive ( H 0 +1) or neutral (I or H O I ) charge.
2 2
In the presence of oxidising agents such as peroxides, bacteria such as E. coli defend
themselves by producing enzymes which either destroy the oxidising agent before
bacterial degradation takes place or help the restoring mechanisms.
Oxidised molecules are more sensitive to proteolysis than other molecules, and it has
been suggested that a 'system of cell sanitisation' may enter into effect under the action
of an oxidising agent such as H 0 . 2 2
Ozone (21)
O z o n e p r o b a b l y acts on bacteria by oxidation. In viruses, ozone inactivates
bacteriophages F2 and T4 by attacking the protein capsid to release and then inactivate
the nucleic acids.
Aldehyde compounds (6, 21)
Formaldehyde
Formaldehyde acts on proteins by denaturation and on nucleic acids by alkylation, as
follows:
0 = CH o 2 Protein-NH-CH -OH 2
The primary site of action is the cytoplasmic membrane, with resulting modification
of m e m b r a n e permeability. This effect was observed to be due to electrostatic
interaction of the P H M B with the acid phospholipids in the cytoplasmic m e m b r a n e .
Given the size of the P H M B molecules, this implies actual absorption o n t o the
cytoplasmic m e m b r a n e of G r a m - p o s i t i v e or G r a m - n e g a t i v e bacteria, leading to a
destructive effect at this level. Unlike certain antibiotics (penicillins, bacitracin and
novobiocin), there is no accumulation of bacterial wall precursors; destruction is caused
by rupture of the membrane and loss of permeability without lysis of the cell wall.
R e l e a s e of the cell constituents occurs at very low concentrations. At the high
concentrations used under antiseptic conditions, the bactericidal effect is very rapid,
due to coagulation of the cytoplasm. Therefore, bacterial death is not due to leakage of
the cell constituents at all concentrations of P H M B .
CONCLUSION
Although the notion of a target in the bacterial cell is frequently evoked in the case of
antibiotics, this aspect remains r a t h e r vague with regard to disinfectants. N o r can
disinfectant action be considered specific to a particular bacterial species, whereas such
specificity is commonplace in antibiotics. A t most, disinfectants may be said to have
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REFERENCES