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Triclosan is a chemical with antibacterial properties. For decades, triclosan has been added to personal care products,
such as hand soaps and cosmetics, and materials ranging from athletic clothing to food packaging. When you use a
product containing triclosan, you can absorb a small amount through your skin or mouth.
In 2017, the Food and Drug Administration (FDA) declared that triclosan is not generally recognized as safe and effective
for antiseptic products intended for use in health care settings. In 2016, the FDA also banned over-the-counter consumer
antiseptic wash products containing triclosan from being marketed to consumers. These products include liquid, foam
and gel hand soaps, bar soaps, and body washes. The basis of the ban was that manufacturers haven't proved that
triclosan is safe for daily use over a long period.
The FDA's steps follow recent studies that have raised questions about whether triclosan is hazardous to human health.
Research has shown that triclosan:
BIGUANIDES [CHLORHEXIDINE]
Chlorhexidine is the most popular antiseptic of this group. It has potent antimicrobial activity against most gram-positive
and some gram-negative bacteria but not against spores. A 0.1% aqueous solution is bactericidal against Staphylococcus
aureus, Escherichia coli, and Pseudomonas aeruginosa in 15 sec. However, it is relatively ineffective against other gram-
negative organisms, spores, fungi, and most viruses. Nosocomial infections by Pseudomonas spp have developed from the
use of contaminated chlorhexidine solutions in which the bacteria persisted. In susceptible organisms, chlorhexidine
disrupts the cytoplasmic membrane. Its activity is unaffected or enhanced by alcohols, quaternary ammonium
compounds, and alkaline pH, and is somewhat depressed by high concentrations of organic matter (pus, blood, etc), hard
water, and contact with cork. It is incompatible with anionic compounds, including soap.
Chlorhexidine is one of the most commonly used surgical and dental antiseptics. A 4% emulsion of chlorhexidine
gluconate is used as a skin cleanser, a 0.5% (w/v) solution in 70% isopropanol as a general antiseptic, and a 0.5% solution
in 70% isopropanol with emollients as a hand rinse. Chlorhexidine soaps have good residual activity, which may be
advantageous when applied as a presurgical scrub for prolonged surgical procedures. Chlorhexidine-alcohol mixtures are
particularly effective in that they combine the antiseptic rapidity of alcohol with the persistence of chlorhexidine. Because
of its antiseptic properties and low potential for systemic or dermal toxicity, chlorhexidine has been incorporated into
shampoos, ointments, skin and wound cleansers, teat dips, and surgical scrubs. A 1% chlorhexidine acetate ointment is
used as a topical antiseptic in treatment of external wounds in dogs, cats, and horses. Contact dermatitis has been
reported in up to 8% of human patients after repeated topical exposure. Little data are available on hypersensitivity
reactions in animals.
Alcohols
ALDEHYDES
surface-active agents
are basic cleaning agents in soaps and detergents. These agents are added to wash water to lower
its surface tension, thereby to increase the wetting and spreading properties of water.