The antimicrobial activity of aqueous solutions of benzalkonium chloride (BAC), chlor-h exidine digluconate (CHG), povidone-iodine (PVP-l), and ethanol (EtOH) were tested against a wide range of microorganisms, including hepatitis B virus (HBV) at the actual concentration employed at medical facilities. The chemical stability of these disinfectants in the presence of human serum was also investigated. BAC, CHG, PVP-I, and EtOH preparations showed potent bactericidal activity against nine vegetative bacteria tested and
Candida albicans. Three strains of mycobacteria and four strains of spore forming fungi were more resistant to these disinfectants than vegetative bacteria. The spores of
Bacillus subtilis were not killed by all four disinfectants even in 360 min at any concentration tested. However, the spores of
Clostridium sporogenes and
Clostridium sphenoides were killed by PVP-I within 30 min, though they were not killed by BAC, CHG, and EtOH even in 360 min. BAC, CHG, and PVP-I did not inactivate hepatitis B surface antigen (HBs-Ag) in 120 min at any concentration tested. Although HBs-Ag was inactivated by 75 and 95% (v/v) EtOH in 30 s, it was not inactivated by 35 and 55% (v/v) EtOH even in 120 min. The addition of human serum decreased the concentration of aqueous BAC and PVP-I solutions. The decrease of available iodine in aqueous 0.5% (w/v) PVP-I was particularly large ; namely, compared with that of the control, the concentration was decreased over 24 h by approximately 88 and 100% after the addition of 10 and 30% (v/v) human serum, respectively. In contrast, the concentration of aqueous CHG and EtOH solutions decreased little over 24 h after the addition of human serum.
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