In our study, we attempted to confirm a paradoxical effect of chlorhexidine digluconate (CHG). Two test procedures, the phenol coefficient (PC) method based on AOAC and its modified method were used. The cell concentration of test strains,
Pseudomonas aeruginosa NCTC 7244,
P. aeruginosa IFO 3445 and some clinically isolated strains were prepared at 10
4-10
9 cells/ml. According to the PC method based on AOAC, 1/800-1/1200 was the greatest dilution rate at which 5% (w/v) CHG was able to kill 10
9 cells/ml of
P. aeruginosa by contact in 10 min, and 1/10000-1/12000 was the greatest dilution rate in case of 10
4 cells/ml. Increasing concentrations of CHG to kill
P. aeruginosa were required as the viable counts of the organism increased. By the modified PC method, when undiluted 5% (w/v) CHG was added to the 10
7 cells/ml bacterial suspension, the organisms were killed in 4 or 5 min, and those in the 10
4 cells/ml suspension were killed within 30s. Therefore, we could not confirm the paradoxical effect of slime production by
P. aeruginosa as a phenomenon due to the bactericidal activity of CHG.
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