Designing an ideal alcohol-based hand sanitizer: in vitro antibacterial responses of ethanol and isopropyl alcohol solutions to changing composition

AAPS Open - Tập 7 - Trang 1-11 - 2021
Ifeanyi T. Nzekwe1, Onyedika I. Agwuka1, Moses U. Okezie2, Daniel O. Fasheun3, Petra O. Nnamani4, Chukwuma O. Agubata5
1Department of Pharmaceutics & Pharmaceutical Technology, Nnamdi Azikiwe University, Awka, Nigeria
2Department of Pharmaceutical Microbiology & Biotechnology, Nnamdi Azikiwe University, Awka, Nigeria
3Department of Biochemistry, Institute of Chemistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
4Department of Pharmaceutics, University of Nigeria, Nsukka, Nigeria
5Department of Pharmaceutical Technology and Industrial Pharmacy, University of Nigeria, Nsukka, Nigeria

Tóm tắt

This study aimed to achieve an in vitro quantification of the effects of composition and formulation factors on the killing rates of alcohol-based hand sanitizers. The killing rates of 85% ethyl alcohol (ET) and isopropyl alcohol (IPA) were studied under different conditions such as pH, electrolyte concentration, or inclusion of herbal extracts (cucumber, carrot, and aloe vera), a quaternary ammonium compound, or thickener over different time intervals. Changes in the activities were retested after 3 months as an indication of stability. From two-way ANOVA, both the time of exposure and the sanitizer type affected the activity against Staphylococcus aureus (P = 0.001 for both alcohols), whereas for Escherichia coli, time of exposure was significant (P = 0.027), while sanitizer type was less significant (P = 0.063). Extreme pHs, the presence of ions, and the inclusion of additives such as benzalkonium chloride (BAC), plant extracts, or carbomer impacted the 3-month activity of the samples differently. Important differences existing in the activities of ET and IPA, as a function of formulation factors or use conditions have been quantified using in vitro methods. Formulations should best be tailored for particular purposes and the all-purpose hand sanitizer may not exist.

Tài liệu tham khảo

Akhtar N, Mehmood A, Khan BA, Mahmood T, Muhammad H (2011) Exploring cucumber extract for skin rejuvenation. Plants. 10(7):1206–1216 Ali Y, Dolan MJ, Fendler EJ, Larson EL (2001) Alcohols. In: Block SS (ed) Disinfection, sterilization, and preservation. Lippincott Williams & Wilkins, Philadelphia, pp 229–254 Allegranzi B (2009) Role of hand hygiene in health care associated infection prevention. J Hosp Infect 73(4):305–315. https://doi.org/10.1016/j.jhin.2009.04 American Society for Microbiology. As many as 30 percent of travelers don’t wash hands after using public restrooms at airports. 2003. https://www.sciencedaily.com/releases/2003/09/030916074111.htm. Accessed 13 May 2021. Berardi A, Perinelli DR, Merchant HA, Bisharat L, Basheti IA, Bonacucina G et al (2020) Hand sanitisers amid CoViD-19: a critical review of alcohol-based products on the market and formulation approaches to respond to increasing demand. Int J Pharm. 584:119431. https://doi.org/10.1016/j.ijpharm.2020.119431 Boyce JM, Pittet D (2002) Healthcare Infection Control Practices Advisory Committee; HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for hand hygiene in health care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 51(RR-16):1–45 quiz CE1-4 Busari OA, Agboola MS, Oyekale OT, Ojo OM, Oje OJ, Oladosun YO (2012) A survey of hand hygiene facilities in a tertiary hospital in Nigeria. TAF Preventive Medicine Bulletin. 11(5):571–576 Chithra P, Sajithlal G, Chandrakasan G (1998) Influence of aloe vera on the glycosaminoglycans in the matrix of healing dermal wounds in rats. J Ethnopharmacol. 59(3):179–186 Coulthard CE, Sykes G (1936) The germicidal effect of alcohol with special reference to its action on bacterial spores. Pharmaceutical J. 137:79–81 Dancer S (2008) Importance of the environment in methicillin-resistant Staphylococcus aureus acquisition: the case of a hospital cleaning. Lancet Infect Dis. 8(2):101–103 Heggers JP, Kucukcelebi A, Listengarten D, Stabenau J, Ko F, Broemeling LD et al (1996) Beneficial effect of aloe on wound healing in an excisional wound model. J Altern Complement Med. 2(2):271–277 Hooda R (2015) Antiwrinkle herbal drugs - an update. J Pharmacogn Phytochem 4(4):277–281 Hugo and Russell (2011) Pharmaceutical microbiology (8th edition). Wiley, Chichester Jing JLJ, Pei Yi T, RJC B, JR MC, Tharmalingam N, Madheswaran T (2020) Hand sanitizers: a review on formulation aspects, adverse effects, and regulations. Int J Environ Res Public Health 17(9):3326. https://doi.org/10.3390/ijerph17093326 Kampf G, Todt D, Pfaender S, Steinmann E (2020) Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J. Hosp. Infect. 104(3):246–251. https://doi.org/10.1016/j.jhin.2020.01.022 Kramer A, Rudolph P, Kampf G, Pittet D (2002) Limited efficacy of alcohol-based hand gels. Lancet. 359(9316):1489–1490. https://doi.org/10.1016/S0140-6736(02)08426-X Kwok YL, Gralton J, McLaws ML (2015) Face touching: a frequent habit that has implications for hand hygiene. Am J Infect Control. 43(2):112–114. https://doi.org/10.1016/j.ajic.2014.10.015 Martin LS, McDougal JS, Loskoski SL (1985) Disinfection and inactivation of the human T lymphotropic virus type III/Lymphadenopathy-associated virus. J Infect Dis. 152(2):400–403 Menegueti MG, Laus AM, Ciol MA, Auxiliadora-Martins M, Basile-Filho A, Gir E et al (2019) Glycerol content within the WHO ethanol-based handrub formulation: balancing tolerability with antimicrobial efficacy. Antimicrob Resist Infect Control. 8:109. https://doi.org/10.1186/s13756-019-0553-z Morton HE (1950) The relationship of concentration and germicidal efficiency of ethyl alcohol. Ann N Y Acad Sci. 53(1):191–196 Munckhof W, Nimmo G, Schooneveldt J, Schlebusch S, Stephens AJ, Williams G et al (2009) Nasal carriage of Staphylococcus aureus including community-associated methicillin-resistant strains, in Queensland adults. Clin Microbiol Infect 15(2):149–155 Murad H, Nyc MA (2012) Evaluating the potential benefits of cucumbers for improved health and skin care. J Aging Res Clin Pract 5:10–12. https://doi.org/10.14283/jarcp.2016.108 Nerandzic MM, VCK S, Sankar CT, Setlow P, Donskey CJ (2015) Unlocking the sporicidal potential of ET: induced sporicidal activity of ET against Clostridium difficile and Bacillus Spores under altered physical and chemical conditions. PLoS One. 10(7):e0132805. https://doi.org/10.1371/journal.pone.0132805 Nicas M, Best D (2008) A study quantifying the hand-to-face contact rate and its potential application to predicting respiratory tract infection. J Occup Environ Hyg 5(6):347–352 Nye RN, Mallory TB (1923) A note on the fallacy of using alcohol for the sterilization of surgical instruments. Boston Med Surg J. 189:561–563 Rongpharpi S, Hazarika N, Kalita H (2013) The prevalence of nasal carriage of Staphylococcus aureus among healthcare workers at a tertiary care hospital in Assam with special reference to MRSA. J Clin Diagn Res. 7(2):257–260 Rutala WA, Weber DJ, Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for Disinfection and Sterilization in Healthcare Facilities. 2008. https://www.cdc.gov/infectioncontrol/guidelines/disinfection/. Page last reviewed on 24 May 2019. Accessed 13 May 2021. Sharma KD, Karki S, Thakur NS, Attri S (2012) Chemical composition, functional properties and processing of carrot-a review. J Food Sci Technol. 49(1):22–32. https://doi.org/10.1007/s13197-011-0310-7 Suchomel M, Rotter M, Weinlich M, Kundi M (2013) Glycerol significantly decreases the three hour efficacy of alcohol-based surgical hand rubs. J Hosp Infect. 83(4):284–287. https://doi.org/10.1016/j.jhin.2012.11.030 Surjushe A, Vesani R, Saple DG (2008) Aloe vera: a short review. Indian J Dermatol 53(4):163–166. https://doi.org/10.4103/0019-5154.44785 Thaddeus NI, Francis EC, Jane OO, Obumneme AC, Okechukwu EC (2018) Effects of some common additives on the antimicrobial activities of alcohol-based hand sanitizers. Asian Pac J Trop Med. 11(3):222–226 Tusabe F, Kasuswa S, Ssegawa A, Busiinge EL, Ampaire L (2020) Comparison of antibacterial efficacy of locally produced alcohol based hand sanitizer and commonly available commercial hand sanitizer used in healthcare facilities in Uganda. Open Access Lib J 7(4):e6221. https://doi.org/10.4236/oalib.1106221 Wertheim HF, Melles DC, Vos MC, van Leeuwen W, van Belkum A, Verbrugh HA et al (2005) The role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis. 5(12):751–762 World Health Organization. WHO save lives: clean your hands in the context of COVID-19. 2020. https://www.who.int/infection-prevention/campaigns/clean-hands/WHO_HH-Community-Campaign_finalv3.pdf?ua=1. Accessed 13 May 2021. Zhigang T, Rongqi Z, Zhanting D (2001) Separation of isopropanol from aqueous solution by salting-out extraction. J Chem Technol Biotechnol. 76:757–763