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A convenient and efficient strategy for the preparation of 2-sulfonylindoles has been achieved through iodophor-/H2O2-mediated 2-sulfonylation of indoles with readily available sulfonyl hydrazides in the aqueous phase. Iodophor is commercially available and serves as the green catalyst and aqueous phase. A series of 2-sulfonylated products from indoles and N-methylpyrrole were synthesized in moderate yields in only 10 min. Control experiments were also conducted to reveal the mechanism of action. This method is environment friendly, easy to operate and suitable for a wide range of substrates. [ABSTRACT FROM AUTHOR]

Abstract Background Iodophors are known to be a treatment for biofilm-related periprosthetic joint infection. However, the efficacy and mechanism of eradicating biofilms from different artificial joint materials after iodophor treatment are unknown. This study was conducted to understand the effect and mechanism of iodophors with respect to the adhesion and virulence of Staphylococcus aureus biofilms attached to artificial joint materials. Methods Biofilms of Staphylococcus aureus strains were grown on titanium alloy, cobalt chromium molybdenum and polyethylene coupons, which are commonly used materials for artificial joints, for 24 h. Afterward, all coupons were divided into experimental and control groups: (1) exposed to a 0.5 ± 0.05% iodophor for 5 min and (2) exposed to phosphate-buffered saline for 5 min. To gauge the level of biofilm, colony forming units (CFU), live/dead staining confocal microscopy and crystal violet staining were used. Meanwhile, the expression of icaACDR and clfA, which are related to virulence and adhesion, was examined in both the experimental and control groups. Results A roughly three-log decrease in CFU/cm2 was seen in the viable plate count compared to the control group. Confocal imaging and crystal violet staining verified the CFU data. Moreover, the expression of icaACDR was reduced on three different orthopaedic implant materials, and the expression of clfA was also inhibited on titanium alloy coupons exposed to the iodophor. Conclusions Our results indicated that exposure to an iodophor for 5 min could significantly eliminate biofilms. When Staphylococcus aureus that had adhered to these three materials, which were used for artificial joints, was treated with an iodophor for 5 min, the expression of icaACDR was significantly reduced. This provides strong evidence for clinically clearing periprosthetic joint infections without removing the artificial joints.

A convenient and efficient strategy for the preparation of 2-sulfonylindoles has been achieved through iodophor-/H2O2-mediated 2-sulfonylation of indoles with readily available sulfonyl hydrazides in the aqueous phase. Iodophor is commercially available and serves as the green catalyst and aqueous phase. A series of 2-sulfonylated products from indoles and N-methylpyrrole were synthesized in moderate yields in only 10 min. Control experiments were also conducted to reveal the mechanism of action. This method is environment friendly, easy to operate and suitable for a wide range of substrates.

Background: Iodophors are known to be a treatment for biofilm-related periprosthetic joint infection. However, the efficacy and mechanism of eradicating biofilms from different artificial joint materials after iodophor treatment are unknown. This study was conducted to understand the effect and mechanism of iodophors with respect to the adhesion and virulence of Staphylococcus aureus biofilms attached to artificial joint materials. Methods: Biofilms of Staphylococcus aureus strains were grown on titanium alloy, cobalt chromium molybdenum and polyethylene coupons, which are commonly used materials for artificial joints, for 24 h. Afterward, all coupons were divided into experimental and control groups: (1) exposed to a 0.5 ± 0.05% iodophor for 5 min and (2) exposed to phosphate-buffered saline for 5 min. To gauge the level of biofilm, colony forming units (CFU), live/dead staining confocal microscopy and crystal violet staining were used. Meanwhile, the expression of icaACDR and clfA, which are related to virulence and adhesion, was examined in both the experimental and control groups. Results: A roughly three-log decrease in CFU/cm2 was seen in the viable plate count compared to the control group. Confocal imaging and crystal violet staining verified the CFU data. Moreover, the expression of icaACDR was reduced on three different orthopaedic implant materials, and the expression of clfA was also inhibited on titanium alloy coupons exposed to the iodophor. Conclusions: Our results indicated that exposure to an iodophor for 5 min could significantly eliminate biofilms. When Staphylococcus aureus that had adhered to these three materials, which were used for artificial joints, was treated with an iodophor for 5 min, the expression of icaACDR was significantly reduced. This provides strong evidence for clinically clearing periprosthetic joint infections without removing the artificial joints. [ABSTRACT FROM AUTHOR]

ObjectiveTo analyze the effect of different types of disinfectants for perineum and urethral meatus cleaning in preventing catheter-associated asymptomatic bacteriuria and catheter-associated urinary tract infection (CAUTI).MethodsChinese and English databases were searched to collect randomized controlled trials (RCTs) of different disinfectants for perineum and urethral meatus cleaning to prevent CAUTI, and the positive rates of urine culture with different cleaning methods were contrasted by network meta-analysis.ResultsA total of 18 RCTs were included in this study to analyze the effect of 10 disinfectants in preventing CAUTI. The disinfectants were 0.1% chlorhexidine (CHG), 0.5% CHG, 2% CHG, 0.1% benzalkonium bromide (DBDAB), 0.05% iodophor, 0.5% iodophor, acidic oxidizing potential water (EOW), normal saline (NS), Shehuang lotion, and sterile water. Meta-analysis showed that the positive rates of urine culture in the 0.5% CHG cluster, EOW cluster, 0.5% iodophor cluster, and Shehuang lotion cluster were remarkably lower than that in the 0.1% DBDAB cluster (P < 0.05). The positive rate of urine culture in the 0.5% CHG cluster was remarkably lower than that in the 0.05% iodophor cluster (P < 0.05), whereas the positive rates of urine culture in the 0.5% CHG cluster, 0.5% iodophor cluster, Shehuang lotion cluster, and EOW were remarkably lower than that in the normal saline cluster (P < 0.05). The positive rate of urine culture in the 0.5% CHG cluster and EOW cluster were remarkably lower than those in the sterile water cluster (P < 0.05). The results of the area under the cumulative ranking probability plot (SUCRA) analysis showed that the probability ranking of the preventive effect of different disinfectants was as follows: 0.5% CHG > Shehuang lotion > EOW > 0.5% Iodophor > 2% CHG > 0.1% CHG > 0.05% Iodophor > Sterile Water > 0.1% DBDAB > Saline. Conclusion0.5% CHG, Shehuang lotion, EOW, and 0.5% iodophor can be used to clean the perineum and urethral meatus in patients with indwelling catheters.Systematic review registrationChinese Clinical Trial Registry (ChiCTR), identifier ChiCTR2100052260.

Not many reports have covered large-scale point of care testing (POCT) blood glucose comparisons, and many interfering factors affect detection. This study aims to verify the performance of POCT blood glucose meters and discusses the factors that interfere with detection.

The pandemic due to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has emerged as a serious global public health issue. Besides the high transmission rate from individual to individual, indirect transmission from inanimate objects or surfaces poses a more significant threat. Since the start of the outbreak, the importance of respiratory protection, social distancing, and chemical disinfection to prevent the spread of the virus has been the prime focus for infection control. Health regulatory organizations have produced guidelines for the formulation and application of chemical disinfectants to manufacturing industries and the public. On the other hand, extensive literature on the virucidal efficacy testing of microbicides for SARS-CoV-2 has been published over the past year and a half. This review summarizes the studies on the most common chemical disinfectants and their virucidal efficacy against SARS-CoV-2, including the type and concentration of the chemical disinfectant, the formulation, the presence of excipients, the exposure time, and other critical factors that determine the effectiveness of chemical disinfectants. In this review, we also critically appraise these disinfectants and conduct a discussion on the role they can play in the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

• Adhesive plastic surgical drapes are suggested to reduce the risk of wound sepsis. • Study addresses efficacy of novel chlorhexidine gluconate (CHG)-incised drape in methicillin resistant Staphylococcus aureus porcine wound model. • CHG surgical drape reduced (P <.001) methicillin resistant S aureus contamination of surgical incision site. • Compared to iodophor-impregnated drape CHG drape documented greater efficacy. • Further studies are warranted to assess clinical efficacy of innovative CHG drape. Surgical site infections occur in at least 2%-4% of all patients. A proposed, risk-reduction strategy has been the use of adhesive, plastic incise drapes to reduce the risk of surgical site infection. The present investigation reports the efficacy of a novel chlorhexidine gluconate (CHG) adhesive surgical drape to reduce the risk of horizontal bacterial migration into surgical wounds, using a porcine model of wound contamination. Using a standardized inoculum, and a predetermined randomization schedule, a porcine model was used to assess the efficacy of a CHG-impregnated adhesive drape to prevent MRSA contamination of a simulated surgical wound and intact skin surface compared with an iodophor-impregnated incise drape and a nonantimicrobial incise drape in 0, 1, and 4-hour surgeries. MRSA recovery from incisional wounds was lowest in sites treated with the CHG drape. The difference was statistically significant (P <.001) at all time points, both between the CHG drape and the nonantimicrobial control as well as between the CHG and iodophor drapes. Mean MRSA recovery from wounds treated with iodophor drapes was slightly lower than nonantimicrobial drapes. The difference was not statistically significant at 0- or 1-hour (P =.065 and P =.089, respectively), however the differences were significant at 4-hours (P =.024). These preliminary results show that a novel CHG surgical incise drape reduced MRSA contamination of a surgical incision site and showed significant antimicrobial activity against contamination of intact skin surfaces compared with an iodophor- impregnated drape. A novel CHG surgical drape was effective in significantly reducing MRSA contamination in an incisional wound model. Future studies are needed to assess its clinical efficacy. [ABSTRACT FROM AUTHOR]

BACKGROUND Honeybee viruses have been recognized as being among the most important factors leading to colony losses worldwide. Colony food and faeces are regarded as possible sources of infectious viruses able to contaminate the environment and equipment of apiaries. Thus, methods for elimination of viruses are required. No cell culture assay for testing the effect of disinfectants on honeybee viruses is yet available. Therefore, surrogate virus was employed for testing of the efficacy of iodophor- and peracetic acid-based disinfectants in combination with six organic contaminants at +6 °C and +22 °C. Moreover, we evaluated the persistence of the surrogate in honey at +6 °C, +22 °C, and +50 °C. RESULTS Iodophor-based disinfectant showed a maximum reduction of virus titre of 3.4 log10. Peracetic acid reduced the titre (≥4 log10) only at 22 °C and without yeast extract/bovine serum albumin. After 25 days of incubation of the virus − honey mix, no decrease of virus titre was observed at +6 °C, whereas a significant reduction (3.5 log10) was found at +50 °C already after 1 day. CONCLUSIONS Both tested disinfectants can serve as appropriate virucides in apiaries. The effect of peracetic acid significantly depended on temperature and organic contaminants. The iodophor-based disinfectant showed a stable antiviral effect at different temperatures and with different contaminants. © 2017 Society of Chemical Industry [ABSTRACT FROM AUTHOR]

This study investigated the efficiency of iodophor disinfection (135 ppm active iodine for 15-30 min) of non-hardened Salmo trutta eggs against different groups of bacteria and against fungus. Egg samples were taken from non-disinfected and from disinfected eggs, microorganisms were cultured on specific nutrient media and their mass was measured by turbidimetric methods. Bacteria and fungus mass of non-hardened eggs could be reduced but not eliminated by iodophor disinfection with 135 ppm active iodine for 15 min. The extent of reduction was 47-65% (Experiment 1). The efficiency of disinfection increased with disinfection time as the reduction in bacteria and fungus mass was 40-55% after 15 min and 58-74% after 30 min (Experiment 2). Disinfection efficiency of iodophor solution diluted in water (reduction 49-57%) and of iodophor solution diluted in sodium chloride solution iso-osmolar to the oocytes (reduction 52-61%) was similar (Experiment 3). The reduction in bacteria and fungus mass was persistent as it was 39-72% lower in embryos deriving from disinfected eggs than in embryos deriving from non-disinfected ones (Experiment 4). In conclusion, the tested disinfection method is inadequate to eliminate pathogens completely but it could positively influence immune defence of eggs and embryos. [ABSTRACT FROM AUTHOR]

Na prevenção da ocorrência ou na interrupção da evolução de enfermidades infecto-transmissíveis comuns aos animais e aos seres humanos, como é o caso da salmonelose, o uso de um desinfetante capaz de agir sobre o agente causal quando em vida livre, no ambiente, exerce grande importância. No entanto, a resistência microbiana, intrínseca ou adquirida, pode apresentar-se como um limitante no uso deste instrumento sanitário. Objetivando monitorar a sensibilidade da Salmonella Typhimurium, 96 amostras isoladas de suínos abatidos no Estado do Rio Grande do Sul,Brasil, foram confrontadas com dois compostos químicos desinfetantes (origem comercial) de uso freqüente em ambientes de produção animal e de transformação de seus subprodutos: um quaternário de amônio e o iodofor. Foram usadas as concentrações indicadas pelo fabricante e uma menor para simular possível situação de sub-concentração. O método de verificação foi o de diluição através do teste de suspensão, observando a inativação bacteriana nos tempos de contato 5, 15, 30 e 60 minutos. Como resultados obtidos, todas as amostras foram inativadas quando utilizado o composto quaternário de amônio, em ambas as concentrações. Frente ao iodofor, 4 (quatro) amostras mostraram-se resistentes a este composto na concentração indicada e 59 frente à sub-concentração. Conclui-se ser necessário, seja para a eleição ou para o monitoramento da eficácia, o confronto dos desinfetantes/anti-sépticos com bactérias presentes nos ambientes específicos de produção animal ou mesmo nos de transformação de seus subprodutos.For prevention of infectious diseases common to man and animals such as salmonellosis, the successful use of disinfectants is of great importance. However, intrinsic or acquired resistance presented by microorganism against these compounds may constitute a limiting aspect in disinfections protocols. This study was aimed at monitoring the sensitivity of 96 Salmonella Typhimurium strains isolated from slaughter pigs in the state of Rio Grande do Sul, Brazil. The isolates were tested against quaternary ammonium and iodophor, which represent two commercial disinfectants commonly used in animal production. The tested disinfectants were used in the concentration recommended by the fabricant and in a sub-concentration in order to simulate a possible field situation. Dilution suspension tests were conducted, observing the inactivation of each S.Typhimurium isolate after 5, 15, 30 and 60 minutes of contact with each compound. All tested isolates were inactivated by the quaternary ammonium compound in both concentrations. Four isolates revealed resistant to iodophor in the recommended concentration and 59 isolates when a sub-concentration was tested. The testing of resistance against disinfectants in microorganisms present on farm and in food processing plants might be an important step on monitoring the effectiveness of adopted disinfections protocols.

The combined effect of chemical sanitizers including sodium hypochlorite, hydrogen peroxide, iodophor, and benzalkonium chloride with steam heating on the inactivation of biofilms formed by Escherichia coli O157:H7, Salmonella Typhimurium, and Listeria monocytogenes on stainless steel was investigated. Six day old biofilms, comprised of a mixture of three strains each of three foodborne pathogens, were produced on stainless steel coupons at 25 °C and treated with each sanitizer alone (for 5, 15, and 30 s), steam alone (for 5, 10, and 20 s), and the combination. There was a synergistic effect of sanitizer and steam on the viability of biofilm cells of the three pathogens as evidenced by plating counts and imaging. The combination treatment achieved an additional 0.01 to 2.78 log reduction compared to the sum of each individual treatment. The most effective combination for reducing levels of biofilm cells was the combination of steam and iodophor; steam for 20 s and merely 20 ppm iodophor for 30 s reduced cell numbers to below the detection limit (<1.48 log CFU/coupon). These results suggest that the combination treatment of sanitizer with steam can be applied to control foodborne pathogens biofilm cells in food processing facilities as a potential intervention. [ABSTRACT FROM AUTHOR]

An experiment was conducted to evaluate the effects of incubating pikeperch,Sander lucioperca, eggs in formalin and iodophor solutions for 15 min on embryo survival, the hatching rate, as well as on the rate of misshaped larvae, in order to develop methods for egg surface disinfection. Embryos in the morula stage, in the epiboly stage, and at the beginning of heart beat and blood circulation tolerated formalin concentrations up to 1,500 ppm for 15 min. However, they were very susceptible to iodophor treatment, as >0.1% iodophor solution (=13 ppm active iodine) significantly decreased the percentage of ready-to-hatch embryos and the percentage of hatched larvae. These data of this study recommend the use of formalin at a concentration of up to 1,500 ppm to disinfect pikeperch eggs. [ABSTRACT FROM PUBLISHER]

Two studies were conducted to determine the effects of dietary iodine and teat-dipping practices on iodine concentrations in milk. In the first study, 63 cows in mid lactation were assigned to a 3 x 3 factorial design in which the main effects were dietary iodine levels (0.3, 0.6, and 0.9 mg of dietary I/kg of dry matter) and 3 different postdip managements (chlorhexidine with dip cup, 1% iodine dip cup, and 1% iodine by manual spray). During the 13-d pre-experimental period and the 15-d experimental period, noniodized sanitizers were used in premilking management. During the pre-experimental period, the levels of milk iodine averaged 241.2 ± 5.8 µg/kg, and no relationship was found with lactation number, days in milk, or milk production. Milk iodine concentrations increased linearly with iodine intake. Although teat dipping with 1% iodine had no effect on milk iodine concentration, the same solution applied by spraying greatly increased milk iodine levels. The second study was conducted to determine the effects of udder preparation before milking on milk iodine concentrations. Thirty-two lactating cows were assigned to 4 treatments: no predip (Con); predip with a predip solution containing 0.5% iodine + complete cleaning (Comp); predip with a postdip solution containing 1% iodine + complete cleaning (Post); and predip with a predip solution containing 0.5% iodine + incomplete cleaning (Inc). During the 14-d pre-experimental period and the 19-d experimental period, cows were fed the same diet, and noniodized sanitizers were used for postmilking dipping. During the last week of treatment, milk iodine averaged 164, 189, 218, and 252 ± 9.8 µg/kg for Con, Comp, Post, and Inc, respectively. Preplanned orthogonal contrasts indicated that predipping with a 0.5% iodine predip solution completely wiped off (Comp) tended to increase milk iodine content above that of the control and that the iodine content of Post and Inc were higher than that of the Comp treatment. The results of the first experiment confirm that, to preserve milk safety, iodine should not be fed above requirements. Spraying iodine-based teat-dipping solutions results in large increases in milk iodine content and should be avoided. Predipping teats with an iodine-based sanitizer is an acceptable practice, but must be performed with the appropriate product and completely wiped off before milking. [ABSTRACT FROM AUTHOR]

The effect of two disinfectants on eggs and larvae of Baltic cod, Gadus morhua, was investigated. The eggs were disinfected for 10 min using various concentrations of either glutaraldehyde (100, 200, 400, 600 and 800 mg L−1) or iodophor (10, 50, 100 and 150 mg L−1), 1–4-days post-fertilization. Bactericidal effect of disinfection, survival to hatching, hatching success and larval abnormalities were assessed. Larval survival was recorded at 5-, 10- and 15-days post-hatch (dph). Although Baltic cod eggs have an unusually thin chorion, they could tolerate surface disinfection. A reduction in bacterial growth was observed with increased concentrations of disinfectant (3.0 × 107–1.6 × 101 CFU mL−1). Abnormalities in newly hatched larvae were not related to disinfection. Survival of the yolk sac larvae was significantly better for eggs treated with 400 mg L−1 glutaraldehyde for 10 min at 10 and 15 dph. Effective disinfection was also recorded using 100 mg L−1 Actomar K30. Egg batch effect rather than initial bacterial concentration, disinfectant type or incubation method determined the survival of the eggs to hatching and survival of larvae. Because of the carcinogenic effect of glutaraldehyde, iodophor is recommended for routine disinfection of cod eggs. [ABSTRACT FROM AUTHOR]

The effectiveness of pre-evisceration, skin-on carcass sanitation on reducing bacterial contamination of beef carcasses was tested using 3 cattle per treatment and 3 cattle as controls at each of 3 abattoirs in southern Wisconsin. The sanitation procedure included stunning, bleeding, tying off the esophagus, sealing the anus, and then sanitizing the hide with: i) 20% trisodium phosphate, ii) 200 ppm iodophor, iii) 75% ethanol, or iv) hot water (ca. 80 °C). Two sets of combined sponge samples (3 × 100 cm²) were taken from the hide before and after the sanitation step, as well as from the carcass after the final wash. Our results revealed that average reductions in numbers of total aerobic bacteria on the hide ranged from 0.06 to 3.58 log10 cfu per cm² depending on the sanitation method. However, regardless of the various sanitation methods tested, no significant differences were found between test and control groups in the level of total aerobic bacterial contamination on the carcasses after the final wash. [ABSTRACT FROM AUTHOR]

The article reports on the Disinfection of the non-hardened Coregonus lavaretus eggs with iodophor solution and effect on the embryo and larvae viability and on egg hardening. Iodophors are used as disinfectants and to prevent transmission of pathogens from broodstock fish to its offspring. The study for Iodophor tolerance is done on fishes including Oncoryhnchus and Lota lota.

We report the clinical and toxicological features of a case of fatal iodine ingestion, and summarize the physiology, clinical characteristics and management of iodine ingestion. Physicians are likely to have little experience in managing such patients, particularly with the advent of less toxic preparations, and therefore need ready access to management guidelines. This case also highlights the potential for substances to retain their toxicity over long periods of time. [ABSTRACT FROM AUTHOR]

• Novel, substrate independent plasma polymerized iodine complexed antiseptic coatings. • Optimised use of plasma polymerization to retain high iodine complexation and film stability. • Anti-microbial iodine release from applied material surface, compatible with mammalian cells. Broad spectrum antiseptic materials are in high demand; particularly those suited to coating medical implants, devices and wound dressings. Iodophoric materials are effective broad spectrum anti-bacterial, anti-fungal and anti-viral agents, and in over 150 years of use have not elicited any form of resistance. Therefore, we present the innovative adaptation of the commonly employed clinical iodophor, povidone-iodine into nanoscale coatings using plasma polymerization, to prepare versatile and effective antiseptic coatings suitable for coating medical devices and wound dressings. This process has allowed the substrate independent formation of plasma poly(N -vinyl pyrrolidone) coatings (pPVP) with controllable thicknesses and high-functional group preservation for the complexation of iodine. pPVP coatings applied to wound dressings were found to complex and release iodine in a sustained fashion over a period of 24 h with a total release of ~ 3.5 – 6.0 μg/cm2 of iodine over 24 h with high mammalian cytocompatibility (against 3T3 fibroblasts). The coatings exhibited broad spectrum anti-bacterial activity against a clinically relevant panel of microbes responsible for wound infections, including drug resistant strains. This study presents a novel approach to applying substrate independent, biocompatible, broad-spectrum antiseptic coatings that may be broadly applied to coat composite biomedical implants, biomaterials and wound dressings. [ABSTRACT FROM AUTHOR]

The article reports on the best available effectiveness of iodophors to denature biofilm in wounds. It cites studies which investigated the effectiveness of iodophors in inhibiting development of biofilm. It enumerates several medical conditions under which iodine should not be used. It also mentions several best practice recommendations.

The article focuses on the evidence in the effectiveness of iodophors to denature biofilm in wounds, inhibiting development of biofilm, and reducing bacterial biofilm. It provides with some conditions of patients in which iodine should not be used, and states that no difference was found regards to adverse reactions between iodine and other methods of local wound care. Topics include characteristics of the evidence, best practice recommendations, and grades of recommendations.