流变特性对异丙醇抗菌活性的影响

Vyacheslav A. Novikov, F. A. Mukabenov, Liudmila G. Panteleeva, Natalia I. Eremeeva, Liudmila I. Istomina, Sergey V. Andreev
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摘要

凝胶是最全面的手部卫生消毒剂之一。世界各地的许多医院都使用酒精凝胶进行手部消毒。使用凝胶状消毒剂的主要原因是可以减少对皮肤的刺激和干燥,而且使用方便(倾斜或倾倒瓶子时不会像液体消毒剂那样很快溢出)。不过,凝胶的干燥时间要比其他形式的凝胶长,这取决于凝胶的稠度。稠度(流变性)的变化对酒精的蒸发速度有很大影响,因此决定了活性成分与皮肤的接触时间。在这项工作中,我们测试了基于不同粘度异丙醇的皮肤抗菌剂模型,以评估抗菌剂在志愿者手部卫生治疗中的有效性。所得结果无法让我们明确解释粘度对抗菌活性的影响,因为在凝胶形成剂浓度为 1.5 % 时,我们观察到药效有所下降,而在浓度为 2 % 时,我们观察到药效高于异丙醇水溶液的浓度。根据我们的研究结果,在消毒检查过程中应研究粘度对皮肤消毒剂抗菌活性的影响问题。关键词:皮肤消毒剂、凝胶、流变特性、医院感染。
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Effect of rheological properties on the antimicrobial activity of isopropyl alcohol
Gels are one of the most comprehensive forms of hand hygiene antiseptics. Alcohol-based gels are used in many hospitals around the world for hand antisepsis. The main reason for using antiseptics in gel form is the reduction of skin irritation and dryness and the ease of use (no spillage as quickly as liquid antiseptics when tilting or tipping the bottle). However, gels take longer to dry than other forms, depending on the consistency of the gel. The change in consistency (rheology) has a significant effect on the rate of alcohol evaporation and therefore determines the contact time of the active ingredient with the skin. Since it is believed that the main contribution to antimicrobial activity is made by the active ingredient, and the other components are considered inert, in this work we tested model skin antiseptics based on isopropyl alcohol with different viscosity to evaluate the effectiveness of antiseptics in hand hygiene treatment was carried out in vivo on volunteers. The results obtained do not allow us to unambiguously interpret the effect of viscosity on antimicrobial activity, since up to a gel-former concentration of 1.5?% we observed a decrease in efficacy, and at a concentration of 2?% we observed a concentration higher than that for the aqueous solution of isopropyl alcohol. It follows from our findings that the issue of the influence of viscosity on the antimicrobial activity of skin antiseptics should be studied during disinfectological examination. Keywords: skin antiseptics, gels, rheological properties, hospital-acquired infection.
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