Effectiveness of antiseptics decasan ® (DC), chlorhexidine digluconate (CH), miramistin (MR), antimicrobial composition of decamethoxin (AMC, patent N 74853, Ukraine), antimicrobial dressings against isolated strains of S. aureus (n 32), E. соli (n 25), P. aeruginosa (n 20), C. albicans (n 16) in patients with diabetes having pyo-inflammatory complications has been researched. The antimicrobial properties of antiseptics have been studied by means of the serial dilutions method. The antimicrobial activity of dressings (1.0x1.0 cm), such as medical cotton impregnated with AMC; antiseptic overlay with CH (AOCH); Traumastem Biodress Disinfect ® (TBD); activtex CH ® , activtex CHF ® , against clinical isolates of microorganisms has been studied on solid media. The bactericidal action against S. aureus in the presence of AMC (1.4±0.2 мkg/ml), DC (1.73±0.2 мkg/ml); CH (12.8±2.1 мkg/ml); MR (8.3±0.9 мkg/ml) has been found. The bactericidal properties of DC and MR in relation to E. соli in their concentrations of 6.68±0.71 and 17.9±1.9 мkg/ml, respectively, have been determined. AMC (4.9±0.5 мkg/ml) was six times more active than CH (р<0.001). The antipseudomonal action of DC against P. aeruginosa was 1.5 times higher than CH. AMC had also 2.8 times higher activity (р<0.001). The bactericidal action of MR was registered in the presence of 72.9±2.2 мkg/ml. It has been found that C. albicans is sensitive to AMC (7.4±1.9 мkg/ml), DC (14.6±1.9 мkg/ml), MR (26.0±3.6 мkg/ml). CH has a low effectiveness in relation to C. albicans (32.8±7.4 мkg/ml). Advantages of the antimicrobial activity of modern antimicrobial dressings with AMC against S. aureus, E. coli, P. aeruginosa, fungi of Candida genus have been found. О.А.Назарчук-канд. мед. наук, асистент кафедри мікробіології Вінницького національного медичного університету ім. М.І.Пирогова
Successful research by scientists of new synthetic substances of various chemical groups contributes to the broadening of the arsenal of antimicrobial drugs for the prevention and treatment of purulent-inflammatory diseases. Antimicrobial drugs, as a rule, suppress pathogenic, invasive, adhesive properties and reduce the resistance of microorganisms to antibiotics in pathogens of supportive inflammatory diseases; significantly increase the effectiveness of treatment of diseases of infectious origin. The purpose of the study was to study the physicochemical, antimicrobial properties of derivatives of menthol, phenol and quinoline. The results of the study of physicochemical, antimicrobial properties of six chemical compounds of menthol, quinoline, and phenol derivatives using the principle of complex research, in which physicochemical, microbiological methods were used, are presented. There was shown that quaternary ammonium compounds of the menthol derivatives were alike white powders with a molecular weight of 581–693, a melting point of 990 to 1850° C. The chemicals are soluble in water, ethanol. Quinoline preparations have a molecular weight of 687; 756, melting point 178–2000°C; dissolved in ethanol. Compounds of phenol had a molecular weight of 111, 112, a melting point of 1020, 1100°C was soluble in ethanol. It has been established that synthesized substances possess a wide spectrum of antimicrobial action on Gram-positive, Gram-negative bacteria, Candida albicans. In antibiotic resistant strains of Staphylococci no markers of resistance to drugs containing in the molecule menthol, phenol, quinoline were found. In complex physical and chemical systems, it was important to study the coefficient of surface tension of solutions of drugs, which was an important objective physical indicator of the molecular state of various drugs. Distilled water was used as a control. Experiments were performed according to a well-known technique. According to the results of the study, in the control the surface tension of water was it was found to be 55,70 dn/cm2. In an experiment with 0,1% solution of decamethoxin; the drug number 2 was 40,80 dn/cm2 and 38,20 dn/cm2. In derivatives of quinoline (DN, drug № 4), was 39,60 dn/cm2 and 34,50 dn/cm2. Solutions of phenol (preparations №5; №6) were characterized by surface tension 32,40–43,50 dn/cm2. Surface tension of solutions of preparations depended on their chemical structure. The antimicrobial properties of the preparations were determined on the museum and clinical strains of microorganisms, which had typical tynctorial, morphological, and cultural characteristics. For a complete biological characterization in strains of Staphylococci, the formation of coagulase enzymes, lecithovitellase, hemolysins, and mannitol fermentation in anaerobic conditions were studied. At 12 museum and clinical strains of bacteria, bacteriostatic and bactericidal effects of six drugs, which are derivatives of menthol (DK, №2), quinoline (DN, №4), phenol (preparations №5, №6), have been detected. Derivatives of menthol acted bactericidal to Staphylococci at doses of 0,48-3,9 μg/ml; Quinoline derivatives in the range of 7,8–15,6 μg/ml; derivatives of phenol 31,25–62,5 μg/ml, respectively. Staphylococci were highly resistant to phenol derivatives (31,25–62,5 μg/ml). Gram-negative bacteria exhibited high resistance to quinoline and phenol derivatives (250–500 μg/ml). Summing up the results of determining the antimicrobial action of antiseptics derivatives of menthol, quinoline, it should be emphasized that the drugs have high activity in relation to Staphylococci (0,24–7,8 μg/ml). Phenol derivatives have low bacteriostatic and bactericidal effects on Gram-negative bacteria (125–500 μg/ml), which limits their use in medicine.
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