DISINFECTION 233
The types of chlorine compounds which are frequently
used are (1) Hypochlorites. These are cheap and convenient
to use, and have a wide antibacterial spectrum (Davis, 1963).
They possess potent sporicidal activity (Truman, 1971; Kelsey
et al. , 1974; Waites, 1982) which may be potentiated by alco-
hols (Coates and Death, 1978; Death and Coates, 1979).
The hypochlorites are moderately effective against animal
viruses.
The antibacterial activity of the hypochlorites decreases
with increasing pH (Charlton and Levine, 1937; Weber,
1950; Ito et al. , 1967; Hays et al. , 1967), e.g., whereas 99%
of spores of B. cereus are killed after 2.5 min at pH 6 by a
solution containing 25 ppm available chlorine, nearly 8 hours
are required for a comparable kill at a pH of c. 13 (Rudolph
and Levine, 1941). At constant pH, the time to kill bacteria
depends on the concentrations of available chlorine. The spo-
ricidal activity of sodium hypochlorite may be potentiated by
various compounds, e.g., by the addition of ammonia (Weber
and Levine, 1944) or 1.5–4% sodium hydroxide (Cousins
and Allan, 1967), notwithstanding the earlier comment
about pH. In the presence of bromide, hypochlorite has an
enhanced effect in bleaching cellulosic fibres as compared
with hypochlorite alone, possibly because of a continuous
generation of hypobromite when hypochlorite is in excess.
A potentiation of the bactericidal effect of hypochlorite has
been achieved by the addition of small amounts of bromide
(Farkas–Himsley, 1964).
The antimicrobial activity of hypochlorites is considerably
reduced by organic matter. However, the hypochlorites are
used in the disinfection of water, dairy equipment and eating
utensils. (2) Chloramine-T (sodium p -toluene sulphonchlo-
ramide). Dakin et al. (1916) considered that chloramine-T had
a powerful germicidal action. It is bactericidal and sporicidal,
although the rate of kill is slower than with the hypochlorites.
Its activity is considerably higher at acid than at alkaline pH
(Weber, 1950), and a drop of 10°C in the reaction tempera-
ture results in a 3–4 fold increase in the time necessary to kill
microorganisms (Weber and Levine, 1944). Chloramine-T is
employed as a wound “disinfectant,” and as a general surgi-
cal disinfectant. It is nonirritant and nontoxic, in contrast to
Dichloramine-T (toluene- p -sulphon-dichloramide) which
although a powerful disinfectant is not used because of its
toxicity and instability.
The mode of action of chlorine compounds is unknown,
although several proposals have been made, e.g., the informa-
tion of chloramines as a result of combination of chlorine with
bacterial protoplasm, halogenation or oxidation reactions of
chlorine with bacterial cells, changes in cellular permeability
and an effect on enzyme systems. It has also been found,
however (Bernarde et al. , 1967) that chlorine dioxide causes
a marked and immediate cessation of protein synthesis in
growing cells.
Iodine and Iodophors
Iodine in aqueous or alcoholic solution is considered by
most authors (Gershenfeld and Witlin, 1950; Gershenfeld,
1956; Report, 1965; Sykes, 1970) to be a reliable and
effective germicide which is lethal to vegetative bacteria,
bacterial spores and acid-fast bacilli. Spaulding et al. (1977),
however, consider that alcoholic iodine (0.5% iodine in 70%
alcohol) possesses good activity against non- sporing bacte-
rial and M. tuberculoses but none against bacterial spores,
whereas Rubbo and Gardner (1965) state that bacterial
spores are moderately resistant to iodine. Viruses are consid-
ered by Rubbo and Gardner (1965) to be moderately sensi-
tive to iodine.
Iodine has a high fungicidal or fungistatic activity against
yeasts and various moulds, but its antimicrobial properties
are to a great extent inhibited in the presence of organic
matter, since iodine is a highly reactive element.
Iodine is sparingly soluble in cold water, but more solu-
ble in hot water. Stronger solutions can be made in potassium
iodide solution or in aqueous alcohol. Iodine is more effective
as a germicide at acid than at alkaline pH, but is less affected
by pH than are chlorine compounds. The concentration of
iodine to disinfect does not vary greatly with different types
of microorganisms. Various types of iodine solution are used
for the first-aid treatment of small wounds and abrasions,
and in pre-operative skin “disinfection.” Iodine has also been
employed for the sterilization of surgical catgut (although
this method is now little used) and is nowadays used for the
disinfection of drinking and swimming pool water, the disin-
fection of instruments and of clinical thermometers, and the
sanitization of eating and drinking utensils.
Unfortunately, iodine solutions stain fabrics and tissues
and tend to be toxic. However, certain non-ionic surface-
active agents can solubilize iodine to form compounds, the
iodophors (Blatt and Maloney, 1961; Davis, 1962, 1963,
1968) which retain the germicidal activity of iodine, but
not its undesirable properties; these iodophors are literally
“iodine-carriers.” They are active against bacterial spores,
including pathogenic anaerobic spores (Lawrence et al. ,
1957; Gershenfeld, 1962). It is the concentration of free
iodine in an iodophor which is responsible for its microbial
action; this has been well demonstrated by Allawala and
Riegelman (1953) who made a log-log plot of killing time
against amount of free iodine, and found that the 99% killing
time of B. cereus spores was a function of the concentration
of free-iodine in the presence or absence of added surface-
active agent. The bactericidal properties of the iodophors are
increased at low pH values, but their stability is unaffected
(cf. hypochlorites). They may thus be employed with acids,
e.g., phosphoric acid, to enhance their microbial action and
also to assist in preventing the formation of film or milkstone
(see later) in the dairy industry. The iodophors are consid-
ered (Davis, 1968) to be powerful detergents, although they
do not dissociate protein as readily as do alkalis. The formu-
lation of acidic solutions of iodophors is particularly useful
when calcium or magnesium scale is encountered, but they
can be corrosive, especially with galvanized iron.
Surface-Active Agents
Surface-active agents have 2 regions in their molecular
structure, one a hydrocarbon, water-repellent (hydrophobic)
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