W. Gottardi et M. Nagl, Which conditions promote a remanent (persistent) bactericidal activity of chlorine covers?, ZBL HYG UMW, 201(4-5), 1998, pp. 325-335
The interaction of disinfectants containing active chlorine compounds (hypo
chlorite, chloramine T) with skin surfaces produces a so called chlorine co
ver which is a true chemical transformation of the protein matrix of the ou
termost horny skin layer by forming covalent N-Cl bonds. Though its intensi
ty can easily be measured, the results on its remanent (persistent) bacteri
cidal action until now have not been described consistently. While Gottardi
and Karl observed a well-defined remanent action which correlated with the
cover strength in the artificially with E. coli contaminated arm, Koller,
Rotter, and Gottardi were not able to prove it, neither in artificially con
taminated hands nor in the case of the resident bacterial colonization.
To clarify these not consistent results, the bactericidal activity of chlor
ine covers on transient (dry contamination of the finger tips with Micrococ
cus luteus) as well as on resident colonization (after wearing gloves for 3
h) has been re-investigated using contact plates for recovering the bacter
ia. The results are showing that the remanent bactericidal action of chlori
ne covers strongly depends on the skin milieu, with moist conditions caused
by sweat (surgical gloves) favoring the bactericidal activity.
Elution experiments prove that protein constituents (detected by UV-spectro
metry) continuously are transported to the skin-surface. It is obvious that
the latter equilibrate with the chlorine cover by forming bactericidal N-C
l compounds with the effect that oxidation capacity fixed at the protein ma
trix is mobilized enabling the remanent bactericidal action.