Wk. Liu et al., MECHANISMS OF THE BACTERICIDAL ACTIVITY OF LOW AMPERAGE ELECTRIC-CURRENT (DC), Journal of antimicrobial chemotherapy, 39(6), 1997, pp. 687-695
The mechanisms whereby low amperage (10-100 mu A) electric current (DC
) is bactericidal were investigated with Staphylococcus epidermidis an
d Staphylococcus aureus. A zone of inhibition test involving the inser
tion of an anode and cathode into an agar plate inoculated with a lawn
of bacteria was used to study the antimicrobial activity of electric
current. A zone of inhibition was produced around the cathode when 10
mu A (DC) was applied for 16 h. The diameter of the zone was greatly r
educed in the presence of catalase. There was no zone around the catho
de when the test was carried out under anaerobic conditions. H2O2 was
produced at the cathode surface under aerobic conditions but not in th
e absence of oxygen. A salt-bridge apparatus was used to confirm that
H2O2 was produced at the cathode and chlorine at the anode. The antimi
crobial activity of low amperage electric current under anaerobic cond
itions and in the absence of chloride ions against bacteria attached t
o the surface of a current carrying electrode was also investigated. A
ntibacterial activity was reduced under anaerobic conditions, which is
compatible with the role of H2O2 as a primary bactericidal agent of e
lectricity associated with the cathode. A reduction in chloride ions d
id not significantly reduce the antibacterial activity suggesting that
chlorine plays only a minor role in the bactericidal activity towards
organisms attached to anodal electrode surfaces. The localized produc
tion of H2O2 and chlorine and the intrinsic activity due to electric c
urrent may offer a useful method for eradicating bacteria from cathete
r surfaces.