EFFECT OF CULTURE GROWTH OF M EDIA ON TH E R ESISTA N C E AND M IC RO CO C CU S PY O G E N E S VAR. AUREUS By A N ITA H A R R IET LEA V ITT A THESIS S u b m i t t e d to t h e S c h o o l o f G r a d u a t e S t u d i e s o f M i c h i g a n S t a t e C o l l e g e of A g r i c u l t u r e a n d A p p l i e d S c i e n c e in p a r t i a l f u l f i l l m e n t of th e r e q u i r e m e n t s f o r t h e d e g r e e of DOCTOR OF PH ILO SO PH Y D e p a r t m e n t of B a c t e r i o l o g y a n d P u b l ic H e a l th 19 5 2 i ACKNOWLEDGMENTS The author w ishes to e x p r e s s h e r sincere appreciation to D r . W . L . M a l l m a n n f o r h i s e n c o u r a g e m e n t a n d a d v i c e th ro u g h o u t this study. TABLE OF CONTENTS Page I. II. III. IV. V. I N T R O D U C T I O N ........................................................................ 1 REV IEW 6 QF L I T E R A T U R E ........................................... M A TERIA LS AND E Q U I P M E N T ............................. 16 A. C ulture M e d i a ................................................................. 16 B. D i s i n f e c t a n t s ................................................................. 19 C. B acterial 21 C u l t u r e .......................................................... P R O C E D U R E S ............................. 22 A. M a i n t e n a n c e of C u l t u r e ........................................... 22 B. "Phenol T e s t s ............................. 22 c u l t u r e s .................................... 22 EX PER IM EN TA L C oefficient" 1. U sing b roth 2. U sing w ashed c u ltu res ............................. 23 C. "S em i-m icro" ........................................... 24 D. G r o w t h C u r v e S t u d i e s ........................................... 25 E. N e u t r a l i z a t i o n T e s t s .......................................... 26 T ests R E S U L T S ...................................................................................... A. 27 E f f e c t of C u l t u r e M e d i a on th e R e s i s t a n c e of h i . p y o g e n e s v a r . a u r e u s ............................. 27 iv Page B. E f f e c t of S u b c u ltu r e M e d i a o n the C u ltiv a tio n of D i s i n f e c t a n t - t r e a t e d C e lls of M . p y o g e n e s v a r . C. E ffect of W a s h e d C u l t u r e s R esistance as D. of F D A S u b c u l t u r e V II . 50 E ffect of A g e on the C u l t i v a t i o n of D i s i n f e c t a n t - t r e a t e d E ffect of C u l t u r e M . pyogenes var. VI. aureus C o m p a r e d to B r o t h C u l t u r e s .............. var. M edium aureus . . LITERATU RE . 57 aureus . 60 of to P h e n o l N e u t r a l i z a t i o n T e s t s .......................................... SUMMARY . M e d ia on B a c t e r i a l P o p u l a t i o n a n d on th e R e s i s t a n c e F. 41 on the o f M_. p y o g e n e s v a r . C e l l s of M_. p y o g e n e s E. a u r e u s ..................... . . 68 ...................................................................................... C I T E D ................................................ 74 71 I. There INTRO D U CTIO N are num erous to b e d i s i n f e c t a n t s , m a n y order c o m p o u n d s on the m a r k e t p u r p o r t e d of w h i c h h a v e q u e s t i o n a b l e v a l u e . to p r o t e c t th e b u y e r , i t i s n e c e s s a r y t h a t r e g u l a t o r y agen cies have m eth o d s of m e a s u r in g t h e d i s i n f e c t i n g v a l u e of e a ch and o b tain data th at will r e p r e s e n t t h e ir The FD A the ''p h en o l c o e ffic ie n t" relative procedure values. (3 1 ) h a s b e e n s ta n d a r d u s e d by r e g u l a to r y a g e n c ie s f o r m a n y y e a r s . test was o r i g i n a l l y d e s i g n e d to m e a s u r e cresylic type com pounds. w h e n a p p l i e d to the this In procedure relative U ndoubtedly th is te s t is e v a l u a t i o n of c o a l t a r a phenol coefficient is of w o r t h l e s s f a c t u r e r in m a in ta in in g and as compound, of p r e v e n t i n g a n a id to the m a n u ­ t h e u n i f o r m i t y of h i s The p rese n t FDA p rocedure m ay reliable T i l l e y (35) s t a t e d t h a t of v a lu e o n l y a s a m e a n s preparations of evaluation is a quaternary am m onium sodium hypochlorite o r a ch loro-phenol. values com pounds; how ever, fails w oefully w hen a c o m p a ra tiv e a t t e m p t e d of a m e r c u r i a l , the u s e the This product. give a r e la tiv e rating of t h e k i l l i n g d i l u t i o n of a d i s i n f e c t a n t w i t h a s t a n d a r d i z e d t e s t culture. In th is way, compounds can be c la s s if ie d into g ro u p s of l o w a n d h i g h k i l l i n g d i l u t i o n s . W o r k e r s in th e f i e l d of d i s i n f e c t a n t t e s t i n g aw are of the d i s c r e p a n c i e s t h e e f f i c i e n c y of v a r i o u s there is no evaluate single that a re w ell obtained in testing c o m p o u n d s in the l a b o r a t o r y . reliable disinfectants in r e s u lts are m ethod, it is v e ry on a c o m p a r a t i v e Since d i f f i c u l t to basis. I n a d d i t i o n to th e l i m i t e d a p p l i c a t i o n t h a t m a y be m a d e of a n F D A p h e n o l c o e f f i c i e n t t h e p r o c e d u r e has been criticized f o r the f a c t t h a t the u s u a l t e s t o r g a n i s m s f r e q u e n t l y v a r y in their resistan ce to p h e n o l a s w ell a s to t h e compound under test. Standards h a v e b e e n e s t a b l i s h e d by t h e U n i t e d S t a t e s F o o d a n d D r u g A d m i n i s t r a t i o n (3 1) f o r t h e organism ever, resistan ce of th e t e s t to b e u s e d i n r u n n i n g p h e n o l c o e f f i c i e n t t e s t s . difficulties sm ooth culture are of th e How­ o f te n e n c o u n t e r e d in t r y i n g to m a i n t a i n a required resistance. C o m p o s i t i o n of t h e cu ltu re m e d ia has an im p o rta n t influence on this. N e w l o t s of peptone and b eef e x tr a c t can c a u se the a p p e a r a n c e of r o u g h strains (21). w ith s u b s ta n d a rd r e s is ta n c e The hyd ro g en ion c o n c e n t r a t i o n of th e fluence culture m edium also has an im portant in­ (26). S em isynthetic m ed ia have been proposed by K larm ann a n d W r i g h t (14 ) a n d b y W o l f (3 8 ) t o m a i n t a i n a s t a n d a r d r e ­ sistance of M i c r o c o c c u s and B u rlin g a m e m edia pyogenes var. a u re u s. (2 9) i n t h e i r c o n c lu d e d t h a t the studies resistan ce to p h e n o l a n d L i q u o r A n t i s e p t i s f a c to r ily in the presented show th at the Wood two p u r p o s e d of M . p y o g e n e s v a r . a u r e u s was not m aintained as sem isynthetic m ed ia as D ata w ere (19 ) t o on th e s e R eddish, satis­ in FD A b ro th . by M a llm a n n , L e a v itt and Jo sly n resistan ce of M , p y o g e n e s v a r . a u r e u s to q uaternary am m onium co m p o u n d s w as i n c r e a s e d by grow ing the te s t c u ltu r e s in Difco D isinfectant T esting m ed iu m to t h a t r e s u l t i n g f r o m cultivation in sta n d a rd F D A b roth. The w riter sista n t culture has com pared had difficulty in keeping a s m o o th r e - ! of M . p y o g e n e s v a r . a u r e u s w h e n g r o w i n g i t i n sta n d a rd FD A broth. A two p e r c e n t t r y p t i c a s e by O s tro le n k c a rry in g his (20) f o r p r e s e n t a t i o n of t h i s p a p e r a t t h e test cultures, broth was used and in the 1 9 4 9 m e e t i n g o f t h e S o c i e t y of A m e ric an B acterio lo g ists, m ention was m ade sm ooth culture as of t h e f a c t t h a t a could be m a in ta in e d in th is m e d iu m . 4 In o r d e r pyogenes v ar. broth to s e e i f a s m o o t h aureus (B altim ore of t h e the could be m a in ta in e d , B iological L a b o ra to rie s ) c u l t u r e m e d i a to b e u s e d i n t h i s T e s t (DT) m e d i u m to show the and dehydrated form , study. thus S o y (T S ) s e le c te d a s one D isinfectant se le c te d also e f f e c t of d i f f e r e n t c u l t u r e m e d i a u p o n T h e f i r s t two m e d i a ensuring be u s e d t h r o u g h o u t t h e course to r e p r e s e n t a t i v e c o u l d be o b t a i n e d i n a th at a u n i f o r m lot of e a c h could of th e experim ents. O n e l o t of w a s u s e d in the p r e p a r a t i o n of the F D A c u l t u r e m e d i u m . In o r d e r upon the killing to s h o w t h e i n f l u e n c e of t h e dilutions, cific n e u tr a liz in g m e d i u m The standard (15) w e r e used. The FD A broth, "sem i-m icro "w hole (24). DT m e d i u m and a sp e­ a n d a m o d i f i c a t i o n of whole sam ple" procedure sam p le"1 m ethod has been c riti­ c i z e d by R a h n a s b e in g too s e n s i t i v e coefficient technic subculture m ed ia w e r e in c lu d e d in the stu d y . FDA procedure K la rm a n n and W rig h t's results was of M . p y o g e n e s v a r . a u r e u s type d i s i n f e c t a n t s . of M. T rypticase standard FDA bro th w ere com parative resistan ce peptone r e s is ta n t culture It w a s as c o m p a r e d w ith the phenol d e s ir e d in this o b t a i n e d by the two m e t h o d s . s tu d y to c o m p a r e The purpose fe re n t culture aureus the of t h i s m e d i a upon the to r e p r e s e n t a t i v e cells. s h o w t h e e f f e c t of d i f resistan ce of M . p y o g e n e s v a r type d isin fec tan ts s u b c u l t u r e m e d i a on . t h e treated s tu d y i s to a n d t h e e f f e c t of c u ltiv a tio n of the disinfectant- II. Soon a fte r lished, REVIEW the g e r m efforts w e re m ade infectants on b a c te ria . no a t t e m p t w a s m a d e t h e o r y of d i s e a s e tow ard These had been e v a lu a tin g the the f i r s t to r e a l i z e and b asis. th a t the r e la tiv e conditions tested. In 1903, R i d e a l a n d W a l k e r testing crude, on a q u a n tita tiv e of d i s i n f e c t a n t s d e p e n d s v e r y l a r g e l y u p o n t h e un d er w hich they a r e estab­ a c tio n of d i s ­ e a rly m ethods w ere at determ in atio n s K r o n i g a n d P a u l (18) w e r e value OF LITER A TU RE (30) p r o p o s e d a m e t h o d o f d i s i n f e c t a n t s w h e r e b y t h e g e r m i c i d a l a c t i o n of t h e d i s ­ infectant w as A c o m p a r e d w i t h t h a t of p h e n o l . "phenol coefficient" test, known as the H ygienic L a b ­ o r a t o r y m e th o d , w a s p r o p o s e d by A n d e r s o n and M cC lin tic in 1911 (1). W o r k e r s i n the U n i t e d S t a t e s D e p a r t m e n t of A g r i c u l t u r e L aboratories, a fte r w orking for ten y e a r s the R id e a l- W a lk e r with the m e th o d s and the H ygienic L a b o r a t o r y tests, proposed a t e s t w h i c h i n c o r p o r a t e d t h e b e s t f e a t u r e s of b o t h ( 2 7 ). procedure, known as the F D A m e th o d today in te stin g the (3 1) i s of This com m only used e ffic ie n c y of d is in f e c ta n ts in the l a b o r a t o r y . 7 In. t h i s t e s t , a phenol coefficient fo r a disin fectan t is by c o m p arin g its specific killing p o w e r w i t h t h a t of p h e n o l a g a i n s t a organism . W r i g h t (39 ) p u b l i s h e d the d i s c o r d a n t r e s u l t s to determ ined slight v a ria tio n s som e w o r k to obtained in testing show th a t m o s t of disinfectants in the t e s t c u ltu r e m e d i a , w hile the d iffe re n c e s in su b cu ltu re m e d ia w e re not im p o rta n t. th at this w as organism . of the n u m b e r (9) a l s o m edium of o r g a n i s m s He th o u g h t u s e d in the t e s t . s t a n d a r d s f o r the r e s i s t a n c e pyogenes var, aureus properties are sam e c a l l e d a t t e n t i o n to t h e i m p o r t a n c e R e d d i s h (2 6 ) s u g g e s t e d nutritive due c o n n e c t e d w i t h t h e a m o u n t of g r o w t h o f t h e t e s t G arrod M icrococcus were to p h e n o l . He of s t a t e d t h a t the a n d the h y d r o g e n io n c o n c e n t r a t i o n of the i m p o r t a n t f a c t o r s in p r e s e r v i n g the r e s i s t a n c e of the o rg a n is m s . A g r e a t d e a l of w o r k h a s b e e n d o n e o n t h e various peptones on the c o e ffic ie n t'1 te s ts . resistan ce resistance of o r g a n i s m s R ed d ish and B u rlin g am e e f f e c t of u s e d in ''p h en o l (28) s t a t e d t h a t t h e of M . p y o g e n e s v a r . a u r e u s w a s m a i n t a i n e d c o n s i s t e n t l y when bro th m ade fro m o th er peptones w ere A rm o u r's used, peptone w as u sed , resistance w hereas, of t h e o r g a n i s m was when reduced i 8 to a s i g n i f i c a n t d e g r e e . "phenol coefficient" B rew er (4) t h o u g h t t h a t v a r i a t i o n s i n resu lts w ere phospholipids in som e due to the p r e s e n c e l o ts of p e p t o n e . Q uisno, F o te r of and G i b b y (21) n o t e d t h a t n e w l o t s o f p e p t o n e o r b e e f e x t r a c t s o m e ­ tim es c a u se d the a p p e a r a n c e phenol re sista n c e . trypticase was the r e s i s t a n c e of r o u g h strains w ith s u b s ta n d a rd I t w a s n o t e d b y S t u a r t (34) t h a t w h e n B B L u s e d i n F D A b r o t h i n s t e a d of A r m o u r p e p t o n e , o f th e organism varied. K l a r m a n n a n d W r i g h t ( 1 4 ) a n d W o l f (38) p r o p o s e d synthetic m e d ia for grow ing M. pyogenes v ar. to o b t a i n a s t a n d a r d - r e s i s t a n t c u l t u r e . B urlingam e R eddish, in o rd e r Wood and (29) p u b l i s h e d d a t a to s h o w t h a t c u l t u r e s in F D A b ro th a r e m o r e of t h e t w o aureus sem i­ grow n sa tis fa c to ry than those grow n in e ith e r sem isynthetic m edia. O ther fa c to rs b e sid e s m e d ia com p o sitio n have been s t u d i e d i n a n a t t e m p t to m a i n t a i n a s m o o t h c u l t u r e of u n i f o r m resistance for disinfectant testing. found th a t if M . p y o g e n e s v a r . s t e a d of a t 3 7 C t h e tran sfers Grubb and E d w ard s a u r e u s w a s i n c u b a t e d a t 40 C i n ­ standard resista n c e at this te m p e ra tu re , (11) retu rn ed after one to two and th a t it w as m a i n t a i n e d a s long I as daily t r a n s f e r s w ere e v a l u a t i o n of s o m e ance i n c u b a t e d a t 40 of t h e f a c t o r s of M . p y o g en es v a r . e n c e in the age of the the a g e of th e of t h e influencing the phenol r e s i s t ­ culture or a o n e -d e g re e culture. difference in c a u s e d a n i m p o r t a n t d i f f e r e n c e i n th e It i s i n t e r e s t i n g to n o t e c u l t u r e u p o n the ence in the age S m y t h (33), i n h i s a u r e u s , noted that a tw o -h o u r d iffe r­ the in c u b a to r t e m p e r a t u r e resistan ce C. resistan ce. t h e e f f e c t of A four-hour differ­ of the t e s t c u l t u r e i s a l l o w e d by th e F D A p r o ­ cedure.' S o m e a t t e n t i o n h a s b e e n p a i d to t h e v a r i a t i o n i n t h e a m o u n t of m a t e r i a l r e m o v e d b y t h e 4 - m m l o o p o w i n g to t h e different surface types ( 5). H ow ever, num ber of c e l l s ten sio n values of v a r i o u s of d i s i n f e c t a n t s R a h n (24 ) b e l i e v e d t h a t t h e f l u c t u a t i o n i n t h e was so s m a l l th a t it could not in flu en ce the i results, as long a s stan d ard m ethods w e r e follow ed. W ith so m a n y f a c t o r s in flu e n c in g o r g a n is m , it is tained. rem arkable The author has the r e s i s t a n c e that consistent re s u lts The e v e r ob­ c o n sisten tly had trouble in m aintaining a s m o o th r e s i s t a n t c u ltu r e w hen the o r g a n i s m s in FD A b ro th . are of a t e s t Difco L a b o r a t o r i e s w ere cultured developed a m e d iu m (D isinfectant T esting m ed iu m ) w hich they claim gives a culture 10 w ith co n stan t r e s is ta n c e . prepared a m edium T he B a ltim o re B iological L a b o ra to ry ( T ry p tic a s e Soy broth) w hich they c la im w ill m a in ta in a sm o o th cu ltu re for a co n sid erab le p e r i o d of tim e. T h e a u th o r d e c id e d to c o m p a r e the a b o v e - m e n t i o n e d t h r e e m e d i a to d e t e r m i n e a culture their re la tiv e v a lu e s in m a in ta in in g of c o n s t a n t r e s i s t a n c e . It i s known th a t so m e bacterio static disinfectants have activity that slight t r a c e s of d i s i n f e c t a n t c a r r i e d o v e r m a y p r e v e n t g r o w t h of t h e t e s t o r g a n i s m s them . m ote R a h n (24) s t a t e d t h a t t h i s d a n g e r w hen the F D A In t h i s p r o c e d u r e , from w ithout killing seem ed rather re­ ''p h en o l c o e f f ic ie n t'1 tec h n ic w as follow ed. one 4 m l lo o p fu l (0.01 m l ) i s t r a n s f e r r e d the m e d i c a t i o n tu b e to 1000 d i l u t i o n of th e such great 10 m l o f b r o t h , disinfectant. produces bacterio stasis in No r e s u ltin g in a disinfectant is 1- known w hich l/lOOO of th e l o w e s t b a c t e r i c i d a l con­ centration. R a h n (25) s t a t e d t h a t s t e r i l i z a t i o n of b a c t e r i a i s b r o u g h t a b o u t by a c h e m i c a l r e a c t i o n b e tw e e n the d i s i n f e c t a n t and v i t a l p a r t of th e c e l l . al steps, This som e r e a c tio n m a y take p la c e in s e v e r ­ the f i r s t of w hich m a y be reversible. A fte r a definite « 11 p e r i o d of c o n t a c t w i t h t h e d i s i n f e c t a n t , all c e lls contain a c e r t a i n a m o u n t of t h e d i s i n f e c t a n t , b u t a f a t a l r e a c t i o n m a y not have b een p ro d u ced . cause the T r a n s f e r into f r e s h b ro th m a y not th e d i s i n f e c t a n t to d iffu s e q u ic k ly o ut of the c e ll m a y die in th e n ew m e d i u m at the tim e of t r a n s f e r . - ism w h ich w ould be For this the u se of a n a n t i ­ w o u l d s a v e t h e l i f e of t h e c o n s id e r e d dead by the re a so n a n eutralizing m edium , b ro th and DT m ed iu m , w as u s e d fo r and although it w as not dead In s u c h a c a s e , dote o r n e u tr a liz in g m e d i u m cell, organ­ standard technic. as w ell as S pecial FD A s u b c u lt u r i n g the t e s t o r ­ ganism . Jam es tralizer: (13) l i s t e d t h e (1) i t d e s t r o y s specifications for an ideal neu - a l l t h e g e r m i c i d a l e f f e c t s to b e e x e r te d by d is in fe c ta n t r e m a in in g in from unkilled b a c te ria l ing in flu e n c e s , e f f e c t a n d (4) cells solution, (2) i t r e m o v e s all the d is in fe c ta n t and r e s t r a i n ­ (3) i t i n t r o d u c e s no g e r m i c i d a l o r b a c t e r i o s t a t i c it resuspends unkilled b acteria in fluid su b ­ strate . Gegenbauer (1 0 ) f o u n d t h a t s t a p h y l o c o c c i t h a t h a d b e e n tre a te d w ith m e r c u r i c chloride w a s h in g , p r o v i d e d t h a t the could be re v iv e d by r e p e a te d c o n ta c t w ith the d isin fe c ta n t had f 12 been less save the the than one h o u r. cells, as the c e ll. duction, w ashing could not the m e r c u r y io n s had r e a c te d with s o m e cell co n stitu e n ts. chem ical A fter that tim e, sulfide r e v e r s e d this re a c tio n by fo rm in g in so lu b le m e r c u r i c sulfide w ithin The was H ow ever, hydrogen reversion, w h i c h r e s t o r e d t h e p o w e r of r e p r o ­ still p o ssib le after sixteen, but not th ir ty - th r e e , hours, if the d i s i n f e c t a n t c o n ta in e d one p e r c e n t m e r c u r i c ride. F ild es (7) a l s o u s e d h y d r o g e n s u l f i d e f o r t h e i n a c t i v a t i o n of t h e m e r c u r y i o n . containing There are m any com p o u n d s w hich can n e u tr a liz e a c t i v i t y of m e r c u r i a l s . Salle, of M e ta p h e n in this chem ical sulfur- the b a c te r i o s ta t ic Sodium th io g ly co llate w as u s e d by C atlin and W estley glycollate b ro th w as chlo­ (32) a n d b y H e i n e m a n n ( 1 2 ). selected as study b e c a u s e T hio­ the n e u tr a liz in g m e d iu m fo r of i ts availability in a po w d ered form . W ith p h e n o l i t h a d n o t b e e n t h o u g h t n e c e s s a r y to u s e neutralizing conducted a g e n t in the subculture m ed iu m . studies in w hich they u se d f e r r ic c h e m ic a l in a c tiv a to r fo r phenol. d i l u t i o n of p h e n o l w a s to t h e chloride (8) as a T h e y found th a t the killing low ered when fe rric subculture m ed iu m , F l e t t et al. a chloride w as added T i l l e y (36) w a s u n a b l e to d u p l i c a t e 13 these resu lts. He found no d iffe re n c e w ith f e r r i c a d d e d to t h e F D A b r o t h a s In this ride chloride c o m p a r e d with FD A b ro th alone. s t u d y , i t w a s d e c i d e d to c h e c k t h e u s e of f e r r i c as a n in a c tiv a to r for the p henolic compounds, chlo­ D o w i c i d e A. a n d D o w i c i d e C. M any substances have been t i o n of q u a t e r n a r y am m onium suggested for com pounds. the i n a c t i v a ­ D o m a g k (6) w a s t h e f i r s t t o c a l l a t t e n t i o n to t h e f a c t t h a t a n i o n i c d e t e r g e n t s inactivate H arrison the surface-active and M iller d etergents cationic compounds. (3) s h o w e d t h a t c e r t a i n B aker, s y n th e tic anionic a ls o in a c t iv a t e d the g e r m i c i d a l p r o p e r t i e s com pounds. will K l e i n a n d K a r d o n (1 6) s h o w e d t h a t of c a t i o n i c 1' r e v e r s a l 1' of q uaternary a m m o n i u m a c t i v i t y c o u ld n o t be p r o d u c e d o n c e the organism s h a d b e e n e x p o s e d to g e r m i c i d a l c o n c e n t r a t i o n s of the co m p o u n d s. T h e y fo u n d t h a t t h e a d d it io n of a n a n io n ic d e t e r g e n t to the t r e a t e d b a c t e r i a l a c t i o n of t h e organism s u s p e n s i o n s i n t e r r u p t e d the cationic d isin fectan ts, thereby p erm itting surviving t o gr ow .. W e b e r a n d B l a c k ( 37 ) t e s t e d l e c i t h i n , n a p h u r i d e D u p o n a l W. A., sodium oleate, T e rg ito l W. A . 7, T r i t o n x 2 0 0 , so d iu m thiosulfate, am ong other sodium , T r ito n x300, com pounds. They 1 14 found th at le c ith in and n a p h u rid e the in h ib ito rs a m ixed tested that s o d i u m w e r e t h e o n l y o n e s of s h o w e d no b a c t e r i o s t a t i c effect a g a in s t culture. F avorable resu lts o n t h e u s e of l e c i t h i n a l o n e o r i n com bination w ith other s u b s t a n c e s f o r t h e i n a c t i v a t i o n of c a t i o n i c disinfectants r e p o r t e d a lso by Q uisno, G ibby and F o te r have been (2 3) , A r m b r u s t e r and F o te r as the and R id e n o u r (2) a n d o t h e r s . Q uisno, Gibby (2 3 ) f o r m u l a t e d L e t h e e n b r o t h i n w h i c h l e c i t h i n a c t s chief n e u t r a l i z e r and d isp e rsin g while agent for T w e e n 80 a c t s the le c ith in . The as a solubilizing c o n c e n t r a t i o n of l e c i t h i n a n d T w e e n 80 u s e d d i d n o t i n h i b i t t h e g r o w t h of a n y organism th a t w ould g ro w in F D A b r o th . Therefore b ro th w as p ick ed as the in activ atin g m e d iu m testing q u a te rn ary am m onium There has sam pling technic w orkers ’’L e t h e e n " to b e u s e d f o r c o m p o u n d s in this study. b e e n a g r e a t d e a l of d i s c u s s i o n a b o u t t h e of t h e "phenol coefficient" procedure. (15) h a v e f e l t t h a t i n t h i s m e t h o d of " r a n d o m a representative sam ple not rem o v ed for subculturing. w h ic h the w h o le m i x t u r e (2 4) f e e l t h a t t h i s "w hole Some sam p lin g " of t h e d i s i n f e c t a n t - c u l t u r e m i x t u r e is M ethods c u l t u r e d (15 , sam ple" is h a v e b e e n p r o p o s e d in 22). Some w orkers m e t h o d i s too sensitive a c 15 test as the c o m p a r e d to t h e relative coefficient" technic value standard FDA procedure. of t h i s t e c h n i c procedure, as To d e te r m in e c o m p a r e d to t h e a s lig h t m o d i f i c a t i o n in the ''p h en o l "sem i-m icro " of K l a r m a n n a n d W rig h t w a s u s e d along w ith the F D A procedure. « III. M A T E R IA L S AND E Q U IP M E N T A. C ulture M edia The follow ing m e d ia w e r e u s e d fo r daily t r a n s f e r s M . pyogenes var. organism s 1. aureus. grow n in these Subsequent tests w ere ru n upon the th ree m edia. FDA broth A r m o u r peptonum siccu m , Lot No. 100976 1 0 .0 g m Bacto b e e f e x tra c t 3.0 g m Sodium 5.0 g m chloride D istilled w ater (pH w a s a d j u s t e d to 6 . 8 to 7.Q) 2. of Difco D is in f e c ta n t T e s t m e d i u m dium ), L ot No. 380974 P ro teo se peptone 1000 m l (DT m e ­ 10.0 g m Bacto beef e x tra c t 3.0 g m Sodium 2.0 g m chloride L actose A scorbic 5.0 g m acid D istilled w ater (final pH w a s 0.025 g m 1000 m l 7 .0 ± ) 17 3. T r y p t i c a s e Soy b r o t h (TS b r o t h ) , L o t No. 2 75 1 ( B a l t i m o r e B i o l o g i c a l L a b o r a t o r i e s ) T rypticase 17 .0 g m Phytone 3.0 g m Sodium chlo rid e 5.0 g m D ip o tassiu m phosphate 2 .5 g m D extrose 2.5 g m D istilled w a te r (final p H w a s 10 00 m l 7.2-7.4) The follow ing m e d i a w e r e u s e d a s 'phenol c o e f f i c i e n t '' and 1. "sem i-m icro " subculture m e d ia for tests. Special F D A b ro th D ifco p ep to n e 10.0 g m B acto beef e x tra c t 3.0 g m Sodium 5.0 g m chloride . D istilled w a te r ( p H a d j u s t e d t o 6 . 8 to 7 .0 ) 2. Difco D is in fe c ta n t T e s t m e d iu m F orm ula 3. 1000 m l the sam e as given in A L etheen broth P art A T w e e n 80 ( A t la s P o w d e r Co.) 5.0 g m I 18 A zolectin (A m erican L ecithin Co.) 0.7 g m Hot distilled w a te r 400 m l Part B Beef extract 5..0 g m Sodium ch lo rid e 5 .0 g m A r m o u r peptonum 100976 s ic c u m , L o t No. 10.0 g m D istilled w a te r 600 m l M ix p a r t s A a n d B and b o il fo r te n m inute s . (p H a d j u s t e d t o 6.8 t o 7 . 0 ) 4. Difco B r e w e r ' s thioglycoliate m e d iu m B eef, infusion f ro m Sodium 50 0 chloride 5 .0 g m D ip o tassiu m phosphate 2.0 g m P ro teo se 1.0 g m peptone D extrose 5 .0 g m Sodium thioglycoliate 0 .5 g m B acto-agar 0 .5 g m B a c t o - m e t h y l e n e blue 0.002 g m D istilled w ater 5. gm S p ecial F D A b r o th plus 1000 m l 0.03% ferric chloride 19 T h e follow ing m e d i a w e r e u s e d in S e c tio n E u n d e r R e ­ s u lts , f o r the s tu d ie s on g r o w th c u r v e s pyogenes var. aureus using No. and resistan ce of M. to p h e n o l . 1. Difco D is in f e c ta n t T e s t m e d i u m , L o t No.- 3 65 85 3 Z. Difco L o t No. 380974 3. D isinfectant T e s t m edium , m ade D isinfectant T e st m ed iu m , Difco P e p t o n e , Lot No. in the l a b o r a t o r y 406935 4. FDA broth m ade with Difco p e p to n e , L o t No. 406935 5. FDA broth m ade w ith D ifco p e p to n e , L o t N o . 40593 4 6. FDA bro th m ad e with A r m o u r p e p to n u m siccum , Lot 100976 7. T rypticase Soy b r o th , L o t N o. 3639 ( B a ltim o r e B iological L a b o ra to rie s) T he follow ing S o r e n s e n 's b u ffe r, pH 7.0, w a s u s e d f o r the w a s h e d c u ltu r e s 6.0 m l N a H P O (11.876 g m N a H P O • H O in one Z 4 Z 4 Z 1 of solution) 4.0 m l KH P O (9.078 g m Z 4 Tryptone glucose KH P O in one Z 4 1 of solution) e x tra c t a g a r w as u se d for a ll plating purpose s . I B. The 1. d i s i n f e c t a n t s u s e d in the D ow icide A F la k e , sodium -o-phenylphenate f a c tu r e d by the 2. adding D ow icide d i r e c t e d by the product. active Dow C h e m ic a l D ow icide study w ere: which is as the c o m p o s e d of 97 p e r c e n t active in g re d ien t. 31 w a s It is m a n u ­ Com pany.. C, w h i c h w a s m a d e s o d iu m hydroxide.. soluble, D isinfectants In o r d e r from to m a k e c o n v e r t e d into the D ow icide the compound w ater sodium salt as Dow C h e m i c a l C o m p a n y , m a n u f a c t u r e r s It c o n ta i n s 31 b y of th is 85 p e r c e n t c h l o r o - o - p h e n y l p h e n o l a s the ingredient. 3. m ercuri-2 M etaphen, an anhydride of 4 n i t r o - 3 , 5 - b i a c e t o x y ft c r e s o l , w h ic h is m a n u f a c t u r e d by A bbot P h a r m a c e u ­ tical Com pany. 4. B T C , w h i c h i s c o m p o s e d of benzyl am m onium alkyl ra d ic a l chloride ranging f r o m O n y x Oil an d C h e m i c a l 5. tained fro m as 10 p e r c e n t a l k y l - d i m e t h y l - the a c tiv e i n g r e d i e n t w ith th e C8 to C18. It is m a n u f a c t u r e d by Company. P h e n o l (B a k e r and A d a m s o n Q uality), the A llied C h e m ic a l and Dye p e r c e n t solution w as m ad e and which w a s C orporation. A ob­ 5- s t o r e d i n a d a r k b o t t l e a t 4 C. 21 C. The te st o rg an ism as B acterial C ulture was M. pyogenes var. a u r e u s N o . 209, a p p r o v e d by the F o o d an d D r u g A d m i n i s t r a t i o n . I IV. EX PER IM EN TA L PROCEDURES A. The agar M aintenance stock b a c te ria l slants. The of C u l t u r e culture w as Stock su b c u ltu re s w e re kept on plain n u trie n t m ade e v e ry four w eeks. c u lt u r e s u s e d in the e x p e r i m e n t s w e r e only a f te r a m in i m u m of f o u r d a i l y s u b t r a n s f e r s the of u s e , the t e s t o r g a n i s m w as once again taken fro m stock cu ltu re. test organism aureus. m edium w as a 22-26 hour The ex p erim en ts of, a t l e a s t , before C ultures three the te s t w a s w ere w ere culture slant. in the p r o p e r bro th after tra n s fe r fro m old a g a r stock a g a r em ployed A fter four w eeks the m o n th - i n c u b a t e d a t 3 7 C. The of M . . p y o g e n e s v a r . conducted using pooled c u ltu res t u b e s of the a p p r o p r i a t e b r o t h c u l t u r e s . Just s t a r t e d t h e p H of t h e c u l t u r e s g r o w n i n D T a n d TS b r o t h w e r e a d j u s t e d to 6 . 8 - 7 , 2 , u s i n g a Beckm an potentiom eter. B. 1, " P h e n o l C oefficient" U sing b ro th c u l t u r e s . by R uehle and B r e w e r (31). T ests The technic u se d is This tech n ic is known as described the F D A 23 m ethod. In o r d e r to h a v e com parable results, dilutions th e d i s i n f e c t a n t to be t e s t e d w e r e m a d e up in s t e r i l e E rle n m e y e r flasks and 5 -m l am o u n ts p i p e t t e d i n t o e a c h of t h r e e sterile One test w as s u b c u ltu re m e d iu m ; in the 250-m l of e a c h d i lu t io n w e r e t h e n seeding pots. seeding pots w e r e p r e p a r e d fo r th re e at one tim e . of In t h i s m a n n e r , 1' p h e n o l c o e f f i c i e n t ' ' t e s t s r u n u s in g S p e c ia l F D A b r o th a s the second test, DT m e d iu m w as used for s u b c u ltu rin g a n d in the t h i r d t e s t a n e u tr a li z in g m e d i u m w a s ployed. The s a m e pooled cu ltu re w as u se d in all th re e em ­ tests. S e e d i n g p o t s w e r e h e l d i n a w a t e r b a t h a t 20 C f o r t h e tes t. . A fte r the te s t s w ere organism plated. w ere com pleted, suitable T h e s e p la te s w e r e in c u b a te d a t 37 C f o r 48 h o u r s an d then the m ade ' ' p h e n o l c o e f f i c i e n t 1' t e s t s on the colonies w e re and 6 d a y s ' in c u b a tio n a t 3 7 C. as the final r e s u l t . var. aureus, The counted. after six -d ay The killing dilution w as dilution w hich c a u s e d 2. d i l u t i o n s of t h e t e s t "k ill" f o r 30 m i n u t e s the o r g a n i s m s old, w e r e to one h o u r w ere 2 4 , 48 , 72 h o u r s ' read in g w as taken reported as that in te n but not in five m i n u t e s . . U sing w ash ed c u l t u r e s . 22-26 h o u rs R eadings w ere B r o t h c u l t u r e s of M . p y o g e n e s c e n t r i f u g e d a t 1 80 0 R P M d e p e n d in g u p o n the m e d i u m in w h ic h grow ing. T hirty m inutes w ere s u f f i c i e n t to 24 th ro w dow n the o r g a n i s m s g ro w in g in D T m e d i u m w h ile i t t o o k one h o u r to t h r o w FDA broth. ism s The s u s p e n d e d in again w e re ism s down the supernatant was centrifuged, the pH 7.0. three coefficient" m anner as tubes w ere used as tests conducted and r e s u lts w ere w ith the b r o t h cultures and the o r g a n ­ sam ples the t e s t o r g a n i s m . of, a t The r e a d in the "phenol sam e cultures. C. " S e m i - m i c r o " A Pooled g ro w n in and the o r g a n ­ These supernatant discarded, s u s p e n d e d in b u ffer fo r the te s t. least, organism s then d isc a rd e d , 10 m l o f b u f f e r , and TS b r o th , T ests s lig h t v a r i a t i o n in the te c h n ic of the "sem i-m icro " m o d i f i c a t i o n b y K l a r m a n n a n d W r i g h t (15 ) w a s u s e d . O n e m l of e a c h d i s i n f e c t a n t d i l u t i o n w a s p l a c e d i n e a c h of t h r e e large test tubes. Three dilutions of the d i s i n f e c t a n t to be t e s t e d w e r e u s e d . vals 0.1 m l of a c u l t u r e to e a c h t u b e a n d t h e t u b e 15 m i n u t e s ' broth, o r the seven At 15-second in te r ­ o f M.. p y o g e n e s v a r . a u r e u s w a s a d d e d was sw irled. e x p o s u r e to th e d i s i n f e c t a n t , DT m e d iu m of p h e n o l a n d A t t h e e n d of 5, 10 a n d 20 m l o f S p e c i a l F D A ap p ro p riate neutralizing m ed iu m was 25 added. Tubes w e r e i n c u b a t e d a t 37 C a n d r e a d i n g s m a d e 24 , 4 8 , 72 h o u r s and 6 days. The te s ts p a r e d in the at w ere sam e c o n d u c t e d a t 20 C. w ay a s th o se f o r the C ultures w ere pre­ "phenol coefficient" te s t s . D. G row th C urve Studies A s u s p e n s i o n of M i p y o g e n e s v a r . a u r e u s taking a s m a l l a m o u n t of g r o w t h f r o m s la n t and putting it in b r e a k up all the suspension w as of w h i c h a r e propriate These saline. clum ps. six h o u r s ' m ade seven m edia, hour the n a m e s and E quipm ent. Ap­ counts. A t t h e e n d of a n d 2 4 h o u r s ' i n c u b a t i o n a t 37 C, d i l u t i o n s w e r e A fter 24 h o u r s ' i n c u b a t io n , one lo o p fu l of c u l t u r e w a s t r a n s f e r r e d f r o m into n e w b r o t h tu b e s 24 h o u r s . l o o p fu l of t h i s a n d p l a t e d of e a c h n e w c u l t u r e . c o n s i d e r e d to be z e r o again p lated. dilutions s h a k e n w e l l to standard 4 -m m g i v e n i n (C) u n d e r M a t e r i a l s by stock n u trie n t a g a r T he tube w as p l a c e d i n e a c h of t h e dilutions w e re w ere One the was m ade of t h e s e n e w A fter of the sam e standard 4 -m m e a c h of t h e k i n d of m e d i u m . . cultures w ere plated at zero , 24 h o u r s ' i n c u b a t i o n , o n e seven tubes Proper six and s ta n d a r d loopful w as I i 26 transferred from of th e the seven m edia. 24 h o u r s . second tra n sfe r Platings A ll p lates cultures into a n e w s e t again w e re m a d e at zero, six and w e r e i n c u b a t e d a t 37 C a n d c o u n t e d a t t h e e n d o f 48 h o u r s . E. N eutralization M. pyogenes v a r. a u re u s, a s the t e s t o r g a n i s m . broth, DT m e d iu m The an d the T ests g r o w n in DT m e d i u m , was used su b c u ltu re m e d ia w e re Special FDA s p e c if ic n e u t r a l i z i n g m e d i u m f o r the d isin fe c ta n t being u sed . O ne m l of e a c h d i s i n f e c t a n t d ilu tio n w a s p l a c e d i n a large t e s t tube. p o u re d into T w e n t y m l of t h e each tube. subculture The m ix tu re m e d iu m then was of d i s i n f e c t a n t d i lu t i o n s s u b c u l t u r e m e d i a w a s i n o c u l a t e d w i t h 0.1 m l o f t h e c u l t u r e . am inations for grow th w ere m ad e days' after 24, 4 8 , 72 h o u r s ' and Ex­ and 6 i n c u b a t i o n a t 3 7 C. I V. A. E f f e c t of C u l t u r e M e d ia on the R e s i s t a n c e M . pyogenes v a r ; a u re u s FDA w ere RESULTS "phenol c o e ffic ie n t'1 te s ts ru n using a s the t e s t o r g a n i s m , and "sem i-m icro " a n d (C) T S b r o t h . subculture m ed iu m used, FDA b ro th was u se d as while DT m e d i u m the D ow icide the C (sodium disinfectants, w ere The results E x a m i n a t i o n of t h e compounds shows compound. Special su b c u ltu re m e d iu m in one test, in o r d e r to s e e if com parative resu lts. D ow icide A ( s o d iu m -o - p h e n y l phenate), c h l o r o - o - p h e n y l p h e n a t e , M e t a p h e n (4 n i t r o - 3, 5 - b i a c e t o x y - m e r c u r i - 2 b en zy l-am m o n iu m r u n on e a c h w ould a ffe c t the compounds, (B) D T d iff e rin g o n ly in the w as u s e d fo r the o th e r, subculture m e d iu m Four Two te s ts , w ere tests M. pyogenes v a r. au reu s w h i c h h a d b e e n g r o w n i n (A) s t a n d a r d F D A b r o t h , m edium , of c re so l) and B T C chloride) w hich w e re u s e d in the chosen as com parative obtained a re (alkyl-dim ethyl- study. show n in T ables "phenol coefficient" representative I-V III in c lu s iv e . t e s t v a lu e s f o r the four that lo w er phenol coefficient v a lu e s ta in e d w h e n the t e s t o r g a n i s m was w ere g r o w n i n DT m e d i u m , ob­ showing 28 a m ore resistan t organism FD A broth o r than w h en it w as grow n in standard TS b r o t h . A lth o u g h m u c h h a s b e e n s a id about the i m p o r t a n c e th e a m o u n t of g r o w t h of th e t e s t c u l t u r e u p o n i t s (3 9 ), t h e n u m b e r o f o r g a n i s m s to be th e in flu e n c in g f a c t o r h e r e . w ere m ade of e a c h case was a t the t i m e B a c t e r i a l counts of t e s t i n g a n d i n e v e r y a h i g h e r b a c t e r i a l c o u n t w as o b ta in e d w h e n the g r o w n i n TS b r o t h t h a n in e i t h e r F D A b r o t h o r T a b l e IX l i s t s cases the som e culture of t h e b a c t e r i a l E x a m i n a t i o n of T a b l e s show s th at the c u ltu re th a n the one phenolics. DT m edium . In m o s t count t h a n the one I-IV in c lu s iv e g r o w n in F D A b r o th w a s m o r e g r o w n i n TS b r o t h w h e n the c o m p o u n d s resistant tested w ere , W hen M etaphen and BTC w e re would a p p e a r or m ore organism counts o b tain e d . g row n in FD A h ad a lo w er g row n in DT m e d iu m . draw resistance p r e s e n t in the t e s t c u lt u r e would not appear culture of that the so than the culture the c o m p o u n d s g r o w n i n TS b r o t h w a s one g r o w n in F D A b r o th . It i s tested, it as resistan t d i f f ic u lt to c o n c l u s i o n s w h e n no n e u t r a l i z i n g m e d i a a r e u s e d w ith t h e s e two c o m p o u n d s . I 29 B oth M etap h en and B T C have high b a c te r io s ta tic ties, c a u s i n g i n h i b i t i o n of t h e t e s t o r g a n i s m tions. In h i g h d i l u t i o n s , "skips" m e a n t t h e o b t a i n i n g of a n e g a t i v e is indicated, and "w ild p lu s e s ," the d a ta w h e r e n e g a tiv e The b a c te rio s ta tic "skips" and two g ro w n in DT m e d iu m tested, compounds technic c o u p led with not as easily in te rp re te d C. H o w e v e r , the c u l t u r e resistance to a l l t h e cultures TS b r o t h w h e n the F D A did no t affect the was used as o b tain e d by the com parative was the s u b c u l t u r e m e d i u m used. "sem i-m icro " technic w e r e not c o n s is te n t a s the o n es o b tain ed by the F D A p r o c e d u r e . killing d ilu tio n s fo r ob­ was used. than when Special F D A b ro th w as as often o c c u r . although a lo w er phenol coefficient value obtained w hen DT m e d i u m R esults are showed a g re a te r subculture m ed iu m obtained, result r e s u l t s in p h e n o lic s and n o n p h e n o lic s , than the "phenol coefficient" results a positive a c c o u n t f o r the f a c t th at r e s u l t s grow n in sta n d a rd F D A b ro th or The re su lt w here a re indicated, as w ith D ow icide A and D ow icide compounds in the data, by w h ic h is p r o p e r t y of M e t a p h e n a n d B T C , "w ild p lu s e s " tain e d with th e s e in v e ry high dilu­ w hich a re positive results proper­ D ow icide A and Dow icide The C checked fairly 30 w ell w ith the ones organism s ca n n o t be o b ta in e d by the F D A p r o c e d u r e . g ro w n in any one s a i d to b e M uch higher and B T C by the FDA procedure. consistently m o re killing culture m e d ia te ste d resistant. dilutions w e re obtained fo r M etaphen 11 s e m i - m i c r o ' ' t e c h n i c t h a n w i t h t h e substance, p roperties, and w ith o u t the u s e of t h e t e s t w a s com pleted. the w hole c u lt u r e d in the "sem i-m icro " sam ple is b acteriostatic ratio of t h e activity exists ''p h e n o l c o e f f ic ie n t'' disinfectant-culture d i s i n f e c t a n t to the to a g r e a t e r tech n ic in w hich one m ixture a n d U m b r e i t (17) f o u n d t h a t w ith the "sem i-m icro " of inhibiting actio n w ould p e r s i s t a fte r the e x p o s u re p e rio d allow s a g r e a te r standard T h is w ould be e x p e c te d a s both M e ta p h e n and BTC have high b a c te rio s ta tic a neutralizing of t h e t h r e e How ever, is technic and technic d ilu e n t so th a t e x te n t t h a n in the 4-m m rem o v ed for "skips" The fact that l o o p f u l of subculturing. "w ild p lu s e s " K lim ek occurred a s w ell a s w ith the FD A p r o ­ cedure. W ith M e ta p h e n and B T C D ow icide as w ell a s w ith D ow icide A and C, the k illin g d i lu tio n s w e r e was used as the subculturing m e d iu m low er when DT m e d iu m than w hen Special FD A 31 broth was used. M ore about the e ff e c t of the subculture m ed ia w ill be p r e s e n t e d in th e next s e c tio n . To it can be sum m arize the m a t e r i a l p r e s e n te d in this s t a t e d t h a t w i t h th e F D A p r o c e d u r e , ant culture of M . p y o g e n e s v a r . aureus organism s w ere they w e re g r o w n in e i t h e r F D A b r o t h o r No d e fin ite the t e s t culture a m ore can be when the draw n as "sem i-m icro " resist­ w a s o b ta in e d w h e n the grow n in D isinfectant T e s t m e d iu m conclusions section, T rypticase to t h e than when Soy b ro th . resistan ce technic is u sed . of 32 TABLE EFFECT OF CULTURE I M EDIA ON TH E RESISTA N CE M. PYOGENES OF VAR. AUREUS T e st com pound--D ow icide A T est organism --M . pyogenes var. A. FD A broth B. DT m edium C. TS b ro th Subculture m e d iu m - - D T Phenol A 12700 B > 1 -3 00< 1-400 C 1-900 g ro w n in: m edium C oefficient T e s t K illing D ilution aureus S em i-m icro Phenol . C oefficient K illing D ilution 10 > 1 -200<1-300 Test Phenol C oefficient 5 5 1-400 10 15 1-400 7 T A B L E II EFFECT OF CULTURE M EDIA ON TH E R E SISTA N C E O F M. PYOGENES VAR. AUREUS T e s t c o m p o u n d - - D ow icide A Test organism --M . pyogenes A. FDA bro th B. DT m e d iu m C. TS b r o th var. aureus g ro w n inr Subculture m e d iu m --S p e c ia l FD A b ro th P h en o l C oefficient T e s t Semi -m ic ro Test K illing D ilution Phenol C oefficient A >1 - 1 0 0 0 < 1 - 1 2 0 0 12 > 1 -800<1-900 10 B 1-400 5 > 1 - 4 0 0 < 1 - 500 6 C >1 - 1 2 0 0 < 1 - 1 40 0 16 > 1 - 6 0 0 < 1 - 700 8 K illing D ilution Phenol C oefficient f l 34 TABLE EFFECT OF CULTURE M E D IA ON T H E R E S IS T A N C E O F M. P Y O G E N E S T est com pound--D ow icide Test organism --M . FD A broth B. DT m e d iu m C„ TS b r o th Subculture m e d iu m - - D T C D ilution aureus g r o w n in: m edium P h en o l C oefficient T e st K illing VAR. AUREUS pyogenes v ar. A. III Semi -m icro Test Phenol C oefficient K illing D ilution Phenol C oefficient A 1-4000 57 > 1 -2 0 0 0 < 1 -4000 42 B 1-2000 33 1-2000 36 C 1-4000 61 > 1 -2 0 00< 1-4000 75 35 TABLE EFFECT OF CULTURE M ED IA ON TH E M. PYOGENES T est com pound--D ow icide Test organism --M . IV VAR. AUREUS C pyogenes v a r. aureus A. FDA bro th B. DT m e d iu m C. TS b r o t h R E SISTA N C E O F g r o w n in: Subculture m e d iu m --S p e c ia l FD A b ro th P h en o l C oefficient T e s t K illing D ilution Phenol C oefficient S em i-m icro K illing D ilution Test Phenol C oefficient A > 1 - 4 0 0 0 < 1 - 6000 71 > 1 -2 0 0 0<1-4000 50 B > l-2 0 0 0 < l-4 0 0 0 46 > l-2 0 0 0 < l-4 0 0 0 60 C 1-6000 85 >1-4000<1-6000 71 36 TABLE EFFECT OF CULTURE V M EDIA O N TH E M. PYOGENES R E SISTA N C E OF VAR. AUREUS T est com pound--M etaphen T est organism --M . pyogenes var. A. FD A broth B. DT m ed iu m C. TS b r o th S ubculture m e d iu m - - D T D ilution g r o w n in : m edium P h e n o l C oefficient T e s t Killing aureus Phenol C oefficient Semi -m icro Test Killing D ilution Phenol C oefficient A > 1-30,000< 1-40,000 46 6 <1-50,000 <769 B > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 384 > 1 - 5 0 , 0 0 0 < l - 6 0 , 000 13 75 C > 1 -3 0 ,0 0 0 < 1 -40,000 46 6 > 1 - 6 0 , 0 0 0 < l - 7 0 , 00 0 T625 37 TABLE EFFECT OF CULTURE VI M E D I A ON T H E R E S I S T A N C E M. PY O G EN ES OF VAR. AUREUS T e st com pound--M etaphen T est organism --M . pyogenes var. A. FDA B. DT m ed iu m C. TS b ro th aureus g r o w n in: broth Subculture m e d iu m - - S p e c ia l FD A b ro th Phenol K illing C oefficient T e s t D ilution Phenol C oefficient S em i-m icro K illing D ilution Test Phenol C oefficient A > 1 - 5 0 , 0 0 0 C 1 - 6 0 , 00 0 687 > 1 - 100,000 >1300 B > 1 - 3 0 , 0 0 0 < l - 4 0 , 00 0 466 > 1- 100,000 >1300 C 1-50,000 768 > 1- 100,000 >1300 TABLE EFFECT OF CULTURE VII M E D IA ON M. PY O G E N E S THE RESISTA N CE OF VAR. AUREUS T est com pound--B TC T est organism --M . pyogenes var. A. F D A .broth B. DT m edium C. TS b ro th .Subculture m e d i u m - - D T aureus m edium P h e n o l C oefficient T e s t Killing D ilution g r o w n in : Semi -m icro Phenol K illing C oefficient D ilution Test Phenol C oefficient A >1 - 1 5 , 0 0 0 < 1 - 2 0 , 0 0 0 Z50 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 384 B 1-8,000 100 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 415 C 1-15,000 214 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 6 25 39 TABLE EFFECT OF CULTURE VIII M E D IA ON T H E RESISTA N CE O F M, PY O G EN ES VAR, AUREUS T est com pound--B TC T est o rg an ism - - M. pyogenes v ar. aureus A. FDA bro th B. DT m edium C.. TS b r o th g r o w n in: S ubculture m e d iu m - - S p e c ia l FD A b ro th P h e n o l C oefficient T e s t K illing D ilution Phenol C oefficient S em i-m icro K illing Dilution Test Phenol C oefficient A > 1 -2 0 ,000<1-25,000 321 1-50,000 833 B 1-10,000 125 > 1 - 4 0 , 0 0 0 C 1 - 5 0 ,000 750 C 1-20,000 26 6 > 1 - 3 0 , 0 0 0 C 1 - 4 0 , 000 636 f l 40 TABLE BA C TER IA L COUNTS, E X P R E S S E D CULTURES OF TEST IN M IL L IO N S, ON TEST M. PY O G E N E S VAR. A U R E U S , C U LTU R ED IN (A) S T A N D A R D F D A ANT IX BROTH, (B) D IF C O M E D I U M A N D (C) T R Y P T I C A S E D ISIN FE C T ­ SOY B R O T H A B C 130 140 775 140 480 1070 140 300 760 82 380 650 98 570 9 80 200 400 810 480 210 90 0 56 530 740 I 41 B. E f f e c t of S u b c u ltu r e M e d ia on the C u ltiv a tio n o f D i s i n f e c t a n t - t r e a t e d C e l l s of M . pyogenes var. aureus In the organism s various a fte r they had been disinfectants, experim ents organism dium s t u d y of s u b c u l t u r e m e d i a u s e d f o r g r o w i n g s u b j e c t e d to th e a c t i o n of th e o n ly the d a ta a r e in w hich DT m e d iu m p reparatory resu lts w ere for The was used for w ere b ro th plus of c o m p o u n d u s e d in th e percent ferric n eutralizing m e d iu m w hich a r e for coefficient w as Special FD A that was S pecial specific for Standard FDA (8) w a s u s e d a s D ow icide A and D ow icide the C, b o t h of T h i o g l y c o l l a t e b r o t h (32) w a s a n d L e t h e e n b r o t h (2 3) w a s u s e d f o r B T C . E x a m i n a t i o n of T a b l e s dium w as u se d as DT m e ­ the o r g a n is m s DT m e d iu m , study. chloride phenolic d e riv a tiv e s . u sed fo r M etaphen, The the the m o s t r e s i s t a n t . subculture m ed ia used w ere 0.03 the grow ing the d i s i n f e c t a n t t e s t s . FD A b ro th and a neutralizing m ed iu m e a c h type presented fro m selected p rim a rily because grow n in this m e d iu m the the X a n d XI s h o w s t h a t w h e n D T m e ­ subculturing m ed iu m , a low er phenol obtained w ith the FD A p r o c e d u r e b r o th o r the F D A b r o th p lu s f e r r i c than w hen chloride was I 42 us ed -. No d iffe re n c e either D ow icide A o r D ow icide FDA broth w as o b s e r v e d in the plus f e r r i c chloride. and FD A broth. r id e h ad no e ffe c t a s compounds as This i n a c t iv a t e d by the less than was obtained fro m with F D A would in d ic a te chlo­ th at the f e r r i c chlo­ highly b a c te r io s ta tic , thioglycollate broth. t h e w o r k of plus f e r r ic the phenolic s u g g e s te d by F l e t t et a l. w hich is broth and su b stan tiates a chem ical in activ ato r for previously M etaphen, (8 ). was T he killing effectively dilution w as 1-500 w h ic h is the d ilu tio n at w h ich the m e r c u r i a l The to i t s T his d i l u t i o n of C with S p ecial F D A T i l l e y (3 6 ) w h o f o u n d n o d i f f e r e n c e ride killing the m a n u f a c t u r e r . a n t i b a c t e r i a l a c tio n of m e r c u r y c o m b in atio n with the thus d e p riv in g the m etab o lism (7 ). i s t h o u g h t to b e d u e -SH g ro u p s in the b a c t e r i a l cell, cell of-S H g ro u p s w hich a r e e s se n tia l fo r its T h e a n ti b a c t e r i a l actio n of m e r c u r y h a s b e e n sp ecifically n e u tra liz e d by -SH c o m p o u n d s . Thus, it would be e x p e c te d th a t a m u c h lo w e r killing dilu tio n would be ob tain ed when thioglycollate or DT m e d i u m a low er b ro th w as u s e d than w hen S p e c ia l FD A b ro th was used. killing d ilution w a s O b s e r v a t i o n of T a b l e X I I s h o w s t h a t obtained when DT m e d iu m was used 43 for is subculturing than w hen S p ecial F D A b ro th w as u sed , w hich c o n s is te n t w ith data p re v io u s ly p re s e n te d . The broth w as this d a ta on B T C are d e m o n s t r a t e d to be a m o r e com pound than w as phenol c o efficien t value broth, p r e s e n t e d in T a b le XIII. w hile one DT m ed iu m o f 85 w a s effective in a c tiv a to r for o r S pecial FD A b ro th . N egatively of n e u t r a l i z i n g cationic germ icides organism s broth as w ere also The as the chief n e u tr a l- c h a rg e d fatty a c id ions have b e e n found the g e r m i c i d a l p r o p e r t i e s A low er a n d o n e of 125 w i t h resulted. L e c ith in in the L e t h e e n b r o th a c ts izer. A o b ta in e d with the L e th e e n of 100 w i t h D T m e d i u m Special F D A b ro th L etheen of p o s i t i v e l y dilution w as o b tain ed w hen the t e s t s u b c u ltu r e d in DT m e d i u m occurred t e n d to s u b s t a n t i a t e than in S p ecial FD A w ith the o th e r d isin fe c ta n ts o b t a i n e d w ith the those FD A b r o th plus f e r r i c "sem i-m icro " tested. technic o b tain e d w ith F D A p r o c e d u r e chloride vating D ow icide A and D ow icide Special F D A bro th . charged (23). killing resu lts capable i s no m o r e in that effective in in a c t i ­ C than w as DT m e d iu m or 44 A lthough a lo w e r killing dilu tio n w as o b tain ed fo r D o w i­ cide A w h e n DT m e d i u m Special FD A was used for broth w as used, a n t to p h e n o l , w h i c h c a u s e d the subculturing than w hen culture used was m o re a higher "phenol resist­ coefficient" value to r e s u l t . Low er resulted w hen DT m e d i u m w ith D ow icide R esults late killing d ilu tio n s and "phenol coefficient" w a s u s e d in the C, M e t a p h e n a n d B T C "sem i-m icro " c o r r e la t e d with those the phenol c o e ffic ie n t te c h n ic . phenol coefficient v alu es the n e u tr a liz in g m e d i a w e re S um m arizing thioglycol­ obtained by killing dilutions and M etaphen and B T C w hen used. the m a t e r i a l in th is th at F D A b r o th plus f e r r ic chloride FD A b ro th and in m o s t c a s e s a subculture m ed iu m Low er resu lted for tests a s the t e s t c o m p o u n d s . o b ta in e d w ith the n e u tr a liz in g m e d ia , b ro th and L e th ee n broth, values less sectio n , it can be w a s no m o r e stated effective than effective than DT m e d iu m in in a c tiv a tin g Dow icide A and D ow icide as C. T h io g ly c o lla te b r o t h w a s e ffe c tiv e in both m e t h o d s u s e d in neutralizing the M e ta p h e n . A low er killing d ilution fo r B T C obtained when L eth een b ro th was used for FD A bro th or DT m e d iu m was used. subculturing was than when 45 DT m e d iu m culture m ed iu m f i c i e n t 11 t e s t s was shown to be m o r e effective than w as S p ecial FD A b ro th in on all fo u r as a sub­ "phenol coef­ compounds. f l 46 TABLE EFFECT X OF SUBCULTURE OF D ISIN FEC TA N T-TR E A TED M. M E D IA ON T H E PYOGENES C U LTIV A TIO N C ELLS OF VAR. AUREUS T est com pound--D ow icide A Test o rg an ism --M . pyogenes v ar. T est M edium aureus g ro w n in D isin fe c ta n t (DTM ) Subculture m e d ia A. S pecial FD A b ro th B. DT m e d iu m C. FDA Phenol b ro th plus C oefficient T e s t K illing D ilution A B C 1-400 > 1 -3 0 0 < 1 -400 1-400 0.03% Phenol C oefficient 5.7 5.0 5.7 F eC l3 S em i-m icro K illing D ilution > l-4 00< l-500 1-400 > 1 -4 0 0 < 1 -500 Test Phenol C oefficient 6.4 10.0 9.0 TABLE EFFECT OF SUBCULTURE OF M E D IA ON T H E D ISIN FE C T A N T -T R E A T E D M. PYOGENES Test XI com pound--D ow icide T est organism --M . C U LTIV A TIO N CELLS OF VAR. AUREUS C pyogenes var. aureus grow n in D isin fectan t T e s t M edium S ubculture m edia A. Special FD A b ro th B. DT m ed iu m C. F D A b r o th plus 0.03% P h e n o l C oefficient T e s t K illing D ilution Phenol C oefficient F eC l^ S em i-m icro K illing D ilution Test Phenol C oefficient A > 1 - 2000<1-4000 46 > l-2 0 0 0 < l-4 0 0 0 60 B 1-2000 33 1-2000 40 C > l-2 0 0 0 < l-4 0 0 0 42 > 1 -2 0 00< 1-4000 50 f l 48 TABLE EFFECT OF SUBCULTURE OF XII M ED IA ON TH E D ISIN FEC TA N T-TR E A TED M.- P Y O G E N E S C U LTIV A TIO N CELLS OF VAR. AUREUS T e st com pound--M etaphen T est organism --M . pyogenes var. aureus g ro w n in D isin fe c ta n t T e s t M edium S ubculture m e d ia A. S pecial FD A b ro th B. DT m e d iu m C. T hioglycollate Phenol K illing broth C oefficient T e s t D ilution Phenol C oefficient Semi -m icro K illing D ilution Test Phenol C oefficient A > 1 -3 0 ,000<1-40,000 466 >1-100,000 B > 1 - 2 0 , 0 0 0 C 1 - 3 0 ,000 384 > 1 - 5 0 , 0 0 0 < l - 6 0 , 000 1375 C <1-500 <7.0 <1-500 <9.0 >1428 f l 49 TABLE EFFECT OF X II I S U B C U L T U R E M E D I A ON OF THE D ISIN FEC TA N T-TR E A TED M. PY O G EN ES C U LTIV A TIO N CELLS OF VAR. A U R EUS T est com pound--B TC Test organism --M . pyogenes var. aureus grow n in D isin fectan t T e st M edium S ubculture m e d ia A. S pecial FD A b ro th B. DT m edium C. L eth een b roth Phenol Killing C oefficient T e st D ilution Phenol C oefficient Semi -m icro Killing D ilution Test Phenol C oefficient A 1-10,000 125 > 1 - 4 0 , 0 0 0 C 1 - 5 0 , 00 0 750 B 1-8,000 100 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 454 >1 - 5 0 0 0 < 1 - 1 0 , 0 0 0 187 C >1-4000<1-8000 85 50 C. E f f e c t of W a s h e d C u l t u r e s on the R e s i s t a n c e of M . p y o g e n e s v a r . a u r e u s a s C o m p a r e d to B r o t h C u l t u r e s As early as 1 89 7 , i t w a s te r played an im p o rta n t ro le a c tiv ity of d is in f e c ta n ts proteins ganic are present, substances. (1'8). In m o s t c a s e s in terfere of d i s i n f e c t i o n , and i n o r ­ w ith s te r iliz a tio n . of d i s i n f e c t a n t s sam e foreign are w ith the g e r m i c i d a l T h e r e f o r e , i t i s i m p o r t a n t to k n o w t o w h a t D ifferent types why th e re in i n t e r f e r i n g and f r e q u e n tly o th e r o r g a n ic extent fo re ig n m a te r ia ls ently by the reco g n ized that organic m a t­ substance.. will be affected d i f f e r ­ T h i s i s o n e of t h e so m a n y k in d s of d i s i n f e c t a n t s reasons on the m a r k e t t o ­ day. M ost m ethods involve the u se FDA of t e s t i n g th e of a b r o t h c u lt u r e "phenol coefficient" culture e f f i c i e n c y of d i s i n f e c t a n t s of t h e t e s t o r g a n i s m . procedure In the 0.5 m l of the b a c t e r i a l i s p l a c e d i n 5.0 m l of d i s i n f e c t a n t solution. A co n sid er­ able a m o u n t of o r g a n i c m a t t e r i s i n t r o d u c e d , ppm of p e p t o n e a n d m e a t e x t r a c t . fere w i t h t h e a c t i o n of d i s i n f e c t a n t s t h a t o t h e r w i s e w o u l d b e This is approxim ately 15 00 s u f f i c i e n t to i n t e r ­ c a p a b le of k illin g b a c t e r i a in v e r y low c o n c e n t r a t io n s (25). f l 51 In o r d e r to w ould be elim inate tests w ere pyogenes var. aureus p hosphate buffer, "sem i-m icro " subculturing show n in the preceding m ethod the cultures the w a sh e d cells w ere cultures w ere in w hich DT presented. This m e ­ s e c t i o n to be m o r e are resu lts effective obtained using w ash ed recorded E x a m i n a t i o n of t h e d a t a o n t h e shows th at a h ig h er the b ro th are and the than w as Special F D A b roth. com paring and b r o th inclusive. of M . re s u s p e n d e d in S o re n s e n 's O n l y t h e d a t a of t h e t e s t s a subculture m e d iu m cultures cells c o n d u c te d u sin g the F D A p r o c e d u r e technic. D ata for conducted using w ash ed that w ere was u sed for dium w as c e ll s of the pH 7.0, f o r th e t e s t . T ests w ere as e f f e c t of f o r e i g n m a t e r i a l t h a t in tr o d u c e d by th e b r o t h along w ith the test organism , m edium the in T a b le s XIV-XVII "phenol coefficient" killing dilution w as o b tain ed w hen u s e d a s the te s t o r g a n i s m used. This was true than when f o r all of the com pounds tested. R esults o b tain ed by the show c o n sisten t d iffe re n c e s cells and those with the r e s u l ts u sin g the "sem i-m icro " betw een te s ts technic ru n using the w ash ed reg u lar broth cu ltu res. obtained in p rec e d in g do n o t This co rrelates sections. f l 52 W ashed cells of M . p y o g e n e s v a r . a u r e u s t h a t h a d b e e n grow n in DT m edium , w e re cases than the w a s h e d a nd TS b r o th . s h o w n to b e m o r e r e s i s t a n t in m o s t ce lls th at had b een grow n in F D A b ro th 53 T A B L E XIV EFFECT OF OF WASHED C U L T U R E S ON T H E R E S IS T A N C E M. PY O G E N E S PARED VAR. A U R E U S AS C O M ­ TO BROTH CULTURES T e s t com pound--D ow icide A T est organism --M . pyogenes var. aureus A. FDA broth B. DT m edium C. TS m e d i u m Subculture m e d iu m - - D T PHENOL B roth A B C m edium C O EFFIC IEN T C ulture Killing D ilution W ashed C ulture K illing D ilution Phenol C oefficient 10 5 15 1-1000 1-900 > 1 - 1 4 0 0 < 1 - 1600 14 13 21 SEM I-M IC R O K illing A B C > 1 -2 0 0 < 1 -300 1-400 1-400 TEST W ashed C ulture D ilution TEST Phenol C oefficient 1-7000 > 1 -3 0 0 < 1 -400 1-900 B roth g ro w n in: Phenol C oefficient 5 10 7 C ulture K illing D ilution > l-300< l-600 > l-500< l-600 1-600 Phenol C oefficient 10 8 11 I 54 TABLE EFFECT OF OF WASHED CULTURES TO B R O T H T e st com pound--D ow icide Test organism --M . A. FD A broth B. DT m edium C. TS m e d iu m PHENOL B roth CULTURES C pyogenes v ar. Subculture m e d iu m - - D T A B C ON TH E R E S IS T A N C E M . P Y O G E N E S V A R . A U R E U S AS C O M ­ PARED K illing XV aureus m edium C O EFFIC IEN T C ulture D ilution 57 33 61 K illing D ilution > 1-8000< 1-10,000 1-6000 1-8000 S E M I- M ICRO B roth K illing A B C > 1 - 2 0 0 0 < 1 - 4000 1-2000 > 1 -2000< 1-4000 Phenol C oefficient 100 85 100 TEST W ashed C ulture C ulture D ilution TEST W ashed C ulture Phenol C oefficient 1-4000 1-2000 1-4000 g r o w n in: Phenol C oefficient K illing D ilution Phenol Coefficient 42 36 75 1-4000 > 1 - 1000<1-2000 > l-2000< l-4000 53 25 60 I TABLE EFFECT OF OF XIV W A SH E D C U L T U R E S ON T H E M. PYOGENES PARED R E SISTA N C E VAR. A U R E U S AS C O M ­ TO B R O T H C U L T U R E S T est com pound--M etaphen Test organism --M . pyogenes var. A. FD A broth B. DT m edium C. TS b ro th Subculture m e d iu m - - D T aureus m edium PHENOL CO EFFICIEN T TEST B ro th C ulture K illing D ilu tio n A B C W ashed Phenol C oefficient 466 384 466 > l-3 0 ,000< l-40,000 > 1 -20,000< l-30,000 >1 - 3 0 , 0 0 0 < 1 - 4 0 , 0 0 0 SEM I-M IC R O B roth A B C < 1-50,000 > 1 - 5 0 , 0 0 0 < l - 6 0 , 00 0 > 1 - 6 0 , 0 0 0 < l - 7 0 , 000 Phenol C oefficient 625 46 1 53 3 1-50,000 1-30,000 1-40,000 TEST W ashed Phenol K illing C oefficient <769 13 75 1625 C ulture Killing D ilution C ulture K illing D ilution g r o w n in: C ulture D ilution > 1 - 5 0 , 0 0 0 < l - 6 0 , 000 140T > 1 - 5 0 , 0 0 0 < l - 6 0 , 000 Phenol C oefficient 1100 2000 1375 TABLE EFFECT OF OF WASHED XVII C U LTU RES ON THE RESISTA N CE M. P Y O G E N E S VAR. A U R EU S AS C O M ­ PARED TO BROTH CULTURES T est com pound--B TC T e s t o r g a n is m - - M. pyogenes v a r. A. FD A broth B. DT m ed iu m C. TS b ro th Subculture m e d iu m --D T m edium PHENOL B roth Killing A B C CO EFFICIEN T TEST C ulture D ilution W ashed Phenol C oefficient > 1 - 1 5 , 0 0 0 < l - 2 0 , 00 0 1-8000 1-15,000 250 100 214 SEM I-M IC R O K illing D ilution > 1 -2 0 ,0 0 0 < 1 -30,000 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 > 1 - 2 0 , 0 0 0 C 1 - 3 0 , 000 C ulture K illing D ilution Phenol Coeffi cien t 266 133 28 6 1-20,000 1-10,000 1-20,000 TEST W ashed C ulture B ro th C ulture A B C a u r e u s g r o w n in: Phenol C oefficient 384 415 625 Killing D ilution > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 > 1 - 2 0 , 0 0 0 < l - 3 0 , 000 Phenol C oefficient 384 31 2 625 57 D„ E f f e c t of A g e of F D A S u b c u l t u r e M e d i u m o n t h e C u l t i v a t i o n o f D i s i n f e c t a n t - t r e a t e d C e l l s of M. pyogenes v a r. a u re u s D u r i n g the c o u r s e of t h i s tim es wide discrepancies study, it w as n o ted th at s o m e ­ o c c u r r e d in the phenol coefficient killing d ilu tio n w hen S p e c ia l F D A b r o th w as u s e d a s the culturing m e d iu m . DT m e d i u m No was used. when duplicate tubes FDA as the the a g e s tors. w ere sam e lots w ere noticed when phenom enon was firs t observed r u n o n D o w i c i d e A u s i n g tw o l o t s of As far subculturing m ed ia w ere in th e p r e p a r a ti o n the T his subculture m ed iu m . of t h e The such d iscrep an cies sub- of p e p t o n e as could be d e t e r m i n e d the d istin g u ish in g f a c ­ and beef e x tra ct had been used of the m e d ia . T h e p H of t h e t w o l o t s w a s sam e. E x a m i n a t i o n of T a b l e XVIII s h o w s t h a t the t i o n of D o w i c i d e A r a n g e d f r o m w h en the o r g a n i s m 1 - 4 0 0 to m o r e w a s g ro w n in DT m e d iu m . FD A broth w ere u se d . than Three dilu­ 1-2400 lots of A k i l l i n g d i l u t i o n of 1 - 4 0 0 w a s o b t a i n e d w h e n a l o t of F D A b r o t h t h a t w a s a killing dilution killing 18 d a y s o l d w a s u s e d w h i l e 1-800 w as o b tain ed on the d i f f e r e n t l o t of s u b c u l t u r e m e d i u m , sam e test when a f o u r d a y s old, w as u s e d . A I 58 d i l u t i o n of m o r e broth, one than day old, 1-2400 w as o b t a i n e d w h e n a l o t of F D A was used. "P h en o l coefficient" tests also w ere the te s t o r g a n i s m grow n in FD A broth. culturing m e d iu m was T h i s lo t of m e d i u m further tests w ere l o t of m e d i u m . dilution w as sub- tim e of th e f i r s t t e s t . r e f r i g e r a t e d to r e t a r d run after using The S pecial FD A one d a y o ld at the was perform ed, evaporation; 20 a n d 30 d a y s , u s i n g t h i s sam e E x a m i n a t i o n of T a b l e X V I I I s h o w s th a t t h e k i l l i n g 1-2000 w hen the subculturing m ed iu m o l d , w h i l e i t w a s >1 - 1 0 0 0 < 1 - 1 2 0 0 and 1-1000 was one day r e s p e c t i v e l y on the 20- and 3 0 -d ay -o ld m ed iu m . It i s i n t e r e s t i n g o b s e rv e d th at the u se to n o t e of a f r e s h l y value in m a in ta in in g the of t h e t e s t o r g a n i s m . . tension m ig h t be ence as to the F o t e r a n d G i b b y (2 1) p rep a re d m ed iu m was standard re sista n c e and of sm ooth phase T h e y t h e o r i z e d th a t the p a r t i a l o x y g e n a factor. The e f f e c t of the a g e the v a lu e s obtained for variations o b s e r v e d in this There th at Q uisno, w r i t e r f a i l e d to f i n d a n y r e f e r ­ of t h e subculture m ed iu m phenol coefficients. is need for fu rth e r No r e a s o n s on f o r the study can be p r e s e n te d at this tim e. study. I TABLE EFFECT THE O F AGE O F XVIII F D A S U B C U L T U R E M ED IU M ON C U LTIV A TIO N O F D IS IN F E C T A N T -T R E A T E D CELLS OF M. PYOGENES T e s t c o m p o u n d — D ow icide VAR. AUREUS A T E S T O R G A N ISM G R O W N IN D T M E D IU M D ate M edium P r e p a r e d D ate of T e s t K illing D ilution 2-5-51 2-23-51 1-400 2-19-51 2-23-51 1-800 7-30-51 7-31-51 >1-2400 T E S T O R G A N I S M G R O W N IN F D A B R O T H D ate M edium P r e p a r e d 7-30-51 D ate of T e s t 7-31-51 8-20-51 8-30-51 K illing D ilution 1-2000 > 1-1000< 1-1200 1-1000 f l 60 E. E f f e c t of C u l t u r e M e d i a o n t h e B a c t e r i a l P o p u l a t i o n a n d o n t h e R e s i s t a n c e of M . p y o g e n e s v a r . a u r e u s t o P h e n o l In the states standard FDA th a t the t e s t c u ltu re "phenol coefficient" m u s t be t a k e n f r o m s la n t and t r a n s f e r r e d into b r o th at l e a s t th r e e before it is r e a d y to b e u s e d . of t h e d a i l y t r a n s f e r s r u n on the f i r s t , from the second and th ird w ere r u n on the there w as a change in the stock n u trie n t a g a r a f t e r the a nutrient agar successive to d e t e r m i n e on the b a c te r i a l population, w ere ism In o r d e r p r o c e d u r e it slant. into b r o t h coefficient" second and th ird day tra n s fe r s , resistan ce the e ffe c t grow th cu rv es day t r a n s f e r s "Phenol to p h e n o l of th e t e s t o r g a n ­ second day tra n sfe r fro m l i s t e d in T a b le XIX. from the d e h y d ra te d f o r m , w ere used; th ree the stock culture. plus one lot m ad e and one m a d e one l o t of TS b r o t h w e r e could be c o m p a r e d . in the la b o r a to r y two m a d e w ith d iffe re n t w ith A r m o u r peptone, in c lu d e d in the e f f e c t of d i f f e r e n t l o t s o f p e p t o n e s and on the r e s i s t a n c e study. T w o l o t s of D T m e d i u m , m a d e l o t s of F D A b r o t h , l o t s of D ifco p e p t o n e tests to d e t e r m i n e if S e v e n d i f f e r e n t c u l t u r e m e d i a w e r e in c l u d e d i n the They are tim es study. and In th is w a y the on the b a c t e r i a l p o p u latio n of M . p y o g e n e s v a r . a u r e u s to p h e n o l 61 The on G r a p h b acterial 1. co u n ts e x p r e s s e d in lo g a r ith m s E x a m i n a t i o n of t h e graph h a s the h ig h e s t b a c t e r i a l count of the there is n o t m u c h ch an g e in the third day tra n s fe r. 24-hour b a c te ria l m uch difference DT m ed ia (A, B , C). They l o t s of F D A b r o t h m a d e w ere second and third organism "phenol coefficient" Table shows A culture Difco p e p to n e but have peptone. a Low er second day are th a t the tests, m ade on the s h o w n i n T a b l e XX.. resistance It s h o w e d no l i n e a r on the g ro w n in th is m e d iu m phenol. (D, E ) , of t h e t e s t relationship to co u n t a lth o u g h F D A b r o th (F) had the lo w e s t b a c ­ te ria l population and also , ism s of seven m ed ia used. to p h e n o l v a r i e d . the b a c t e r i a l lots co u n t t h a n the two d a y t h a n on t h e day b ro th tr a n s f e r s E x a m i n a t i o n of t h e T h e re is not with A r m o u r o b ta in e d o n the t h i r d of t h e tran sfers. with Difco peptone counts R esu lts s e c o n d to th e (F) s h o w s the l o w e s t show a low er count than FD A b ro th m a d e f o r a ll of the the (G) and that p o p u l a t i o n of t h e t h r e e higher transfers seven m edia, S tandard FD A broth in the b a c te r i a l plotted show s th a t TS b ro th count fro m count on all t h r e e are (E) third day t r a n s f e r , the o r g a n ­ s h o w e d the l o w e s t r e s i s t a n c e to g r o w n i n a l o t of F D A b r o t h , m a d e w i t h s h o w e d the sam e resistance to p h e n o l, b u t 62 h ad the th ir d h ig h e s t b a c t e r i a l TS b r o th , w ith the h i g h e s t b a c t e r i a l resistan ce to p h e n o l a s the o n e s had a m u c h low er b a c te ria l there i s no l i n e a r populations pyogenes v ar. aureus states FDA of t h e on m e th o d s that any and a count, show ed the sam e stu d ie d and the of v ia b le resistan ce to n o t e t h a t o n l y o n e m e d i u m required survive resistan ce antiseptics a dilution fo r M ost w o rk e rs difficulty at so m e resistan ce is cells (D) p r o ­ to p h e n o l. The FDA and disinfectants (31) a u r e u s u s e d in the 1 -6 0 d i lu t io n of p h e n o l f o r fiv e 15 m i n u t e s . tim e. in th is field have In o r d e r d e m a n d e d of the t e s t o r g a n i s m , DT m e d i u m pyogenes v a r. au reu s. required e n c o u n te re d this to d e t e r m i n e if too h i g h of t h e k i l l i n g d i l u t i o n s o f p h e n o l t h a t w e r e FD A broth, that of M. I t i s v e r y d i f f i c u l t t o m a i n t a i n a c u l t u r e of t h e resistan ce. (B ) w h i c h T h is w ould in d ic a te s t r a i n of M . p y o g e n e s v a r . 1-70 g ro w n in g ro w n in DT m e d iu m population. of t e s t i n g procedure m u st m inutes organism s to p h e n o l . It i s i n t e r e s t i n g duced a culture The c o n n e c tio n b e tw e e n the n u m b e r p r e s e n t in the c ircu lar count. a study w as m a d e obtained w hen sta n d a rd and TS b ro th w e re u se d fo r grow ing M. 63 S p ecial F D A b ro th and DT m e d iu m culturing. T a b le XXI show s of t h e v a l u e s obtained. m ost resistan t culture three was not as cultures deviation sh o w s th a t the r e s i s ta n t as is s e t up by the F D A g ro w n in F D A b r o th w as procedure. the l e a s t r e s i s t a n t of the tested. case a higher Special FD A b ro th w as for E v e n this specifications In e v e ry dium the m e a n and s ta n d a r d sub- w a s the one g ro w n in TS b r o t h a nd s u b ­ cu ltu red in DT m e d iu m . The used for E x a m i n a t i o n of the ta b le culture r e q u i r e d by the w ere was u sed . killing used for This is dilution w as obtained when su b cu ltu rin g than w hen DT m e ­ sh o w n n o t only in the v a l u e s obtained e a c h in d iv id u a l t e s t c u ltu r e m e d iu m , but a lso f o r the fig u re o b ta in e d w h e n the k illin g d ilu tio n v a lu e s f o r the t h r e e m edia w ere pooled. culture 64 T A B L E XIX M E D I A U S E D IN S T U D Y RESISTA N CE O F ON B A C T E R I A L P O P U L A T I O N M. PY O G E N E S VAR. AUREUS TO P H E N O L A Difco D isinfectant T e s t m ed iu m , l o t No.. 3 6 5 8 5 3 B Difco D i s in f e c ta n t T e s t m e d i u m , lo t No. 380974 C Difco D is in f e c ta n t T e s t m e d i u m , m a d e D FD A broth, m ade w ith Difco peptone^ lot No. 406935 E FD A broth, m ad e w ith Difco p ep to n e, lot N o . 405934 F FD A broth, m ad e w ith A r m o u r G BBL T rypticase Soy b r o th , AND up i n t h e l a b o r a t o r y p e p t o n e , l o t No.. 1 0 0 9 7 6 lot No. 3639 %__________________________ 5 .____________________________________ OF NUMBER OF VIABLE ORGANISM S. l o g . c o u n ts o r M /C P O C O C C U S PYOGENES VAR. A U R E U S A T O , 6 A N D 2 A H R S . O N I 5T, 2 “° A N D 3*° D A Y B R O T H TR A N SF E R S FROM S T O C K A GAR S L A N T S . Is t TRANSFER 2 ho TRANSFER 3 r° t r a n s f e r TABLE XX KILLING D ILU TIO N S OF P H E N O L ON SECOND AND DAY B R O T H TRANSFERS SLANT OF C ulture m e d ia - - lis te d Second T r a n s f e r FR O M N U TRIEN T AGAR M. PY O G EN ES in T able Subculture m e d iu m - - D T THIRD VAR. AUREUS XIX m edium T hird Transfer A 1-70 1-70 B > 1 - 7 0 < 1 -80 > l-6 0 < l-7 0 C 1-70 1-70 D > 1 - 6 0 < 1 -70 1-60 E > l-6 0 < l-7 0 1-80 F > 1 - 7 0 < 1 -80 1-80 G 1-60 > l-6 0 < l-7 0 I 67 TABLE KILLING T est organism --M . XXI DILU TIO NS* O F pyogenes var. A. FD A broth B. DT m edium C. TS m e d iu m D. FD A broth, DT m e d iu m S u b c u ltu re d in S p e c ia l FD A PHENOL aureus g r o w n in : a n d TS b r o t h B roth S u b c u ltu r e d in DT M e d iu m A 1 -8 2 .2 ± 8.55 1-7 4 .0 ± 3.14 B 1 - 7 6 . 5 ± 5. 0 1 - 7 1 .5 ± 5.25 C 1 - 7 8 .0 ± 7.25 1 - 6 7 . 5 ± 7.75 D 1-77.1 ± 7.25 1-70.45 i 5.5 * V a lu e s o b ta in e d by c a lc u la t io n of the m e a n of killing d i l u ­ t i o n s of p h e n o l b y ' ' p h e n o l c o e f f i c i e n t ' 1 t e s t s . 68 F. T ests stopped the w ere m ade to see if the n e u tr a liz in g m e d ia u s e d A culture w a s u s e d as the te s t o r g a n is m . the l a r g e s t a m o u n t of d i s i n f e c t a n t - d i l u t i o n th a t w as u s e d i n a n y of t h e tests the n e u tra liz a tio n te s ts . t h a t ZO m l o f m e d i u m w as one m l, am ount was be u s e d in th e ir su fficie n t, the t e s t s 20 m l o f m e d i u m t e n t h m l of t h e w ere this 11 s e m i - m i c r o 1' t e s t to In o r d e r to d e t e r m i n e w ere culture r e c o r d e d a t t h e e n d o f 24 , 4 8 , D ata a re r e p o r t e d o n the m edium R esults 72 h o u r s ' a n d s i x d a y s ' S pecial F D A b ro th and DT m e d iu m way, it w ould be One- w a s t h e n a d d e d i m m e d i a t e l y to e a c h of c o n ta in in g the d i s i n f e c t a n t - m e d i u m m i x t u r e . specific n eu tra liz in g if c o n d u cted by adding t o e a c h of t h e d i s i n f e c t a n t d i l u t i o n s . incubation at 37 C. the a m o u n t w as u s e d in K l a r m a n n a n d W r i g h t ( 15 ) r e c o m m e n d e d stop the a c tio n of the d isin fe c ta n t. the tu b es a c t i o n of th e d i s i n ­ of M. p y o g en es v a r . a u r e u s g r o w n i n DT m e d i u m Since this T ests germ icidal or bacteriostatic fec tan t being te s te d . w hich w as N eutralization six-day were reading. used as w ell as for e ach disinfectant. In th is d e m o n s tr a te d w h e th e r the n e u tra liz in g m e d iu m used had a g re a te r e ff e c t th a n th e o t h e r two m e d i a on s to p p in g the g e r m i c i d a l o r b a c te r io s ta tic a c t i v i t y of t h e d i s i n f e c t a n t . 69 L etheen broth as f o rm u la te d by Q uisno, G ibby and F o te r (23) w a s u s e d a s t h e n e u t r a l i z i n g m e d i u m f o r B T C thio g ly co llate b ro th w as u s e d fo r M etap h en . 0.03 p e r c e n t f e r r i c was used for chloride se en by exam ining broth and DT m e d iu m are as thus a llo w in g the t e s t o r g a n i s m DT m e d iu m C. as the F D A b r o th p lu s D ow icide A and D ow icide C, to g r o w . M e ta p h e n i s n e u t r a l i z e d in the 20 m l o f s o d i u m (8) T a b l e XXII t h a t b o th F D A effective c h lo r id e in n e u t r a l i z i n g FD A b ro th plus s u g g e s t e d by F i e t t et al. D ow icide A and D ow icide It c a n b e ferric as and sodium 1-500 d ilu tio n w ith the th io g ly c o lla te b ro th , w hile the F D A b r o th and a r e n o t a b le to sto p th e b a c t e r i o s t a t i c a c t i o n of M e t a p h e n i n a d i l u t i o n of 1 - 2 0 0 0 . W ith B T C , L e th e e n b r o th is m u c h m o r e n eutralizing It w a s effe c tiv e in the d i s i n f e c t a n t th a n th e o t h e r two m e d i a u s e d . effective a t a 1-1000 dilution, while DT m e d i u m w a s e f f e c t i v e a t a d i l u t i o n of 1 - 4 0 , 0 0 0 of B T C , and Special F D A b r o t h o n ly a l l o w e d g r o w t h of th e o r g a n i s m at a 1-80,000 d ilu ­ tio n of B T C . 1 70 T A B L E XXII RESU LTS OBTAINED BY N E U TR A LIZA T IO N TEST D ow icide A D ilution 1-200 1-300 1-400 FDA B roth _ + + S u b c u l t u r e d in: DT M edium D ilution 1-1000 1-2000 1-4000 FDA B roth 3 _ + + + D ow icide FDA B roth + FeC l + + C S u b c u l t u r e d in: DT M edium FDA B roth + F e C l3 _ _ _ + + + + + + M etaphen D ilution 1-500 1-1000 1-2000 FDA B roth S u b c u l t u r e d in : DT M edium _ _ - - - - T hioglycollate B roth + + + BTC D ilution 1-1000 1-20,000 1-40,000 1-80,000 FDA B roth _ - - + S u b c u l t u r e d in: DT m edium _ + + L etheen B roth + + + + VI. A study w as m a d e the r e s i s t a n c e W hen the was a n t to a l l t h e broth aureus c u lt u r e m e d i a on to d i s i n f e c t a n t s and a fte r they had been tr e a te d w ith d isin fe c ta n ts. ''s e m i-m ic ro " rep resen tativ e-ty p e m edium e f f e c t of t h e s u b c u l t u r e m e d i a on th e c u ltiv a tio n of b a c ­ ' ' P h e n o l c o e f f i c i e n t 1' a n d on four of t h e of M . p y o g e n e s v a r . o f t h e e f f e c t of t h e te ria l cells SUMMARY s h o w n to p r o d u c e showed a g rea ter w ere conducted disinfectants. "phenol coefficient" disinfectants tests technic w as used, DT a culture that w as m o re tested w hereas resistance the to p h e n o l . c u lt u r e in TS How ever, the killing d ilu tio n with the TS b r o th standard the m e a n th an did the k illing d ilu tio n deviation f r o m w ith the F D A b r o t h o r the indicate that valu es sisten t as those In the DT m e d iu m showed a g re a te r cu ltu res. T h is would o b ta in e d w ith the TS b r o t h w e r e n o t a s con­ o b ta in e d w ith th e o t h e r two m e d i a . c o m p a r i s o n of t h e that F D A b r o th plus f e r r i c s u b c u ltu re m e d ia , it w a s found c h lo r id e w as no m o r e S p e c ia l F D A b r o t h a lo n e in the treated culture resist­ effective than c u l t i v a t i o n of t h e d i s i n f e c t a n t - c e l l s of M . p y o g e n e s v a r . a u r e u s . T hioglycollate b ro th 72 and L eth een b ro th w ere and BTC, respectively, DT m e d iu m m edium tests was o b tained u sin g the not serve as the as be l e s s the T his indicates "phenol coefficient" a satisfactory W ashed a subculture "phenol coefficient" " s e m i - m i c r o '1 technic w ere c o n s i s t e n t th r o u g h o u t the w hole reliable DT m ed iu m . com pounds. by the F D A p r o c e d u r e . as effective as than w as S pecial F D A b r o th in R esults effective fo r M etaphen than Special F D A b ro th o r s h o w n to be m o r e on a ll fo u r not as s h o w n to b e m o r e cells study as those obtained th at th is m e th o d is not technic and th a t it would s u b s titu te f o r the F D A p r o c e d u r e . of M . p y o g e n e s v a r . aureus w ere s h o w n to r e s is ta n t than those in b ro th c u ltu re s n o rm a lly u se d for "phenol coefficient" tests. This is d u e to t h e f a c t t h a t t h e f o r e i g n m a t e r i a l i n t r o d u c e d by the b r o t h i n t e r f e r e d w ith the a c t i o n of t h e d i s i n f e c t a n t , allo w in g the o r g a n i s m to a p p e a r m o r e resistant. The age of the F D A b r o t h subculture m ed iu m appeared t o h a v e a n i m p o r t a n t e f f e c t u p o n t h e c u l t i v a t i o n of t h e d i s i n f e c t a n t treated cells of M . p y o g e n e s v a r . a u r e u s . M edia that w e re fre sh ly p r e p a r e d w e r e not a s e ffectiv e in allow ing the o r g a n i s m s as m ed ia that had been p re p a re d to g r o w s e v e r a l d a y s p r i o r to u s e , The 1 73 o x y g e n t e n s i o n of th e m e d i u m m a y h a v e - h a d resu lts obtained. som e e ff e c t on the VII. LITER A TU R E CITED 1. A n d erso n , J. F ., and M cC lintic, T. 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Bact., 2, 3 4 6 . .5 . i~ s CD.LTUPE M ED IA ON T H E R E S IS T A N C E AND .u GROWTH OF M I C R O C O C C U S P Y O G E N E S VA; AUREUS By A nita H a r r i e t Leavitt S u b m i t t e d t o t h e S c h o o l o f G r a d u a t e S t u d i e s of M i c h i g a n S ta te C o lle g e of A g r i c u l t u r e a n d A p p lie d S c ie n c e i n p a r t i a l f u l f i l l m e n t of th e r e q u i r e m e n t s f o r t h e d e g r e e of DOCTOR O F PH ILO SO PH Y D e p a r t m e n t of B a c t e r i o l o g y a n d P u b l ic H e a lth Year 1932 Approved^ V I 1 AN ITA H A R R IE T LEA V ITT M icrococcus ABSTRACT p y o g e n e s v a r . a u r e u s w as g ro w n in s ta n d a r d F D A 'br o th ., D i f c o D i s i n f e c t a n t T e s t ( D T ) m e d i u m a n d T r y p t i c a s e Soy (TS) b r o th . m icro " tests FDA w ere m entioned m ed ia . ' 'p h en o i c o e f f ic ie n t” t e s t s a n d r u n u sin g the o r g a n i s m s g ro w n in the a b o v e A p h e n o lic , a chioro--phenol, a m e r c u r i a l and a q u a te rn ary am m o n iu m pounds. m edium DT m e d iu m , w ere "sem i-- compound w ere selected a s te st c o m ­ FDA b ro th and a specific n e u tra liz in g used for s u b c u ltu r ih g w h e n the test's w e r e run. R e s u lts in d ic a te d th a t the o r g a n i s m s gro w n in DT m e d iu m w ere m ore r e s i s t a n t to th e fo u r c o m p o u n d s t e s t e d th an w e r e the o rg an ism s that w ere sm oother gro w n in FD A b ro th o r To broth. A c u ltu r e w a s m a in ta in e d in DT m e d iu m and To b r o th t h a n w a s i n FDA, b r o t h , b u t v a r i a t i o n s in the o c c u r r e d w ith the o r g a n i s m s R esults to phenol g r o w n i n e a c h of t h e t h r e e m e d i a . o b tain e d w ith the consistent as those resistance ' 'se m i - m ic ro ” te s ts w e re o b tain ed by the not as ’'phenol c o e ff ic ie n t” m e th o d .