Evaluation of temperature, drying time and other determinants for the recovery of Gram-negative bacterial pathogens in disinfectant efficacy testing

Authors

BR Klarczyk, L Ruffert, A Ulatowski, DC Mogrovejo, E Steinmann, J Steinmann, FHH Brill

Bibliography

Journal of Hospital Infection | Published: August 18, 2023 | DOI: https://doi.org/10.1016/j.jhin.2023.08.006

Abstract

Background
In the clinical setting, surface disinfection is an important measure to reduce the risk of cross-transmission of microorganisms and the risk of nosocomial infections. Standardized methods can be used to evaluate said disinfection procedures, as well as the effectiveness of the active ingredients used for disinfection. However, despite standardization, the results of such methodologies are still determined by several factors and incorrect results may lead to invalid assumptions about the effectiveness of a disinfectant, posing significant health risks for patients and health personnel.

Aim
The objective of this study was to evaluate several determinants for the recovery of Pseudomonas aeruginosa and other test organisms to establish their influence on the results of standardized disinfection methodologies and to find Gram-negative strains that could be used as suitable replacements of P. aeruginosa.

Methods
The effects of inoculum application, drying times and temperatures as well as surface material on the survival and recovery of the test organisms were evaluated using Students t-test, one-way ANOVA and Tuckey's multiple comparison tests.

Findings and conclusions
Our results show that temperature and length of drying as well as application method and the material of germ carriers have significant effects on the recovery of P. aeruginosa cells and therefore influence the outcome of the methodologies used. This study also presents data showing that P. aeruginosa could be replaced with the Gram-negative species Acinetobacter baumannii, a test organism already in many standardized methodologies, which responds better under the same circumstances and has a behavior similar to that of P. aeruginosa in disinfectant efficacy tests.