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Roquefeuil L, Iskandar K, Roques C, Marchin L, Guittard M, Poupet H, Brandely-Piat ML, Jobard M. Evaluating and Managing the Microbial Contamination of Eye Drops: A Two-Phase Hospital-Based Study. Pharmaceutics 2024; 16:933. [PMID: 39065630 PMCID: PMC11279954 DOI: 10.3390/pharmaceutics16070933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Revised: 07/08/2024] [Accepted: 07/09/2024] [Indexed: 07/28/2024] Open
Abstract
The microbial contamination of eye drop tips and caps varies between 7.7% and 100%. In seeking patient protection and continuous improvement, the Pharmacy Department in the Sterile Ophthalmological and Oncological Preparations Unit at Cochin Hospital AP-HP, Paris, France, conducted a two-phase study to compare the antimicrobial efficiency and practical use of standard packaging and a marketed eye drop container incorporating a self-decontaminating antimicrobial green technology by Pylote SAS at the tip and cap sites. The first phase was conducted in situ to identify the microbial contaminants of eye drops used in the hospital and community settings. A total of 110 eye drops were included for testing. Staphylococcus species were the most prevalent bacteria. Candida parapsilosis was detected in only one residual content sample and, at the same time, on the cap and tip. The second phase was performed in vitro, according to JIS Z2801. Reductions above one log in Staphylococcus aureus and Pseudomonas aeruginosa counts were noted in Pylote SAS eye drop packaging after 24 h of contact. The practical tests showed satisfactory results. Pylote SAS antimicrobial mineral oxide technology exhibited promising effects that combined effectiveness, safety, and sustainability to protect the patient by preventing infections due to the contamination of eye drop containers.
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Affiliation(s)
- Léa Roquefeuil
- Unité de Préparations Stériles Ophtalmologiques et Oncologiques, GHU AP-HP Centre-Université de Paris Cité—Site Cochin, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France; (L.R.); (M.-L.B.-P.); (M.J.)
| | - Katia Iskandar
- Department of Pharmacy, School of Pharmacy, Lebanese International University, Beirut 1105, Lebanon
- Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB), Beirut 1103, Lebanon
| | - Christine Roques
- Laboratoire de Génie Chimique, CNRS, INPT, UPS, Faculté de Pharmacie, Université de Toulouse, 31062 Toulouse, France;
- FONDEREPHAR, Faculté de Pharmacie, 31062 Toulouse, France
| | - LoĂŻc Marchin
- Pylote SAS, 22 Avenue de la Mouyssaguèse, 31280 Drémil-Lafage, France; (L.M.); (M.G.)
| | - Mylène Guittard
- Pylote SAS, 22 Avenue de la Mouyssaguèse, 31280 Drémil-Lafage, France; (L.M.); (M.G.)
| | - Hélène Poupet
- Laboratoire de Bactériologie, GHU AP-HP Centre-Université de Paris Cité—Site Cochin, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France;
| | - Marie-Laure Brandely-Piat
- Unité de Préparations Stériles Ophtalmologiques et Oncologiques, GHU AP-HP Centre-Université de Paris Cité—Site Cochin, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France; (L.R.); (M.-L.B.-P.); (M.J.)
| | - Marion Jobard
- Unité de Préparations Stériles Ophtalmologiques et Oncologiques, GHU AP-HP Centre-Université de Paris Cité—Site Cochin, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France; (L.R.); (M.-L.B.-P.); (M.J.)
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Bento de Carvalho T, Barbosa JB, Teixeira P. Assessing Antimicrobial Efficacy on Plastics and Other Non-Porous Surfaces: A Closer Look at Studies Using the ISO 22196:2011 Standard. BIOLOGY 2024; 13:59. [PMID: 38275735 PMCID: PMC10813364 DOI: 10.3390/biology13010059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 01/16/2024] [Accepted: 01/18/2024] [Indexed: 01/27/2024]
Abstract
The survival and spread of foodborne and nosocomial-associated bacteria through high-touch surfaces or contamination-prone sites, in either healthcare, domestic or food industry settings, are not always prevented by the employment of sanitary hygiene protocols. Antimicrobial surface coatings have emerged as a solution to eradicate pathogenic bacteria and prevent future infections and even outbreaks. Standardised antimicrobial testing methods play a crucial role in validating the effectiveness of these materials and enabling their application in real-life settings, providing reliable results that allow for comparison between antimicrobial surfaces while assuring end-use product safety. This review provides an insight into the studies using ISO 22196, which is considered the gold standard for antimicrobial surface coatings and examines the current state of the art in antimicrobial testing methods. It primarily focuses on identifying pitfalls and how even small variations in methods can lead to different results, affecting the assessment of the antimicrobial activity of a particular product.
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Affiliation(s)
| | - Joana Bastos Barbosa
- Universidade CatĂłlica Portuguesa, LaboratĂłrio Associado, CBQF—Centro de Biotecnologia e QuĂmica Fina, Escola Superior de Biotecnologia, Rua Diogo Botelho 1327, 4169-005 Porto, Portugal; (T.B.d.C.); (P.T.)
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Vojnits K, Mohseni M, Parvinzadeh Gashti M, Nadaraja AV, Karimianghadim R, Crowther B, Field B, Golovin K, Pakpour S. Advancing Antimicrobial Textiles: A Comprehensive Study on Combating ESKAPE Pathogens and Ensuring User Safety. MATERIALS (BASEL, SWITZERLAND) 2024; 17:383. [PMID: 38255551 PMCID: PMC10817529 DOI: 10.3390/ma17020383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 12/21/2023] [Accepted: 01/08/2024] [Indexed: 01/24/2024]
Abstract
Antibiotic-resistant bacteria, ESKAPE pathogens, present a significant and alarming threat to public health and healthcare systems. This study addresses the urgent need to combat antimicrobial resistance by exploring alternative ways to reduce the health and cost implications of infections caused by these pathogens. To disrupt their transmission, integrating antimicrobial textiles into personal protective equipment (PPE) is an encouraging avenue. Nevertheless, ensuring the effectiveness and safety of these textiles remains a persistent challenge. To achieve this, we conduct a comprehensive study that systematically compares the effectiveness and potential toxicity of five commonly used antimicrobial agents. To guide decision making, a MULTIMOORA method is employed to select and rank the optimal antimicrobial textile finishes. Through this approach, we determine that silver nitrate is the most suitable choice, while a methoxy-terminated quaternary ammonium compound is deemed less favorable in meeting the desired criteria. The findings of this study offer valuable insights and guidelines for the development of antimicrobial textiles that effectively address the requirements of effectiveness, safety, and durability. Implementing these research outcomes within the textile industry can significantly enhance protection against microbial infections, contribute to the improvement of public health, and mitigate the spread of infectious diseases.
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Affiliation(s)
- Kinga Vojnits
- School of Engineering, University of British Columbia, Kelowna, BC V6T 1Z2, Canada; (K.V.); (R.K.); (B.C.)
| | - Majid Mohseni
- Research and Development Laboratory, PRE Labs, Inc., Kelowna, BC V1X 7Y5, Canada;
| | | | - Anupama Vijaya Nadaraja
- Mechanical and Industrial Engineering, University of Toronto, Toronto, ON M5S 3G8, Canada; (A.V.N.); (K.G.)
| | - Ramin Karimianghadim
- School of Engineering, University of British Columbia, Kelowna, BC V6T 1Z2, Canada; (K.V.); (R.K.); (B.C.)
| | - Ben Crowther
- School of Engineering, University of British Columbia, Kelowna, BC V6T 1Z2, Canada; (K.V.); (R.K.); (B.C.)
| | - Brad Field
- PRE Labs, Inc., Kelowna, BC V1X 7Y5, Canada;
| | - Kevin Golovin
- Mechanical and Industrial Engineering, University of Toronto, Toronto, ON M5S 3G8, Canada; (A.V.N.); (K.G.)
| | - Sepideh Pakpour
- School of Engineering, University of British Columbia, Kelowna, BC V6T 1Z2, Canada; (K.V.); (R.K.); (B.C.)
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