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Chapter 4<br />

As previously discussed Buckingham-Meyer et al. also used sodium<br />

hypochlorite at multiple concentrations (100mg/L, 500mg/L and 1000mg/L)<br />

to treat Pseudomonas species and Staphylococcal species bi<strong>of</strong>ilm on glass<br />

surfaces using four bi<strong>of</strong>ilm models, including the CBR [117]. Three <strong>of</strong> the<br />

methods used had a bi<strong>of</strong>ilm development time <strong>of</strong> 48 hours and two hours<br />

for the dried surface method as described under CEN guidelines EN13697<br />

[117]. The results indicated that exposure to sodium hypochlorite at any <strong>of</strong><br />

the concentrations against a 48 hour bi<strong>of</strong>ilm developed using the CBR only<br />

resulted in a ~1-2 log 10 reduction. However the use <strong>of</strong> other methods such<br />

as the dried surface bi<strong>of</strong>ilm or the static bi<strong>of</strong>ilm method generally resulted<br />

in a much greater log 10 reduction in the number <strong>of</strong> cells recovered from the<br />

surface (2-4 <strong>of</strong> reduction) [117, 133]. They also indicated that a two-fold<br />

increase in concentration <strong>of</strong> sodium hypochlorite had little to no additional<br />

impact [117].<br />

Benzalkonium chloride (molecular formula C 6 H 5 CH 2 N(CH 3 ) 2 RCl) is a<br />

quaternary ammonium compound synthesized from ammonium chloride<br />

(NH 4 Cl) [208]. Previous research has reported multiple species including<br />

Serratia and Pseudomonas species had the ability to proliferate in a low<br />

concentration benzalkonium chloride solution leading to contamination <strong>of</strong><br />

the disinfectant product [209-210]. Benzalkonium chloride resistant<br />

bacteria have also been linked to increased resistance to antibiotics [16,<br />

136]. Based on the user concentration recommended by the disinfectant<br />

manufacturer, Vestby et al. used a concentration <strong>of</strong> 0.02% to investigate if<br />

the ability <strong>of</strong> Salmonella strains to persist in the environment was<br />

associated with resistance to disinfectants. They reported that a cleaning<br />

product with 0.02% benzalkonium chloride only resulted in marginal<br />

reduction <strong>of</strong> cells recovered from the surface (0.8-1 log 10 reduction) [113].<br />

Page<br />

124

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