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Chapter 4<br />

4.4. Discussion<br />

Suspension tests were performed in order to determine the minimum<br />

inhibitory concentration (MIC) <strong>of</strong> the disinfectant agents. The MIC is used<br />

to determine the concentration <strong>of</strong> disinfectants that inhibits visible<br />

bacterial growth. The purpose <strong>of</strong> this was to establish the efficacy <strong>of</strong> the<br />

disinfectants chosen against the strains studied in planktonic form. The<br />

results <strong>of</strong> the suspensions tests described Table 4.2 indicate that<br />

concentrations <strong>of</strong> 250mg/L (sodium hypochlorite), 0.5M (sodium<br />

hydroxide) and 0.01% (benzalkonium chloride) were sufficient to inhibit<br />

visible bacterial growth. If disinfectant products are examined solely using<br />

a suspension test method such as the ASTM standard 1040 [131] it is<br />

possible that while bacterial cells may be inhibited using low<br />

concentration <strong>of</strong> disinfectant agents the agents may not be effective if<br />

the bacterial cells have formed a bi<strong>of</strong>ilm.<br />

Notwithstanding the susceptibility <strong>of</strong> the strain in planktonic form,<br />

sodium hypochlorite and benzalkonium chloride (at a concentration<br />

tw<strong>of</strong>old higher than the MIC) were not effective at eliminating all bi<strong>of</strong>ilm<br />

developed after 48 hours period and none <strong>of</strong> the 3 agents effective in<br />

eliminating the 168 hour bi<strong>of</strong>ilm (SL1344 and SL483) after contact times<br />

<strong>of</strong> 10, 45 and 90 minutes. Møretrø et al. also reported that the MIC <strong>of</strong><br />

disinfectant agents such as 0.01-0.005% benzalkonium chloride was<br />

effective at eliminating bacterial growth in a suspension test however the<br />

same concentration was not effective at eliminating all bacterial cells<br />

from an established bi<strong>of</strong>ilm [134].<br />

4.4.1. The log 10 reduction achieved by sodium hydroxide<br />

Sodium hydroxide was the most effective disinfectant <strong>of</strong> all 3 examined.<br />

When used to treat a 48 hour bi<strong>of</strong>ilm no viable cells were detected after 10<br />

Page 141

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