An effective method of inactivating chlorhexidine.
OBJECTIVE
The purpose of this study was to find an effective inactivating agent for chlorhexidine that would facilitate removal of all residual antimicrobial effect, which may cause false-negative results during microbiologic culturing.


METHODS
L-alpha-lecithin, Tween 80, and sodium thiosulfate were used in different proportions to prepare 6 potential inactivating solutions. Nine mL of each inactivating solution was mixed with 1 mL of 2% chlorhexidine solution. After 5 minutes of equilibration, 0.1 mL of bacterial cell suspension containing 2 x 10(4) viable cell of Enterococcus faecalis was added to the mixture. At 10 and 60 minutes, 0.1-mL aliquots were withdrawn and spread over blood agar plates and incubated at 37 degrees C for 72 hours. The number of colony-forming units on the blood agar plates was determined and recorded.


RESULTS
The combination of 3% Tween 80 and 0.3% L-alpha-lecithin was found to be the most effective inactivating agent, allowing full recovery of the test organisms in the presence of chlorhexidine.


CONCLUSIONS
The present study demonstrated a method to predictably inactivate chlorhexidine.
Zamany
Ahmad
A
University of Connecticut, Farmington, Conn 06030, USA. zamanya@hotmail.com
Spångberg
Larz S W
LS
D000891:Anti-Infective Agents, Local / Q000037:antagonists & inhibitors*; D000975:Antioxidants / Q000494:pharmacology; D002614:Chelating Agents / Q000494:pharmacology; D002710:Chlorhexidine / Q000037:antagonists & inhibitors*; D015169:Colony Count, Microbial; D013293:Enterococcus faecalis / Q000187:drug effects / Q000254:growth & development; D006801:Humans; D008422:Materials Testing; D010713:Phosphatidylcholines / Q000494:pharmacology; D011136:Polysorbates / Q000494:pharmacology; D012388:Root Canal Irrigants; D013501:Surface-Active Agents / Q000494:pharmacology; D013885:Thiosulfates / Q000494:pharmacology; D013997:Time Factors
D000891:Anti-Infective Agents, Local; D000975:Antioxidants; D002614:Chelating Agents; D010713:Phosphatidylcholines; D011136:Polysorbates; D012388:Root Canal Irrigants; D013501:Surface-Active Agents; D013885:Thiosulfates; C017717:sodium thiosulfate; D002710:Chlorhexidine