Eissa 2016 May 2016, 2(4):1-5 International Journal of Microbiology and Allied Sciences (IJOMAS) ISSN: 2382-5537 May 2016, 2(4):1-5 © IJOMAS, 2016 Perspective Page: 1-5 Limitations of the current chemical neutralization tests for assessment of microbial recovery from antimicrobials: A new prospective approach Mostafa Essam Eissa1* Quality Control Department, Microbiology Laboratory Division, HIKMA Pharma Pharmaceutical Company, 2nd Industrial Zone, Plot no.1, 6th of October City, Giza, Egypt 1 *Corresponding Author: Mostafa Essam Eissa Quality Control Department, Microbiology Laboratory Division, HIKMA Pharma Pharmaceutical Company, 2nd Industrial Zone, Plot no.1, 6th of October City, Giza, Egypt Mobile: 00201006154853, E-mail: [email protected] Abstract Neutralization of antimicrobial properties is considered as a crucial aspect when considering an evaluation of efficacy of biocidal products and microbial recovery of microorganisms from hostile chemical environment. Chemical neutralization method is considered one of these main important techniques for neutralizing antimicrobial properties of the biocidal agents. However, unless reaction time is nearly instantaneous the declining antimicrobial concentration will take time that may affect the survival and recovery of the organism. In general, the duration is uncontrolled and contingent which leads to biased and/or exaggerated estimation of the true potency of the antimicrobial activity and possibly a low microbial recovery from the environmental monitoring (EM) samples. A thorough review on the preparation of protocols for the chemical neutralization is required in order to determine the significance and influence of the reaction time for the diminishing antimicrobial compounds. The consequences of stressed or injured microbial cells due to the exposure to harsh chemical environment may lead to a viable but not culturable (VBNC) state in which no colonies can be observed in a conventional culture medium. This may lead to overestimated potency of the true biocidal activity. This fact highlighted the importance of the application of new advanced technologies for the enumeration of the viable microbial particles using rapid microbiological methods (RMMs). In healthcare providing facilities, proper disinfection program must be ensured to face the ever growing list of objectionable microbes that affect human health. Key words: Biocidal, environmental monitoring, microbial recovery, neutralization, reaction time. International Journal of Microbiology and Allied Sciences, May 2016, Volume 2 Issue 4 1 Eissa 2016 May 2016, 2(4):1-5 Introduction The process of neutralization of a biocidal effect is a pivotal step in many quality control monitoring and testing protocols. Pharmacopeial methods of neutralization include filtration, dilution, chemical inactivation or combinations of these methods [1]. Chemical neutralization techniques have been studied extensively by many investigators and researchers [2]. A valid protocol has been developed. Such protocol involved the mixing of a neutralizing agent with an antimicrobial product for a sufficient time (ex. ten minutes) followed by the addition of the test microorganism. After adequate incubation time, such samples were plated to examine the microbial recovery [2]. B. Toxicity of the neutralizing agent and/or the byproduct(s) of its reaction with the biocidal agent Since chemical neutralization is based on chemical reaction between a neutralizing broth and the antimicrobial compound, the formed byproduct(s) may possess intrinsic adverse effect on the viability of the microbial cells. Even the neutralizing compound itself may show some toxicity against some types of microorganisms. Table 1 demonstrates the toxicity of some neutralizing agents – which are dedicated for neutralizing some antimicrobial chemical classes - against some microorganisms [4]. On the other hand, Figure 1 shows schematic diagram of how this property can be assessed and determined in the neutralization study [5]. Main challenges of the chemical neutralization study of the biocidal agents 2. General challenge for the neutralization process: A. Viable but not culturable state of microbial cells (General challenge) Even for those tests that depend on a relatively longer contact times between the antimicrobial products and microorganisms such as preservative efficacy test (PET), the possibility of entering viable but not culturable (VBNC) state cannot be excluded. This may lead to an over estimation of the true antimicrobial power of the biocidal product. The estimated number of microbial particles might be far below the true bioburden density, even if the incubation conditions such as temperature and time have been modified. [6]. Several factors affect the validity and integrity of the results derived from chemical neutralization studies. Some of these factors are general for all types of neutralization procedures (chemical, filtration, dilution). While other factors influence the chemical neutralization process only. 1. Specific challenge for chemical neutralization A. Chemical reaction time till complete neutralization The kinetics studies of the antimicrobial efficacy test (AET) depends on the process of stopping the action of a biocidal agent on the exposed test microorganisms at predetermined intervals. If this action cannot be stopped instantaneously, then there will be a residual amount of antimicrobial components that may affect the viability of microbial particles [3]. In addition, the time of microorganisms’ exposure to the decreasing concentration of the biocidal components is unknown and hence the true activity of an antimicrobial product may be overestimated. The reaction time impact on the results of a neutralization study possesses a great effect on the microbial recovery in case of short contact time between microorganisms and antimicrobial products. B. Accuracy of microbial number estimation Specification of the optimum CFU range for microbial enumeration of plated samples is necessary to ensure the accuracy of data derived from the neutralization study. There are some regulatory authorities that suggest 25-250 CFU (Colony Forming Units)/plate as a countable limit range [7]. The core of this dilemma is that the yield of the test results demonstrates extremely low accuracy in plate count under 25 CFU (when the number is 25 CFU/plate, error as a percent of the average is International Journal of Microbiology and Allied Sciences, May 2016, Volume 2 Issue 4 2 Eissa 2016 May 2016, 2(4):1-5 Table 1: The antimicrobial compound class, the neutralization method of the biocidal activity for the antimicrobial compound, and the possible toxicity (from the neutralizing agent and/or the byproduct of the reaction between the neutralizing agent and the antimicrobial compound) on specific class of microorganisms [5] are shown Antimicrobial Compound Neutralization Technique Glutaraldehyde, Mercurials Bisulphate/Chemical Phenolics, Alcohol, Dilution Glutaraldehyde Glutaraldehyde Glycine/Chemical Quaternary Ammonium Compounds (QACs), Lecithin/Chemical Parabens, Bis-biguanides Magnesium and Calcium EDTA Ions/Chemical QACs, Iodine, Parabens Tween/Chemical Mercurials Thioglycollate/Chemical Possible Toxicity on Microorganism Non-spore forming bacteria n/a Growing cells Bacteria n/a n/a Staphylococci and Spores Figure 1: Diagram showing the basic process core of the evaluation of the neutralization process which is valid for any type or combinations of the neutralization processes [6]. 20 %). Theoretically, it can be assumed that the microbial count expressed as CFU follows Poisson distribution [8], and hence the estimated error expressed as a percent can be obtained from calculating the square root of the mean [8]. Thus, the optimum countable range is a balance between the error expressed as a percent of the average and the standard error. However, the error percent of the average decreases increasing the count. exponentially with Importance of the application of new technologies in microbial recovery New technologies that are based on rapid microbiological methods can be divided into the following classes: Growth-based techniques: e.g., carbon assimilation, International Journal of Microbiology and Allied Sciences, May 2016, Volume 2 Issue 4 3 Eissa 2016 May 2016, 2(4):1-5 validity of a chemical neutralization process, either in case of sanitizer validation or in-situ evaluation of disinfection program. enzymatic reactions, carbon dioxide generation or ATP bioluminescence; Artifactbased methods, e.g., fatty acid analysis using gas chromatography, ELISA and MALDITOF mass spectrometry of cell components such as nucleic acids and proteins; Nucleic acid-based methods: e.g., PCR and automated Southern blotting; Viability-based methods: e.g., fluorescent labelling methods, such as flow fluorescence cytometry; immunofluorescence and fluorescent nucleic acid stains used as a viability marker along with propidium iodide as a membranecompromised cell marker. The role of rapid microbiological methods (RMMs) in such situations becomes apparent where they can detect VBNC microbes in fairly short time compared to the conventional culture-based methods [9, 10]. While conventional culturebased techniques are relatively inexpensive and reproducible, yet they usually show a very low level of microbial recovery (0.01–1 %) from the true bioburden density for any given specimen as shown by some authors [4]. References 1. US Pharmacopoeia <1072>. 2014. Disinfectants and Antiseptics. Baltimore, MD, USA: United States Pharmacopeia. 2. Sutton SV and Proud DW, Rachui S, Brannan DK. 2002. Validation of microbial recovery from disinfectants. PDA Journal of Pharmaceutical Science and Technology. 56(5):25566. 3. Weerasinghe BN. 2008. Kinetics of tap water dechlorination and aquatic health impacts of selected dechlorination chemicals. Doctoral dissertation, University of Ottawa. 4. Sutton S. 2016. Antimicrobial Efficacy Test [Internet]. The Microbiology Network. [cited 10 April 2016]. Available from: http://www.microbiol.org/resources/ monographswhitepapers/antimicrobial-efficacy-test/ 5. Sutton S. 2016. Method Suitability Control Studies for Microbial Testing: Quantitative Comparisons | IVT GMP - Microbiology [Internet]. Ivtnetwork.com. [cited 02 April 2016]. Available from: http://www.ivtnetwork.com/article/m ethod-suitability-control-studiesmicrobial-testing-quantitativecomparisons 6. Watkins J and Jian X. 1997. Cultural methods of detection for microorganisms: recent advances and successes. Freshwater Biological Association. 19-27. 7. Maturin LJ and Peeler JT. 2011. Bacteriological Analysis Manual, Lessons learned It could be concluded that there are three requirements for effective neutralization: 1Effective cessation of the antimicrobial product by neutralizer. 2- Absence of intrinsic toxicity of the neutralizer on the microbial cells. 3- The reaction product(s) of the neutralizing agent and the antimicrobial agent must be non-toxic to the microbial cells. Another three factors are required to be considered when implementing successful protocol of neutralization study: 1- Test microorganisms counts should be in the valid count range with minimal errors specified by guidelines and/or verified using method discussed pharmacopeially. 2- According to the nature and purpose of the study, the classical culture media may include specific components that are required for the recovery of the stressed and/or injured microorganisms otherwise the search for adopting RMMs will be crucial in such instances. 3- The neutralization reaction time between the biocidal agent and the neutralizing agent is an important factor in the assessment of the International Journal of Microbiology and Allied Sciences, May 2016, Volume 2 Issue 4 4 Eissa 2016 May 2016, 2(4):1-5 Chapter 3: Aerobic Plate Count. [Online]. Available from, URL: http://www.fda.gov/Food/ Sd.ence Research Laboratory Methods Bacteriological Analytical Manual. Htm 8. Sutton S. Counting Colonies [Internet]. 2016. The Microbiology Network. [cited 01 February 2016]. Available from: http://www.microbiol.org/resources/ monographswhite-papers/countingcolonies/ 9. Eissa M. 2015. RMM: In-Depth Focus 2015 [Internet]. European Pharmaceutical Review. [cited 15 March 2016]. Available from: http://www.europeanpharmaceuticalr eview.com/35997/supplements/rmmin-depth-focus-2015/ 10. RMM Tutorial - Rapid Microbiology and Rapid Microbiological Methods [Internet]. 2016. Rapidmicromethods.com. [cited 08 April 2016]. Available from: http://rapidmicromethods.com/files/tu torial.php. For Citation: Eissa ME. 2016. Limitations of the current chemical neutralization tests for assessment of microbial recovery from antimicrobials: A new prospective approach. International Journal of Microbiology and Allied Sciences. 2(4):1-5. International Journal of Microbiology and Allied Sciences, May 2016, Volume 2 Issue 4 5
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