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Croatian Medical Journal
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Cotton textiles modified with citric acid as efficient anti-bacterial agent for prevention of nosocomial infections

Authors: Bischof Vukušić, Sandra; Flinčec Grgac, Sandra; Budimir, Ana; Kalenić, Smilja;

Cotton textiles modified with citric acid as efficient anti-bacterial agent for prevention of nosocomial infections

Abstract

To study the antimicrobial activity of citric acid (CA) and sodium hypophosphite monohydrate (SHP) against gram-positive and gram-negative bacteria, and to determine the influence of conventional and microwave thermal treatments, on the effectiveness of antimicrobial treatment of cotton textiles.Textile material was impregnated with CA and SHP solution and thermally treated by either conventional or microwave drying/curing treatment. Antibacterial effectiveness was tested according to ISO 20743:2009 standard, using absorption method. The surfaces were morphologically observed by scanning electron microscopy, while physical characteristics were determined by wrinkle recovery angles method (DIN 53 891), tensile strength (DIN 53 837), and whiteness degree method (AATCC 110-2000).Cotton fabric treated with CA and SHP showed significant antibacterial activity against MRSA (6.38 log10 treated by conventional drying and 6.46 log10 treated by microwave drying before washing, and 6.90 log10 and 7.86 log10, respectively, after 1 cycle of home domestic laundering washing [HDLW]). Antibacterial activity was also remarkable against S. aureus (4.25 log10 by conventional drying, 4.58 log10 by microwave drying) and against P. aeruginosa (1.93 log10 by conventional drying and 4.66 log10 by microwave drying). Antibacterial activity against P. aeruginosa was higher in samples subjected to microwave than in conventional drying. Antibacterial activity was reduced after 10 HDLW cycles but the compound was still effective. The surface of the untreated cotton polymer was smooth, while minor erosion stripes appeared on the surfaces treated with antimicrobial agent, and long and deep stripes were found on the surface of the washed sample.CA can be used both for the disposable (non-durable) materials (gowns, masks, and cuffs for blood pressure measurement) and the materials that require durability to laundering. The current protocols and initiatives in infection control could be improved by the use of antimicrobial agents applied on cotton carbohydrate polymer.

Country
Croatia
Keywords

Phosphinic Acids / therapeutic use, Polymers, MRSA, Carbohydrates / pharmacology, Pharmaceutical Solutions / pharmacology, Gram-Negative Bacteria / drug effects, Drug Delivery Systems, Basic Science, Materials Testing, Cross Infection / prevention & control, Cross Infection, Drug Carriers, Textiles, Anti-Bacterial Agents / pharmacology, Cross Infection / microbiology, Anti-Bacterial Agents, Kliničke medicinske znanosti, Pharmaceutical Solutions, Treatment Outcome, Technology, Pharmaceutical / methods, Biomedicina i zdravstvo, nosocomial infection, Phosphinic Acids / pharmacology, cotton polymer, Drug Carriers / pharmacology, Citric Acid / pharmacology, Infection Control / methods, fabric, Carbohydrates, /, SEM analyses, Gram-Positive Bacteria, cotton, Citric Acid, Clinical Medical Sciences, Gram-Negative Bacteria, Pharmaceutical Solutions / therapeutic use, Humans, Technology, Pharmaceutical, Cotton Fiber, Gram-Positive Bacteria / drug effects, Biomedicine and Health Sciences, Anti-Bacterial Agents / therapeutic use, Infection Control, 660, antimicrobial finishing, Textiles / microbiology, cotton ; fabric ; antimicrobial ; citric acid ; nosocomial infection, Textiles / analysis, citric acid, Phosphinic Acids, Cross Infection / transmission, antimicrobial, Citric Acid / therapeutic use, Polymers / pharmacology

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
35
Top 10%
Top 10%
Top 10%
Green
Published in a Diamond OA journal