A standardized method of disinfecting infected blood-clots

Abstract

1. A method is described for estimating the disinfecting power of chemical substances on small cylindrical blood-clots of standard dimensions (about 1·5 mm. in diameter) containing a measured number of bacteria (Staph. aureus). It is capable of giving guidance for the use of disinfectants under the described conditions.2. No practicable disinfectant regularly sterilized heavily infected clots (400,000 cocci) in 5 min. at 17–20° C.3. In 30 min. the following were the only substances that were uniformly successful with heavily infected clots: 2·5% iodine in aqueous KI solution; 50% Chloros, containing about 5% chlorine; 70% alcohol containing 0·1% acriflavine. (The first of the three was tested on a larger scale than the others, and its potency is therefore the more firmly established.)4. Reduction of the number of cocci in the clot increased the range of effective disinfectant solutions. Thus with 4000 cocci per clot regular clot disinfection was achieved in 30 min. with the following additional solutions: ethyl alcohol 70 and 50%; Chloros 25%; phenol 2·5% and lysol 1·25%. A few tests indicated that Zephiran (and probably CTAB) at 1 or 2% concentration would also pass this less exacting test.