A : Antibiotic resistant strains do not mean chemical resistance. These bacteria have developed resistance to antibiotics pertaining to human clinical situations. This does not imply that these strains are resistant to chemical disinfection. Chemical are now tested against antibiotic resistant strains such as VRE, MRSA etc. These are shown on the label claims. There are differing opinions within the scientific community as whether over use of disinfectants can lead to chemical resistance. A literature search showed that there are several published studies that suggest disinfectant chemistries such as quats that leave an active residual on the surface can lead to resistance. 

A : Residual active ingredients left by antimicrobials only are effective while wet. In addition these residuals may contribute to chemical resistant strains of microorganisms.

A : Volatile Organic Compounds (VOCs) are compounds containing at least one carbon atom, excluding carbon monoxide and carbon dioxide, which evaporate readily to the atmosphere. VOCs include a wide range of individual substances from many substance classes such as hydrocarbons, halocarbons and oxygenates. Major VOC emission sources are the organic solvents used in many consumer and commercial products such as underarm anti-perspirants, cleaning and disinfectant products, exterior paints used on homes, and commercial printing inks; transportation sector activities such as the exhaust emissions from cars and trucks; various industrial processes such as chemical manufacturing; and residential/commercial/fuel/ wood combustion. Not all VOCs originate from man made sources, however, in more populated and industrial areas man made emissions predominate. VOC solvent use is the second largest source of man made VOC emissions to the atmosphere in most areas of Europe.

A : Hydrogen peroxide purchased at a Drug Store is a 7% solution mixed with water. Scientists had worked for many years to find a way to properly mix other ingredients in this water and hydrogen peroxide solution and create a commercially viable and effective product. BHP is a formulation of hydrogen peroxide, surfactants and other inert ingredients which results in less active ingredient but better cleaning and faster germicidal performance than hydrogen peroxide at 7% with water (at the in-use dilution of BHP for environmental surfaces the active ingredient is

A : A reason for creating a scent-free product is to avoid the masking of odours. In most cases, the smell of a cleaner and disinfectant has the effect of masking the odour of the chemical and ultimately the odour in the room or facility. Clean really has no smell. It is the absence of smell due to the absence of any odour causing materials. When you clean and disinfect with BHP there isn’t a scent to mask the cleanliness. Your room or facility will eventually just smell clean. Addition of scents which very often contain Volatile Organic Compounds (VOC’s) to cleaning and disinfectants is also one of the leading causes of fragrance sensitivity and negative affects to indoor air quality. By creating a product that is scent free there are fewer negative reactions by end users, fewer complaints by occupants of the facility using BHP and therefore, from a occupational health & safety standpoint a better product to use.

A : When VOCs are released to the atmosphere, they can participate in atmospheric photochemical reactions to form ground-level ozone and particulate matter. These two air pollutants are the main ingredients of smog and cause serious health effects for Canadians, including thousands of premature deaths, hospital admissions and emergency room visits every year. Almost all ground-level ozone and in the order of two-thirds of particulate matter are formed in the atmosphere through the reactions of precursor substances, with VOCs being one of the most significant. Consequently, reduction of atmospheric levels of particulate matter and ozone must be accomplished through reductions of precursors, such as VOCs.

A : Health impacts can occur when VOCs are released to the atmosphere and participate in atmospheric photochemical reactions leading to the formation of ground level ozone and particulate matter. These two air pollutants are the main ingredients of smog and cause serious health effects for Europeans, including thousands of premature deaths, hospital admissions and emergency room visits every year. VOCs are one of the primary precursor substances leading to the atmospheric formation of both of ground level ozone and particulate matter. The scope of substances that may be characterized as VOCs is extremely broad. Actions under the European commission agenda are targeted at the sub-set of these substances used as solvent constituents in consumer and commercial products. The Agenda actions are not in response to a determination that these VOC solvent constituents pose any direct risk to human health, but rather the fact that upon evaporation to the atmosphere, they can undergo photochemical reaction resulting in the formation of ground-level ozone and particulate matter.

A : Most of today’s disinfectants and biocides contain chemicals that have a certain effect on microbes and their replication by way of a biocidal “mechanism of action”. In some cases, consequent exposure to biocides with a certain mechanism of action causes the bacteria to better tolerate biocides with this same mechanism of action. This is what is called “antimicrobial resistance” to biocides. The microbe develops resistance to certain antimicrobial active ingredients, or more accurate: its mechanism of action. This antimicrobial resistance can be caused by the use of biocides (“non-invasive antimicrobials”) and can be caused by antibiotics (“human antimicrobials”, or “medicinal antimicrobials”).

A : It is only recently evidenced that resistance caused by (sub-inhibitory concentrations of) biocides can create a resistance also against antibiotics. This development is alarming and has a direct effect on human health and infection prevention.

A : The most widely used group of chemicals is the so-called quaternary ammonium compounds, also called Quats or QACs. It is long known that Quats can cause antimicrobial resistance. We have enclosed some relevant research that proves this effect. The effect causes the development of resistant organisms. By itself this is a very alarming finding and should have serious consequences for the use of Quats in infection control and infection prevention, especially in situations where weak individuals are present (hospitals, operating rooms, emergency departments, ambulances, elderly care, long-term care, schools, and childcare). However, recent research has shown that Quats do not only cause resistance to disinfectants or biocides, but also to antibiotics. This poses another risk and is of even greater importance for Infection Prevention practitioners. The recent publication of the article in the renowned international scientific journal Microbiology named “Effect of sub inhibitory concentrations of benzalkonium chloride on the competitiveness of Pseudomonas aeruginosa grown in continuous culture” (Paul H. Mc Cay etal, 2010), provided overwhelming and alarming evidence. The researchers found that exposure to benzalkonium Chloride (BCK, a Quat) have a direct effect on the resistance of Pseudomonas aeruginosa. In under 30 generations (this means less than 1 month) the Minimum Inhibitory Concentration (MIC, the lowest concentration of an antimicrobial that will inhibit the visible growth of a microorganism after overnight incubation) increased by a factor of 12 (1200%) from 25 mg/l to over 300 mg/l and the MIC of a number of antibiotics increased substantially (256 times) during this same period.

A : Data from the National Health Services (NHS) in the UK : - There were 36,097 Clostridium difficile infections reported in England in 2008/09 (patients aged two years and over). - Saniswiss offers effective and fast working disinfection alternatives that are user and environmentally friendly, making use of highly advanced technologies and based on extensive scientific research and evidence. - Saniswiss’s formulas capitalize on the friendliness of hydrogen peroxide, which natural disinfection power is boosted by our patented technologies, in order to obtain the necessary efficacy at low concentrations already. - This unique combination of friendliness and effectiveness enables the use of our products in new and existing applications, without the hazards of traditional chemicals. With Saniswiss, it can be done. - Figures on MRSA bloodstream infections showed there were 2,933 cases reported in England in 2008/09 - From January to March 2009 there were 262 norovirus outbreaks reported from 43 NHS trusts. A total of 82% of outbreaks resulted in some form of ward closure, with 2,814 patients and 747 staff reported to have been affected as part of these outbreaks, and over 4,000 bed-days were lost. The resistance to antibiotics is an important driver for the costs associated with hospital acquired infections because they are difficult or impossible to treat with antibiotics. The cost of hospital acquired infections runs into billions of euros per year in Europe only. This equals to tens of thousand of bed-days lost. Examples of resistant strains are MRSA, VRE, MR-TBC and the recently found ESBL-producing strains (Netherlands), mainly escherichia coli and klebsiella pneumoniae. In certain countries, such as Germany, norovirus and Clostridium difficile are important causes of outbreaks. When biocides do contribute to the resistance of microbes against antibiotics, as is evidenced by recent research, an immediate transition to biocides with a mechanism of action that is substantially different to common antibiotics, or to biocides that have an oxidative mechanism of action, is recommended.