Efficacy of ophthalmic solutions to detach adhering Pseudomonas aeruginosa from contact lenses. 1998

A S Landa, and H C van der Mei, and G van Rij, and H J Busscher
Laboratory for Materia Technica, University Hospital Groningen, The Netherlands.

OBJECTIVE To compare the efficacies of two all-in-one contact lens (CL) cleaning solutions and a detergent mixture on the detachment of a pathogenic bacterium adhering to two types of contact lenses in the absence and presence of a tear film. METHODS Bacterial-detachment studies were carried out in a parallel-plate flow chamber. Rigid gas permeable (RGP) CLs with and without a tear film were fixed on the bottom plate of the flow chamber. After adhesion of Pseudomonas aeruginosa no. 3, bacterial detachment was stimulated by perfusing the system either with an all-in-one CL-cleaning solution, for soft contact lenses (SCL solution) and for rigid lenses (RCL solution), or with a detergent mixture of 0.25% (wt/vol) sodium lauryl sulfate (SLS) and 0.2% sodium methyl cocoyl taurate (Tauranol). In addition, the all-in-one RCL-cleaning solution supplemented with 0.025% (wt/vol) SLS and 0.02% (wt/vol) Tauranol was evaluated. A surface physical-chemical analysis of the lenses before and after application of the solutions was done to determine whether remnants of the ophthalmic solutions or detergents could be found adsorbed to the CL surfaces. RESULTS Both all-in-one CL-cleaning solutions stimulated minor bacterial detachment from CL surfaces with or without a tear film. The SLS/Tauranol detergent mixture, however, removed < or = 95% of the adhering P. aeruginosa cells, whereas the RCL-cleaning solution supplemented with detergents also stimulated significant detachment. Surface physical-chemical analysis clearly demonstrated the presence of a tear film on the CL surfaces, but remnants neither of the ophthalmic solutions nor of the detergents could be found. CONCLUSIONS Ophthalmic solutions are not effective in stimulating detachment of adhering bacteria from CL surfaces. Supplementing of an all-in-one CL-cleaning solution with only small amounts of detergents yielded a solution much more effective in stimulating bacterial detachment while leaving no detectable remnants of the ophthalmic solution or of the detergents on the CL surfaces.

UI MeSH Term Description Entries
D011550 Pseudomonas aeruginosa A species of gram-negative, aerobic, rod-shaped bacteria commonly isolated from clinical specimens (wound, burn, and urinary tract infections). It is also found widely distributed in soil and water. P. aeruginosa is a major agent of nosocomial infection. Bacillus aeruginosus,Bacillus pyocyaneus,Bacterium aeruginosum,Bacterium pyocyaneum,Micrococcus pyocyaneus,Pseudomonas polycolor,Pseudomonas pyocyanea
D003261 Contact Lenses Lenses designed to be worn on the front surface of the eyeball. (UMDNS, 1999) Lenses, Contact,Contact Lens,Lens, Contact
D004338 Drug Combinations Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture. Drug Combination,Combination, Drug,Combinations, Drug
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001422 Bacterial Adhesion Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity. Adhesion, Bacterial,Adhesions, Bacterial,Bacterial Adhesions
D013666 Tears The fluid secreted by the lacrimal glands. This fluid moistens the CONJUNCTIVA and CORNEA. Meibomian Lipids,Meibum,Lipid, Meibomian,Meibomian Lipid,Tear
D015169 Colony Count, Microbial Enumeration by direct count of viable, isolated bacterial, archaeal, or fungal CELLS or SPORES capable of growth on solid CULTURE MEDIA. The method is used routinely by environmental microbiologists for quantifying organisms in AIR; FOOD; and WATER; by clinicians for measuring patients' microbial load; and in antimicrobial drug testing. Agar Dilution Count,Colony-Forming Units Assay, Microbial,Fungal Count,Pour Plate Count,Spore Count,Spread Plate Count,Streak Plate Count,Colony Forming Units Assay, Microbial,Colony Forming Units Assays, Microbial,Agar Dilution Counts,Colony Counts, Microbial,Count, Agar Dilution,Count, Fungal,Count, Microbial Colony,Count, Pour Plate,Count, Spore,Count, Spread Plate,Count, Streak Plate,Counts, Agar Dilution,Counts, Fungal,Counts, Microbial Colony,Counts, Pour Plate,Counts, Spore,Counts, Spread Plate,Counts, Streak Plate,Dilution Count, Agar,Dilution Counts, Agar,Fungal Counts,Microbial Colony Count,Microbial Colony Counts,Pour Plate Counts,Spore Counts,Spread Plate Counts,Streak Plate Counts
D015818 Eye Infections, Bacterial Infections in the inner or external eye caused by microorganisms belonging to several families of bacteria. Some of the more common genera found are Haemophilus, Neisseria, Staphylococcus, Streptococcus, and Chlamydia. Bacterial Eye Infections,Ocular Infections, Bacterial,Bacterial Ocular Infections,Infections, Bacterial Eye,Infections, Bacterial Ocular,Bacterial Eye Infection,Bacterial Ocular Infection,Eye Infection, Bacterial,Infection, Bacterial Eye,Ocular Infection, Bacterial
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D018639 Contact Lens Solutions Sterile solutions used to clean and disinfect contact lenses. Contact Lens Cleaners,Disinfectants, Contact Lens,Contact Lens Cleaning Solutions,Contact Lens Disinfectant Solutions,Contact Lens Solution,Cleaners, Contact Lens,Contact Lens Disinfectants,Lens Cleaners, Contact,Lens Disinfectants, Contact,Lens Solution, Contact,Lens Solutions, Contact,Solution, Contact Lens,Solutions, Contact Lens

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