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MRSA
in School Sports and Classrooms
Sanisys is testing
a service for schools, doctor's offices and nursing homes in select
markets in February of 2008. This service utilizes the SS-20 Sanitizing
System and Formula D2 Sanitizing Solution to Stop MRSA and other
infectious pathogens on high contact surfaces.
Used by hospitals
and food processing plants, the SS-20 Sanitizing System uses CO2
gas to deliver a non-flammable, environmentally safe and effective
sanitizing on surfaces without corrosion. Computers, phones, toys,
furniture and other high touch surfaces can be sanitized without
wiping or rinsing and are dry in minutes. Schools can use the service
to reduce the potential for MRSA in sports and classroom environments.
Doctors can sanitize exam rooms, waiting areas, equipment and phones
without damage to equipment or disruption of service to patients.
Previously only
available to SS-20 System owners, the sanitizing capability will
be offered to schools and doctors offices. "People who know
that they need to sanitize at a higher level now have a solution
that is affordable and managed by experts", states Chuck Carman
of Sanisys. "With the track record demonstrated by our product
in healthcare and food processing industries, we are ready to offer
a service for people who want sanitizing without the investment
in training and equipment."[TOP]
Antibacterial products may be helping to create
superbugs.
Tuberculosis, food poisoning, cholera, pneumonia,
strep throat and meningitis: these are just a few of the unsavory
diseases caused by bacteria. Hygienekeeping both home and
body cleanis one of the best ways to curb the spread of bacterial
infections, but lately consumers are getting the message that washing
with regular soap is insufficient. Antibacterial products have never
been so popular. Body soaps, household cleaners, sponges, even mattresses
and lip glosses are now packing bacteria-killing ingredients, and
scientists question what place, if any, these chemicals have in
the daily routines of healthy people.
Traditionally, people washed bacteria from their
bodies and homes using soap and hot water, alcohol, chlorine bleach
or hydrogen peroxide. These substances act nonspecifically, meaning
they wipe out almost every type of microbe in sightfungi,
bacteria and some virusesrather than singling out a particular
variety.
Soap works by loosening and lifting dirt, oil
and microbes from surfaces so they can be easily rinsed away with
water, whereas general cleaners such as alcohol inflict sweeping
damage to cells by demolishing key structures, then evaporate. "They
do their job and are quickly dissipated into the environment,"
explains microbiologist Stuart Levy of Tufts University School of
Medicine.
Unlike these traditional cleaners, antibacterial
products leave surface residues, creating conditions that may foster
the development of resistant bacteria, Levy notes. For example,
after spraying and wiping an antibacterial cleaner over a kitchen
counter, active chemicals linger behind and continue to kill bacteria,
but not necessarily all of them.
When a bacterial population is placed under a stressorsuch
as an antibacterial chemicala small subpopulation armed with
special defense mechanisms can develop. These lineages survive and
reproduce as their weaker relatives perish. "What doesn't kill
you makes you stronger" is the governing maxim here, as antibacterial
chemicals select for bacteria that endure their presence.
As bacteria develop a tolerance for these compounds
there is potential for also developing a tolerance for certain antibiotics.
This phenomenon, called cross-resistance, has already been demonstrated
in several laboratory studies using triclosan, one of the most common
chemicals found in antibacterial hand cleaners, dishwashing liquids
and other wash products. "Triclosan has a specific inhibitory
target in bacteria similar to some antibiotics," says epidemiologist
Allison Aiello at the University of Michigan School of Public Health.
When bacteria are exposed to triclosan for long
periods of time, genetic mutations can arise. Some of these mutations
endow the bacteria with resistance to isoniazid, an antibiotic used
for treating tuberculosis, whereas other microbes can supercharge
their efflux pumpsprotein machines in the cell membrane that
can spit out several types of antibiotics, Aiello explains. These
effects have been demonstrated only in the laboratory, not in households
and other real world environments, but Aiello believes that the
few household studies may not have been long enough. "It's
very possible that the emergence of resistant species takes quite
some time to occur
; the potential is there," she says.
Apart from the potential emergence of drug-resistant
bacteria in communities, scientists have other concerns about antibacterial
compounds. Both triclosan and its close chemical relative triclocarban
(also widely used as an antibacterial), are present in 60 percent
of America's streams and rivers, says environmental scientist Rolf
Halden, co-founder of the Center for Water and Health at Johns Hopkins
Bloomberg School of Public Health. Both chemicals are efficiently
removed from wastewater in treatment plants but end up getting sequestered
in the municipal sludge, which is used as fertilizer for crops,
thereby opening a potential pathway for contamination of the food
we eat, Halden explains. "We have to realize that the concentrations
in agricultural soil are very high," and this, "along
with the presence of pathogens from sewage, could be a recipe for
breeding antimicrobial resistance" in the environment, he says.
Triclosan has also been found in human breast milk, although not
in concentrations considered dangerous to babies, as well as in
human blood plasma. There is no evidence showing that current concentrations
of triclosan in the human body are harmful, but recent studies suggest
that it acts as an endocrine disrupter in bullfrogs and rats.
Further, an expert panel convened by the Food and
Drug Administration determined that there is insufficient evidence
for a benefit from consumer products containing antibacterial additives
over similar ones not containing them.
"What is this stuff doing in households when
we have soaps?" asks molecular biologist John Gustafson of
New Mexico State University in Las Cruces. These substances really
belong in hospitals and clinics, not in the homes of healthy people,
Gustafson says.
Of course, antibacterial products do have their
place. Millions of Americans suffer from weakened immune systems,
including pregnant women and people with immunodeficiency diseases,
points out Eugene Cole, an infectious disease specialist at Brigham
Young University. For these people, targeted use of antibacterial
products, such as triclosan, may be appropriate in the home, he
says.
In general, however, good, long-term hygiene means
using regular soaps rather than new, antibacterial ones, experts
say. "The main way to keep from getting sick," Gustafson
says, "is to wash your hands three times a day and don't touch
mucous membranes."[TOP]
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