A multiphase intervention of novel color additive for bleach disinfectant wipes improves thoroughness of cleaning in an academic medical center.

Surface disinfection is critical for preventing health care-associated infections; however, sustaining high-quality cleaning technique is challenging without constant feedback and training of staff. A novel color additive to bleach wipes, Highlight, indicates where surfaces have been wiped and fades to colorless to provide real-time visual feedback of cleaning. In a multiphase interventional study, Highlight reduced failure rates of cleaning based on fluorescent marker removal (15.0%-4.5%) and adenosine triphosphate bioluminescence assay (3.6%-2.5%).

A visual approach for defining the spatial relationships among crashes, crimes, and alcohol retailers: Applying the color mixing theorem to define the colocation pattern of multiple variables.

In traffic safety studies, the few scholars who have focused on analyzing disaggregated data obtained results that have been either difficult to explain or demonstrate because they did not provide clear visual maps or utilize statistical tests to quantify the spatial relationships. In order to increase the use of such disaggregated spatial methods for use in traffic safety studies, the current study documents the application of a new RGB (red, green, blue) model which combines the color additive theorem and the kernel density map (KDE) to define crash colocation patterns and the coincidence spaces of related variables. This study contributes to the literature in three major ways: (1) a new RGB model was established and applied in the field of traffic safety; (2) the variable dimensions were expanded from two to three; and, (3) the dimension of uncertainty was also included. When the new RGB model was utilized with data collected in College Station, Texas, the results indicated that the new colocation map is able to clearly and accurately define colocation hotspots of crashes, crimes, and alcohol retailers. As expected, these hotspots are located in areas with many bars, the largest strip malls and busiest intersections. The intensity maps have provided results consistent with the above colocation maps. However, the uncertainty map does not show a relatively higher level of certainty regarding the location of hotspots as we expected because the input of each variable was not related to the highest kernel value. Therefore, future scholars should focus on the colocation and intensity maps while using the uncertainty map as a reference for individual event risk evaluation only.

Identification, separation by spiral high-speed counter-current chromatography, and quantification of 7-chloro-5-methyl-2H-1,4-benzothiazin-3(4H)-one, an impurity in the thioindigoid color additive D&C Red No. 30 and its lakes.

An impurity in the color additives D&C Red No. 30 (R30) and D&C Red No. 30 lakes (R30L) was newly identified and characterized as 7-chloro-5-methyl-2H-1,4-benzothiazin-3(4H)-one (BTZ), and its extent and level in certified batches of these color additives was determined. BTZ was extracted from the dye with ethanol, resulting in a crude extract enriched to a concentration of over 60%. BTZ was then separated from a portion of the enriched extract by high-speed counter-current chromatography using a spiral-tube assembly column with intermittently pressed tubing of 60 ml capacity. It was the first reported use of such a column to separate a small, moderately hydrophobic compound. The two-phase solvent system was also moderately hydrophobic, consisting of hexane-ethyl acetate-methanol-water (5:2:5:2), and the retention of the organic stationary phase measured after the separation was 83.3%. The separation yielded BTZ of two purity grades, the higher of which (~95.5%) was used as a standard to quantify the impurity in 37 batches of R30 and R30L using an HPLC method developed and validated for that purpose. Analyses revealed a wide range of BTZ levels across batches, <0.05 - 0.84%, and suggested that BTZ contamination could be reduced by appropriate adjustments in the manufacturing process. An explanation of the likely source of BTZ - as a side-reaction product in a particular step of the manufacturing process - was also presented.

Determination of fluorescein and brominated fluoresceins in the color additive D&C Orange No. 5 and its lakes using high-performance liquid chromatography.

The colour additives D&C Orange No. 5 (O5) and its lakes (O5L) are subject to batch certification by the U.S. Food and Drug Administration (FDA) to ensure compliance with specifications in the Code of Federal Regulations (CFR). The present study reports the development of a high-performance liquid chromatography (HPLC) method for the quantitative determination of seven CFR-specified components in O5 and O5L - fluorescein and six brominated fluoresceins. The analytes were quantified using six-point calibration curves with data points (w/w) that ranged as follows: 20.0-70.0% for 4',5'-dibromofluorescein; 9.8-44.1% for 2',4',5'-tribromofluorescein; 1.01-15.2% for 2',4',5',7'-tetrabromofluorescein; 0.10-3.12% for 2',4'-dibromofluorescein; 0.10-3.06% for 2',5'-dibromofluorescein; 0.11-2.85% for 4'-bromofluorescein; and 0.10-2.02% for fluorescein. For all seven analytes, the HPLC instrument response was linear (R2 > 0.999) over the tested concentration ranges and the limits of detection (0.01-1.55%) were well below the CFR-specified levels. Other validation data showed good analyte recovery (87.91-101.73%) as well as method precision measured by the relative standard deviation (0.53-1.56%). The new method was applied to the analysis of test portions from 15 batches of O5 and eight batches of O5L submitted to FDA for certification by domestic and foreign manufacturers. Compared to the thin-layer chromatography/spectrophotometric procedure currently used for routine batch-certification analyses, the new method was found to be more sensitive, simpler to implement, and significantly faster, requiring 25 minutes rather than six hours to analyse one sample.

Separation using high-speed counter-current chromatography and identification of 1,3-bis(4-phenylazophenyl)triazene, an impurity in the color additive D&C Red No. 17 (Sudan III).

The present work describes the application of high-speed counter-current chromatography to the preparative separation of a previously unreported impurity in the color additive D&C Red No. 17 (R17, Colour Index No. 26100, Sudan III). Due to the hydrophobic nature of the impurity, a hydrophobic two-phase solvent system (hexane-ethanol-water, 5:4:1) was used for its separation. The separated impurity was chemically characterized by spectroscopic methods as a disazo triazene, 1,3-bis(4-phenylazophenyl)triazene (PAPT). This impurity was synthesized and used as a reference material to quantify it in 15 batches of the color additive produced by various domestic and foreign manufacturers and certified by the U.S. Food and Drug Administration (FDA). Analysis of test portions by high-performance liquid chromatography showed a range of PAPT levels, from "not detected" (<0.006%) to 0.70%, across batches. The variability suggests that contamination by PAPT can be decreased or eliminated through manufacturing modifications. A chemical pathway for PAPT formation and an associated adjustment to minimize it during the process of manufacturing R17 are proposed.

Conservative Exposure Predictions for Rapid Risk Assessment of Phase-Separated Additives in Medical Device Polymers.

A novel approach for rapid risk assessment of targeted leachables in medical device polymers is proposed and validated. Risk evaluation involves understanding the potential of these additives to migrate out of the polymer, and comparing their exposure to a toxicological threshold value. In this study, we propose that a simple diffusive transport model can be used to provide conservative exposure estimates for phase separated color additives in device polymers. This model has been illustrated using a representative phthalocyanine color additive (manganese phthalocyanine, MnPC) and polymer (PEBAX 2533) system. Sorption experiments of MnPC into PEBAX were conducted in order to experimentally determine the diffusion coefficient, D = (1.6 ± 0.5) × 10-11 cm2/s, and matrix solubility limit, C s = 0.089 wt.%, and model predicted exposure values were validated by extraction experiments. Exposure values for the color additive were compared to a toxicological threshold for a sample risk assessment. Results from this study indicate that a diffusion model-based approach to predict exposure has considerable potential for use as a rapid, screening-level tool to assess the risk of color additives and other small molecule additives in medical device polymers.

Improving risk assessment of color additives in medical device polymers.

Many polymeric medical device materials contain color additives which could lead to adverse health effects. The potential health risk of color additives may be assessed by comparing the amount of color additive released over time to levels deemed to be safe based on available toxicity data. We propose a conservative model for exposure that requires only the diffusion coefficient of the additive in the polymer matrix, D, to be specified. The model is applied here using a model polymer (poly(ether-block-amide), PEBAX 2533) and color additive (quinizarin blue) system. Sorption experiments performed in an aqueous dispersion of quinizarin blue (QB) into neat PEBAX yielded a diffusivity D = 4.8 × 10-10 cm2  s-1 , and solubility S = 0.32 wt %. On the basis of these measurements, we validated the model by comparing predictions to the leaching profile of QB from a PEBAX matrix into physiologically representative media. Toxicity data are not available to estimate a safe level of exposure to QB, as a result, we used a Threshold of Toxicological Concern (TTC) value for QB of 90 µg/adult/day. Because only 30% of the QB is released in the first day of leaching for our film thickness and calculated D, we demonstrate that a device may contain significantly more color additive than the TTC value without giving rise to a toxicological concern. The findings suggest that an initial screening-level risk assessment of color additives and other potentially toxic compounds found in device polymers can be improved. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 310-319, 2018.

Evaluation of the antimicrobial efficacy and skin safety of a novel color additive in combination with chlorine disinfectants.

OBJECTIVE: A novel color additive colorizes chlorine disinfectants blue to improve visibility and enhance spray surface coverage, and it fades to colorless to indicate elapsed contact time. We investigated its interactions with 3 chlorine disinfectants to determine if the additive would adversely affect the disinfectants' antimicrobial efficacy or skin safety. METHODS: We tested 0.5% sodium hypochlorite, 0.2% calcium hypochlorite, and 0.5% sodium dichloroisocyanurate (NaDCC) alone versus with color additive. An independent laboratory tested efficacy against Staphylococcus aureus, Pseudomonas aeruginosa, Vibrio cholerae, and human coronavirus 229E. An independent laboratory also tested direct skin irritation. RESULTS: Chlorine disinfectants with and without color additive achieved equal levels of efficacy against the tested pathogens. Against S. aureus, 0.5% sodium hypochlorite with and without color additive met Environmental Protection Agency criteria for disinfection success. Against human coronavirus 229E, 0.5% sodium hypochlorite alone failed disinfection success criteria, whereas 0.5% sodium hypochlorite with color additive achieved full viral inactivation (≥4.50 log10 reduction). Against V. cholerae, 0.2% calcium hypochlorite alone and with color additive achieved 5.99 log10 and >6.03 log10 reductions, respectively. Against S. aureus and P. aeruginosa, 0.5% NaDCC with and without color additive achieved >4.9 log10 and >3.54 log10 reductions, respectively. All 3 chlorine disinfectants with color additive tested as negligible skin irritants. CONCLUSIONS: This color additive can be combined with chlorine disinfectants without adversely affecting antimicrobial efficacy or skin safety.

Novel color additive for chlorine disinfectants corrects deficiencies in spray surface coverage and wet-contact time and checks for correct chlorine concentration.

Bleach sprays suffer from poor surface coverage, dry out before reaching proper contact time, and can be inadvertently over-diluted to ineffective concentrations. Highlight®, a novel color additive for bleach that fades to indicate elapsed contact time, maintained >99.9% surface coverage over full contact time and checked for correct chlorine concentration.

Identification of 1',5'-naphthyridinophthalone and its quantification in the color additive D&C Yellow No. 10 (Quinoline Yellow) using high-performance liquid chromatography.

The present work reports the identification and characterization of a contaminant, 2-(2'-(1,5-naphthyridinyl))-1,3-indanedione (1',5'-naphthyridinophthalone, 1,5NP), in the color additive D&C Yellow No. 10 (U.S.-certifiable form of Quinoline Yellow), together with its quantification in batches of the color additive certified by the U.S. Food and Drug Administration (USFDA). The impurity, which is a compound not previously reported in the literature, was synthesised and characterised for use as a reference material. Test portions from 26 certified batches of D&C Yellow No. 10 submitted to USFDA by four domestic and four foreign manufacturers were analyzed for 1,5NP using high-performance liquid chromatography. The results revealed a wide range of 1,5NP levels across batches, with 18 (69.2%) of the test portions containing amounts from 0.32 to 169.94 µg g-1 while the remaining test portions contained no detectable (<0.07 µg g-1) amounts. Samples of the European and Japanese forms of Quinoline Yellow were also analyzed and found to contain a wide range of 1,5NP levels. The varying levels of 1,5NP in all three forms of Quinoline Yellow suggest that contamination can be significantly decreased or eliminated through manufacturing adjustments. Since 1,5NP is closely related to a D&C Yellow No. 10 contaminant (quinophthalone) that has a USFDA-specified limit of 4 µg g-1 and is a known allergen, assessment of the possible allergenicity of 1,5NP is warranted.

Determination of Sudan I and a newly synthesized Sudan III positional isomer in the color additive D&C Red No. 17 using high-performance liquid chromatography.

Specifications in the Code of Federal Regulations for the color additive D&C Red No. 17 (Colour Index 26100) limit the levels of two subsidiary colors, 1-(phenylazo)-2-naphthol (Sudan I) and 1-[[2-(phenylazo)phenyl]azo]-2-naphthalenol (Sudan III o-isomer), to 3% and 2%, respectively. The present work reports the development of a high-performance liquid chromatography (HPLC) method for the quantitative determination of these subsidiary colors. Since Sudan III o-isomer needed to be synthesized for use as a reference material, a two-step procedure was devised: (i) preparative-scale synthesis of the intermediate 2-aminoazobenzene (2AAB) and its purification by counter-current chromatography and (ii) diazotization of 2AAB and coupling with 2-naphthol. Characterization of the newly synthesized Sudan III o-isomer is also reported. Sudan I and Sudan III o-isomer were quantified by using five-point calibration curves with data points ranging from 0.108 to 3.240% and 0.077 to 2.227% by weight, respectively. The HPLC method is rapid (14 min for the total analysis cycle) and simple to implement. It was applied to the analysis of test portions from 25 batches of D&C Red No. 17 submitted to the U.S. Food and Drug Administration (USFDA) for certification, and it has recently been implemented by USFDA for routine batch certification of that color additive.