Comparative assessment of local tolerance of alcohols commonly used in alcohol-based hand rubs for hand hygiene.

Hand hygiene plays a key role in nosocomial infection prevention. To achieve users' adherence, products' dermal tolerance is essential. We aimed at making a comparative assessment of skin irritation and phototoxicity of the 3 alcohols commonly used in alcohol-based hand rubs (Ethanol, Propan-2-ol, Propan-1-ol) at 60, 70, 80 or 85% w/w in water or with co-formulates (hydrating, emollient and skin protective agents). In vitro validated OECD methods 439 and 432 were used. For irritation, EpiSkin™ Small Model was the chosen Reconstructed Human Epidermis (RhE). For phototoxicity, co-formulates alone or in mixture with and without alcohol were tested using BALB/c 3T3 cell cultures. Whilst Ethanol and Propan-2-ol could not be differentiated and displayed good skin tolerance profiles, Propan-1-ol based products lead to significant viability impairments of RhE at 60, 70 or 80% and at 60% in the presence of co-formulates. However, these results could not be reproduced in another RhE model. Taking also into account bibliographic data on Propan-1-ol, this suggests that our results are probably related to a lack of specificity of the used RhE. Therefore, it can be relevant in case of significant results to use two different RhE models before performing any classification and/or performing any complementary tests.

Aqueous mixtures of di-n-decyldimethylammonium chloride/polyoxyethylene alkyl ether: dramatic influence of tail/tail and head/head interactions on co-micellization and biocidal activity.

Mixed aggregate formation and synergistic interactions of binary surfactant mixtures of di-n-decyldimethylammonium chloride, [DiC(10)][Cl], with polyoxyethylene alkyl ethers, C(i)E(j) (i=10, 12, j=4, 6, 8), have been investigated for various [DiC(10)][Cl]/C(i)E(j) ratios. The critical aggregation concentration of the binary mixtures has been determined by tensiometry, and the aggregate characteristics (i.e., size and composition, free ammonium concentration) have been estimated using the pulsed field gradient NMR spectroscopy and a [DiC(10)]-selective electrode. Diffusion coefficient measurements of micelles confirmed the synergistic interaction between the surfactants. It is thus shown that the formation of surface monolayers and mixed aggregates from [DiC(10)][Cl]/C(10)E(j) mixtures is driven by both tail/tail and head/head interactions, whereas [DiC(10)][Cl]/C(12)E(j) co-aggregation is mainly driven by tail/tail interactions. As a consequence, the co-aggregation phenomenon notably influences the biocidal activity of [DiC(10)][Cl] on the Candida albicans fungi. In the presence of C(12)E(j), the biocidal activity of the ammonium salt is inhibited due to the trapping of the cationic surfactants in the mixed aggregates, whereas in the presence of C(10)E(j), the biocidal activity of the surfactant mixture is maintained. The mode of action is also confirmed by a faster increase in the zeta potential of a C. albicans suspension in the presence of [DiC(10)][Cl]/C(10)E(8) than in the presence of [DiC(10)][Cl]/C(12)E(8). Therefore, a judicious adjustment of the alkyl (i) and polyoxyethylene (j) chain lengths of C(i)E(j) avoids its antagonistic effect on the biocidal activity of [DiC(10)][Cl].