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  • 7/25/2019 Changes in Preservative Sensitivity for The

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    Journal of i ippl ied Bacteriology 1980,

    49

    119-1

    26

    6941121/79

    Changes in Preservative Sensi tiv ity fo r t h e

    USP Antimic rob ial Agents Effectiveness

    Test Micro -org anisms

    M. M.

    A. AL HITI

    AND P.

    GILBERT

    Department of Pharmacy, Universi ty

    of

    Manchester, Manchester M I 3 9PL, U K

    Received

    24

    December 19 79 an d accepted 19 February 19 80

    Chemically defined and semi-defined media were designed for the preservative-effi

    cacy testing micro-organisms designated by the United States Pharmacopoeia, in

    which the organisms went into the stationary phase of growth at an optical density

    E470) of 1.0, because of depletion of a single carbon, nitrogen or phosphate source.

    Aspergillus niger

    was grown on solid media containing concentrations of these

    nutrients which limited the rates of mycelial development and sporulation density. The

    ability of the micro-organisms to survive and grow in the presence of chlorhexidine

    diacetate, benzalkonium chloride and thiomersal varied markedly with the nutrient-

    depletion of the inocula.

    No

    universal pattern of sensitivity emerged among micro-

    organisms. Only A niger showed little overall change in preservative sensitivity. These

    results highlight the need to define more adequately growth media and conditions for

    the production of inocula for antimicrobial challenge tests.

    MICROBIALH A L L E N G E S form a useful basis for evaluating the biological availability

    of preservatives in pharmaceutical and cosmetic products that are liable to microbial

    spoilage (Anderson Crompton 1967; Eriksen 1970; Nortonet al. 1974). The United

    States Pharmacopoeia1 (XIX) (USP) Antimicrobial Agents Effectiveness Test pro-

    vides an officially recommended test for evaluating the effectivenessof preservatives in

    medicinal products (Anon. 1975). The test was designed for use with ophthalmic, aural

    and nasal preparations but is often used as a guideline for other products including

    non-pharmaceutical materials. In many instances, however, products complying with

    this test are subsequently found to be inadequately preserved (Moore 1978). Results of

    the USP Test indicate whether the product will contend adequately with a defined

    challenge by five designated strains of micro-organisms. The conditions specified by

    the Pharmacopoeia, however, leave ample room for variation; indeed conflicting

    results may often be obtained within a single laboratory (Moore 1978).

    The bacterial envelope is remarkably flexible in its structure and composition. It is

    highly responsive to changes in the nutritional environment, resulting in differences in

    the sensitivity of cells towards drugs, through variation in permeability of the cell

    envelope (Brown 1975). Thus Gram negative bacteria (Finch Brown 1975; Gilbert

    Brown 1978a, b ) and Gram positive bacteria (Gilbert Brown 1980) and yeasts

    (Johnson et al. 1978), have all been reported to vary in drug sensitivity according to

    conditions of vegetative growth. It has been suggested that the organisms used in the

    USP Test for antimicrobial effectiveness might also vary in a similiar fashion (Brown

    1977; Hobbs et al. 1979). In addition a preserved system is unlikely to be challenged

    during normal use with typical laboratory cultures grown in chemically rich media

    designed to give optimal conditions for growth. Instead the micro-organisms would

    have adapted to their own particular environments (Yablonski 1972). Thus the nutri-

    0021

    -8847/80/040119+08 01.00/0

    [ 191

    980 The Society

    for

    Applied Bacteriology

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    120 M. M . A. AL-HIT1 AND P. GILBERT

    tional status of the challenge inocula might influence the decision about the adequate

    preservation of a product. As the USP Test is essentially a biological assay of

    preservative availability, it is not absolutely necessary for

    it

    to mimic the in-use

    situation; it must, however, be reproducible. Growth conditions of the challenge

    inocula are inadequately specified in the USP and might therefore lead to results that

    vary between laboratories.

    This study therefore investigates the effectsof depletion of carbon (C-dep), nitrogen

    (N-dep) and phosphate (P-dep) during the growth of the USP Test organisms upon

    their ability to grow subsequently in the presence of three typical preservatives. The

    object

    was

    to improve the reliability of the test. A preliminary report of some of these

    results has already been published (Al-Hiti Gilbert 1979).

    Materials and Methods

    Organ sms

    Stuphylococcus aureus,

    ATCC 6538;

    Escherichia coli,

    ATCC 8739;

    Pseudomonas ueru-

    ginosa,

    ATCC 9027;

    Candida ulbicuns,

    ATCC 8739, and

    Aspergillus niger,

    ATCC

    16404 were used throughout. Cultures were maintained on slopes of Nutrient Agar

    (Oxoid, CM3) at room temperature after incubation overnight at 35C for the bacteria

    and yeast and 7

    d

    at 30C for the fungus. Slopes were replaced at 28 d intervals.

    Chemicals

    Chlorhexidine diacetate was obtained as Hibitane from ICI Ltd. (Macclesfield, Chesh-

    ire) and benzalkonium chloride and morpholinopropane-sulphonic acid (MOPS) from

    Sigma Chemicals (Poole, Dorset). Microbiological media were supplied by Oxoid

    except for the yeast extract which was purchased from Difco Laboratories. All other

    reagents were obtained from BDH and were of the purest available grade.

    Liquid media

    Chemically defined or semi-defined simple-salts media were designed for the growth of

    the micro-organisms, based initially on those of Gilbert Brown

    (1

    9786) for Esch. coli,

    Vogel Bonner

    ( 1956)

    for

    Ps. aeruginosa,

    Kobayashi

    t al. (1

    964) for

    C. albicans

    and

    supplemented with yeast extract and thiamine-HC1 for Staph. uureus. Although media

    for the different organisms must inevitably be different quantitatively, reflecting their

    different growth requirements, it was desirable that qualitatively they were as similar as

    possible. Thus the constituents of these established simple salts media were rational-

    ized as much as possible with respect to carbon, nitrogen and phosphate sources, buffer

    systems and salts. The media were sterilized by autoclaving at 1 15Cfor 30 min. Biotin,

    thiamine-HC1 and FeNH4(S0 were sterilized separately as concentrated solutions

    by membrane filtration.

    Cleated Erlenmeyer flasks (250 ml) containing 100 ml of the various media were

    inoculated from overnight cultures grown in simple-salts liquid media and incubated in

    an orbital shaker (Gallenkamp Ltd., London) at 100 osc./min and 35C. Growth was

    monitored by optical density (Euo) using a Cecil CE303 spectrophotometer (Cecil

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    NUTRIENT-DEPLETION AND PRESERVATIVE SENSITIVITY

    121

    Instruments Ltd., Cambridge) and 1 cm glass cuvettes. Initially the concentrations of

    either the carbon, nitrogen or phosphate source (Table 1) were varied and the optical

    density of the cultures determined when they reached the stationary phase of growth

    (Fig.

    1).

    All remaining nutrients [Mg

    S 0 4 ,

    0.5 m~;FeNH~(S04)2,.03 mM, and for

    Esch. coli and Staph . aureus KCl, 13.4 m ~ ]ere present in excess. The media for Staph.

    aureus were also supplemented with yeast extract (1O g/l), thiamine-HCl(1 O mg/l) and

    biotin (0.15 mg/l) and that for

    C

    albicans with biotin (0.15 mg/l). pH was measured

    before and after growth of the cultures to check the buffering capacity of the media (pH

    TABLE

    Media composition

    for

    the growth of Escherichia coli, Pseudomonas aeru-

    ginosa, Staphylococcus aureusand Candida albicans

    Concentration

    (mM)

    to give stationary phase at an opti-

    cal density

    E470) of 1

    O

    Growth

    limiting

    Escherichia

    nutrient coli

    Glucose

    Glycerol

    8.5

    Sodium citrate

    K 2 H P 0 4 0.13

    (NH4)zS04 1.2

    Staphylococcus Psrudomonas Candida

    aureus arruginosa alhicans Nutrient-depletion

    3.0 6.0

    12.5

    Carbon-depleted*

    9.0

    t 0.05 0.15 0.05

    Phosphate-depleted*

    2.5 2.0 2.5

    Nitrogen-depleted*

    * If

    non-limiting added at five times these concentrations.

    t

    No added phosphate for phosphate-

    depleted, otherwise

    2.0 mM. No

    added

    NH4)2S04

    for nitrogen-depleted, otherwise

    5.0 mM.

    7.2). The P-dep and all staphylococcal cultures were buffered using MOPS (200 mM);

    the remainder were buffered with phosphates (KH*P04,28mM; K*HP04,72 mM). The

    concentrations of the carbon, nitrogen and phosphate sources within the media

    causing the cultures to enter their stationary phase of growth at an optical density of

    1.0 were used in the design of the simple-salts media. The nutrient to be depleted was

    supplied at this concentration, and the remainder at 5 times this level.

    Solid media design

    For

    A

    niger the USP Test specifies that the challenge inocula is a spore suspension.

    Solid media were therefore devised for the growth of this organism based on the

    simple-salts liquid media of Kobayashi et

    al. (1964)

    and solidified with 1 (w/v)

    bacteriological agar (Oxoid L1 1). Plates were inoculated centrally with an agar disc cut

    from a 7 d simple-salts plate culture ofA niger, using a 4 mm flamed cork borer. Rates

    of increase in colony size were determined directly by daily measurement over 7 d and

    the density

    of

    spores within the colony was assessed daily for 7 d by flooding replicate

    plates with water, agitating with a glass spreader and performing total spore counts on

    the final suspension. Concentrations of carbon, nitrogen and phosphate sources were

    varied as with the liquid media. Rates of increase in colony size altered linearly with

    respect to limiting nutrient concentration. At very low phosphate concentrations,

    however, although mycelial growth rate was limited by the phosphate concentration,

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    122 M .

    M .

    A. AL-HIT1

    AND

    P. GILBERT

    the density of sporulation within the colony was very much reduced. Choices of

    limiting nutrient concentrations for the final media (Table 2) were therefore made

    subjectively, selecting those that restricted the rate of colony development but allowed

    a sufficient level of sporulation for harvesting and preparation of spore suspensions

    after

    7

    d incubation. For C-dep and N-dep cultures these reduced the rate of increase in

    0 5

    0 2

    0.4 0 6 0 8

    poG3-

    oncentration

    CO MI

    Fig. 1 . Effect of phos phate concentration upon the stationary phase optical density

    E470)

    of (a)

    Psrudomonas aeruginosa grown in simple-salts media with glycerol 0 ) and sodium citrate as

    carbon source 0 ) ; (b) Staphylococcus aureus grown in simple-salts media including yeast

    extr act (I g/l.) as a source of vitamins and amin o acids.

    colony diameter by 50 from that on complete media. For P-dep cultures, however,

    where sporulation density varied with phosphate concentration, this was not possible

    and that concentration giving a 50 reduction in spore density of the colony was

    selected.

    Sensitivity to w ar d preservatives

    Liquid cultures of the bacteria and yeast, depleted either in carbon, nitrogen or

    phosphate source, were prepared in 250 ml cleated Erlenmeyer flasks containing 100ml

    of the appropriate media (Table l), grown overnight (16 h) at 35C in an orbital shaker

    (100 osc./min). These had been inoculated from similarly grown cultures in identical

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    NUTRIENT-DEPLETION AND PRESERVATIVE SENSITIVITY 123

    media. Aspergillus niger was grown on solid media (Table 2) for

    7

    d at 35C and the

    spores harvested by flooding the plates with water and agitating using glass spreaders.

    Cultures of micro-organisms

    so

    obtained were serially diluted in distilled water and 0.1

    ml amounts, containing 1 x lo2,1 x lo3and

    1

    x lo4viable cells, spread on to predried

    nutrient agar plates containing varying concentrations of thiomersal, benzalkonium

    chloride or chlorhexidine diacetate. The number of colony forming units (c.f.u.) was

    TABLE

    Media composition

    f o r

    the growth of

    Aspergillus niger

    Concentrations

    of

    growth limiting

    nutrients

    (mM)

    for

    Aspergillus niger

    in Bacteriological Agar

    ( 1

    wiv)

    wiv)

    Carbon- Phosphate- Nitrogen-

    Nutrient limited limited limited

    Glucose 3.0

    45.0 45.0

    K2HP04

    72.0

    0 05

    72.0

    (NH4)2S04

    15.0

    15.0 0.0

    Additives MgS04 , 0.5 mM; FeS04, 0.03 mM; biotin,

    0.15

    mg/l; KH2P04,

    30

    mM (carbon and nitrogen-

    limiting media only); MOPS buffer,

    200

    mM (phos-

    phate-limiting media

    only).

    determined after incubation of the plates at 35C for 24 h for the bacteria and 48 h for

    the yeast and fungi. Experiments were done in triplicate and results were expressed as

    percentage reduction in c.f.u. relative to the controls.

    Results and

    Discussion

    M edia design

    Chemically defined and semi-defined liquid media were designed for the bacteria and

    yeast in which logarithmic growth ceased at an optical density of 1.0 because of

    depletion of one key nutrient, either a carbon, nitrogen or phosphate source (Table 1).

    All non-limiting nutrients were available in excess. For the growth of Staph. aureus it

    was necessary to supplement the simple-salts media with a source of vitamins and

    amino acids. These also served to some extent as nitrogen and phosphate sources. Thus

    no added nitrogen or phosphate were included in the media when these were the

    required nutrients for depletion (Fig. lb).

    For

    Ps.

    aeruginosa

    two carbon sources were used (sodium citrate or glycerol). This

    organism utilizes citrate in preference to other carbon sources (Hamilton Dawes

    1959), it was therefore of interest to see whether the nature of the carbon source

    influenced drug sensitivity. Curiously, not only were the molar requirements of the

    organism different for the two carbon sources, but their phosphate requirement

    increased threefold when sodium citrate replaced glycerol as the sole carbon source

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    124 M . M . A .

    AL-HIT1

    A N D

    P . GI LBERT

    (Table

    1,

    Fig. 1). This o bviously reflects a m ajor ch ange in the physiological status of

    the cells.

    Preservative sensitirity

    The ability of the USP Test organisms, grown under C -dep, N -d ep and P-dep condi-

    tions, to survive and grow in the presence of varying concentrations of preservatives

    was assessed. Typical results are illustrated in Fig.

    2,

    and collected results for all the

    Benzoihonium chloride

    concentration

    ( % w/v

    lo4

    Fig. 2. Effect of depletion of carbon m), nitrogen (o), or phosphate 0 ) dur ing the growth of

    Staphylococcus aureus, upon

    its

    ability

    to

    survive and g row on agar plates containing various

    concentrations of benzalkonium chloride.

    micro-organisms, as tha t concen tration of preservative reducing the c.f.u. by

    90 ,

    in

    Table 3. With the exception of

    A

    niger the preservative sensitivity of the micro-

    organisms varied markedly with nutrient-depletion. Least variation in sensitivity was

    observed towards thiomersal, and the greatest towards benzalkonium chloride. Nota -

    bly Ps

    aeruginosa

    was most resistant to all the agents, justifying its notoriety a s an

    organism p articularly resistant

    to

    chemical inactivation (Brown

    1975).

    Greatest varia-

    tion in preservative sensitivity with nutrient-depletion was also observed for this

    organism; the iso-effective concentrations for benzalkonium chloride, for example,

    varied fro m

    2.5 x f>

    N-dep

    3

    P-dep; for

    Ps . aeruginosa,

    P-dep

    >

    N-dep C-dep and for

    Stap h. aureus,

    N-dep

    >

    P-dep C-dep.

    From the results of this study and others (Hobbs et al. 1979) there appears to be no

    rationale for the choice of a single nutrient-depletion, minimizing preservative sensiti-

    vity, for the growth of challenge test inocula. The results do, however, indicate that the

    use of different media within different laboratories could be a primary cause of

    interlaboratory variation, and influence the results of a challenge test for preservative

    TABLE

    Ef fec t of various nutrient-depletions upon the ab ility of micro-organism s to grow in

    the presence of preservative

    Preservative concentration required

    to

    reduce the number

    of

    colony

    forming units

    by

    907,; (7 wjv

    x

    lo4)

    Benzalkonium

    Thiomersal Chlorhexidine chloride

    Organ ism N-dep C-dep P-dep N-dep C-dep P-dep N-dep C-dep P-dep

    Escherichiu coli 0.53 0.37 0.60 24.0 13.0 20.0 100.0 65.0 82.0

    Pseudomonus

    ueruginosu

    (grown o n citrate)

    1.90

    1.40 0.25 28.0 24.0 30.0

    100.0

    450.0 25.0

    (grown o n glycerol) 5.00

    5.00 3.70

    62.0

    45.0 41.0

    500.0 500.0 180.0

    Staphylococcus

    uureus 0.12

    0.54 0.14 8. 0 10.5 10.5 0.5 0.6 0 .6

    Cundidu albicuns

    0.009

    0.009 0 013

    10.5

    11 0

    10.0 52.0

    45.0 35.0

    Aspergillus

    niger

    0.025 0.025

    0.025

    2.3

    2.3 2.3

    2.6 2.5 2.6

    N-dep , nitrogen depleted; C-dep, carbo n depleted; P-dep, pho sphate depleted.

    efficacy, especially when the concentrations of preservative employed are just ade-

    quate. Growth conditions are inadequately specified within the USP Antimicrobial

    Agents Effectiveness Test and allow such a situation to occur. There would appear,

    therefore, to be justification in designating a single medium for the growth of each

    organism to be used in this and similar tests. Insufficient data are available to decide

    whether this medium shall be chemically-defined and of low complexity or undefined,

    such as nutrient broth. There is, however, one major advantage in using chemically-

    defined media in that they are unlikely to vary significantly between manufacturers.

    Adoption of these measures would increase test reproducibility, but to increase

    relevance to the

    in viuo

    state, additional testing must be done with organisms from an

    unpreserved or inadequately preserved product (Yablonski 1972), and possibly also

    with organisms isolated from the manufacturing environment and grown in the

    unpreserved product.

    References

    AL-HITI,M . M .

    A . GILBERT,. 1979

    Effect

    of

    nutrient-depletion upon the sensitivity

    of

    the

    US

    Pharmacopoeia1 preservative testing strains towards thiomersal, benzalkonium chloride

    and chlorhexidine diacetate.

    Society for General Microbiology Quarterly

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    AND

    P. GILBERT

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