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Marked variations in the effectiveness of commercial disinfectants against clinically relevant antibiotic-resistant bacteria and fungi Cover

Marked variations in the effectiveness of commercial disinfectants against clinically relevant antibiotic-resistant bacteria and fungi

Open Access
|Jun 2026

Figures & Tables

Figure 1

Schematic representation of MBC× value determination

Figure 2

Dey-Engley agar neutralisation experiment. On plate A, 5 µL of the disinfectant at the corresponding concentration was first inoculated. After 1 min, 5 µL of the bacterial suspension was added to the same spot. On plate B, a standard MBC assay was performed, showing the MBC× value at a 16× dilution after 1 min of contact. If the agar effectively neutralised the disinfectant, bacteria from the suspension should grow without inhibition, as shown in the figure above. The images presented correspond to K. pneumoniae/F5Oxy testing

Figure 3

Mode and minimal MBC× values for all the tested bacterial strains combined, expressed as dilution factors of tested disinfectants after 1 min of contact. A) all the tested formulations; B) alcohols; C) peroxides; D) quaternary ammonium compounds and chlorhexidine. Error bars represent the interquartile range (Q1–Q3) of mode values

Figure 4

Minimum MBC× values for all bacterial strains, expressed as dilution factor of disinfectants after 1 m and 1 h of contact

Figure 5

Mode and minimal MBC× values for C. albicans, expressed as dilution factor of disinfectants after 1 min of contact. Error bars represent the interquartile range (Q1–Q3) of mode values

Figure 6

Heat map of disinfectant efficacy against the tested strains based on the minimum MBC× values after 1 min of contact (also shown as numerical values). Red tones denote more resilient strains requiring more concentrated formulations for bactericidal effect, whereas green tones indicate more susceptible strains, for which highly diluted formulations remain bactericidal

Description and antibiotic susceptibility profile of clinical bacterial isolates used in the study

SpeciesOriginResistant to:Susceptible to:
Escherichia coli DSM 498Laboratory microbank-AMC, TZP, CAZ, CAZ-AVI, CPM, MEM, IMI, AK, CN, CIP, FOF, COL
Staphylococcus aureus ATCC 25923Laboratory microbank-AMC, AZI, CTX, E, ETP, IMI, P
Candida albicans ATCC 10231Laboratory microbank-AmB, AFG, MFG, CAS, FLZ
Klebsiella pneumoniae (carbapenem-resistant)Urine cultureAMP, AMC, CXM, SXT, NOR, CIP, LEV, CRO, CTX, TZP, CPM, ETP, MEM, IMICOL, CAZ-AVI
Klebsiella pneumoniae (extended spectrum beta-lactamase-resistant)Faeces sampleAMP, AMC, CXM, SXT, CN, CAZ, CRO, CTX, TZP, CPMAK, MEM
Acinetobacter baumannii (carbapenem-resistant)Tracheal aspirateCN, AK, TZP, MEM, IMIAMS, COL
Pseudomonas aeruginosa (carbapenem-resistant)HaemocultureMEM, IMIAK
Staphylococcus aureus (methicillin-resistant)Nasopharyngeal swabCLOX, E, AZI, CLA, CLI, CIP, MOXI, LEVSXT, CN, RD, VAN, TEC, LZD, MUP
Enterococcus faecium (vancomycin-resistant)Perianal swabAMP, VAN, TECLZD

Description and composition of disinfectant formulations used in the study

AbbreviationActive compound and its concentrationRecommended use
F1AlcEthanol 70 %General disinfection
F2AlcEthanol 57 % and isopropyl alcohol 6 %Cleaning and disinfection of surfaces and non-invasive medical instruments
F3AlcIsopropyl alcohol 70 %Cleaning and disinfection of surfaces and non-invasive medical instruments
F4OxyHydrogen peroxide 15 g/LCleaning and disinfection of invasive and non-invasive medical devices
F5OxyHydrogen peroxide 15 g/L and phenoxyethanol 5 g/LSurface cleaning and disinfection
F6QACIsopropyl alcohol 17 %; didecyldimethylammonium chloride 2.3 g/LSurface disinfection
F7QACAlkyldimethylbenzilammonium chloride 2.6 g/L; didecylmethyl ammonium chloride 2.6 g/L; alkylethylbenzilammonium chloride 2.6 g/LCleaning and disinfection of surfaces and non-invasive medical instruments, including the ones sensitive to alcohol
F8CHXChlorhexidin gluconate 8 g/L in 80 % ethanolHand disinfection and hand preparation for surgery
DOI: https://doi.org/10.2478/aiht-2026-77-4065 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English
Page range: 132 - 139
Submitted on: Nov 1, 2025
Accepted on: May 1, 2026
Published on: Jun 30, 2026
In partnership with: Paradigm Publishing Services

© 2026 Josip Figl, Stjepan Nemec, Zrinka Bošnjak, Ana Budimir, Tomislav Ivanković, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution 4.0 License.