Triclosan
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Triclosan

Triclosan (chemically 5-chloro-2-(2,4-dichlorophenoxy)phenol) is a potent wide-spectrum antibacterial and antifungal agent. more...

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Chemistry

This organic compound is a white powdered solid with a slight aromatic/phenolic odor. It is a chlorinated aromatic compound which has functional groups representative of both ethers and phenols. Phenols often show anti-bacterial properties. Triclosan is slightly soluble in water, but soluble in ethanol, diethyl ether, and stronger basic solutions such as 1 M sodium hydroxide, like many other phenols.

Uses

It is found in soaps, deodorants, toothpastes and is impregnated in an increasing number of consumer products, such as kitchen utensils, toys, bedding, socks, and trash bags. It has been shown to be effective in reducing and controlling bacterial contamination on the hands and on treated products.

Triclosan is regulated by both the U.S. Food and Drug Administration and by the European Union. In the environment, triclosan is removed during normal waste treatment processes as shown by extensive environmental studies, and any of it that remains after waste treatment quickly breaks down into other compounds in the environment. However, one study showed that triclosan was broken down into dioxins in river water, because of the presence of sunlight (PMID 15779749).

Mechanism of action

Triclosan appears to kill bacteria mainly by inhibiting fatty acid synthesis. Triclosan binds to bacterial enoyl-acyl carrier protein reductase (encoded by FabI) and increases the enzyme's affinity for nicotinamide adenine dinucleotide (NAD+). This results in the formation of a stable ternary complex of FabI-NAD+-triclosan, which is unable to participate in fatty acid synthesis. Some bacterial strains are resistant to triclosan due to FabI mutations which decrease triclosan's effect on FabI-NAD+ binding. (PMID 10196195) Another way for bacteria to gain resistance to triclosan is to overexpress FabI (PMID 11418506).

Resistance concerns

An article coauthored by Dr. Stuart Levy in the August 6, 1998 issue of Nature (PMID 9707111) warned that its overuse could cause resistant strains of bacteria to develop, in much the same way that antibiotic-resistant bacterial strains are emerging, based on speculation that triclosan behaved like an antibiotic. Based on this speculation, in 2003, the Sunday Herald newspaper reported that some UK supermarkets and other retailers were considering phasing out products containing triclosan.

It has since been shown that the laboratory method used by Dr. Levy was not effective in predicting bacterial resistance for biocides like triclosan, based on work by Dr. Peter Gilbert in the UK (PMID 12957932). At least seven peer-reviewed and published studies have been conducted demonstrating that triclosan is not significantly associated with bacterial resistance, including one study coauthored by Dr. Levy, published in August of 2004 in Antimicrobial Agents and Chemotherapy (PMID 15273108). In addition, there is 30 years of experience with triclosan without any incidences of acquired bacterial resistance reported, and there are no studies showing acquired resistance after long-term use.

Read more at Wikipedia.org


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Bursting the bubble - Antibacterial Soaps
From Better Homes & Gardens, 5/1/03 by Eric Metcalf

Do you squirt dollops of antibacterial soap into your hands hoping to exterminate hordes of disease-causing germs? Don't bother.

In a study for the Journal of Community Health, 238 households washed their hands with either regular soap or antibacterial soap. For a year, researchers regularly took a head count of the number of microscopic bugs on each person's hands.

"There wasn't any difference in the bacterial counts on the hands between those who used the antibacterial or the plain soap," says Elaine Larson, R.N., Ph.D., a professor at Columbia University's School of Nursing in New York City and the study's lead author.

Why? Most people wash their hands for mere seconds--not enough time for antibacterial soaps to work, says Dr. Stuart Levy, a professor at Tufts University in Boston and author of The Antibiotic Paradox.

But the soaps' antibacterial agent--usually triclosan--does kill off bacteria elsewhere in your surroundings and that can pose a different sort of health problem. Levy says the antibiotic residue of these soaps lingers on household surfaces and exterminates large numbers of the harmless germs that normally live among us. Young children need to interact with such germs to "train" their immune systems. Failure to do so could make them more likely to develop asthma or other immune-system diseases. The take-home message? About half of the hand soaps out there are antibacterial. That means half aren't. Choose the latter.

One exception: If you have a household member at high risk from infection--such as someone undergoing chemotherapy--then you should use a fast-acting alcohol-based hand sanitizer that you can buy at any drugstore.

program.

COPYRIGHT 2003 Meredith Corporation

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