Do multipurpose contact lens disinfecting solutions work effectively against non-FDA/ISO recommended strains of bacteria and fungi?

Maureen Boost, Sindy Lai, Cathy Ma, Hie Hua Wong

Research output: Journal article publicationJournal articleAcademic researchpeer-review

17 Citations (Scopus)

Abstract

Purpose: Recent outbreaks of microbial keratitis have increased concerns about the efficacy of multipurpose solutions (MPS) against 'real-world' organisms. This study determined, in accordance with FDA/ISO standard methods, the effects of five MPS against clinical isolates and type strains of bacteria, and isolates of fungi from subjects' ocular structures; and of three MPS against environmental fungal isolates. Method: MPS were challenged with bacteria (type strains (ATCC) and clinical isolates of bacterial pathogens obtained from a district hospital laboratory) and with fungal isolates from both the periocular and conjunctival structures and from environmental air. Results: All MPS demonstrated at least a 3-log reduction of challenged cell viability of all bacterial species tested, with the exception of MPS D against a canine infection Staphylococcus aureus isolate. Whilst all MPS tested were able to effect a 1.0-log reduction of viability of Fusarium solani (ATCC 36031), only two MPS had 90% viability reduction against all fungi of human origin and only one of these against all environmental fungal isolates. Effectiveness of these two solutions against fungal isolates compared to the remaining three MPS was found to be statistically significant (p = 0.003). Conclusions: All MPS demonstrated a 99.9% viability reduction against a wide range of bacteria including major ocular pathogens not currently included in the FDA panel. The inability of three MPS to achieve a 90% reduction against fungal isolates is of concern as there has been a recent upsurge in reports of fungal keratitis. We would recommend extension of the current FDA testing panel for MPS to include more fungal isolates.
Original languageEnglish
Pages (from-to)12-19
Number of pages8
JournalOphthalmic and Physiological Optics
Volume30
Issue number1
DOIs
Publication statusPublished - 1 Jan 2010

Keywords

  • Efficacy
  • FDA guideline
  • Fungal keratitis
  • Multipurpose solutions

ASJC Scopus subject areas

  • Ophthalmology
  • Optometry
  • Sensory Systems

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