Antifungal activity of octenidine dihydrochloride and ultraviolet-C light against multidrug-resistant Candida auris

J Hosp Infect. 2019 May;102(1):120-124. doi: 10.1016/j.jhin.2018.09.008. Epub 2018 Sep 25.

Abstract

Outbreaks due to multidrug-resistant Candida auris have emerged as a large threat to modern medicine. Since skin colonization and environmental contamination have been identified as a precursor for outbreaks, we evaluated the antifungal activity of ultraviolet-C light using mercury vapour lamp with a peak emission of 254 ± 2 nm and octenidine dihydrochloride against C. auris clinical isolates. Octenidine dihydrochloride was found effective at significantly lower concentrations (0.00005-0.0004%) than those currently used in the clinical setting (0.05-0.1%). Scanning electron microscopy images show destruction of the organism within 6 h of exposure to 0.0005% octenidine dihydrochloride. Ultraviolet-C light could kill all C. auris with 15 min exposure.

Keywords: Candida auris; Colonization; Disinfection; Octenidine dihydrochloride; Ultraviolet-C.

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Candida / drug effects*
  • Candida / isolation & purification
  • Candida / physiology
  • Candida / radiation effects*
  • Candidiasis / microbiology
  • Humans
  • Imines
  • Microbial Viability / drug effects*
  • Microbial Viability / radiation effects*
  • Microscopy, Electron, Scanning
  • Pyridines / pharmacology*
  • Time Factors
  • Ultraviolet Rays*

Substances

  • Anti-Infective Agents, Local
  • Imines
  • Pyridines
  • octenidine