Antiseptic Stewardship Biocide Resistance and Clinical Implications
VVarious antiseptic agents, such as chlorhexidine, are used for different applications, e.g. in healthcare, veterinary medicine, animal production and household products, including cosmetics. However, not all antiseptic agents provide significant health b
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Antiseptic Stewardship Biocide Resistance and Clinical Implications
Antiseptic Stewardship
Günter Kampf
Antiseptic Stewardship Biocide Resistance and Clinical Implications
123
Günter Kampf Institute of Hygiene and Environmental Medicine University of Greifswald Greifswald, Germany
ISBN 978-3-319-98784-2 ISBN 978-3-319-98785-9 https://doi.org/10.1007/978-3-319-98785-9
(eBook)
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Foreword
Biocides (disinfectants, antiseptics, preservatives) usage has increased worldwide notably for applications that do not necessarily require the application of biocides, particularly in the home environment. The amount of biocides used in Europe is difficult to quantify as the number of products containing a biocide and biocide applications have increased dramatically in the last 10 years. It is thus logical to assume that microbial exposure to biocides has also increased. Parallel, but not separate, from the increase in biocidal products commercially available is the rise in antimicrobial resistance (AMR) in bacteria, which results primarily from the overuse and misuse of chemotherapeutic antibiotics for human and veterinary medicine, but also for industrial processes such as fermentation. Recent calculations from Lord O’Neil’s AMR report to the British government predict human deaths caused by untreatable AMR to reach 10 million worldwide by 2050, well above other diseases including cancer. Biocidal products have a role to play in reducing AMR notably on hard and porous surfaces, with disinfection and antisepsis, and in products through preservation. The increase in biocidal
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