Introduction to Antimicrobial Agents

Antimicrobial agents are chemical substances used to prevent or reduce infections caused by microorganisms. They may act by killing microbes or by inhibiting their growth. These agents are widely used in medical, pharmaceutical, and industrial applications to ensure sterility and prevent disease transmission.

Classification of Antimicrobial Agents

  1. Antiseptics: Substances that kill or inhibit the growth of microorganisms when applied to living tissues. Example: Iodine solution, hydrogen peroxide.
  2. Disinfectants: Agents that destroy pathogenic microorganisms on inanimate objects or surfaces. Example: Sodium hypochlorite, phenols.
  3. Germicides: Substances capable of killing microorganisms.
  4. Bacteriostatics: Agents that inhibit bacterial growth but do not necessarily kill the bacteria.
  5. Bactericidal Agents: Substances that kill bacteria completely.
  6. Sterilizers: Agents that render an object completely free of all microorganisms, including spores.

Mechanism of Antimicrobial Action

Antimicrobial agents act by one or more of the following mechanisms:

1. Oxidation Mechanism

Agents that release oxygen or other oxidizing species act by oxidizing vital functional groups in proteins and enzymes of microorganisms. This leads to the inactivation or denaturation of these biomolecules.

Examples: Hydrogen peroxide (H₂O₂), Potassium permanganate (KMnO₄), and Sodium perborate.

Mechanism: Oxidation destroys functional groups like sulfhydryl (-SH), forming disulfide bonds (-S-S-) that alter protein structure and function.


2. Halogenation Mechanism

Halogen compounds (chlorine, iodine, hypochlorites) act by halogenating peptide linkages in proteins, disrupting hydrogen bonding and altering protein structure.

When chlorine or iodine substitutes nitrogen in peptide linkages, the resulting structural distortion leads to enzyme and protein malfunction, ultimately causing microbial death.

Examples: Iodine solution, Sodium hypochlorite, Chlorinated lime.


3. Protein Binding or Precipitation Mechanism

Many metal ions (e.g., mercury, silver, zinc, arsenic, antimony) act by binding to or precipitating proteins. This non-specific interaction disrupts protein activity and microbial enzyme systems.

Examples: Silver nitrate, Zinc compounds, Mercury salts.


Commonly Used Antimicrobial Agents

1. Hydrogen Peroxide (H₂O₂)

  • Mechanism: Acts through oxidation, releasing nascent oxygen which kills bacteria.
  • Uses: Used as a mild antiseptic for wounds, mouth rinses, and cleansing surfaces. Also serves as a disinfectant in pharmaceutical and surgical equipment cleaning.

2. Sodium Perborate (NaBO₃·H₂O₂)

  • Mechanism: Acts as an oxygen-liberating agent, similar to hydrogen peroxide.
  • Uses: Used in tooth-whitening formulations and as a cleansing agent in medical and dental preparations.

3. Zinc Peroxide (ZnO₂)

  • Mechanism: Releases oxygen gradually, providing sustained antiseptic action.
  • Uses: Used as an antiseptic and deodorant; also in dental pastes and powders.

4. Potassium Permanganate (KMnO₄)

  • Mechanism: Acts through oxidation of bacterial cell components.
  • Properties: Deep purple crystals, soluble in water; strong oxidizing agent.
  • Uses: Used for cleansing wounds, treating dermatitis, and as a disinfectant for infected surfaces and ulcers.

5. Iodine Solution (Tincture of Iodine)

  • Composition: Iodine dissolved in alcohol with potassium iodide to improve solubility.
  • Mechanism: Acts by halogenation of proteins, disrupting microbial enzymes.
  • Uses: Widely used as a skin antiseptic before surgical procedures.

6. Aqueous Iodine Solutions

  • a) Weak Iodine Solution: Contains 0.5–1% iodine; used for minor antiseptic purposes.
  • b) Strong Iodine Solution: Contains 5–10% iodine; used as a disinfectant and for treating fungal and bacterial skin infections.

7. Boric Acid (H₃BO₃)

  • Mechanism: Acts as a mild antiseptic and buffering agent.
  • Uses: Used in eyewash preparations, antiseptic ointments, and dusting powders.

8. Sodium Hypochlorite (NaOCl)

  • Mechanism: Liberates hypochlorous acid, which chlorinates peptide linkages in microbial proteins.
  • Uses: Used as a disinfectant in hospitals, water purification, and surface sterilization.

9. Chlorinated Lime (Bleaching Powder, Ca(OCl)₂)

  • Mechanism: Acts as a chlorine-releasing compound, effective against a wide range of microbes.
  • Uses: Used in disinfection of drinking water, sewage, and hospital environments.

Detailed Notes:

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