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In general, disinfectants have three mechanisms of action or ways that they affect or kill an organism: Cross-linking, coagulating, clumping; structure and function disruption; and oxidizing.
Alcohol
Mechanism of action: Cross-linking, coagulating, clumping.
Like many disinfectants, alcohols are generally considered to be non-specific antimicrobials because of their many toxic effects.
Alcohols cause cell proteins to clump and lose their function.
Specifically, the cell membranes lose their structure and collapse, thereby killing it.
The alcohol must be diluted with water for the optimum effect, as proteins are not denatured as readily with straight alcohol.
Alcohol is also effective in inhibiting spore germination by affecting the enzymes necessary for germination.
However, once it''s removed, spores can recover, so it''s not considered a sporicidal.
Chlorine
Mechanism of action: Oxidizing.
Chlorine is a very common disinfectant used in a wide variety of cleaning solutions and applications — even in drinking water — because, even in very small amounts, it exhibits fast bactericidal action.
Chlorine works by oxidizing proteins, lipids and carbohydrates.
Hypochlorous acid, which is a weak acid that forms when chlorine is dissolved in water, has the most effect on the bacterial cell, targeting some key metabolic enzymes and destroying the organism.
Chlorine compounds have also been shown to affect surface antigen in enveloped viruses and deoxyribonucleic acid (DNA) as well as structural alterations in non-enveloped viruses.
Very few chemicals are considered sporicidal; however, chlorine compounds in higher concentrations have been shown to kill bacterial spores such as Clostridium difficile (C. diff).
Peroxygen Compounds
Mechanism of action: Oxidizing.
Both hydrogen peroxide and peracetic acid are peroxygen compounds of great importance in infection control because, unlike like most disinfectants, they are unaffected by the addition of organic matter and salts.
In addition, the formation of the hydroxyl radical, a highly reactive ion that occurs as peroxygen compounds encounter air, is lethal to many species of bacteria because it is a strong oxidant.
Being highly reactive, the hydroxyl radical attacks essential cell components and cell membranes, causing them to collapse.
Peroxygen compounds also kill spores by removing proteins from the spore coat, exposing its core to the lethal disinfectant.
Phenol
Mechanism of action: Cross-linking, coagulating, clumping.
Phenol and its derivatives exhibit several types of bactericidal action.
At higher concentrations, the compounds penetrate and disrupt the cell wall and make the cell proteins fall out of suspension.
One of the first things to occur is stopping essential enzymes.
The next level in the damage to the bacteria is the loss in the membrane''s ability to act as a barrier to physical or chemical attack.
Though phenols can act at the germination — beginning of growth — stage of bacterial spore development, this effect is reversible, making them unsuitable as sporicides.
Quaternary Ammonium Compounds
Mechanism of action: Structure and function disruption.
Quaternary ammonium compounds (quats) are some of the most widely used disinfectants today because of their broad spectrum effectiveness.
Quaternary ammonium compounds work by denaturing the proteins of the bacterial or fungal cell, affecting the metabolic reactions of the cell and causing vital substances to leak out of the cell, causing death.
Because quats are a charged particle, something to consider is "quat absorption," which is when quat molecules are attracted and bound to anionic — negatively charged — fabric surfaces.
For example, if a pail contains the correct dilution of a disinfectant with an active ingredient concentration of 800 parts per million (PPM), that concentration could be reduced by as much as half after a cotton wipe is placed in the solution and allowed to soak for 10 minutes.
Some ways to solve quat absorption include using wipes made from nonreactive textiles and increasing the solution concentration to compensate for absorption.
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