Efficacy of bioflavonoids of FLAVOBA against severe acute respiratory syndrome-coronavirus 2 in vitro

Introduction The Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2) is responsible for the global pandemic of Coronavirus disease-2019 (COVID-19). Human-to-human transmission occurs mainly through the aerosolization of respiratory droplets. Improved antisepsis of human and non-human surfaces has been identified as a key feature of transmission reduction. Flavobac, a complex of soluble bioflavonoids and hydroxylated phenolic structures used in oral care products, has demonstrated efficacy to act against microorganisms. This study evaluated nasal and oral antiseptic formulations of FLAVOBAC for the virucidal activity against SARS-CoV-2. Methodology FLAVOBAC nasal antiseptic formulations and FLAVOBAC oral rinse antiseptic formulations from 1-10% concentrations were assayed for virucidal efficacy against the SARS-CoV-2 virus. SARS-CoV-2 was exposed directly to the test compound for 60 seconds or 5 minutes. Compounds were then neutralized, and the surviving virus was quantified. Results All concentrations of nasal antiseptics and oral rinse antiseptics evaluated completely inactivated the SARS-CoV-2 virus. Conclusion Nasal and oral FLAVOBAC solutions are effective at inactivating the SARS-CoV-2 virus at a variety of concentrations after 60-second or 5-minute exposure times. The formulations tested have the potential to reduce the transmission of SARS-CoV-2 if used for nasal/oral decontamination, or surface decontamination in known or suspected cases of COVID-19.

SARS-CoV-2 Transmission Risk and Oral Decontamination: Scarce Evidence Albeit Promising Future

Background: Oral decontamination recommendations/guidelines have exploded during the COVID-19 pandemic for the contemporary dental practice, due to SARS-CoV-2 relative high presence in saliva and the possibility of risk contagion through its aerosolization. However, such guidelines are mostly based on research carried out for other diseases caused by different viruses and/or bacteria, low-level evidence publications, and/or anecdotal information. Purpose: To review the biological basis for the use of oral antiseptics to decrease viral load in saliva as a plausible mechanism for reducing SARS-CoV-2 transmission risk, including other aspects such as pathogenesis, angiotensin converting enzyme 2 expression in the oral cavity, aerosolization, and oral antiseptics potential mechanistic virucidal properties. Results: Our group could only identify a limited number of reports evaluating specific direct effects of commonly used oral antiseptics (Hydrogen Peroxide, Povidone-Iodine and Chlorhexidine) on SARS-CoV-2, however, these reports are limited to surface disinfection, in vitro activity, or preliminary in vivo observations. Conclusion: Although we conclude that there is no direct evidence of clinical effectiveness of the use of mouth rinses prior to dental procedures with antiseptic solutions for SARS-CoV-2 specifically to date, we here present recommendations that could aid in reducing the risk of transmission in the dental office.

Efficacy of Povidone-Iodine Nasal and Oral Antiseptic Preparations Against Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2)

Introduction: Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the global pandemic of coronavirus disease 2019 (COVID-19). From the first reported cases in December 2019, the virus has spread to over 4 million people worldwide. Human-to-human transmission occurs mainly through the aerosolization of respiratory droplets. Transmission also occurs through contact with contaminated surfaces and other fomites. Improved antisepsis of human and nonhuman surfaces has been identified as a key feature of transmission reduction. There are no previous studies of povidone iodine (PVP-I) against SARS-CoV-2. This study evaluated nasal and oral antiseptic formulations of PVP-I for virucidal activity against SARS-CoV-2. This is the first report on the efficacy of PVP-I against the virus that causes COVID-19. Methods: Povidone iodine nasal antiseptic formulations and PVP-I oral rinse antiseptic formulations from 1% to 5% concentrations as well as controls were studied for virucidal efficacy against the SARS-CoV-2. Test compounds were evaluated for ability to inactivate SARS-CoV-2 as measured in a virucidal assay. SARS-CoV-2 was exposed directly to the test compound for 60 seconds, compounds were then neutralized, and surviving virus was quantified. Results: All concentrations of nasal antiseptics and oral rinse antiseptics evaluated completely inactivated the SARS-CoV-2. Conclusions: Nasal and oral PVP-I antiseptic solutions are effective at inactivating the SARS-CoV-2 at a variety of concentrations after 60-second exposure times. The formulations tested may help to reduce the transmission of SARS-CoV-2 if used for nasal decontamination, oral decontamination, or surface decontamination in known or suspected cases of COVID-19.

Effect of selective intestinal decontamination on the incidence of postoperative wound complications and anastomosis insufficiency in colorectal surgery (literature review)

The article provides a literary review of the fundamentals, role in clinical practice, and possibilities of selective perioperative intestinal decontamination. Aspects of prevention of postoperative wound complications and anastomosis insufficiency in colorectal surgery are analyzed. The key point is to reduce the number of certain bacterial strains that contribute to the development of exponential inflammation in the anastomosis zone. Modern schemes for the use of oral decontamination and their combination with intravenous antibiotic prophylaxis for the failure of anastomoses of the left half of the colon and rectum are considered.

Povidone-iodine demonstrates rapid in-vitro virucidal activity against SARS-CoV-2, the virus causing COVID-19 disease

Introduction: Within six months of its emergence, SARS‑CoV‑2 has infected 5.5 million people worldwide, causing >345,000 deaths. The virus is transmitted through respiratory droplets and physical contact from contaminated surfaces to the mucosa. Hand hygiene and oral decontamination among other measures are key to preventing the spread of the virus. We report the in-vitro virucidal activity of topical and oral povidone-iodine (PVP‑I) products against SARS‑CoV‑2.Methods: Suspension assays were used to assess the virucidal activity of PVP‑I against SARS‑CoV‑2. Products were tested at a contact time of 30 seconds for virucidal activity. Viral titres were calculated using the Spearman-Kärber method and reported as TCID50/mL.Results: All four products (antiseptic solution [PVP-I 10%], skin cleanser [PVP-I 7.5%], gargle and mouth wash [PVP-I 1%] and throat spray [PVP-I 0.45%] achieved ≥99.99% virucidal activity against SARS-CoV-2, corresponding to ≥4 log10 reduction of virus titre, within 30 seconds of contact.Conclusion: This study provides evidence of rapid and effective virucidal activity of PVP-I against SARS-CoV-2. PVP-I-based products are widely available for medical and personal use for hand hygiene and oral decontamination and could be readily integrated into COVID-19 infection control measures in hospital and community settings.

Povidone-iodine demonstrates rapid in-vitro virucidal activity against SARS-CoV-2, the virus causing COVID-19 disease

Introduction: Within six months of its emergence, SARS‑CoV‑2 has infected 5.5 million people worldwide, causing >345,000 deaths. The virus is transmitted through respiratory droplets and physical contact from contaminated surfaces to the mucosa. Hand hygiene and oral decontamination among other measures are key to preventing the spread of the virus. We report the in-vitro virucidal activity of topical and oral povidone-iodine (PVP‑I) products against SARS‑CoV‑2.Methods: Suspension assays were used to assess the virucidal activity of PVP‑I against SARS‑CoV‑2. Products were tested at a contact time of 30 seconds for virucidal activity. Viral titres were calculated using the Spearman-Kärber method and reported as TCID50/mL.Results: All four products (antiseptic solution [PVP-I 10%], skin cleanser [PVP-I 7.5%], gargle and mouth wash [PVP-I 1%] and throat spray [PVP-I 0.45%] achieved ≥99.99% virucidal activity against SARS-CoV-2, corresponding to ≥4 log10 reduction of virus titre, within 30 seconds of contact.Conclusion: This study provides evidence of rapid and effective virucidal activity of PVP-I against SARS-CoV-2. PVP-I-based products are widely available for medical and personal use for hand hygiene and oral decontamination and could be readily integrated into COVID-19 infection control measures in hospital and community settings.

Povidone-Iodine Use in Sinonasal and Oral Cavities: A Review of Safety in the COVID-19 Era

Objectives: Approaches to nasal and oral decontamination with povidone-iodine (PVP-I) have been published to reduce nosocomial spread of Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2). The safety of PVP-I topically applied to the nasal and oral cavity is addressed by a literature review. The specific efficacy of PVP-I against coronaviruses and its potential efficacy against SARS-CoV-2 is discussed. Methods: A review was performed utilizing PubMed and Cochrane Databases. All citations in protocols for nasal and oral PVP-I use regarding COVID-19 were independently reviewed. Results: Povidone-iodine has been safely administered for up to 5 months in the nasal cavity and 6 months in the oral cavity. Concentrations less than 2.5% in vitro do not reduce ciliary beat frequency or cause pathological changes in ciliated nasal epithelium, upper respiratory, or mucosal cells. Adverse events with oral use have not been reported in conscious adults or children. Allergy and contact sensitivity is rare. Chronic mucosal use up to 5% has not been shown to result in clinical thyroid disease. PVP-I is rapidly virucidal and inactivates coronaviruses, including SARS-CoV and Middle East Respiratory Syndrome (MERS). Conclusions: Povidone-iodine can safely be used in the nose at concentrations up to 1.25% and in the mouth at concentrations up to 2.5% for up to 5 months. Povidone-iodine rapidly inactivates coronaviruses, including SARS and MERS, when applied for as little as 15 seconds. There is optimism that PVP-I can inactivate SARS-CoV-2, but in vitro efficacy has not yet been demonstrated.