The preventive effect of diphenhydramine on bacterial growth in propofol

Autor: H. Yilmaz, V. Turhan, S. Apiliogullari, M. Balasar, Ates Duman, B. Apiliogullari, A. Güzelant, Inci Kara
Rok vydání: 2008
Předmět:
Zdroj: European Journal of Anaesthesiology. 25:737-740
ISSN: 0265-0215
DOI: 10.1017/s0265021508004377
Popis: Background and objectiveDiphenhydramine has local anaesthetic and antimicrobial activity and may be used to prevent intravenous propofol injection pain. We studied the effect of adding diphenhydramine to propofol emulsions for preventing bacterial growth.MethodsStaphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli and Candida albicans cultures were inoculated into the following solutions: 1% propofol, 0.05% diphenhydramine + 1% propofol, 0.1% diphenhydramine + 1% propofol, 0.2% diphenhydramine + 1% propofol, 0.3% diphenhydramine + 1% propofol, 1% diphenhydramine and 0.1% lidocaine + 1% propofol. A 100-μL of inoculum suspension adjusted for each of the micro-organisms was added separately to each tube and left at 20°C. A 10-μL aliquot of each mixture was inoculated onto blood agar medium at 5 and 24 h. These plates were incubated at 35°C for 24 h. Each plated medium was read, and the number of colony-forming units were counted and recorded (n = 2). Analysis of variance (ANOVA) with a post hoc Tukey HSD test and paired t-tests were used for data analysis. P < 0.05 was considered as significant.ResultsDiphenhydramine inhibited bacterial growth in propofol solutions in a dose-dependent manner. It was more effective than 0.1% lidocaine at similar concentrations in preventing bacterial growth for all organisms.ConclusionDiphenhydramine had a significant inhibitory effect on bacterial growth in propofol.
Databáze: OpenAIRE