Textile Research Journal http://trj.sagepub.com Recent Advances in Antimicrobial Treatments of Textiles Yuan Gao and Robin Cranston Textile Research Journal 2008; 78; 60 DOI: 10.1177/0040517507082332 The online version of this article can be found at: http://trj.sagepub.com/cgi/content/abstract/78/1/60 Published by: http://www.sagepublications.com Additional services and information for Textile Research Journal can be found at: Email Alerts: http://trj.sagepub.com/cgi/alerts Subscriptions: http://trj.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. Textile Research Journal Article Recent Advances in Antimicrobial Treatments of Textiles Yuan Gao1 and Robin Cranston Abstract The growth of microbes on textiles during use and storage negatively affects the wearer as well as the textile itself. The detrimental effects can be controlled by durable antimicrobial finishing of the textile using broad-spectrum biocides or by incorporating the biocide into synthetic fibers during extrusion. Consumers’ attitude towards hygiene and active lifestyle has created a rapidly increasing market for antimicrobial textiles, which in turn has stimulated intensive research and development. This article reviews the requirements for antimicrobial finishing, qualitative and quantitative evaluations of antimicrobial efficacy, the application methods of antimicrobial agents and some of the most recent developments in antimicrobial treatments of textiles using various active agents such as silver, quaternary ammonium salts, polyhexamethylene biguanide, triclosan, chitosan, dyes and regenerable N-halamine compounds and peroxyacids. Examples of commercial antimicrobial products are presented to illustrate the active agents used and their finishing methods. Division of Textile and Fibre Technology, Commonwealth Scientific and Industrial Research Organization (CSIRO), Bayview Ave, Clayton 3168, Australia Key words textile, fiber, fabric, antimicrobial, antibacterial, biocide Textiles have long been recognized as media to support the growth of microorganisms such as bacteria and fungi. These microorganisms are found almost everywhere in the environment and can multiply quickly when basic requirements, such as moisture, nutrients and temperature are met. Most synthetic fibers, due to their high hydrophobicity, are more resistant to attacks by microorganisms than natural fibers [1]. Proteins in keratinous fibers and carbohydrates in cotton can act as nutrients and energy sources under certain conditions. Soil, dust, solutes from sweat and some textile finishes can also be nutrient sources for microorganisms [1]. The growth of microorganisms on textiles inflicts a range of unwanted effects not only on the textile itself but also on the wearer. These effects include the generation of unpleasant odor, stains and discoloration in the fabric, a reduction in fabric mechanical strength and an increased Textile Research Journal Vol 78(1): 60–72 DOI: 10.1177/0040517507082332 likelihood of contamination [1]. For these reasons, it is highly desirable that the growth of microbes on textiles be minimized during their use and storage.1 Consumers’ demand for hygienic clothing and activewear has created a substantial market for antimicrobial textile products. Estimations have shown that the production of antimicrobial textiles was in the magnitude of 30,000 tones in Western Europe and 100,000 tones worldwide in 2000 [2, 3]. Furthermore, it was estimated that the production increased by more than 15% a year in Western Europe between 2001 and 2005, making it one of the fastest growing sectors of the textile market [4]. Sportswear, socks, shoe linings and lingerie accounted for 85% of the total 1 Corresponding author: tel: +61-3-9545 2104; fax: +61-3-9545 2363; e-mail: yuan.gao@csiro.au www.trj.sagepub.com © 2008 SAGE Publications Los Angeles, London, New Delhi and Singapore Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. Recent Advances in Antimicrobial Treatments of Textiles Y. Gao and R. Cranston production [2, 3]. There is also a broader market for antimicrobial fibers, for instance, in outdoor textiles, air filters, automotive textiles, domestic home furnishings and medical textiles. This high demand, in turn, has stimulated intensive research and development. Some earlier work in antimicrobial textiles has been briefly reviewed by Purwar and Joshi [1] and Williams et al. [5]. Since then a large number of papers and patents have been published. In this article, we summarize some of the most recent development in antimicrobial treatments of synthetic, cotton and wool fabrics or fibers using various active agents, and the methods for the evaluation of antimicrobial efficacy. Numerous antimicrobial textile products have been launched on the market by leading manufacturers. Examples are presented to illustrate the active agents used in these products and their application methods. Requirements for Antimicrobial Finishing In order to obtain the greatest benefit, an ideal antimicrobial treatment of textiles should satisfy a number of requirements [1, 5]. Firstly, it should be effective against a broad spectrum of bacterial and fungal species, but at the same time exhibit low toxicity to consumers, e.g. not cause toxicity, allergy or irritation to the user. Antimicrobial-treated textiles have to meet standards in compatibility tests (cytotoxicity, irritation and sensitization) before marketing. Secondly, the finishing should be durable to laundering, dry cleaning and hot pressing. This is the greatest challenge as textile products are subjected to repeated washing during their life. Thirdly, the finishing should not negatively affect the quality (e.g. physical strength and handle) or appearance of the textile. Finally, the finishing should preferably be compatible with textile chemical processes such as dyeing, be cost effective and not produce harmful substances to the manufacturer and the environment. One further consideration is that the antimicrobial finishing of textiles should not kill the resident flora of nonpathogenic bacteria on the skin of the wearer. The skin resident flora consists of several bacterial genera, which are important to the health of the skin as they lower skin surface pH and produce antibiotics to create an unfavorable environment for the growth of pathogenic bacteria [6]. Fortunately, antimicrobial agents on textiles may only reduce the density of the skin resident flora but do not completely eliminate them. To date, no evidence exists that the use of antimicrobial textiles changes the ecology of skin resident flora leading to the outgrowth of pathogenic bacteria [6]. 61 Modes of Antimicrobial Action A living microbe (e.g. bacterium, fungus) typically has an outermost cell wall which is mainly composed of polysaccharides. This cell wall maintains the integrity of cellular components and shields the cell from the extracellular environment. Immediately beneath the cell wall is a semipermeable membrane which encloses intracellular organelles and a myriad of enzymes and nucleic acids. The enzymes are responsible for the chemical reactions that take place within the cell, and the nucleic acids store all of the genetic information of the organism. The survival or growth of microorganisms depends on the integrity of the cell and the concerted action and proper state of all of these components. Antimicrobial agents either inhibit the growth (-static) or kill (-cidal) the microorganisms. Almost all antimicrobial agents used in commercial textiles, e.g. silver, triclosan, polyhexamethylene biguanide (PHMB) and quaternary ammonium compounds, are biocides. They damage the cell wall or alter cell membrane permeability, denature proteins, inhibit enzyme activity or inhibit lipid synthesis, all of which are essential for cell survival. The mechanisms of biocides used on commercial textiles are discussed in the following sections. Application of Antimicrobial Agents Various methods, depending on the particular active agent and fiber type, have been developed or are under development to confer antimicrobial activity to textiles. For synthetic fibers, the antimicrobial active agents can be incorporated into the polymer prior to extrusion or blended into the fibers during their formation. Such processing provides the best durability as the active agent is physically embedded in the structure of the fiber and released slowly during use. This method of fabrication has been adopted by some manufacturers, such as the silver-containing Bioactive® polyester fibers developed by Trevira and the triclosan-containing Silfresh® cellulose acetate fibers manufactured by Novaceta. The conventional exhaust and pad–dry–cure processes have been used for antimicrobial finishing on natural as well as synthetic fibers for the biocides such as triclosan [7] and PHMB [8, 9]. Padding, spraying and foam finishing have been used for the silicone-based quaternary agent AEM 5700 [10]. Many other methods have been reported, such as the use of nanosized colloidal solutions [11], nanoscale shell–core particles [12, 13], chemical modification of the biocide for covalent bond formation with the fiber [14, 15], crosslinking of the active agent onto the fiber using a crosslinker [16, 17] and polymerization grafting [18]. These methods are further illustrated in the following sections. An emerging method for antimicrobial finishing is to use the sol-gel process which allows the fabrication of materi- Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. TRJ TRJ 62 Textile Research Journal 78(1) als with a large variety of properties: ultra-fine powders, monolithic ceramics and glasses, ceramic fibers, inorganic membranes, thin film coatings and aerogels. Sol-gel has been extensively explored for applications such as coating [19]. It is claimed that sol-gel technology can enable the coating of textiles with almost unlimited functionality by incorporating functional agents into the sol-gel nanoparticles [20, 21]. With regards to antimicrobial ability, several biocides have been encapsulated in sol-gel particles which are then coated onto textile products to provide the desired functionality [20, 22]. Evaluation of Antimicrobial Efficacy A number of test methods have been developed to determine the efficacy of antimicrobial textiles [23, 24, 25]. These methods generally fall into two categories: the agar diffusion test and suspension test. The bacterial species Staphylococcus aureus (Gram positive) and Klebsiella pneumoniae (Gram negative) are recommended in most test methods. These two species are potentially pathogenic and therefore require proper physical containment facilities for handling (e.g. a biosafety cabinet). Many studies have used the innocuous Escherichia coli (Gram negative) as a test microorganism which can be cultured and handled in a standard laboratory with minimal health risk. Agar Diffusion Test The agar diffusion tests include AATCC 147-2004 (American Association of Textile Chemists and Colorists), JIS L 1902-2002 (Japanese Industrial Standards) and SN 1959201992 (Swiss Norm). They are only qualitative, but are simple to perform and are most suitable when a large number of samples are to be screened for the presence of antimicrobial activity. In these tests, bacterial cells are inoculated on nutrient agar plates over which textile samples are laid for intimate contact. The plates are then incubated at 37°C for 18–24 h and examined for growth of bacteria directly underneath the fabrics and immediately around the edges of the fabrics (zone of inhibition). No bacterial growth directly underneath the fabric sample indicates the presence of antimicrobial activity. The zone of inhibition should not be expected if the antimicrobial agent is firmly attached to the textile (e.g. covalently) which prevents its diffusion into the agar. If the antimicrobial agent can diffuse into the agar, a zone of inhibition becomes apparent and its size provides some indication of the potency of the antimicrobial activity or the release rate of the active agent. Suspension Test This type of test is exemplified by AATCC 100-2004, JIS L 1902-2002 and SN 195924-1992. These methods provide quantitative values on the antimicrobial finishing, but are more time-consuming than agar diffusion tests. Typically, a small volume (e.g. 1 ml) of bacterial inoculum in a growth media is fully absorbed into fabric samples of appropriate size without leaving any free liquid. This ensures intimate contact between the fabric and the bacteria. After incubating the inoculated fabrics in sealed jars at 37°C or 27°C for up to 24 h, the bacteria in the fabric are eluted and the total number is determined by serial dilution and plating on nutrient agar plates. Antimicrobial activity, expressed as percentage of reduction, is calculated by comparing the size of the initial population with that following the incubation. Appropriate controls, e.g. samples that have gone through the same processing except the antimicrobial finishing, should be included in each experiment to ascertain that the observed decrease in bacterial number is truly due to the antimicrobial finishing. Choosing a calculation equation may be important. It has been observed that two different equations can produce very different results for the same set of data [9]. It should be noted that suspension tests are often performed under artificial conditions that promote bacterial growth (e.g. rich nutrients in the inoculum and saturating moisture in the testing fabrics). The moisture in the tests is also essential for the action of the biocide. As a result, dramatic results are often produced (e.g. >99% bacterial cells are killed during the assays), leading to an overwhelming impression of the efficacy of the antimicrobial ability. However, such conditions are rarely found during the normal use of a textile product. To date, very few studies have examined the antimicrobial effects under normal wearing conditions. To more closely mimic the real-life situation, the JIS L 1902-2002 method recommends the use of bacterial cells suspended in heavily diluted nutrient media to limit nutrient levels. The ISO (International Organization for Standardization) has developed a test method (ISO 20743) in which bacteria are “printed” onto the surface of textiles without them being in an aqueous suspension [25, 26]. The printed samples are then incubated under humid conditions at 20°C for a specified time (18–24 h) following which the surviving cells are counted. Antimicrobial tests only assess the antimicrobial effectiveness of the treated textiles. Before marketing, the textile products have to pass biocompatibility tests which involve three separate assays: cytotoxicity, sensitization and irritation. These assays are outside the scope of this review but are discussed elsewhere [23, 24]. Antimicrobial Agents for Textiles Several major classes of antimicrobial agents are used in the textile industry. They are generally not new per se and have been in use in other industries, e.g. as food preserva- Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. Recent Advances in Antimicrobial Treatments of Textiles Y. Gao and R. Cranston tives, disinfectants, swimming pool sanitizers or in wound dressings. These agents are potent in their bactericidal activity, as indicated by their Minimal Inhibitory Concentration (MIC) values. However, their attachment to a textile surface or incorporation within the fiber substantially reduces their activity and limits their availability. Furthermore, the biocide can be gradually lost during the use and washing of the textile. For these reasons, large amounts of these biocides need to be applied to textiles to effectively control bacterial growth and to sustain durability. Metals and Metal Salts Many heavy metals are toxic to microbes at very low concentrations either in the free state or in compounds. They kill microbes by binding to intracellular proteins and inactivating them [27]. Although some other metals, such as copper [28], zinc [29, 30] and cobalt [31], have attracted attention as effective antimicrobial agents for textiles, silver is by far the most widely used in general textiles [1, 5] as well as in wound dressings [32]. It has a MIC value of 0.05– 0.1 mg/l against E. coli [33]. Some concerns have been expressed about the development of bacterial resistance to silver [34, 35]. For synthetic fibers, silver particles can be incorporated into the polymer before extrusion [36] or before nanofiber formation using electrospinning [37, 38]. During use, silver diffuses onto the surface of the fiber and forms silver ions in the presence of moisture. The rate of silver release can be influenced by the chemistry and physical characteristics of the fiber and the amount of silver in the fiber. Gradual release can lead to an extended period of biocidal activity [5]. Apart from direct incorporation, nanosized silver in colloidal solution has been padded onto synthetic and cellulosic fabrics to achieve a durable finishing [11]. Silver has also been directly absorbed into pre-formed SeaCell® Active, a fiber made of cellulose from certain seaweeds with a large capacity for absorbing minerals [39]. The treatment of natural fibers with metals can only be undertaken at the finishing stage and various strategies have been devised to enhance the uptake and durability. Cotton has been pretreated with succinic acid anhydride, which acted as ligand for metal ions to enhance the subsequent adsorption of metallic salts (Ag+ and Cu2+) and to provide very effective antibacterial activity [40]. In protein fibers (e.g. wool), the free carboxyl groups of aspartyl and glutamyl residues are considered the most likely binding sites for metal ions. The binding capacity can be further enhanced by pre-treatment with tannic acid which increases the number of binding sites, or with EDTA dianhydride which has chelating ability towards metal ions [41, 42, 43]. However, such treatments of textiles with metal ions have serious limits due to technical and environmental problems and therefore have not been adopted in commercial production. 63 Recent breakthroughs in technology have overcome cost, environmental and technical challenges associated with producing some metal treated textiles on a commercial scale. As a result, silver is now used in a large number of commercial antimicrobial synthetic fibers and yarns. For example, Thomson Research Associates manufactures UltraFresh® and Silpure® products. The silver is in the form of ultra-fine metallic particles and is primarily applied to polyester fabrics at the finishing stage. Milliken has developed a silver-based antimicrobial agent, AlphaSan®, which is a zirconium phosphate-based ceramic ion-exchange resin containing silver and is added during the extrusion process of synthetic fibers. AlphaSan® is being used by a number of companies to produce antimicrobial textiles, for examples, the polyester and nylon yarn by O’Mara (MicroFresh® and SoleFresh®) and the polyester yarn by Sinterama (GuardYarn®). AgION Technologies produces silver-based antimicrobial textiles using an ion-exchange mechanism. In this procedure, silver ions are manufactured into multi-faceted zeolite carriers which are then incorporated into a polymer or coating. Under conditions that support bacterial growth, silver ions in the zeolite are exchanged with sodium ions present in ambient moisture to control bacterial growth [44]. In addition, The Bioactive® polyester fibers produced by Trevira also have silver incorporated into the fibers. Very recently, silver finishing was extended to wool on a commercial scale by Nanohorizon Inc. [45]. In this treatment, silver nanoparticles (SmartSilver®) are applied to wool using typical fabric and garment dye systems. The original properties of the wool, including handle and dyeability, remain unchanged after the treatment. Quaternary ammonium compounds Quaternary ammonium compounds (QACs), particularly those containing chains of 12–18 carbon atoms, have been widely used as disinfectants [27]. These compounds carry a positive charge at the N atom in solution and inflict a variety of detrimental effects on microbes, including damage to cell membranes, denaturation of proteins and disruption of the cell structure [27]. During inactivation of bacterial cells, the quaternary ammonium group remains intact and retains its antimicrobial ability as long as the compound is attached to textiles [46]. The attachment of QAC to a textile substrate is believed to be predominantly by ionic interaction between the cationic QAC and anionic fiber surface [47, 48]. Therefore, for polyester fibers such as Acrilan® (from Acrilan) and Orlon® (from Dupont) which contain carboxylic or sulfonate groups, QAC can be directly exhausted under near boiling conditions [49, 50, 51]. Similarly, the glutamyl and aspartyl residues in wool provide carboxylic groups. Exhaustion of QACs, particularly cetylpyridinium chloride, onto untreated wool at a level of around 5% oww can render it antimicrobial with durability to 10 launderings [52, Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. TRJ TRJ 64 Textile Research Journal 78(1) 53]. Cotton fabrics have been treated with a 4-aminobenzenesulfonic acid-chloro-triazine adduct which increased the anionic sites on the fabric surface and facilitated the exhaustion of QACs [54]. In general, the exhaustion in these studies was affected by pH, the concentration of the QAC, temperature and exhaustion time. Other synthetic fibers, such as Nylon 66, contain fewer reactive sites and are quite resistant to chemical modification procedures, including antimicrobial finishing. Sun and colleagues have hypothesized that dye molecules may act as bridges to bind functional molecules to the fiber surface [46]. In their studies, the fabrics were first dyed with acid dyes before QACs were applied under alkaline conditions. The ionic interaction between the dye molecules and the QAC was sufficiently strong to provide a semi-durable antimicrobial finishing [46, 47, 48]. Attempts have been made to covalently attach QAC onto wool. Diz et al. synthesized a new QAC, N-dodecyl-aminobetaine-2-mercaptoethylamine hydrochloride (DABM) [15, 55]. DABM can react with wool by means of its thiol group, either with cysteine-S-sulphonate residues (Bunte salts) of sodium bisulphite pretreated wool or with the disulfide bond of cystine wool, forming an asymmetrical disulfide bond. Such covalent attachment of the quaternary ammonium surfactant provides antimicrobial activity [15, 55]. One commercial antimicrobial textile product using QAC as the active agent is the BIOGUARD® produced by AEGIS Environments. The active substance, 3-trimethoxysilylpropyldimethyloctadecyl ammonium chloride (AEM 5700, formerly known as the Dow Corning 5700 Antimicrobial Agent; see Figure 1), has a MIC of 10–100 mg/l against Gram-positive and Gram-negative bacteria [59]. AEM 5700 is made into an aqueous solution and applied by padding, spraying and foam finishing. Upon drying, the non-volatile silane forms covalent bonds with the textile, resulting in excellent durability [57]. So far, this chemical has been commercially used on cotton, polyester and nylon fabrics. Although little information is available on bacterial resistance to this particular QAC, bacterial resistance to other QACs have been widely observed [58, 59]. Figure 1 Structure of 3-(trihydroxysilyl) propyldimethyloctadecyl ammonium chloride (AEM 5700). PHMB PHMB (Figure 2, trade name Vantocil) is a heterodisperse mixture of polyhexamethylene biguanides with an average molecular weight of approximately 2500 Da. Being a potent and broad spectrum bactericidal agent with low toxicity (MIC = 0.5–10 ppm, Arch technical information), it has been successfully used as a disinfectant in the food industry and in the sanitization of swimming pools [27] and is being explored as a biocide in mouthwashes [60] and wound dressings [61]. PHMB impairs the integrity of the cell membrane in its action, and its activity increases on a weight basis with increasing levels of polymerization [27]. To date, bacterial resistance to PHMB has rarely been observed although resistance to the bisbiguanide chlorhexidine is well known [58, 59]. In 1997, Payne patented a treatment of cellulosic fibers with PHMB in which an after-treatment with a strong organic acid was used to increase durability as well as to overcome fabric yellowing [62]. Payne and Yates later extended PHMB treatment to synthetic fibers using a selfcrosslinkable resin and a catalyst [63]. PHMB can also be directly exhausted onto cotton at room temperature and neutral pH [8, 9], or applied in a pad–dry–cure process [64]. Owing to its cationic nature, PHMB attachment to cotton is believed to be through ionic as well as hydrogen bonding [65]. The carboxyl groups on cotton fabrics that have originated from chemical finishing are involved in some of these interactions [66, 67]. Dyeing of cotton fabrics with reactive dyes, which introduces additional anionic sulphonic groups in the fabric, further increases the uptake of PHMB [66, 67], but the strong ionic bonding may decrease the release of free PHMB and antimicrobial efficiency [68]. PHMB needs to be applied at a level of 2–4% owf for durable finishing and 0.25–1% owf for disposable items (Arch technical information). Arch Chemicals has developed a special grade of PHMB, Reputex 20®, for textile treatments [69]. Reputex® has a higher molecular weight than Vantocil, containing an average of 16 biguanide units in the polymer (Arch technical information). This longer polymer length not only results in higher biocidal activity but also provides more cationic sites per molecule for possibly stronger binding to the textile surface. Reputex® is initially applied to cotton or its blends using exhaust or pad–dry–cure processes, and more recently to polyester and nylon [70], under the trade name Purista®. Figure 2 Structure of polyhexamethylene biguanide (PHMB). Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. Recent Advances in Antimicrobial Treatments of Textiles Y. Gao and R. Cranston Triclosan Triclosan (2,4,4’-trichloro-2’-hydroxydiphenyl ether, Figure 3) is a broad-spectrum antimicrobial agent with a MIC of less than 10 ppm against many common bacterial species [71]. Unlike most other cationic biocides used on textiles, triclosan is not ionized in a solution. It has been in use since the 1960s in a wide array of professional and consumer products including hand soaps, surgical scrubs, shower gels, deodorants, healthcare handwashes, toothpastes and mouthwashes [71, 72]. It inhibits microbial growth by blocking lipid biosynthesis [73]. In 2004, Payne patented the treatment of cotton or cotton blends with triclosan mixed with a polyurethane resin and a plasticizer [74]. Being a relatively small molecule, triclosan can also act like a disperse dye and can be used by exhaustion prior to dyeing, together with dyeing or after dyeing of polyester and nylon fibers at 5% owf (see [7]). During fabric use, the agent migrates to the surfaces of the treated textiles at a slow yet sustained rate to provide antimicrobial efficacy [7]. To achieve a more durable finishing, triclosan has been inserted into the hydrophobic cavity of β-cyclodextrins to form an inclusion complex which was then embedded in a polymer film or fiber [75], or encapsulated in microspheres which were subsequently attached to viscose [76]. Triclosan can also be directly incorporated into synthetic polymers through melt-mixing or suspension polymerization [77, 78]. A number of companies manufacture and market triclosan-based fibers, yarns or fabrics. For instance, the nylon and polyester products Tinosan AM 100® and CEL® (Ciba Speciality Chemicals), the Silfresh® cellulose acetate yarn (Novaceta) and Microban® textile products (Microban International) all contain triclosan as the active antimicrobial agent which is applied at the finishing stage or incorporated into the fiber during extrusion [7, 10]. However, bacterial resistance to triclosan has been well documented and is of great concern [59, 79]. Furthermore, when exposed to sunlight in the environment, triclosan breaks down into 2,8-dichlorodibenzo-p-dioxin [80, 81] which is chemically related other toxic polychlorinated dioxins [82]. Owing to such health and environmental issues, a number of leading retailers as well as governments in Europe are concerned about or have banned the “unneces- Figure 3 Structure of triclosan. 65 sary use” of triclosan in textiles and some other products [83, 84]. Chitosan Chitosan (Figure 4) is the deacetylated derivative of chitin, which is the main component of the shells of crustaceans such as shrimps, crabs and lobsters [85]. Large quantities of chitin are produced as a byproduct of the seafood industry. Chitosan has been found to inhibit the growth of microbes in a large body of work that has been extensively reviewed by Lim and Hudson [86]. It has a MIC of 0.05–0.1% (w/v) against many common bacterial species, although the activity can be affected by its molecular weight and degree of deacetylation [86, 87, 88]. The antimicrobial mechanism is not clear but is generally accepted that the primary amine groups provide positive charges which interact with negatively charged residues on the surface of microbes. Such interaction causes extensive changes in the cell surface and cell permeability, leading to leakage of intracellular substances [86]. This antimicrobial ability, coupled with its non-toxicity, biodegradability and biocompatibility, is facilitating chitosan’s emerging applications in food science, agriculture, medicine, pharmaceuticals and textiles [85, 86]. Figure 4 Deacetylation of chitin to chitosan. Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. TRJ TRJ 66 Textile Research Journal 78(1) The prime focus for chitosan as an antimicrobial treatment has been on cotton. Early work indicated that the antimicrobial effect was potent against a range of microbes, but the finishing was not durable [86]. To improve durability, chitosan has been crosslinked to cotton using chemicals such as dimethyloldihydroxyethyleneurea (DMDHEU), citric acid, 1,2,3,4-butanetetracarboxylic acid (BTCA) or glutaric dialdehyde [16, 17, 89, 90]. These chemicals, some of which are used in cotton durable press, crosslink chitosan to cotton through hydroxyl groups. Antimicrobial activity with a durability of up to 50 washes has been reported in some of these studies. Ye et al. [12, 13] synthesized nanoscale core–shell particles of poly(n-butyl acrylate) cores and chitosan shells and applied them to cotton fabrics in a pad– dry–cure process. The antibacterial activity was maintained at over 90% reduction levels after 50 washes. Chitosan has been applied to wool as a shrink-proofing polymer, although antimicrobial activity of the treated wool was not examined in these studies [91, 92, 93, 94, 95, 96]. Given the intrinsic antimicrobial activity of chitosan, it is envisaged that the shrink-proofing treatment will dually lead to antimicrobial function. Owing to the hydrophobic and non-reactive nature of the wool fiber surface, treatment with chitosan requires pre-treatments so that the polymer can adhere to the surface. Pre-treatments include oxidation with peroxide [91, 92, 93], protease digestion [94, 95] and plasma treatment [96]. Hsieh et al. reported oxidizing wool with potassium permanganate and crosslinking chitosan onto it using citric acid in a pad–dry–cure treatment [97]. Although chitosan conferred durable antimicrobial ability and shrink resistance, the disadvantage was that the handle of the fabric, together with some other physical properties, was adversely affected [93, 97, 98]. In addition to native chitosan, a number of chitosan derivatives have been synthesized and used as antimicrobial agents on textiles. These include chito-oligosaccharide [99, 100], N-(2-hydroxy)propyl-3-trimethylammonium chitosan chloride [101, 102, 103] and N-p-(N-methylpyridinio)methylated chitosan chloride and N-4-[3-(trimethyl-ammonio) propoxy]benzylated chitosan chloride [104]. Many of these derivatives contain a quaternary ammonium group to enhance the antimicrobial activity. Another derivative is O-acrylamidomethyl-N-[(2-hydroxyl-3-trimethylammonium)propyl] chitosan chloride [14]. The acrylamidomethyl group is fiber reactive and can form a covalent bond with cellulose in cotton, resulting in excellent durability. Kenawy et al. attached several compounds to the reactive amino group of chitosan [105]. These modified chitosans were highly active against microbes, in particular fungi species. Despite such active research and recent patents covering the use of chitosan on cotton [106] and polyester [107], chitosan has yet to be used as a finishing agent on any commercial textiles. The poor handle, among other factors, may be limiting its application on textiles. Nevertheless, the Swiss company Swicofil manufactures a composite fiber of chitosan and viscose, Crabyon®, that has durable antimicrobial efficacy and is suitable for a range of textile products [108]. Furthermore, chitosan can be spun into fibers but their applications seem to be limited to medical uses (e.g. medical gauzes, sutures and wound dressings) [109, 110]. Regenerable N-halamine and Peroxyacid One route that has been explored for durable antimicrobial finishing is to make the finishing regenerable by using chlorine-containing N-halamine compounds. N-halamine compounds are broad-spectrum disinfectants that have been used in water treatment [111], and their antimicrobial ability is attributed to the oxidative properties of the halamine bond (N–Cl). In deactivating a microorganism, the N-halamine bond is reversibly reacted to N–H. However, the inactive substance can be recharged with chlorine in a bleaching solution during laundering, as depicted in Figure 5 (see also 112). This regenerable approach was first proposed and demonstrated for the treatment of cotton by Sun and Xu in 1998 [113]. Different heterocyclic N-halamine compounds have since been covalently attached to nylon [114], polyester fibers [115, 116], cotton [116] and keratinous fibers [117], or grafted onto cellulosic fabrics [18, 118, 119, 120] and synthetic fabrics [121, 122]. In most cases strong and regenerable antimicrobial activity was achieved by washing and recharging the substrates in aqueous solution containing chlorine. However, as pointed out by Li [123], N-halamine treatment also results in a substantial amount of adsorbed chlorine (or other halogens) remaining on the surface of the fabric in addition to the covalently bonded N-halamines. Such residual adsorbed halogen (e.g. chlorine) produces an unpleasant odor and discolors fabrics, which has proven problematic for such a promising antimicrobial system in the textile industry. A reduction step (i.e. with sodium sulfite) has been used to remove the unbonded residual Figure 5 Regenerable antimicrobial treatments using Nhalamine compounds (A) and peroxyacids (B). Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. Recent Advances in Antimicrobial Treatments of Textiles Y. Gao and R. Cranston 67 Table 1 Some commercially used biocides and those under development for the treatment of various fibers. In the application method column, “F” denotes that biocide is used as finishing agent and “I” denotes that biocide is incorporated into the fiber during extrusion. Application method Commercial products? Polyester Nylon Wool Regenerated cellulose F/I I F F Yes Yes Yes Yes? Slow release, durable but Ag can be depleted QACs (e.g. AEM 5700) Cotton Polyester Nylon Wool F F F F Yes Yes Yes No Covalent bonding, very durable, Possible bacterial resistance PHMB Cotton Polyester Nylon F F F Yes Yes Yes Large amount needed, Potential bacterial resistance Triclosan Polyester Nylon Polypropylene Cellulose acetate Acrylic fiber F/I F/I I I I Yes Yes Yes Yes Yes Large amt needed, Bacterial resistance, breaks down into toxic dioxin, banned in some European countries Chitosan Cotton Polyester Wool F F F No No No Adverse effect on handle, low durability N-halamine Cotton Polyester Nylon Wool F F F F No No No No Needs regeneration, odor from residual chlorine Peroxyacids Cotton Polyester F F No No Needs regeneration, poor durability Biocide Fiber Silver chlorine (or other halogen) from the target fabric surface to overcome this problem [123]. An alternative regenerable antimicrobial finishing uses peroxyacids, such as peroxyacetic acid which is a well known and powerful disinfectant used in hospitals [124]. Peroxyacids are converted to carboxylic acid in deactivating microbes but can be regenerated through the reaction with an oxidant (e.g. hydrogen peroxide) [125, Figure 5]. Huang and Sun demonstrated the feasibility by grafting BTCA or citric acid onto cotton fabrics in a pad–dry–cure process similar to cotton durable press [125, 126]. The grafted polycarboxylic acid provided the necessary carboxylic groups which were then converted to peroxyacids in an oxygen bleach bath [125] or with the strong oxidant sodium perborate [126]. Such finishing can also be applied to polyester fabrics [127]. While the peroxyacids on the fabrics was stable over extended periods during fabric storage, the antimicrobial activity appeared to be diminished after several washing and recharging cycles [125, 126]. Comments Dyes Some synthetic dyes used in the textile industry, e.g. metallic dyestuff, exhibit antimicrobial activities [128]. Therefore, dyeing and antimicrobial finishing can be simultaneously achieved by choosing specific dyes. Some synthetic dyes have been specifically made with antimicrobial activity. For examples, a new series of azo disperse dyestuffs, prepared by the reaction of sulphanilamidodiazonium chloride derivatives with indan-1,3-dione, gave excellent dyeing and antimicrobial results on wool and nylon [129]. Another approach to achieve simultaneous dyeing and antimicrobial finishing is to covalently attach a biocide to a dye via a linker. For example, novel cationic dyes were synthesized by linking quaternary ammonium group to the aminoanthraquinioid chromophore [130, 131]. These dyes showed varying levels of antimicrobial activities, depending on their structures, but when applied to acrylic fabrics the antimicrobial durability generally did not last for more than five washes [132]. Some natural dyes have also been examined for antimicrobial ability. Curcumin, a common Downloaded from http://trj.sagepub.com at MICHIGAN STATE UNIV LIBRARIES on March 6, 2008 © 2008 SAGE Publications. All rights reserved. Not for commercial use or unauthorized distribution. TRJ TRJ 68 Textile Research Journal 78(1) dye used for fabric and food colorations [133], a dye isolated from Quercus infectoria [134] and the colorant Berberine, which contains the quaternary ammonium group, all exhibit durable antimicrobial efficacy when attached to textiles []135. Summary The biocides discussed above are summarized in Table 1. Silver, PHMB, quaternary ammonium compounds and triclosan are currently used in commercial antimicrobial textiles of synthetic fibers (e.g. nylon, polyester, cellulose acetate or polypropylene) and natural fibers (cotton and wool), while chitosan and a number of regenerable biocides are in the development stage. These biocides, depending on the particular fiber, can be used either as finishing agents or incorporated into the fiber during extrusion. microbial textiles should be considered and monitored closely. Acknowledgment The authors would like to offer their sincere thanks to Dr David J. Evans and Dr Ron J. Denning, Division of Textile and Fibre Technology, CSIRO, for critically reading the manuscript during its preparation. Literature Cited 1. 2. 3. Conclusion Customer desire for comfort, hygiene and well-being has created a large and rapidly increasing market for antimicrobial textiles. Numerous manufacturers in the textile industry have responded to this demand by launching their brands of antimicrobial products. These products use broad-spectrum biocides such as silver, polyhexamethylene biguanide, quaternary ammonium compounds and triclosan as the active agents. Some treatments are applied at the finishing stage while in other cases the biocide can be incorporated into synthetic fibers during extrusion. Collectively, commercial antimicrobial textiles cover most of the major fiber types in the textile industry. On the other hand, the use of several other biocides, such as chitosan and its derivatives, specific dyes and regenerable active N-halamine compounds and peroxyacids, is in the development stage. These products vary in their effectiveness and durability depending on the type of fabric, the biocide and the finishing method used in the system. In some cases the antimicrobial efficacy is lost or severely depleted after 10 or fewer washing cycles. 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