Using the reactive dye method to covalently attach antibacterial compounds to cotton
The Journal of Cotton Science 11:154–158 (2007)
http://journal.cotton.org, The Cotton Foundation 2007
TEXTILE TECHNOLOGY Using the Reactive Dye Method to Covalently Attach Antibacterial Compounds to Cotton ABSTRACT
More recently, an awareness of general sanitation, contact disease transmission, and personal protection
Fabric quality and durability are a concern
have led to the development of antibacterial fibers
with fibers that contain natural antibacterial
to protect wearers against the spread of bacteria and
properties or are treated to provide antibacterial
diseases rather than to protect the quality and durability
properties. The textile industry has developed
of the textile material. Most of these approaches entail
antibacterial fabric to address the public’s desire
the attachment of a biocidal or bacteriostatic agent
for improved sanitation and personal protection
to the fabric surface. The mechanisms used to attach
against disease transmission. The approach has
these agents to the fabric include the layer deposition
been to attach biocidal or some bacteriostatic
of silver nanoparticles onto fabric structures (Dubas
groups to the fabric surface. In this study, well
et al., 2006), graft polymerization of N-halamide
described antibacterial drugs were attached to
monomers onto cellulosic substrates (Lui and Sun,
cotton fabric with the goal that if this could be
2006), placement of quaternary ammonium salts onto
accomplished easily, treated fabric could act
cot on fabrics using a covalently bound adduct (Son et
as barriers against specific diseases or wound
al., 2006), covalent attachment of a chloromelamine
infections. Trimethoprim and sulfamethoxazole
derivative (Sun et al., 2005), and the attachment of
were modified to act as reactive dyes and were
chitosan to cotton fabric via cross-linking agents (El-
covalently bonded to the surface of cotton in
talawy et al., 2005; Ye et al., 2006). order to impart antibacterial properties. Some
The approach in this study was to modify two
of the treated fabric was subjected to multiple
well described antibacterial drugs, previously or
washings to determine durability. The treated
currently in use for treating diseases, for direct
fabrics were then assayed for antibacterial prop-
attachment to cotton fabric. Assuming this can be
erties. The preliminary results suggest that the
performed easily and cost effectively, the poten-
antibacterial compound trimethoprim is tightly
tial exists to attach specific antibacterial drugs in
bound to the cotton fabric and imparts to the
situations where treated fabric could act as a barrier
fabric antibacterial properties, which are durable
against specific diseases or wound infections (Parikh
through multiple washes. The results show that
et al., 2005). Such a situation would be advantageous,
both trimethoprim and sulfamethoxazole impart
because the history and action of most antibacterial
antibacterial properties to cotton fabric. These
drugs have been well researched and established,
results indicate that other compounds may be
making its regulatory acceptance less of a burden.
used to attach specific antibacterial compounds
Also, many more antibacterial compounds or drugs
to fabric to create specific usage, designer, or tai-
have come on the scene in the last 50 years. Some
lored fabrics to meet specialized needs.
of these antibacterial drugs have become so cheap and readily available that they are routinely added to
Antibacterial finishing of textiles first appeared in animal feed as supplements to promote rapid weight
1941 in response to a need to protect the apparel of
gain of the animal. Since these drugs are antibacterial,
military personnel from hot and humid environmental
by covalently attaching them to fabric the chance
conditions in the South Pacific, which were ideal for
of imparting desired antibacterial properties to the
the growth of organisms on natural fiber substrates. fabric is expected to be high, which would provide
the possibility of creating designer or tailored anti-
microbial fabric or yarn for specific medical, as well
general usage. The approach in this research also has
D.T.W. Chun and G.R. Gamble, USDA-ARS Cotton Quality
the potential for obtaining bacteriostatic fabric that
Research Station, P.O. Box 792, Clemson, SC 29633
*Corresponding author: [email protected]
does not degrade upon washing, as occurs in some
ChuN AND GAMbLE: uSiNG REACTivE DYES To ATTACh ANTibACTERiALS
of the other described methods of attachment. in
maintained at 5 °C during the drop-wise addition of
addition, treating for bacteriostatic properties by a
reactive dye mechanism will potentially prevent an
Synthesis of 4- (2,4-dichloro-6-amino-s-triazino)
alteration in the hand and moisture migration proper-
-N-(5-methyl-3-isoxazolyl)benzenesulfonamide was
ties of the treated fabric, which is one drawback of a
accomplished by suspending 7.59 g (0.03 mole) sul-
polymer graft mechanism of attachment.
famethoxazole (4-amino-N-(5-methyl-3-isoxazolyl)
This study looked at the feasibility of utilizing
benzenesulfonamide (Sigma Chemical Co.; St. Louis,
two common antibacterial drugs and chemically
Mo) in 20 ml deionized water in an ice bath at 5
converting them in order to obtain a reactive dye-
°C. To this suspension, 5.52 g (0.03 mole) cyanuric
type molecule, which could be applied to cotton
chloride was added. The suspension was maintained
fabric with the goal of imparting the antibacterial
at 5 °C during the drop-wise addition of 30 ml 1 N
properties of the antibiotic compounds to the fabric. Naoh (0.03 mole).
The two compounds used were trimethoprim and
Bonding the reactive antibiotic to cotton fabric.
sulfamethoxazole, which both possess bacteriostatic
An exhaust dyeing method was used to bind the reac-
properties effective against a wide range of bacteria. tive antibiotic to the cotton fabric. The dye bath was
The drugs are often used together as part of a syner-
prepared by adding 0.5 ml of Triton-X-100 (octylphe-
gistic combination for the treatment and prevention
nol ethoxylates; Dow Chemical Co.; Midland, Mi), 75
of urinary tract infections, diarrhea, respiratory infec-
g of sodium sulfate, and 6.5 g of the reactive antibiotic,
tions, and prevention and treatment of infections by
or 3.25 g of each of the two reactive antibiotics to
Pneumocystis (beers and berkow, 1999). The drugs
1.2 L of deionized water. Three, 20-g squares of the
interfere with folic acid synthesis in bacteria and
cotton fabric were submerged in the dyebath heated
eventually with bacterial DNA synthesis. These two
to 60 °C. After 30 min of incubation, 12 g Naoh that
compounds were reacted with cyanuric chloride, and
had been dissolved in 100 ml of deionized water was
the resultant product was then cross-linked to cotton
added. The temperature was then raised to 80 °C, and
fabric using an exhaust methodology. Treated fabrics
the fabrics heated for another 30 min. The fabric was
were then assayed for antibacterial properties.
then rinsed in deionized water and heated for 10 min
at 80 °C in deionized water, then rinsed and kept in a
MATERIALS AND METHODS
convection oven at 105 °C until dried. Assay for antibacterial properties. The assay Test fabric. The fabric from a commercial
used for measuring antibacterial properties was
producer was supplied by Cotton inc. (Cary, NC). based on the ‘AATCC Test Method 100-1999, An-
The fabric was a white, 100% cotton, tight-weave
tibacterial Finishes on Textile Materials: Assessment
denim-like fabric, weighing approximately 271.3
of” (Anonymous, 1999a), which has been described
g/m², which had been commercially scoured and
previously (Chun et al., 2006). Prior use of the assay
bleached. The fabric was cut into large squares, ap-
found that the population densities after incubation
proximately 12.8 cm x 12.8 cm, before being treated. often remained the same or increased even in the
After treatment, the large squares were ironed to
controls, so the population densities of the zero
remove wrinkles, cut into 18.1 cm2 squares, 4.25
time of incubation for the controls and treatments
cm on a side, and sterilized in an autoclave using a
were not determined. Test and control swatches
dry cycle prior to the antibacterial assay.
were inoculated with challenge bacteria and after a
Synthesis of a reactive trimethoprim and sul-
period of incubation, the bacteria were eluted from
famethoxazole to covalently bond with the cotton
the swatches with known volumes of extraction so-
fabric. Synthesis of 2,4-bis (2,4-dichloro-6-amino-
lution. Then the numbers of viable bacteria present
s-triazino)-5-(3,4,5-trimethoxybenzyl)pyrimidine
in the extraction solutions were determined and the
was accomplished by suspending 5.80 g (0.02 mole)
trimethoprim (2,4-diamino-5-3,4,5-trimethoxybenzyl
Two bacterial species, Gram-positive Staphylo-
pyrimidine) (Sigma Chemical Co.; St. Louis, Mo)
coccus aureus (ATCC No. 6538), and Gram-negative
in 20 ml deionized water in an ice bath at 5 °C. To
Klebsiella (ATCC No. 4352) were used throughout
this suspension, 7.36 g (0.04 mole) cyanuric chloride
the experiment. Stock cultures were maintained on
(2,4,6-trichloro-1,3,5-triazine) (Aldrich Chemical
slants of Difco brain heart infusion Agar (Difco
Co.; St. Louis, Mo) was added. The suspension was
Laboratories; Detroit, Mi). The stock cultures were
JouRNAL oF CoTToN SCiENCE, volume 11, issue 3, 2007
transferred once every 3 to 4 wk by incubating a
and plates were incubated at 37 ± 2°C for at least 24
freshly inoculated slant at 37 ± 2 °C for 2 d before
Experimental design and statistical analysis.
For each assay, the challenge bacteria were
Four main fabric treatments were (A) a control fabric
incubated in either a trypticase soy broth (TSb;
that was not chemically altered; (b) fabric that had
becton Dickinson and Co.; Cockeysville, MD) or on
trimethoprim covalently bonded to it; (C) fabric that
trypticase soy agar slants (TSA; becton Dickinson
had sulfamethoxazole covalently bonded to it; and (D)
and Co.) at 37 ± 2 °C for 1 to 3 d before being used
fabric that had both trimethoprim and sulfamethox-
to inoculate broth (TSb) cultures for testing. The
azole covalently bonded to it. before assaying the 4
inoculated broth cultures were incubated in a shake
treatments, a trial run using just the control and fabric
incubator (37 ± 2 °C and 300 rpm) for 24 h. At the
treated with trimethoprim was conducted to see if the
end of incubation, the broth cultures were placed in
antibiotic would covalently bond to the fabric, and if
the attachment of the antibiotic would persist through
To get a standardized density of bacteria for
multiple washings. The fabric was washed by Cotton
inoculation, the chilled cultures were diluted with
inc. (Cary, NC), based on the AATCC Test Method
TSB to a pre-determined turbidity that provided
124-1996 (Anonymous, 1999b) laundering procedure,
approximately 2 x 109 CFU/ml or 2 x 108 CFU/ml.
which used a normal/cot on sturdy cycle, 1.81 kg (4 lb)
The turbidity was measured at 500 nm on a beckman
load, warm water temperature, and AATCC detergent
Du-7 Spectrophotometer (beckman instruments, without optical brightener. The treated and control
inc.; irvine CA). Chilled TSb from the same batch
samples were washed 3 and 10 times, respectively. For
as the cultures were grown in was used to zero the
the trial run, only results with Klebsiella pneumoniae
instrument. Then the diluted broth cultures were
serially diluted with chilled diluent without Tween-
in the antibacterial assays, the bacterial in-
80 or gelatin (Chun and Perkins, 1996) for a final
oculum was dispersed over 3 swatches per replicate
approximate bacterial density of 1 to 2 x 105 CFU/
sample as droplets. Replicate tests were done and the
ml. based on prior experience, 0.5 ml of the initial
observations were combined and used for statistical
broth culture was added early in the dilution series to
analysis. A log10(CFu +1), where CFu = microbial
compensate for the observed loss from the expected
population as colony forming units, transformation
population starting density to the actual starting
was used for the analysis dealing with the microbial
density used in the assays. The bacterial suspensions
data. Data were analyzed with SAS (release 8.00;
were kept in an ice bath. A magnetic stir bar and stir-
SAS institute inc., Cary, NC) for Duncan mean
ring plate was used to keep the bacteria suspended
comparisons when the anlysis of variance analysis
yielded significant F-values to indicate a high degree
For each replicate sample, 1.0 ± 0.1 ml of inocu-
of difference of the variable. Microsoft office Excel
lum was dispersed as droplets over the 3 swatches us-
2003 (Microsoft Corporation, Redmond, WA) was
ing a Rainin EDP-Plus Electronic Pipette (RAiNiN
used to randomize treatment assignments, to enter
instrument Co., inc.; Woburn, MA). The swatches
and store data, to sort data and prepare for SAS anal-
were inoculated in pre-sterilized 237 ml (half pint)
ysis, to transform data, to summarize and tabulate
canning jars. The band and lid of the canning jar were
results, to obtain simple treatment statistics (means,
screwed on the jar to prevent evaporation. After all
standard deviations, regressions, t-test comparison,
the samples were inoculated, the jars were incubated
etc.), and to perform other spreadsheet functions.
at 37 ± 2 °C for 24 h before being assayed for bacte-rial population density. RESULTS AND DISCUSSION
The bacterial population density was determined
by extracting the bacteria from the fabric by adding
initial testing determined whether reactive
100 mL of diluent to each jar and shaking the jars
antibiotics would covalently bond to the cotton
on a tabletop shaker for 1 min. Then aliquots were
fabric and impart antibiotic properties to the fabric.
removed and plated directly into Petri dishes or
A pilot test was done with trimethoprim using both
further diluted before being plated. The pour plate
the Staphylococcus aureus and Klebsiella pneumo-
method was used to determine the bacterial density
niae as challenge bacteria. With S. aureus, bacterial
(Chun and Perkins, 1996). No antibiotics were used, populations of the control swatches averaged 6.291
ChuN AND GAMbLE: uSiNG REACTivE DYES To ATTACh ANTibACTERiALS
[log10(CFu + 1)], and the swatches treated with
S. aureus significantly after 24-hr incubation. Sul-
trimethoprim averaged 5.101 [log10(CFu + 1)].
famethoxazole was less effective than trimethoprim
With K. pneumoniae, the control swatches averaged
alone or when both trimethoprim and sulfamethox-
7.743 [log10(CFu + 1)], and the swatches treated
azole were attached to the fabric. but the fabric
with trimethoprim averaged 4.333 [log10(CFu +
treated with trimethopriman and trimethoprim and
1)]. The difference between the means of the control
sulfamethoxazole were not significantly different.
and the trimethoprim-treated swatches were highly Although fabric treated with sulfamethoxazole was
significant using t-test analysis for S. aureus and K. bacteriostatic compared with the untreated control pneumoniae, P = 0.011 and P < 0.001, respectively.
for K. pneumoniae, sulfamethoxazole was not sig-
This indicated that the trimethoprim was bound to
nificantly different than trimethoprim alone. The
the cotton fabric, and the antibacterial activity of the
total amount of trimethoprim and sulfamethoxazole
in the 1:1 mixture treatment, however, was half the
The large swatches of treated and untreated cot-
amount used to evaluate the compounds individually.
ton fabric were washed 3 and 10 times at Cotton inc. There is a possibility that the two compounds may
to determine if the antibiotic binding to the fabric
have had a synergistic effect to account for the low
would be durable through normal washing. After
bacterial density compared with trimethoprim alone
washing, these large swatches were cut into smaller
or the amount of the trimethoprim applied alone was
swatches, sterilized, and then assayed for antibacte-
in excess to what is needed to effectively lower the
rial properties. Both S. aureus and K. pneumoniae
bacterial density to this level. of course, this also
were used, but only the results for K. pneumoniae
suggests that the reactive trimethoprim may have
will be reported. Populations of S. aureus between
been preferentially attached to the cotton fabric and
the unwashed control and the trimethoprim treated
that even at half the dose could account for the lower
swatches were 5.758 and 4.202 [log10(CFu + 1)], bacterial density when combined sulfamethoxazole.
respectively, and were significantly different. The re-
To resolve this, further research must be carried out
sults from the washed portions of the assay, even after
comparing different concentrations of the antibiot-
being repeated, were unexplainable and anomalous. ics, both alone and together, in influencing bacterial
The observations from two tests using K. pneumoniae
densities, and the potential influence of competition
were combined for analysis. The bacterial density for
between dyes for the same hydroxyl groups on cot-
the untreated fabric was 7.2, 6.8, and 6.7 log10 (CFu
ton fabric. Since trimethoprim and sulfamethoxazole
+ 1) for the unwashed, washed 3 times, and washed
were both easily prepared to act as reactive dyes and
10 times, respectively. These averages were not sig-
that many, if not most, of other commonly known
nificantly different from one another, which indicated
antibiotic compounds have the same or similar
that washing alone did not affect the bacterial density. reactive sites, many other antibiotics may be used
The bacterial density of the treated fabric was 3.4, 3.3, in a similar manner, and future research should be
and 3.6 log10 (CFu + 1) for the unwashed, washed 3
times, and washed 10 times, respectively. both un-
Table 1. Bacterial density after 24-hr incubation on cotton
washed and washed treated fabrics had significantly
fabric treated with trimethoprim, sulfamethoxazole, or
lower bacterial density than the untreated fabric, and
both compounds
the averages were not significantly different among
Density [log10(CFU + 1)]z
the three treated fabrics. These results indicate
Treatment Klebsiella Staphylococcus
that the antibacterial property imparted by binding
pneumoniae aureus
trimethoprim to cotton was durable and retained at
Treated with
in a second experiment, fabric was treated with
trimethoprim
trimethoprim, sulfamethoxazole, and a 1:1 mixture
Treated with
of trimethoprim and sulfamethoxazole each at half
sulfamethoxazole
the strength. The observations from three separate
Treated with
antibacterial assays were combined for analysis
trimethoprim and sulfamethoxazole
(Table 1). The results indicate that both trimethop-
z Means within a column followed by the same letter are
rim and sulfamethoxazole individually or together
not significantly different according to Duncan’s multiple
depressed the bacterial density of K. pneumonia and
range test (P = 0.05)
JouRNAL oF CoTToN SCiENCE, volume 11, issue 3, 2007
expanded to include testing a wide spectrum of
Chun, D.T.W., Foulk, J.A., and McAllister iii, D.D. 2006.
antibiotic compounds. This creates an opportunity
Modification, use of, and description of AATCC test
to design or tailor antimicrobial fabric or yarn us
method 100-1999 to test for antibacterial properties of
denim made from flax fabric. p. 2050. In Proc. beltwide
ing this reactive dye method to attach antibacterial
compounds to cotton. For example, one area where
Cotton Conf., San Antonio, TX. 3 – 6 Jan. 2006. Natl.
Cotton Counc. Am., Memphis, TN. Available online
this approach may prove to be of value would be to
at http://www.cotton.org/beltwide/proceedings/2006/
attach scarce antibacterial drugs to dressings to act
as barriers to specific drug resistant bacteria to help
prevent or reduce infection and its spread.
Chun, D.T.W., and h.h. Perkins, Jr. 1996. Effects of conven-
in summary, trimethoprim and sulfamethoxazole
tional cotton storage on dust generation potential, bacte-rial survival and endotoxin content of lint and dust. Ann.
could be prepared as reactive dyes that can covalently
bind to cotton fabric. The treated cotton fabric dis-
Dubas, S.T., P. Kumlangdudsana, and P. Potiyaraj. 2006.
played antibacterial properties that persisted through
Layer-by-layer deposition of antimicrobial silver
10 launderings. Antibiotic concentration should be
nanoparticles on textile fibers. Colloids and Surfaces A:
investigated to determine efficacious rates. The ease
Physicochem. Eng. Aspects 289:105-109.
of application may extend to the use of other anti-
biotic drugs to provide value to cotton fabric where
El-talawy, K.F., M.A., El-bendary, A.G., Elhendawy, and
tailored or designer antibacterial fabric is desired.
S.M. hudson. 2005. The antimicrobial activity of cotton
fabrics treated with different crosslinking agents and
chitosan. Carbohydrate Polymers 60(4): 421-430. DISCLAIMER
Liu, S. and G. Sun. 2006. Durable and regenerable biocidal
Mention of a trademark, warranty, proprietary
polymers: acyclic N-halamine cotton cellulose. ind. Eng. Chem. Res. 45:6477-6482
product or vendor does not constitute a guarantee
by the u.S. Department of Agriculture and does not
Parikh, D.v., T. Fink, K. Rajasekharan, N.D. Sachinvala,
imply approval or recommendations of the product
A.P.S. Sawhney, T.A. Calaniari, and A.D. Parikh. 2005.
to the exclusion of others that may also be suitable.
Antimicrobial silver/sodium carboxymethyl cotton dress-
ings for burn wounds. Textile Res. J. 75:134-138. ACKNOWLEDGEMENT
Son, Y.A., b.S. Kim, K. Ravikumara, and S.G. Lee. 2006.
imparting durable antimicrobial properties to cot-
We gratefully acknowledge Cotton inc. for
ton fabrics using quaternary ammonium salts through
providing the cotton fabric used in the study and
4-aminobenzenesulfonic acid–chloro–triazine adduct.
especially Norma M. Keyes and vickki b. Martin
for their help in washing the test fabric.
Sun, Y., Z. Chen, and M. braun. 2005. Preparation and physi-
cal and antimicrobial properties of a cellulose-supported
chloromelamine derivative. ind. Eng. Chem. Res.
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EHR Demo Scenarios – Family Practice #1 Walk-in Acute Patient 30 year old male, married patient, works in the maintenance department for Sugarbush Resort. Patients presents, bent over , complaining of acute back pain from shovel ing snow on the job. Brings workman’s comp papers with him. PMH: back problems Medications: HPI: lower back pain, more severe on right side EHR shoul
Choosing a Skeletal Muscle Relaxant Sharon See, PharmD, BCPS, and regina ginzBurg, PharmD St. John’s University College of Pharmacy and Allied Health Professions, Jamaica, New York Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs ha