Antiseptics iodine

Solid iodine is purple, as is its vapor (I2), but iodine is often brown in solution, for example, in oxygen-containing solvents such as ethanol tincture of iodine antiseptic) or in water, in which its solubility is increased by formation of a complex ion Is" with iodide ion. Iodine is obtained by oxidizing the ash of dried seaweeds (kelp) alternatively, sodium iodate, which is present in the NaNOs deposits of the Atacama desert in Chile, may be reduced to iodide with aqueous HSO3" ion, followed by the iodide/iodate analog of reaction 12.23 if elemental iodine is wanted. Most of the U.S. production, however, comes from chlorination of natural I"-bearing brines in Michigan (cf. reaction 12.21). Since iodine is a fairly volatile solid, it can be conveniently purified by sublimation. 

Endocrine Prenatal, perinatal, or postnatal iodine overload can cause problems such as transient hyperthyrotropinemia, hypothyroidism, or hyperthyroidism in preterm and term infants [SED-15, 1896 SEDA-30, 279 SEDA-31, 411 SEDA-32, 440], Severe hypothyroidism in two term neonates resulted from iodine overload caused by postnatal use of an iodine-containing antiseptic [26 ]. One case was caused by excessive application of the antiseptic to the umbilicus and the other from maternal breast milk following the use of an iodine antiseptic by the mother for her episiotomy incision. 

Iodine as such finds few uses but a solution in alcohol and water, also containing potassium iodide ( tincture of iodine was commonly used as an antiseptic for cuts and wounds, but had rather an irritant action. Iodoform (triiodomethane), CHI3, is also an antiseptic, but newer compounds of iodine are now in use. Silver iodide, like silver bromide, is extensively used in the photographic industry. 

Reactions in Aqueous Media. The chemistry of aqueous iodine has been extensively studied because of the role of iodine as a disinfectant (see Disinfectants AND antiseptics). The system is very complex, owing to the number of oxidation states available to iodine under ambient conditions (48). 

Iodine is extensively used in a variety of forms as both an antiseptic and a disinfectant. lodophors, usually nonionic surfactants (qv) complexed with iodine, were developed for more readily usable iodine-based antiseptics and disinfectants. These are used as disinfectants in dairies, laboratories, and food processing (qv) plants, and for sanitation of dishes in restaurants. The reaction product of lanolin and iodine shows utiHty as a germicide (149). 

A poly( -vinyl-2-pyrroHdinone)-iodine complex [25655-41-8] (PVP-iodine), has been used extensively in hospitals and elsewhere because of its germicidal, bactericidal, fungicidal, and generally disinfecting properties (150). It is sold as a solution that contains about 10% available, or active, iodine and about 5% inactive iodine, in the form of iodide ion (see Disinfectants and antiseptics Industrial antimicrobial agents). 

Medical Usage. Isopropyl alcohol is also used as an antiseptic and disinfectant for home, hospital, and industry (see Disinfectants and antiseptics). It is about twice as effective as ethyl alcohol in these appHcations (153,154). Rubbing alcohol, a popular 70 vol % isopropyl alcohol-in-water mixture, exemplifies the medicinal use of isopropyl alcohol. Other examples include 30 vol % isopropyl alcohol solutions for medicinal liniments, tinctures of green soap, scalp tonics, and tincture of mercurophen. It is contained in pharmaceuticals, eg, local anesthetics, tincture of iodine, and bathing solutions for surgical sutures and dressings. Over 200 uses of isopropyl alcohol have been tabulated (2). 

Disinfection destroys pathogenic organisms. This procedure can render an object safe for use. Disinfectants include solutions of hypochlorites, tinctures of iodine or iodophores, phenoHc derivatives, quaternary ammonium salts, ethyl alcohol, formaldehyde, glutaraldehyde, and hydrogen peroxide (see Disinfectants AND antiseptics). Effective use of disinfected materials must be judged by properly trained personnel. 

Iodine. Iodine has been important for many years, primarily as an antiseptic (see Iodine and iodine compounds). In the American Civil War physicians used it to treat battie wounds. Elemental iodine is not very soluble in water, but dissolves readily when sodium iodide is added, forming triiodide + I I Iodine may thus be used as an aqueous solution but it has generally been used as a tincture of 2% iodine in 70% alcohol. Tests on... 

Povidone—iodine is a brown, water-soluble powder containing approximately 10% iodine. However, the amount of free iodine, which is responsible for the antimicrobial activity, is low in a concentrated solution, but is released as the solution is diluted (41). Concentrated solutions have actually been contaminated with bacteria (42). For use as an antiseptic, povidine—iodine is diluted with water or alcohol to a concentration of 1% iodine. Detergents are added if it is used as a surgical scmb. lodophors are important as broad-spectmm antiseptics for the skin, although they do not have the persistent action of some other antiseptics. They are also used as disinfectants for clinical thermometers that have been used by tuberculous patients, for surface disinfection of tables, etc, and for clean equipment in hospitals, food plants, and dairies, much as chlorine disinfectants are used. 

If the necessary iodine input is insufficient the thyroid gland enlarges in an attempt to gamer more iodine addition of 0.01% Nal to table salt (iodized salt) prevents this condition. Tincture of iodine is a useful antiseptic. 

Of the four halogens, iodine is the weakest oxidizing agent. Tincture of iodine, a 10% solution of I2 in alcohol, is sometimes used as an antiseptic. Hospitals most often use a product called povidone-iodine, a quite powerful iodine-containing antiseptic and disinfectant, which can be diluted with water to the desired strength. These applications of molecular iodine should not delude you into thinking that the solid is harmless. On the contrary, if I2(s) is allowed to remain in contact with your skin, it can cause painful bums that are slow to heal. 

When iodine dissolves in organic solvents, it produces solutions having a variety of colors. These colors arise from the different interactions between the I2 molecules and the solvent (Fig. 15.21). The element is only slightly soluble in water, unless I ions are present, in which case the soluble, brown triiodide ion, I,, is formed. Iodine itself has few direct uses but dissolved in alcohol, it is familiar as a mild oxidizing antiseptic. Because it is an essential trace element for living systems but scarce in inland areas, iodides are added to table salt (sold as iodized salt ) in order to prevent an iodine deficiency. 

Other Agents. Allergic reactions to chlorhexidine have been observed after insertion of central catheters impregnated with this antiseptic, or after intraurethral use or topical application [26]. Only rare cases of anaphylaxis following topical use of povidone-iodine have been reported. 

Cadexomer-H is an iodophor similar to povidone-iodine. It is a 2-hydroxymethylene crosslinked (1-4) a-D-glucan carboxymethyl ether containing iodine. The compound is used especially for its absorbent and antiseptic properties in the management of leg ulcers and pressure sores where it is applied in the form of microbeads containing 0.9% iodine. 

As is apparent from the above information, there is no ideal disinfectant, antiseptic or preservative. All chemical agents have their limitations either in terms of their antimicrobial activity, resistance to organic matter, stability, incompatibility, irritancy, toxicity or corrosivity. To overcome the limitations of an individual agent, formulations consisting of combinations of agents are available. For example, ethanol has been combined with chlorhexidine and iodine to produce more active preparations. The combination of chlorhexidine and cetrimide is also considered to improve activity. QACs and phenols have been combined with glutaraldehyde so that the same effect can be achieved with lower, less irritant concentrations of glutaraldehyde. Some... 

Iodine is the least reactive of the elements in the halogen group 17. Most people associate iodine with the dark-brown color of the tincture of iodine used as an antiseptic for minor skin abrasions and cuts. A tincture is a 50% solution of iodine in alcohol. Although it is still used, iodine is no longer the antibiotic of choice for small skin wounds. Since iodine is a poison that kills bacteria, iodine tablets are often used by campers and others to purify water that is taken from outdoor streams. 

In industry, iodine is used for dyes, antiseptics, germicides. X-ray contrast medium, food and feed additives, pharmaceuticals, medical soaps, and photographic film emulsions and as a laboratory catalyst to either speed up or slow down chemical reactions. 

It was used earlier as an antiseptic but the antiseptic properties are due to the liberation of free iodine and not due to iodoform itself. Due to its objectionable smell, it has been replaced by other formulations containing iodine. 

Iodine is an essential nutrient element required for thyroid gland. It is added to salt and to animal feeds for the prevention of goiter. In medicine it is used as a therapeutic reagent for the treatment of various thyroid-related diseases. It also is used as an antiseptic. Radioactive isotopes of iodine are used for treating thyroid cancer, heart diseases including tachycardia, and as a tracer for diagnosing certain diseases. 

Iodine monochloride is used as an analytical reagent to determine iodine values of ods and fats. It is dissolved in glacial acetic acid (Wijs solution) for the analysis. ICl is used in organic synthesis. It also is used as a topical antiseptic. 

Potassium iodate is an oxiding agent in volumetric analysis. It releases iodine in KIO3-KI solutions for iodometric titrations. It also is a topical antiseptic and an additive to food to provide nutrient iodine. 

Lithium carbonate, administered for affective and bipolar disorders, may enhance the effects of antithyroid drugs. Potassium iodide, used as an expectorant, is a major ingredient in many cough medications. Iodide derived from this source may enhance the effects of antithyroid drugs and lead to iodine-induced hypothyroidism. Iodine in topical antiseptics and radiological contrast agents may act in a similar manner. 

Iodine is used in thyroid storm, hyperthyroidism, preoperatively before thyroidectomy and prophylaxis of endemic goitre. Iodine is also useful as antiseptic and in expectorants. 

It acts by slow liberation of iodine and has both antiseptic and local anodyne properties. It is used in the form of paste which contains tannic acid, phenol, eugenol (clove oil), cirmamon oil and glycerine. 

Iodine in a 1 20,000 solution is bactericidal in 1 minute and kills spores in 15 minutes. Tincture of iodine USP contains 2% iodine and 2.4% sodium iodide in alcohol. It is the most active antiseptic for intact skin. It is not commonly used because of serious hypersensitivity reactions that may occur and because of its staining of clothing and dressings. 

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