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This section is intended for qualified medical personnel only. If you are not a healthcare professional, please consult your physician
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این بخش صرفاً ویژه متخصصان حوزه سلامت است. در صورت نداشتن صلاحیت پزشکی، با پزشک خود مشورت نمایید
MECHANISM OF ACTION
?What the Hypochlorous
It was first described by Sir Davy in 1823, produced by Faraday in 1881, and used as an antiseptic solution during World War I in 1914.
This physiological molecule is synthesized during the phagocytosis action of neutrophils, which play an important role in the defense mechanisms of living organisms. Activation of neutrophils produces reactive oxygen species (ROS). Hydrogen peroxide (H₂O₂) and the enzyme myeloperoxidase are involved in the process to produce hypochlorous in the presence of H₂O₂, Cl⁻, and H⁺.
■ 200 ppm ■ ORP ±900 mv ■ pH ≈7.1
DNA DAMAGE
Suppression of DNA synthesis
ENERGY PRODUCTION EFFECTS
Reduction in adenosine triphosphate production
EFFECTS ON CELLULAR ENVIRONMENT
Reduction in food intake
Reduction of oxygen uptake
PROTEIN SYNTHESIS INHIBITION
Oxidation of amino acids
Chlorination of amino acids
Inhibition of protein synthesis
In this study, Pseudomonas aeruginosa cells were stained with fluorescence and subjected to hypochlorous under a video microscope to determine how quickly they were killed. With its high redox potential (ORP), it removes electrons from the atoms of microorganisms and acts on all vital parts, from the cell wall structure to DNA, killing them within seconds.
ANTIMICROBIAL ACTION AGAINST BIOFILMS
It eradicates the biofilm layer formed by resistant microorganisms. It also kills microorganisms in dormant form under the biofilm.
EFFECTS OF HEALING PROCESS ACCELERATOR
According to the clinical study performed with povidone-iodine on fibroblasts and keratinocytes:
In addition to its antimicrobial activity, it shortens the healing process by accelerating the migration of fibroblasts and keratinocytes to the wound site — the two main cells responsible for tissue repair.
Effect on Fibroblasts
Effect on Keratinocyte
INDICATIONS
In all the following applications, when used as an adjunct to existing antibiotherapy, it reduces the dosage and duration of antibiotic use and accelerates recovery.
NON-WOUND APPLICATIONS
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In the treatment of oral aphthae caused by viruses or fungi
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Effective in the prevention and treatment of herpes simplex virus infections
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Treatment of bacterial and viral eye infections
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Eye and surrounding area care
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Ear and periauricular care
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Facial cleansing for acne and pimples
WOUND CARE APPLICATIONS
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Treatment of diabetic foot wounds
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Pressure ulcers in back, hip, heel, etc., developed over long periods
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Treatment of acute and chronic wounds, regardless of cause
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Treatment of partial and full-thickness skin injuries
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Postoperative wound care
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Care of graft mesh, punch skin grafts, and biopsies
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Treatment of burns (1st to 2nd degree)
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Skin ulcers (Stage I–IV)
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Prevention and treatment of skin damage due to trauma, scratches, or cuts
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Treatment of abscesses
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Wound irrigation and debridement (removal of necrotic tissue)
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Moisturizing the wound and reducing odor
Farmisol Catalog
REFERENCES
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The inhibition of bacterial growth by hypochlorous acid.Possible role in the bactericidal activity of phagocytes - McKenna 1988
Susan M. McKENNA and Kelvin J. A. DAVIES
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Hypochlorous Acid - Analytical Methods and Antimicrobial Activity-2012-Ankara Üniversity
Müjde Eryılmaz and İsmail Murat Palabıyık
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Hypochlorous Acid as a Potential Wound Care Agent – 2007
Wang L, PhD,a Bassiri M, PhD,a Najafi R, PhD,a Najafi K, MD,b Yang J, BS,a Khosrovi B, PhD,a Hwong W, BS,a Barati E, BS,a Belisle B, PhD,a Celeri C, MSa,and Robson MC, MDc
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Hypochlorous acid is antipruritic and anti-inflammatory in a mouse model of atopic dermatitis -Fukuyama- 2017
T. Fukuyama, B. C. Martel, K. E. Linder, S. Ehling, J. R. Ganchingco, W. Baumer
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Fungal Infections Following Boston Type 1 Keratoprosthesis Implantation Literature Review and In Vitro Antifungal Activity of Hypochlorous-2015
Silvia Odorcic, MD, FRCSC, Wolfgang Haas, PhD, Michael S. Gilmore, PhD, and Claes H. Dohlman, MD, PhD
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Hypochlorous-Acid-Generating Electrochemical Scaffold for Treatment of Wound Biofilms-2019
Mia Mae Kiamco, Hannah M. Zmuda, Abdelrhman Mohamed, Douglas R. Call, Yash S . Raval, Robin Patel & Haluk Beyenal
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I-İslam I.Ragap -The Effectiveness of Hypochlorous Acid Solution on Healing of Infected Diabetic Foot Ulcers
Islam.I.Ragab1 Ahmed Kamal 2
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Hypoclorous acid Demonstrates Antiviral Properties Against Herpes Simplex Virus - 2010
G.A. Denys, V. Dzyakanava, P. O’Hanley, and J.T. Stephens, Jr.
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Stabilised Hypoclorous acid A New Therapeutic Strategy Against Dangerous Parasitic Eye Infection Agent - Acanthamoeba spp.- 2018
I. YILDIZ, O. YILMAZ, E. TILEKLIOGLU, S. SAKARYA, H. ERTABAKLAR
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Improved Outcomes After Low-Concentration Hypochlorous Acid-The Laryngoscop-2015
Hyung-Ju Cho, MD, PhD; Hyun Jin Min, MD, PhD; Hyo Jin Chung, MD; Do-Yang Park, MD; Sang Yeob Seong, MD; Joo-Heon Yoon, MD, PhD; Jeung-Gweon Lee, MD, PhD; Chang-Hoon Kim, MD, PhD
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The Role of Hypochlorous Acid in Managing Wounds
Martha Kelso
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In vitro microbicidal, anti-biofilm and cytotoxic effects of different commercial antiseptics-2017
Silvestre Ortega-Peña, Christian Hidalgo-González, Martin C Robson & Edgar Krötzsch
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Clinical Outcomes of Wide Postsurgical Lesions in the Infected Diabetic Foot Managed With 2 Different Local Treatment Regimes Compared Using a Quasi-Experimental Study Design: A Preliminary Communication
Chiara Goretti, Sabrina Mazzurco, Laura Ambrosini Nobili, Silvia Macchiarini, Anna Tedeschi, Francesca Palumbo, Alessia Scatena, Loredana Rizzo, Alberto Piaggesi
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Inactivation of bacteria on surfaces by sprayed slightly acidic hypochlorous acid-Hakimullah Hakim-2016
Hakimullah HAKIM), Md. Shahin ALAM), Natthanan SANGSRIRATANAKUL), Katsuhiro NAKAJIMA), Minori KITAZAWA), Mari OTA), Chiharu TOYOFUKU), Masashi YAMADA), Chanathip thammakarn), Dany SHOHAM) and Kazuaki TAKEHARA
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Hypochlorous Acid Solution: A Tale Of Two Clinics A Safe Effective Alternative for Treating and Preventing Infection?
Kazu Suzuki DPM, CWS, Albemar Espirtu DPM, WCC
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Inactivation of Prions and Amyloid Seeds with Hypochlorous Acid - 2016-Canada
Andrew G. Hughson, Brent Race, Allison Kraus, Laura R. Sangare, Lori Robins, Bradley R. Groveman, Eri Saijo, Katie Phillips, Luis Contreras, Virkamal Dhaliwal, Matteo Manca, Gianluigi Zanusso, Daniel Terry, Jeffrey F. Williams, Byron Caughey
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Hypochlorous Acid An Ideal Wound Care Agent With Powerful Microbicidal, Antibiofilm and Wound Healing Potency - 2014
Serhan Sakarya, MD1; Necati Gunay, MS2; Meltem, Karakulak, MS3; Barcin Ozturk, MD1; Bulent Ertugrul, MD1
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International Wound Infection Institute (IWII) Wound infection in clinical practice. Wounds - International 2016 UPDATE
Terry Swanson
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Adjunctive Debridement with Hypoclorous acid Leads To A Healing Trajectory Of Complex Wounds In Children-2016
Ferne T. Elsass, MSN, RN, CPN, CWON; Clinical Practice and Education Specialist of Wound and Ostomy, Children’s Hospital of The King’s Daughters, Norfolk, VA 23507
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IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes 2016 -Lipsky
Benjamin A. Lipsky, Javier Aragón-Sánchez, Mathew Diggle, John Embil, Shigeo Kono, Lawrence Lavery, Éric Senneville, Vilma Urbančič-Rovan, Suzanne Van Asten, Edgar J. G. Peters
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Antimicrobial effect of hypochlorous acid on pathogenic microorganisms-2013-Korea
Sang Phil Shin1,*, Mun Sup Kim1,*, Sung Hee Cho2, Ji Hyung Kim1, Casiano H. Choresca Jr1, Jee Eun Han1, Jin Woo Jun1, Se Chang Park1,†
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Low-concentration hypochlorous acid nasal irrigation for chronic sinonasal symptoms a prospective randomized placebo-controlled study-2017
Yu MS, Kim BH, Kang SH, Lim DJ
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Antiseptik bazlı çözeltilerin İnsan Keratinosit Hücre Dizisi(Hacat) Proliferasyonuna etkilerinin karşılaştırılması - 2013
Arzu Onay Beşikçi, Tuğbay Tuğ
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Topical Hypochlorous Acid (HOCl) as a Potential Treatment of Pruritus 2013
Robert Y. Pelgrift
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Disinfection of titanium dioxide nanotubes using super-oxidized water decrease bacterial viability without disrupting osteoblast behavior-2016
Ernesto Beltrán-Partida a,b, Benjamín Valdez-Salas b,⁎, Alan Escamilla b, Mario Curiel b, Ernesto Valdez-Salas c, Nicola Nedev b, JoseM. Bastidas
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Universal decolonization with hypochlorous solution in a burn intensive care unit in a tertiary care community hospital 2016
Gray D, Foster K, Cruz A, Kane G, Toomey M, Bay C, Kardos P, Ostovar GA
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Use of Hypochlorous Acid Solution as a Disinfectant in Laboratory Animal Facilities-2015
Kazuo Goto, Kaga, Itabashi-ku
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Effect of Electrolyzed Strong Acid Water on Peritoneal Irrigation of Experimental Perforated Peritonitis-2009 - Japan
Akio Kubota, Keisuke Nose, Takeo Yonekura, Takuya Kosumi, Katsuji Yamauchi and Harumasa Oyanagi
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Hypoclorous acid Irrigation in Reducing Infection of a Median Sternotomy Wound-2010
Abdul Ramzisham Rahman Mohd, MS, Mohd Khairulasri Ghani, MD, Rafl is Ruzairee Awang, MBChB, Joanna Ooi Su Min, MMed, Mohd Zamrin Dimon, MS
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Expert Recommendations For The Use Of Hypoclorous Solution Science and clinical application - 2015
David G. Armstrong, DPM, MD, PhD, Gregory Bohn, MD, FACS, ABPM/UHM, FACHM, Paul Glat, MD, FACS, Steven J. Kavros, DPM, FACCWS,CWS, Robert Kirsner, MD, PhD, Robert Snyder, DPM, MSc, CWS, William Tettelbach, MD, FACP, CWS
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Effects of Hypochlorous Acid Solutions on Venous Leg Ulcers (VLU) Experience With 1249 VLUs in 897 Patients -2016
Cheryl M. Bongiovanni, PhD, RVT, CWS, FASA, FACCWS