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Chemical in hard antibacterial soap leading to increased antibiotic resistance

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An antibacterial chemical in hard soaps contributes to human antibiotic resistance, according to a study conducted by Marquette professors.

Engineering professor Patrick McNamara, Daniel Zitomer, director of Marquette’s Water Quality Center, and assistant biological sciences professor Krassimira Hristova performed the study. The antibacterial soap chemical studied is triclocarban, which enters water treatment plants through drainage pipes.

Even after treatment, triclocarban stays in water and returns to consumers through their faucets. Regular use of antibacterial soap to fight viruses, which it can’t do, prevents the body from reacting positively, when needed, to antibiotic drugs. McNamara said treating viruses with antibiotic drugs or, similarly, antibacterial soaps, weakens the immune system.

McNamara said treating viruses with antibiotic drugs or, similarly, antibacterial soaps, weakens the immune system.

“This is like feeding antibiotics to the stomach of the city,” he said.

The researchers said triclocarban is only found in hard soap, not liquids. McNamara said he and his colleagues began the first research study on the chemical in fall 2013. The Environmental Science and Technology Journal published the study this year.

Dan Carey, a graduate engineering student and the study’s lead graduate student researcher, said antimicrobials – which fight bacteria, fungi and some viruses, according to microban.com – work differently from antibiotics, which can only fight bacteria.

“It is somewhat surprising that hand soap chemicals can stimulate antibiotic resistance in bacteria,” Carey said.

Hard soap brands such as Safeguard, Irish Spring and Dial contain triclocarban and have the ingredient clearly marked on their packaging. The word “antibacterial” on hard soap package labels is also an indication of the chemical.

“This experience was a good introduction to research methods used in an environmental engineering lab,” said Melinda Choi, a senior in the College of Engineering, in an email.

Choi assisted Carey and McNamara in their research and also conducted an individual research project involving other antibiotic resistant bacteria.

Both McNamara and Carey said they encourage consumers to stop buying antibacterial hard soaps to prevent further antibiotic resistance in the environment.

“We want to slow the proliferation of antibiotic-resistant bacteria so that our current antibiotics can continue to help medical patients,” Carey said. “If using hand soap without antimicrobials can help, I think it would be worth it to try and change consumer behavior.”

McNamara compared the hard soap issue to Nalgene water bottles that contain bisphenol A (BPA), a harmful chemical found in plastic.

“Once consumers stopped buying them, Nalgene stopped producing them and started producing water bottles that were BPA free,” he said.

McNamara said he thinks consumers can have the same effect on soap companies.

Antibiotic resistance is a growing global health concern. McNamara’s research relates to Hristova’s recent findings of antibiotic resistant bacteria in the Milwaukee harbor.

McNamara and his colleagues conducted all research for the study at Marquette with help from the Water Quality Center.

“We had a really great research environment,” McNamara said. “Marquette puts an emphasis on water and we were able to do some great research.”

McNamara said he is proud of all the research that was done on what he calls a serious health concern.

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1 Comment

One Response to “Chemical in hard antibacterial soap leading to increased antibiotic resistance”

  1. Paul DeLeo on February 23rd, 2016 8:08 am

    I was very disappointed in the content of this article (Chemical in hard antibacterial soap leading to increased antibiotic resistance) posted by my alma mater in Marquettewire on February 18, 2016. I believe the article implies that Dr. Patrick McNamara and his colleagues have made particular conclusions regarding their research which are not supported by their data, but more importantly, it does not appear the researchers have drawn those conclusions in the first place.

    In the interest of complete transparency, I should note that I work for the American Cleaning Institute, the industry trade association that represents the makers of consumer and institutional cleaning products, including antibacterial soap.

    My first criticism with the article lies with its title: Chemical in hard antibacterial soap leading to increased antibiotic resistance. The title implies that Dr. McNamara and his colleagues have drawn such a conclusion about their research. I do not believe they have because the data don’t support it.

    Dr. McNamara’s research is focused on the effect of an antimicrobial agent, triclocarban, on the microflora of a particular process in a wastewater treatment facility – the anaerobic digester. These researchers believe that levels of triclocarban typically found in anaerobic digesters may alter the microbial ecology and apply some selective pressure for microorganisms with a greater degree of resistance to antibiotics. The researchers do not make any claims regarding the clinical relevance of their work, nor should they given that their research does not delve in that question.

    There is no reason to believe that there is any link between the microflora in an anaerobic digester and infections by bacteria which are resistant to antibiotics, which are observed largely to occur in hospitals. In fact, there is general consensus regarding those conditions which are the leading causes of infections by bacteria which are resistant to antibiotics in the US, most notably, over-prescription of antibiotics, and the high use of antibiotics in raising livestock, particularly in the production of meat where antibiotic resistant pathogenic bacteria have been observed.

    Another criticism I have of this article is the statement “Even after treatment, triclocarban stays in water and returns to consumers through their faucets.” Again, I do not believe Dr. McNamara has made such a claim and I do not believe the statement is supported. I am unaware of any data showing the presence of triclocarban in drinking water anywhere in the world.

    In the future, I hope the authors of articles in the Marquettewire will do a better job of vetting the facts of their articles and make certain they are not implying particular conclusions where such conclusions have not been made. In addition, authors should take advantage of the Marquette alumni network to get a more comprehensive understanding of their stories.

    Paul C. DeLeo, Ph.D (ENGR ’88)
    Associate Vice President, Environmental Safety
    American Cleaning Institute

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