Protein denaturation also is consistent with observations that alcohol destroys the dehydrogenases of Escherichia coli 486, and that ethyl alcohol increases the lag phase of Enterobacter aerogenes 487 and that the lag phase effect could be reversed by adding certain amino acids. This mechanism is supported by the observation that absolute ethyl alcohol, a dehydrating agent, is less bactericidal than mixtures of alcohol and water because proteins are denatured more quickly in the presence of water 484, 485. The most feasible explanation for the antimicrobial action of alcohol is denaturation of proteins. Their cidal activity drops sharply when diluted below 50% concentration, and the optimum bactericidal concentration is 60%–90% solutions in water (volume/volume) 483, 484. These alcohols are rapidly bactericidal rather than bacteriostatic against vegetative forms of bacteria they also are tuberculocidal, fungicidal, and virucidal but do not destroy bacterial spores. FDA has not cleared any liquid chemical sterilant or high-level disinfectant with alcohol as the main active ingredient. In the healthcare setting, “alcohol” refers to two water-soluble chemical compounds-ethyl alcohol and isopropyl alcohol-that have generally underrated germicidal characteristics 482.
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