A Pragmatic Perspective of the Initial Stages of the Contact Killing of Bacteria on Copper-Containing Surfaces

Abstract

A consideration of the outer structures of Gram-positive and Gram-negative bacteria, and of the surface contaminants present on Cu-containing substrates, has led to the identification of Cu2O as a potent antimicrobial. In the presence of adsorbed water, the hydrated form ionizes to CuI-O−, which is capable of degrading the protective polysaccharide layer of the outer lipopolysaccharide membranes of Gram-negative bacteria; it is equally capable of attacking the peptidoglycan lattices present in both Gram-positive and Gram-negative bacteria. This Perspective underlines the importance of CuI-O− in the early stages of contact killing, and points to information, still lacking, that would optimize contact killing and lead to broader applications in the therapeutic management of bacterial infections.