Average Log Reduction Research Articles

Wavelength synergistic effects in continuous flow-through water disinfection systems

The past decade's development of UV LEDs has fueled significant research in water disinfection, with widespread debate surrounding the potential synergies of multiple UV wavelengths. This study analyses the use of three UV sources (265, 275, and 310 nm) on the inactivation of Escherichia coli bacteria in two water matrixes. At maximum intensity in wastewater, individual inactivation experiments in a single pass set-up (Flow rate = 2 L min−1, Residence time = 0.75 s) confirmed the 265 nm light source to be the most effective (2.2 ± 0.2 log units), while the 310 nm led to the lowest inactivation rate (0.0003 ± 7.03×10−5 log units). When a combination of the three wavelengths was used, an average log reduction of 4.4 ± 0.2 was observed in wastewater. For combinations of 265 and 275 nm, the average log reductions were similar to the sum of individual log reductions. For combinations involving the use of 310 nm, a potential synergistic effect was investigated by the use of robust statistical analysis techniques. It is concluded that combinations of 310 nm with 265 nm or 275 nm devices, in sequential and simultaneous mode, present a significant synergy at both intensities due to the emission spectra of the selected LEDs, ensuring the possibility of two inactivation mechanisms. Finally, the electrical energy per order of inactivation found the three-wavelength combination to be the most energy efficient (0.39 ± 0.05, 0.36 ± 0.01 kWh m−3, at 50% and 100% dose, respectively, in wastewater) among the synergistic combinations.

Ultralow temperature high pressure processing enhances inactivation of norovirus surrogates

High pressure processing (HPP) is a powerful non-thermal method for inactivating pathogens. Human norovirus and genetically–related caliciviruses are moderately sensitive to temperatures above 0 °C with >400 MPa (MPa) or higher required to inactivate multiple logs of virus. Sensitivity of murine norovirus (MNV) and Tulane virus (TV) to ice phase transitions was evaluated using ultra low temperature HPP. Identical samples containing MNV or TV were either equilibrated to +1.5 °C (thawed) or −40 °C (frozen) 24 h prior to pressurization. All samples (thawed and frozen) were then placed in a pre-chilled chamber which was then rapidly filled with −40 °C chamber fluid. Samples were immediately pressurized for 5 min at 200, 250 or 300 MPa. Controls were not pressurized. For samples that were thawed and then pressurized in 40 °C chamber fluid, the MNV average log reduction at 200 MPa was 4.4, while >6.1 log reduction (non-detectable) was achieved at 250 and 300 MPa. TV samples averaged 2.3, 5 and 4.3 log reduction at 200, 250, and 300 MPa respectively. For samples that were frozen and then pressurized in 40 °C chamber fluid, the MNV average log reductions were 2.3, 3.2 and 4.2 at 200 MPa, 250 MPa and 300 MPa, respectively, while TV samples averaged 0.81, 2.3 and 1.7 log reductions at 200, 250, and 300 MPa, respectively. Inactivation of TV within oysters at these pressures was also demonstrated. Overall, results indicate that in addition to enhancing inactivation of norovirus surrogates compared to higher temperatures, ultra-cold HPP performed on thawed samples especially enhances inactivation.

Quantitative detection and reduction of potentially pathogenic bacterial groups of Aeromonas, Arcobacter, Klebsiella pneumoniae species complex, and Mycobacterium in wastewater treatment facilities.

Water quality parameters influence the abundance of pathogenic bacteria. The genera Aeromonas, Arcobacter, Klebsiella, and Mycobacterium are among the representative pathogenic bacteria identified in wastewater. However, information on the correlations between water quality and the abundance of these bacteria, as well as their reduction rate in existing wastewater treatment facilities (WTFs), is lacking. Hence, this study aimed to determine the abundance and reduction rates of these bacterial groups in WTFs. Sixty-eight samples (34 influent and 34 non-disinfected, treated, effluent samples) were collected from nine WTFs in Japan and Thailand. 16S rRNA gene amplicon sequencing analysis revealed the presence of Aeromonas, Arcobacter, and Mycobacterium in all influent wastewater and treated effluent samples. Quantitative real-time polymerase chain reaction (qPCR) was used to quantify the abundance of Aeromonas, Arcobacter, Klebsiella pneumoniae species complex (KpSC), and Mycobacterium. The geometric mean abundances of Aeromonas, Arcobacter, KpSC, and Mycobacterium in the influent wastewater were 1.2 × 104-2.4 × 105, 1.0 × 105-4.5 × 106, 3.6 × 102-4.3 × 104, and 6.9 × 103-5.5 × 104 cells mL-1, respectively, and their average log reduction values were 0.77-2.57, 1.00-3.06, 1.35-3.11, and -0.67-1.57, respectively. Spearman's rank correlation coefficients indicated significant positive or negative correlations between the abundances of the potentially pathogenic bacterial groups and Escherichia coli as well as water quality parameters, namely, chemical/biochemical oxygen demand, total nitrogen, nitrate-nitrogen, nitrite-nitrogen, ammonium-nitrogen, suspended solids, volatile suspended solids, and oxidation-reduction potential. This study provides valuable information on the development and appropriate management of WTFs to produce safe, hygienic water.

Community-Scale Wastewater Surveillance of Candida auris during an Ongoing Outbreak in Southern Nevada

Candida auris is an opportunistic fungal pathogen and an emerging global public health threat, given its high mortality among infected individuals, antifungal resistance, and persistence in healthcare environments. This study explored the applicability of wastewater surveillance for C. auris in a metropolitan area with reported outbreaks across multiple healthcare facilities. Influent or primary effluent samples were collected over 10 weeks from seven sewersheds in Southern Nevada. Pelleted solids were analyzed using an adapted quantitative polymerase chain reaction (qPCR) assay targeting the ITS2 region of the C. auris genome. Positive detection was observed in 72 of 91 samples (79%), with higher detection frequencies in sewersheds serving healthcare facilities involved in the outbreak (94 vs 20% sample positivity). Influent wastewater concentrations ranged from 2.8 to 5.7 log10 gene copies per liter (gc/L), and primary clarification achieved an average log reduction value (LRV) of 1.24 ± 0.34. Presumptive negative surface water and wastewater controls were non-detect. These results demonstrate that wastewater surveillance may assist in tracking the spread of C. auris and serve as an early warning tool for public health action. These findings provide the foundation for future application of wastewater-based epidemiology (WBE) to community- or facility-level surveillance of C. auris and other high consequence, healthcare-associated infectious agents.

A Meta-Analysis and Systematic Review of Listeria monocytogenes Response to Sanitizer Treatments.

Listeria monocytogenes is a ubiquitous organism that can be found in food-related environments, and sanitizers commonly prevent and control it. The aim of this study is to perform a meta-analysis of L. monocytogenes response to sanitizer treatments. According to the principle of systematic review, we extracted 896 records on the mean log-reduction of L. monocytogenes from 84 publications as the dataset for this study. We applied a mixed-effects model to describe L. monocytogenes response to sanitizer treatment by considering sanitizer type, matrix type, biofilm status, sanitizer concentration, treatment time, and temperature. Based on the established model, we compared the response of L. monocytogenes under different hypothetical conditions using forest plots. The results showed that environmental factors (i.e., sanitizer concentration, temperature, and treatment time) affected the average log-reduction of L. monocytogenes (p < 0.05). L. monocytogenes generally exhibited strong resistance to citric acid and sodium hypochlorite but had low resistance to electrolyzed water. The planktonic cells of L. monocytogenes were less resistant to peracetic acid and sodium hypochlorite than the adherent and biofilm cells. Additionally, the physical and chemical properties of the contaminated or inoculated matrix or surface also influenced the sanitizer effectiveness. This review may contribute to increasing our knowledge of L. monocytogenes resistance to sanitizers and raising awareness of appropriate safety precautions.

Investigation on Potential ESKAPE Surrogates for 222 and 254 nm Irradiation Experiments.

BackgroundDue to the increase in multidrug-resistant pathogens, it is important to investigate further antimicrobial options. In order not to have to work directly with pathogens, the investigation of possible surrogates is an important aspect. It is examined how suitable possible surrogate candidates for ESKAPE pathogens are for UVC applications. In addition, the inactivation sensitivities to 222 and 254 nm radiation are compared in relation.MethodsNon-pathogenic members (Enterococcus mundtii, Staphylococcus carnosus, Acinetobacter kookii, Pseudomonas fluorescens and Escherichia coli) of genera of ESKAPE strains were photoinactivated in PBS with irradiation wavelengths of 222 and 254 nm (no non-pathogenic Klebsiella was available). Log reduction doses were determined and compared to published photoinactivation results on ESKAPE pathogens. It was assumed that non-pathogenic bacteria could be designated as surrogates for one wavelength and one ESKAPE strain, if the doses were between the 25 and 75% quantiles of published log reduction dose of the corresponding pathogen.ResultsFor all non-pathogen relatives (except A. kookii), higher average log reduction doses were required for irradiation at 222 nm than at 254 nm. Comparison by boxplot revealed that five of eight determined log reduction doses of the possible surrogates were within the 25 and 75% quantiles of the data for ESKAPE pathogens. The measured log reduction dose for non-pathogenic E. coli was above the 75% quantile at 222 nm, and the log reduction dose for S. carnosus was below the 25% quantile at 254 nm.ConclusionFor more than half of the studied cases, the examined ESKAPE relatives in this study can be applied as surrogates for ESKAPE pathogens. Because of lack of data, no clear statement could be made for Enterococcus faecalis at 222 nm and Acinetobacter baumannii at both wavelengths.

High Intensity Violet Light (405 nm) Inactivates Coronaviruses in Phosphate Buffered Saline (PBS) and on Surfaces

It has been proven that visible light with a wavelength of about 405 nm exhibits an antimicrobial effect on bacteria and fungi if the irradiation doses are high enough. Hence, the question arises as to whether this violet light would also be suitable to inactivate SARS-CoV-2 coronaviruses. Therefore, a high-intensity light source was developed and applied to irradiate bovine coronaviruses (BCoV), which are employed as SARS-CoV-2 surrogates for safety reasons. Irradiation is performed in virus solutions diluted with phosphate buffered saline and on steel surfaces. Significant virus reduction by several log levels was observed both in the liquid and on the surface within half an hour with average log reduction doses of 57.5 and 96 J/cm2, respectively. Therefore, it can be concluded that 405 nm irradiation has an antiviral effect on coronaviruses, but special attention should be paid to the presence of photosensitizers in the virus environment in future experiments. Technically, visible violet radiation is therefore suitable for coronavirus reduction, but the required radiation doses are difficult to achieve rapidly.

Biological Activities of In-House Developed Haloxylon griffithii Plant Extract Formulations.

The therapeutic potential of whitish glaucous sub-shrub Haloxylon griffithii (H. griffithii), abundantly present in southern regions of South Asia, has been neglected. The current study aimed to assess the phytochemicals and pharmacological potential of native and gemm forms of H. griffithii. Results of antimicrobial activity revealed that all tested bacteria were susceptible at concentrations ≤50 µg/mL, while tested fungal species were susceptible at ≤25 µg/mL. The values of minimum bactericidal concentrations (MBCs) ranged between 10.75 ± 0.20 to 44.25 ± 0.42 µg/mL, 8.25 ± 0.02 to 28.20 ± 0.80 µg/mL. The value of minimum inhibitory concentration (MIC) of all microbial species was ≤100 µg/mL and the antibiotic mechanism showed that both extracts were highly bactericidal and fungicidal. Results of average log reduction of viable cell count in time kill assay indicated that Pseudomonas aeruginosa (P. aeruginosa) NCTC 1662, Candida albicans (C. albicans) IBL-01, Candida krusei (C. krusei) ATCC 6258, and Aspergillus flavus (A. flavus) QC 6158 were the most susceptible microbial species. High performance liquid chromatography (HPLC)-based quantification confirmed the presence of gallic acid p.coumeric acid catechin, vanillin, ellagic acid, and salicylic acid, while in native extract only gallic acid. Native and gemm extracts exhibited excellent radical scavenging potential measured by 1,1-diphenyl-2-picryl-hydrazyl radical scavenging assay. Significant thrombolytic activity was found in both extracts with negligible haemolytic activity. Highest percent (%) clot lysis was observed with gemm extracts (87.9 ± 0.85% clot lysis). In summary, we infer that valuable evidence congregated can be exploited for better understanding of gemm H. griffithii’s health benefits, further, to increase its utility with enriching dietary sources of health-promoting compounds.

Efficacy of Chlorine Dioxide Gas Against Hepatitis A Virus on Blueberries, Blackberries, Raspberries, and Strawberries

Seeking a means of sanitizing berries, the effectiveness of steady state levels of gaseous chlorine dioxide (ClO2) against hepatitis A virus (HAV) on laboratory-contaminated berries was determined. The generated ClO2 was maintained with 1 or 2mg/l air inside a 269-l glove box to treat 50g batches of blueberries, raspberries, and blackberries, and 100g batches of strawberries that were immersion coated with HAV. Normalized data for ClO2 (ppm-h/g product) is reported as a function of ClO2 concentration, treatment time, and weight of treated product. Treatments of ClO2 ranging from 1.00 to 6.27ppm-h/g berry were evaluated. When compared to untreated HAV-contaminated berries, log reductions of HAV were > 2.1 for all berry types and conditions tested indicating the gaseous ClO2 was effective. The average log reduction with strawberries, raspberries, blueberries and blackberries treated with 1.00ppm-h/g, the lowest ClO2 treatment tested, were 2.44, 2.49, 3.23, and 3.45, respectively. The highest treatment of 6.27ppm-h/g was applied at two different gas concentrations of 1mg/l and 2mg/l. Average log reductions for blueberries and strawberries treated with 6.27ppm-h/g were 4.34 and 4.42, and 4.03 and 3.51, applied at 1mg/l and 2mg/l, respectively. For blackberries and raspberries 3.20 and 3.24, and 3.23 and 3.97 log reductions were observed for 6.27ppm-h/g treatments applied at 1mg/l and 2mg/l, respectively. Results indicate that HAV contamination of berries can be substantially reduced by gaseous ClO2 and offer industry a waterless means of sanitizing berries against HAV.

Determining the efficacy of 27 commercially available disinfectants against human noroviruses

BackgroundRecently, monoclonal-antibody–conjugated immunomagnetic separation (IMS) procedure combined with quantitative reverse transcription-polymerase chain reaction (qRT-PCR) has been used for quantifying non-cultivated human noroviruses (HuNoVs). MethodsWe examined the efficacy of 27 commercially available disinfectants and a prototype against GII.4 strain HuNoV through the IMS/qRT-PCR assay. ResultsThe average log reduction in viral titer in vitro varied among the disinfectants. The prototype was the most effective with an average log reduction of 6.86 log. ConclusionsThe IMS/RT-qPCR assay is an effective method to evaluate the activities of disinfectants against GII.4 HuNoV in vitro. Further work is needed to enhance the virucidal activity of the prototype disinfectant against more resistant HuNoV strains.

Validation of the saniTracers Sanitation Verification Method from Stainless Steel Environmental Surfaces: AOAC Performance Tested MethodSM 032001.

Effective sanitation of equipment is critical in an integrated food safety system. Existing sanitation verification methods have significant shortcomings that decrease their effectiveness and create an opportunity for novel approaches. This study is intended to validate abiotic bacterial surrogates (saniTracers™) for the rapid verification of solid surface sanitation processes. AOAC validation studies included a pure analyte LOD, matrix studies, inhibition, selectivity, product consistency and stability, instrument variation, and robustness. Stainless steel coupons (4 × 4"), pure or diluted analyte, and Chai qPCR systems were used for those studies. The saniTracers were quantified by qPCR. Average ΔCt values for all matrixes at 50 and 250 ppm sodium hypochlorite sanitation show 3.23 and 11.95, respectively. saniTracers behave similarly in the presence of all matrixes. saniTracers were not inhibited at significant concentrations by any of the sanitizers used. No discrepant results were observed with the robustness study. Lot-to-lot/stability testing demonstrated no differences between the three lots of tests analyzed. saniTracers demonstrated high repeatability and minimal interference from matrix, disinfectant, or microorganisms. The microbial selectivity study indicated a correlation between the removal of pathogens and change in Ct value for saniTracers, following the disinfection process. An average log(cfu) reduction of 4.00 was observed for the three pathogens evaluated, correlating to an average 10.65 Ct change in saniTracers, indicating a correlation in the removal of an average of 0.38 log(cfu) of pathogens per one saniTracer Ct change, following the disinfection process.

Inhibitory Effects of Laminaria japonica Fucoidans Against Noroviruses.

Norovirus is the leading cause of nonbacterial foodborne disease outbreaks. Human noroviruses (HuNoVs) bind to histo-blood group antigens as the host receptor for infection. In this study, the inhibitory effects of fucoidans from brown algae, Laminaria japonica (LJ), Undaria pinnatifida and Undaria pinnatifida sporophyll, were evaluated against murine norovirus (MNoV), feline calicivirus (FCV) and HuNoV. Pretreatment of MNoV or FCV with the fucoidans at 1 mg/mL showed high antiviral activities, with 1.1 average log reductions of viral titers in plaque assays. They also showed significant inhibition on the binding of the P domains of HuNoV GII.4 and GII.17 to A- or O-type saliva and the LJ fucoidan was the most effective, reaching 54–72% inhibition at 1 mg/mL. In STAT1−/− mice infected with MNoV, oral administration of the LJ fucoidan, composed of mainly sulfated fucose and minor amounts of glucose and galactose, improved the survival rates of mice and significantly reduced the viral titers in their feces. Overall, these results provide the LJ fucoidan can be used to reduce NoV outbreaks.

Reply to Comment on “Describing water treatment process performance: Why average log-reduction can be a misleading statistic” by Schmidt, P.J., Anderson, W.B., and Emelko, M.B. [Water Research 176 (2020), 115702

Reply to Comment on “Describing water treatment process performance: Why average log-reduction can be a misleading statistic” by Schmidt, P.J., Anderson, W.B., and Emelko, M.B. [Water Research 176 (2020), 115702

Comment on: Describing water treatment process performance: Why average log-reduction can be a misleading statistic by Schmidt, P.J., Anderson, W.B. and Emelko, M.B. (Water Res, on-line 115702, 2020)

The authors present a study on how to deal with the quantification of treatment processes to eliminate micro-organisms. They point to an obvious point in misinterpreting logarithmic data by calculating the over-all performance by calculating the mean of the log-values of removal fractions instead of averaging the removal fractions themselves. This is common knowledge, and many publications have demonstrated how periods of poor performance compromise overall treatment efficacy and can dominate the microbial risk to consumers (Gale, 2002a; Gale et al., 2002b; Hunter et al., 2009; Jaidi et al. 2009; Smeets et al., 2010; Petterson and Stenstrom, 2015). It is therefore valid to determine the average performance over time from one treatment process, including for a number of parallel operated process units, using the proposed method. However, in their paper Schmidt et al. apply this method to recalculate Microbial Elimination Capacity or log-reduction values from the literature review by Hijnen and Medema, 2010 to their ‘effective log-reduction’ (Table 2 in the Schmidt et al. paper). Additionally, they apply their ‘effective log-reduction’ method to reanalyze the QMRA example in Box 2.4 of the QMRA guidelines of WHO (2016), leading to exceeding the annual risk of 10−6 DALYs per person. To our opinion this is an incorrect interpretation and use of that literature data collected by Hijnen and Medema, 2010. It does not make sense to use these reported values to represent the variability in performance over time at a single treatment plant. Those log-reduction data were abstracted from independent process studies performed under variable operational conditions under different scales (lab-scale to full-scale) and, depended on the published data, representing the effective average removal or a number of individual log reduction values over time.

Analytical and Experimental Studies on the Application of a Series of Treatment Chambers for Escherichia coli Inactivation by Pulsed Electric Fields

The paper investigated studies on the application of pulsed electric fields for the treatment of liquid media in a continuous manner in a co-field treatment chamber with elliptic insulator profiles. The electric field distribution and the temperature rise in the treatment chamber were evaluated via the finite element method. A non-uniform electric field was found at the elliptical insulator edges, while the electric field distribution on the insulator surface was rather uniform. The maximum temperature rise in the liquid media was located slightly behind the elliptic insulator due to the accumulated heat in the flowing liquid media. In the optimized treatment chamber, the average electric field intensity could be as high as 12.21 kV/cm at the moderate voltage at 7.5 kV. As a strategy to improve the inactivation while limiting the temperature rise, a series of treatment chambers was verified by experiments under the conditions of 7.5 kV, a 2.5% duty cycle, and 250 Hz. It was found that an increase in the treatment units could increase the inactivation efficiency for Escherichia coli. The average log reduction could be improved from 1.82 to 2.39 when the number of treatment units was increased from 1 to 5, respectively.

Short communication: Decimal log reductions of Salmonella Senftenberg 775 W and other Salmonella serovars in nonfat milk and powder

This study aimed to compare the thermal resistance of Salmonella Senftenberg 775 W with other serovars of Salmonella in nonfat dry milk (NDM) and hydrated NDM. The scientific literature suggests that Salmonella Senftenberg 775 W is the most heat-resistant serovar in high-water-activity foods such as milk, but little is known about the heat resistance of Salmonella Senftenberg 775 W compared with other Salmonella serovars in low-water-activity foods such as NDM. The 5 serovars of Salmonella used in this study were Enteritidis, Montevideo, Newport, Senftenberg, and Typhimurium. The hydration of NDM was conducted at 13% (wt/vol) total solids. The NDM was inoculated with the 5 individual serovars of Salmonella and dried again to its original pre-inoculation water activity. Hydrated NDM was prepared from individually inoculated NDM. The surviving Salmonella population at predetermined time-temperature intervals were enumerated using injury-recovery medium, and the average log reductions for the individual serovars were calculated. As expected, Salmonella Senftenberg 775 W was the most heat-resistant serovar in hydrated NDM at 59°C and 65°C. However, the heat resistance of Salmonella Senftenberg 775 W was found to be lower than or comparable to that of other serovars in low-water-activity NDM at 80°C and 90°C.

High Virus Removal by Self‐Organized Nanostructured 2D Liquid‐Crystalline Smectic Membranes for Water Treatment

To obtain high quality of drinking water free from biocontaminants is especially important issue. A new strategy employing smectic liquid-crystalline ionic membranes exhibiting 2D structures of layered nanochannels for water treatment is proposed for efficient virus removal and sufficient water flux. The smectic A (SmA) liquid-crystalline membranes obtained by in situ polymerization of an ionic mesogenic monomer are examined for removal of three distinct viruses with small size: Qβ bacteriophage, MS2 bacteriophage, and Aichi virus. The semi-bilayer structure of the SmA significantly obstructs the virus penetration with an average log reduction value of 7.3 log10 or the equivalent of reducing 18 million viruses down to 1. Furthermore, the layered nanochannels of the SmA liquid crystal allow efficient water permeation compared to other types of liquid-crystalline membrane consisting of nanopores.

Simultaneous drying of pet food pellets and Salmonella inactivation by 395 nm light pulses in an LED reactor

Contamination by Salmonella is one of the major reasons for food recalls and outbreaks. This study developed a pulsed light emitting diode (LED) reactor to dry pet food pellets and to inactivate Salmonella. Three treatment modes were tested: 395 nm LED treatment alone (mode 1), vibration + mild hot air (50 °C) fluidization (mode 2), and 395 nm LED treatment + vibration + mild hot air (50 °C) fluidization (mode 3). Significant drying of the pet food pellets was observed in all the three modes. The average log reductions in Salmonella on the pet food pellets after 30 min treatments with modes 1, 2, and 3 were 1.2, 0.33, and 2.26, respectively. This study shows that 395 nm light pulses with mild hot air fluidization inactivated Salmonella while producing a low-moisture food product simultaneously.

Describing water treatment process performance: Why average log-reduction can be a misleading statistic

The degree to which a technology used for drinking water treatment physically removes or inactivates pathogenic microorganisms is commonly expressed as a log-reduction (or log-removal) and is of central importance to the provision of microbiologically safe drinking water. Many evaluations of water treatment process performance generate or compile multiple values of microorganism log-reduction, and it is common to report the average of these log-reduction values as a summary statistic. This work provides a cautionary note against misinterpretation and misuse of averaged log-reduction values by mathematically proving that the average of a set of log-reduction values characteristically overstates the average performance of which the set of log-reduction values is believed to be representative. This has two important consequences for drinking water and food safety as well as other applications of log-reduction: 1) a technology with higher average log-reduction does not necessarily have higher average performance, and 2) risk analyses using averaged log-reduction values as point estimates of treatment efficiency will underestimate average risk—sometimes by well over an order of magnitude. When analyzing a set of log-reduction values, a summary statistic called the effective log-reduction (which averages reduction or passage rates and expresses this as a log-reduction) provides a better representation of average performance of a treatment technology.

Benzoyl peroxide use transiently decreases Cutibacterium acnes load on the shoulder

Cutibacterium acnes is the most common pathogen in shoulder prosthetic joint infections. Short-contact benzoyl peroxide (BPO) solutions effectively reduce C acnes loads on the shoulder preoperatively. It is unknown how long the effect of BPO lasts. We evaluated C acnes counts 1 week after BPO application. We hypothesized that BPO would decrease C acnes burden with a rebound after 1 week. Screening of 102 healthy volunteers with no history of shoulder surgery or C acnes infection was performed to establish bacterial counts. Thirty-four participants were selected based on an established threshold. Each was given BPO 5% for 3 consecutive days of application on either the left or right shoulder as indicated by a random number generator. Deep sebaceous gland cultures were obtained with a detergent scrub technique before BPO application, after 3 days of use, and 1 week after BPO treatment commenced. The differences between the logarithmic reduction and the logarithmic rebound at the anterior, lateral, and posterior sites were statistically significant. Anteriorly, the average log reduction was -0.44 and the average log rebound was 0.69 (P = .003). Laterally, reduction was -0.64 and rebound was 0.74 (P = .003). Posteriorly, reduction was -0.63 and rebound was 0.78 (P = .008). At the axilla, reduction was -0.40 and rebound was 0.31 (P = .10). The differences in C acnes burden between pretreatment and 1-week counts at all sites were not statistically significant. A significant decrease in C acnes burden occurred after BPO application but was not permanent. Significant rebound occurred just 1 week later.