Antimicrobial and cleansing composition

Abstract

The invention relates to a antimicrobial and cleansing composition consisting of a. a polymeric biguanide, and b. a metal ion chelating agent, and g. a solvent, wherein the ratio of a:b is between 0.75:2.25 and 1.25:2.25, or about 1:2, and optionally one or more of the following ingredients; c. a quaternary ammonium salt, d. at least one surfactant, e.a humectant and f. a gelling agent. The invention further relates to said composition for use in a treatment, prevention or reduction of a disease, disorder or condition related to microbials, or treatment, prevention or reduction of infection, or inflammation, or infected wounds, or inflamed wounds, or treatment, prevention or reduction of biofilms, or removal of necrotic tissue. A liquid flow system may be used for administration of the composition.

1 . An antimicrobial and cleansing composition comprising:
 a polymeric biguanide (ppm),   a metal ion chelating agent (ppm), and   a solvent (wt %),   wherein the ratio of the polymeric biguanide to the metal ion chelating agent is between 0.75:2.25 and 1:2.   
     
     
         2 . The composition according to  claim 1 , wherein the composition comprises:
 a polymeric biguanide (ppm),   a metal ion chelating agent (ppm),   a quaternary ammonium salt (ppm), and   a solvent (wt %),   wherein the ratio of the polymeric biguanide to the metal ion chelating agent to the quaternary ammonium salt is between 0.75:2.25:0.30 and 1:2:1.   
     
     
         3 . The composition according to  claim 1 , wherein the composition comprises:
 a polymeric biguanide (ppm),   a metal ion chelating agent (ppm),   at least one surfactant (ppm), and   a solvent (wt %),   wherein the ratio of the polymeric biguanide to the metal ion chelating agent to the at least one surfactant is between 0.75:2.25:0.75 and 1:2:2.   
     
     
         4 . The composition according to  claim 1 , wherein the composition comprises:
 a polymeric biguanide (ppm),   a metal ion chelating agent (ppm),   a quaternary ammonium salt (ppm),   at least one surfactant (ppm), and   a solvent (wt %),   wherein the ratio of the polymeric biguanide to the metal ion chelating agent to the quaternary ammonium salt to the at least one surfactant is between 0.75:2.25:0.30:0.75 and 1:2:1:2.   
     
     
         5 . The composition according to  claim 1 , which further comprises of a humectant. 
     
     
         6 . The composition according to  claim 1 , wherein the composition comprises:
 the polymeric biguanide in an amount of 750 to 1250 ppm, or about 1000 ppm,   the metal ion chelating agent in an amount of 1750 to 2250 ppm, or about 2000 ppm, and   the solvent up to 100 wt %,   
       and in addition optionally one or more of the following ingredients:
 a quaternary ammonium salt in an amount of 400 to 1250 ppm, or about 500 or 1000 ppm, 
 at least one surfactant in an amount of 1750 to 2250 ppm, or about 2000 ppm, 
 a humectant in an amount of 40000 to 100000 ppm, or about 50000 or 85000 ppm, and 
 a gelling agent in an amount of 1.5 to 2.5 wt %, or about 1.8 wt %. 
 
     
     
         7 . The composition according to  claim 6 , wherein the composition consists of
 polyhexamethylene biguanide in an amount of 750 to 1250 ppm, or about 1000 ppm,   EDTA in an amount of 1750 to 2250 ppm, or about 2000 ppm,   polysorbate 60 in an amount of 750 to 1250 ppm, or about 1000 ppm,   undecylenamidopropyl betaine in an amount of 750 to 1250 ppm, or about 1000 ppm,   water up to 100 wt %, and   glycerin in an amount of 40000 to 100000 ppm, or about 50000 or 85000 ppm.   
     
     
         8 . The composition according to  claim 6 , wherein the composition consists of
 polyhexamethylene biguanide in an amount of 750 to 1250 ppm, or about 1000 ppm,   EDTA in an amount of 1750 to 2250 ppm, or about 2000 ppm,   benzalkonium chloride in an amount of 750 to 1250 ppm, or about 1000 ppm,   polysorbate 60 in an amount of 750 to 1250 ppm, or about 1000 ppm,   undecylenamidopropyl betaine in an amount of 750 to 1250 ppm, or about 1000 ppm,   water up to 100 wt %, and   glycerin in an amount of 40000 to 100000 ppm, or about 50000 or 85000 ppm.   
     
     
         9 . The composition according to  claim 1 , wherein the composition is a liquid at a pH from 5 to 7. 
     
     
         10 . The composition according to  claim 3 , wherein the at least one surfactant includes at least one non-ionic surfactant or at least one amphoteric surfactant or mixtures thereof, which surfactants have a hydrophilic-lipophilic balance value between 8 and 20, or between 10 and 18. 
     
     
         11 . The composition according to  claim 1 , wherein the composition further comprises one or more of the following ingredients:
 a quaternary ammonium salt,   at least one surfactant,   a humectant, and/or   a gelling agent.   
     
     
         12 . The composition according to  claim 1 , wherein the composition has minimal or no cellular toxicity for mammal cells. 
     
     
         13 . A method of treatment, prevention or reduction of a disease, disorder or condition in a subject selected from the group consisting of acute or chronic infection, acute or chronic inflammation, diabetic ulcers, second-degree partial-thickness burns, traumatic wounds, Acanthamoeba keratitis, necrotizing fasciitis, venous stasis disease, pressure ulcerations, and carcinomas, comprising administering a therapeutic effective amount of a composition according to  claim 1  to the subject. 
     
     
         14 . The method of  claim 13 , wherein the disease, disorder, or condition is a topical infection. 
     
     
         15 . The method of  claim 13 , wherein the disease, disorder or condition is acute or chronic infected wounds, or acute or chronic inflamed wounds. 
     
     
         16 . A liquid flow system for topical administration of the composition according to  claim 1 , whereby the system comprises
 a negative pressure source,   a canister for collecting wound exudate,   a reservoir containing the composition,   a liquid injector device for transferring a predetermined volume of the composition;   connector tubes to transfer the composition to and from an infected soft tissue or bone, and   a negative pressure wound dressing,   
       wherein the system is adapted to draw fluid from the reservoir to the wound dressing and draw fluid away from the wound dressing after a holding time of 5 to 60 minutes.