U.S. patent number 3,890,297 [Application Number 05/346,010] was granted by the patent office on 1975-06-17 for process for n-acylating novenamine.
This patent grant is currently assigned to The Upjohn Company. Invention is credited to Lester A. Dolak.
United States Patent |
3,890,297 |
Dolak |
June 17, 1975 |
Process for n-acylating novenamine
Abstract
A process for preparing N-acylated novenamine having
antibacterial activity comprising contacting novenamine with an
acylating agent consisting of a derivative of the desired
carboxylic or sulfonic acid in a nitrogen-containing organic base
at a temperature of from about -80.degree.C. to about 0.degree.C.,
and allowing the reaction system to come to ambient
temperature.
Inventors: |
Dolak; Lester A. (Kalamazoo,
MI) |
Assignee: |
The Upjohn Company (Kalamazoo,
MI)
|
Family
ID: |
23357552 |
Appl.
No.: |
05/346,010 |
Filed: |
March 29, 1973 |
Current U.S.
Class: |
536/17.9 |
Current CPC
Class: |
C07H
17/075 (20130101) |
Current International
Class: |
C07H
17/075 (20060101); C07H 17/00 (20060101); C07c
047/18 () |
Field of
Search: |
;260/21R,21AB |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Brown; Johnnie R.
Attorney, Agent or Firm: Barancik; Martin B. Saliwanchik;
Roman
Claims
I claim:
1. A process for preparing N-acylated novenamine having
anti-bacterial activity which comprises contacting novenamine with
an acylating agent consisting of a derivative of the desired
carboxylic or sulfonic acid in a nitrogen-containing organic base
solvent at a temperature of from about -80.degree.C. to about
0.degree.C. and allowing the reaction system to come to ambient
temperature.
2. A process in accordance with claim 1 wherein the temperature is
from about -40.degree. to about -20.degree.C.
3. A process in accordance with claim 2 wherein the solvent is
pyridine.
4. A process in accordance with claim 1 wherein said carboxylic or
sulfonic acid has two to about 20 carbon atoms, inclusive.
Description
BRIEF DESCRIPTION OF THE PRIOR ART
In U.S. Pat. No. 3,652,536, the preparation of novenamine, the
portion of novobiocin which remains after cleavage of the amide
bond, and novenamine N-acylates was disclosed. However, none of the
acylation processes prepared the N-acylate selectively. When
novenamine was acylated in aprotic solutions containing an acid
binding agent, O-acylation occurred as well as N-acylation. The
O-acyl group was removed by treatment with liquid ammonia, a
process which is inconvenient, costly and potentially hazardous. To
avoid the formation of novenamine O-acylates, the acylation
reaction was alternatively carried out in a hydroxyl solvent such
as water or ethanol. In this case, the solvent was also acylated
and had to be separated from the N-acylated novenamine.
Additionally, both of these processes suffered from the
disadvantages of a tedious work-up of complex reaction mixtures and
the final isolation of the N-acylated novenamine by column
chromatography.
The process of this invention produces N-acylated novenamine
selectively and allows rapid isolation and characterization of the
N-acyl derivatives. The process is additionally advantageous in
that the N-acylated products can be obtained from impure novenamine
starting material as readily as from pure novenamine. The
N-acylated novenamine compounds have anti-bacterial activity.
BRIEF SUMMARY OF THE INVENTION
A process is provided for preparing N-acylated novenamine having
anti-bacterial activity comprising contacting novenamine with an
acylating agent consisting of a derivative of the desired
carboxylic or sulfonic acid in a nitrogen-containing organic base
at a temperature of from about -80.degree.C. to about 0.degree.C.,
and allowing the reaction system to come to ambient
temperature.
DETAILED DESCRIPTION OF THE INVENTION
Novenamine is readily prepared by the procedure of U.S. Pat. No.
3,652,356. Impure novenamine can be employed as readily in the
instant process as further purified novenamine. "Impure novenamine"
means a novenamine content of up to about 25 to 30 weight
percent.
The novenamine, or its hydrochloride salt, is dissolved in a
nitrogen-containing organic base with or without cosolvent. The
solvent system should have the capability of solubilizing, but not
necessarily completely, at least one of the reactants. Generally,
the nitrogen containing organic base is selected from the group
consisting of aromatic and non-aromatic heterocyclics, cyclic and
acyclic tertiary amines, and cyclic and acyclic secondary amines
having from 3 to 20 carbon atoms, preferably from 3 to about 6
carbon atoms most preferably amines which are liquid at room
temperature. Illustrative examples of these amines are pyridine,
imidazole, 2,4-lutidine, trimethylamine, triethylamine,
diethylmethylamine, dimethylethylamine, dipropylmethylamine,
dimethylpropylamine, methylpropylamine, piperidine, morpholine,
quinuclidine, pyrrolidine, dicyclohexylamine, diethylamine,
dipropylamine, and ethylpropylamine. (Examples of higher amines
include cadaverine, quinoline, isoquinoline, decylamine,
hexadecylamine, N-(p-chlorobenzhydryl)-piperazine and
(di-n-nonylamine).
A cosolvent may be employed to retard freezing and to increase the
solubility of the reactants if desired. Effective cosolvents
include ethers, amides, alkanes, or esters. Illustrative examples
of ethers are diethylether, tetrahydrofurane, pyrane,
dipropylether, dodecylether and generally monoethers having from 4
to 20 carbon atoms, preferably from 4 to about 6 carbon atoms.
Diethers including dioxane, 1,2-dimethoxyethane, diglyme,
1,3-dimethoxypropane, and higher ethers can be employed. In
general, diethers having from 4 to 20 carbon atoms, preferably 4 to
about 6 carbon atoms, can be used. Amides which can be employed are
dimethylformamide, N-methylacetamide, N,N-dimethylacetamide,
N,N-diethylpropionamide, 1-methyl-2-pyrrolidone and amides in
general having from 2 to 19 carbon atoms, preferably from 3 to
about 6 carbon atoms. Alkanes which can be employed include those
alkanes and isomers thereof from 4 to about 10 carbon atoms,
including butane, pentane, hexane, heptane, octane, nonane, decane,
and isomers thereof. Esters which can be employed are
methylformate, ethylacetate, butylformate, butyl acetate, and in
general, esters having from 2 to 18 carbon atoms, preferably from 2
to about 6 carbon atoms. Also useful are nitromethane,
acetonitrile, acetone, methylethylketone, chloroform, methylene
chloride and dimethylsulfoxide.
After placing the novenamine in the nitrogen-containing organic
base and the cosolvent, if included, the temperature of this system
is reduced to from about 0.degree.C. to about -80.degree.C.,
preferably from about -20.degree.C. to about -40.degree.C. This low
temperature allows the ensuing reaction between the acylating agent
and the novenamine to proceed selectively at the amino position of
the novenamide. At this temperature, some of the solvent can be in
its solid phase.
When the temperature of the system has been reduced to the desired
level, stoichiometric quantities of the acylating agent calculated
on the basis of the novenamine present, are added to the system.
The acylating agent may go into solution or be in the solid phase
at that temperature. The acylating agents employed are the usual
acylating derivatives of carboxylic and sulfonic acids which can
react with an amino grouping to form an acylated product. Examples
of these agents include the following: Halides, anhydrides, mixed
anhydrides, chloroformates, nitrophenylesters, and imidazoles.
Examples of the halides are fluoride, chloride, bromide, and
iodide. Anhydrides and mixed anhydrides include acetic anhdride,
benzoic anhydride, and the mixed anhydride formed between isobutyl
chloroformate and the N-carbobenzyloxy derivative of tyrosine.
Nitrophenyl esters include the nitrophenyl esters of
N-carbobenzyloxycarbonyl proline, of
1-methoxy-1-methyl-5-carboxychroman, and in general, for such acids
where, according to the art, the nitrophenyl esters are known to be
advantageously useful. Examples of suitable haloformates include
methylchloroformate, cyclododecylchloroformate, and
4-cyclohexylcyclohexylchloroformate. Additionally, other usual
acylating derivatives may also be used advantageously. These, in
general, include imidazoles, carbodiimides, acylazides and
Woodward's Reagent K. When the aforesaid acylating reagents are
used under the low-temperature nitrogen-containing organic base
solvent conditions of this invention, novenamine is N-acylated in a
selective manner.
Operable carboxylic and sulfonic acyl donors can be the standard
type usually employed. For example, the carboxylic and sulfonic
acyls can be alkyl and aryl, branched or unbranched, cyclic or
alicyclic, saturated or unsaturated acyls having from 2 to about 20
carbon atoms, preferably from about 10 to about 16 carbon atoms,
and may be unsubstituted or substituted with a variety of radicals
such as nitro, hydroxyl, alkoxyl, acyloxy, halogen, or combinations
thereof. Examples include acetic, propionic, palmitic, oleic,
2-methylhexanoic, p-nitrobenzoic, phenoxyacetic, p-toluenesulfonic,
acetylsalicylic, m-hexyloxybenzoic, pentaflurorbenzoic,
2-naphthoic, 1-adamantoic, chloroacetic, tetradecyloxyformic and
the like. A preferred carboxylic grouping is a substituted
benzoyl.
After addition of the acylating agents, the temperature of the
reaction is allowed to gradually rise to room temperature, a time
period which is generally from about 2 to about 20 hours. In
general, the slower the temperature rise, the greater the
selectivity of the amine acylation. For example, after addition of
the acylating agent, the cooling means can be removed from contact
with the reaction system and the reaction system allowed to stand
overnight, that is, a period of 15-20 hours, while the system
temperature is slowly rising to ambient. When this particular
method is employed, N-acylation occurs to the essential exclusion
of O-acylation.
After the reaction has reached its desired level of completion, the
N-acyl novenamine is isolated in any convenient manner. A preferred
method of isolation is to filter the reaction mixture if solids are
present and concentrate in vacuo at about 20.degree.C. to about
60.degree.C. The residue is partitioned between a 0.01 to about 3N
mineral acid such as hydrochloric, sulfuric, perchloric, or
phosphoric acid and an immiscible organic solvent such as ethyl
acetate, methylene chloride, chloroform, n-butanol or ether. The
organic layer is washed successively with water and saturated NaCl
solution, dried with MgSO.sub.4, filtered and concentrated. Any
solid third phase present is collected by filtration and
crystallized from a suitable solvent or solvent pair. The residue
of the organic layer is crystallized from the same solvent
combination as was the solid third phase, if present. Two
crystallizations of the extracted product are usually required to
obtain material of a purity level equivalent to that obtained from
a single crystallization of the product which was present as a
third phase above. Suitable crystallization solvents are
combinations of lower alcohols or ketones of up to about 5 carbon
atoms and water or a halogenated hydrocarbon such as methylene
chloride and a hydrocarbon such as hexane, cyclohexane, ligroin or
toluene.
The following examples are illustrative of the process and products
of the present invention but are not to be construed as limiting.
All percentages are by weight and all solvent mixture proportions
are by volume unless otherwise noted.
EXAMPLE 1
N-(4-Nitro-3-n-pentyloxybenzoyl) Novenamine
Novenamine (13.5 g.) is dissolved in pyridine (250 ml) and the
solution flushed with nitrogen and cooled to the point where solid
begins to form on the wall of the flask (ca -30.degree.C.).
4-Nitro-3-n-pentyloxybenzoyl chloride (8.2 g.) is added in one
batch. The mixture is stirred for 16 hr. during which time the
temperature rises to 25.degree.C. The solvent is removed on a
rotary vacuum evaporator (60.degree./18 mm) and the residue
partitioned between ethyl acetate and 1 N hydrochloric acid. The
organic layer is washed with water, dried with magnesium sulfate,
filtered, and concentrated on a rotary evaporator. The residue is
taken up in hot ethanol and cooled. The solution deposits 12.0 g.
yellow solid, m.p. 175.degree.-177.degree..
______________________________________ Anal. Calcd. for C.sub.31
H.sub.37 N.sub.3 O.sub.13 : C, 56.44; H, 5.65; N, 6.37. Found: C,
55.83; H, 5.79; N, 6.91. ______________________________________
EXAMPLE 2
N-(3-n-Nonyloxybenzoyl) Novenamine
Novenamine (8.4 g.) is dissolved in 250 ml. pyridine and the
solution flushed with nitrogen and cooled to -30.degree..
3-n-Nonyloxybenzyol chloride (5.6 g.) is added in one batch. The
mixture is stirred while the temperature slowly rises to
25.degree.. After 72 hr. the solvent is removed on a rotary
evaporator. The residue is partitioned between ethyl acetate and 1
N hydrochloric acid. The residue is taken up in hot ethanol and
water added so that the solution is cloudy at the boiling point. On
cooling a total of 9.5 g. white solid deposits, m.p.
100.degree.-103.degree..
______________________________________ Anal. Calcd. for C.sub.35
H.sub.46 N.sub.2 O.sub.11 : C, 62.67; H, 6.91; N, 4.18. Found: C,
62.43; H, 7.07; N, 4.10. ______________________________________
EXAMPLE 3
N-(3-Benzyl-4-Hydroxybenzoyl) Novenamine
Novenamine (8.4 g.) is dissolved in 100 ml. pyridine and 100 ml.
tetrahydrofuran. The solution is flushed with nitrogen and cooled
to -35.degree.. 3-Benzyl-4-benzyloxybenzoyl chloride (from 6.4 g.
of the acid and an excess of thionyl chloride) is added in one
batch. The temperature rises to -28.degree. briefly and then
returns to -35.degree.. Stirring is continued for 64 hr., during
which time the temperature reached 25.degree.. The solution is
concentrated on a rotary evaporator and the residue partitioned
between ethyl acetate and 1 N HCl. The organic layer is washed with
water, dried with magnesium sulfate, filtered, and concentrated on
a rotary evaporator. This is taken up in ethyl acetate and filtered
with suction over 400 g. silica gel. The first 650 ml. filtrate is
concentrated to give 7.5 g. yellow solid. This has an R.sub.f using
10:1 ethyl acetate: methanol on a silica gel thin layer plate of
0.64. It is analyzed without further purification to give C, 66.89
and H, 5.75 (calculated for C.sub.40 H.sub.40 N.sub.2 O.sub.11 is
C, 66.29 and H, 5.56).
This material (3.6 g.) is hydrogenated at 38 psi hydrogen in 150
ml. methanol with 1.5 g. 10% Pd/C on a Parr hydrogenation
apparatus. The solution is filtered and concentrated on a rotary
evaporator. The residue is dissolved in hot ethyl acetate, filtered
and treated with hexane to cloudiness. The first crop amounts to
2.7 g. white solid, m.p. 158.degree.-160.degree. (sealed tube).
______________________________________ Anal. Calcd. for C.sub.33
H.sub.34 N.sub.2 O.sub.11 : C, 62.45; H, 5.59; N, 4.20. Found: C,
62.03; H, 5.41; N, 4.22. ______________________________________
EXAMPLE 4
N-(4-Cyclohexylcyclohexyloxycarbonyl) Novenamine
4-Cyclohexylcyclohexanol is stirred in toluene while phosgene is
bubbled through the solution. After 2 hr. the solvent is removed to
give a clear liquid. Infrared analysis shows this to be the
chloroformate free of the alcohol. This material (4.89 g.) is added
in one batch to a solution of novenamine (8.4 g.) in 250 ml.
pyridine at -30.degree.. After 16 hr. the temperature has reached
25.degree. and the solvent is removed on a rotary evaporator. The
residue is partitioned between ethyl acetate and 1.0 N HCl. The
organic layer is washed with water, dried with magnesium sulfate,
filtered, and then concentrated on a rotary evaporator. The residue
is taken up in hot ethanol and water was added to cloudiness. The
first crop amounts to 7.7 g. white solid, m.p.
142.degree.-147.degree..
______________________________________ Anal. Calcd. for C.sub.32
H.sub.44 N.sub.2 O.sub.11 : C, 60.74; H, 7.01; N, 4.43. Found: C,
60.80; H, 7.23; N, 4.40. ______________________________________
EXAMPLE 5
In a manner similar to Examples 1-4, the following exemplary
N-acylated novenamine compounds are prepared. ##SPC1##
Melting Point .degree.C (Accompanied by R decomposition)
______________________________________ 4-nitrobenzoyl 255 (dec)
4-chlorobenzoyl 255-7.degree. 4-methoxybenzoyl 257-9.degree.
phenoxyacetyl 183-5.degree. n-propyloxycarbonyl 136-8.degree.
diethylaminocarbonyl 126-32.degree. 1-adamantanoyl 190-2.degree.
4-n-dodecyloxybenzoyl 178-9.degree. 4-tert-butylbenzoyl 275 (dec)
4-[3-tert-amylphenoxy]-benzoyl 163-5.degree. 2-ethoxybenzoyl
163-5.degree. 4-phenylbenzoyl 253-4.degree. 1-naphthoyl
223-7.degree. 2-naphthoyl 263-4.degree. pentafluorobenzoyl
230-5.degree. 9-anthranoyl 193-5.degree.
3-(2-chlorophenyl)-5-methyl-4- isoxazoyl 151-4.degree.
3-coumaranoyl 335 (dec) 3,4-methylenedioxybenzoyl 260-1.degree.
3-fluorobenzoyl 228-9.degree. 2-chlorobenzoyl 147-50.degree.
2,4-dichlorobenzoyl 215-8.degree. trichloromethylsulfonyl
195-7.degree. 3,4,5-trimethoxybenzoyl 235-7.degree.
2-nitrophenylsulfonyl 200-3.degree. n-tetradecyloxycarbonyl
128-31.degree. 4-n-hexadecyloxybenzoyl 149-52.degree.
4-acetoxy-3-methoxybenzoyl 259-1.degree. 3-n-butoxy-4-nitrobenzoyl
212-3.degree. 4-methoxy-3-nitrobenzoyl 226-9.degree.
4-hydroxy-3-methoxybenzoyl 300-1.degree. 3,4,5-triethoxybenzoyl
128-31.degree. 3,5-ditert-butyl-4-hydroxybenzoyl 174-7.degree.
N-methyl-N-phenylaminocarbonyl 146-50.degree. 2-phenylbenzoyl
148-52.degree. n-decyloxycarbonyl 164-7.degree.
n-dodecyloxycarbonyl 87-91.degree.
2-(2-ethoxyethoxy)-ethoxycarbonyl 100-3.degree.
2-(2-n-butoxyethoxy)-ethoxycarbonyl 98-100.degree.
3-ethoxy-1-propanoxycarbonyl 105-9.degree.
4-cyclohexylcyclohexyloxycarbonyl 142-7.degree.
cyclododecyloxycarbonyl 145-6.degree. 4-n-octyloxybenzoyl
197-9.degree. 3-(3-ethoxy-1-propanoxy)-benzoyl 149-53.degree.
3-(3-phenoxy-1-propanoxy)-benzoyl 119-21.degree.
3-n-(4-methyl-1-pentyloxy)-benzoyl 144-7.degree.
3-n-hexyloxybenzoyl 171-4.degree. 3-n-heptyloxybenzoyl
127-9.degree. 3-n-octyloxybenzoyl 133-5.degree. 3-n-nonyloxybenzoyl
100-3.degree. 3-n-dodecyloxybenzoyl 85-9.degree.
3-n-(2-methyl-1-pentyloxy)-benzoyl 110-4.degree.
3-n-(3-methyl-1-butyloxy)-benzoyl 150-4.degree.
3-n-pent-4-enyloxybenzoyl 136-8.degree. 3-hydroxy-4-nitrobenzoyl
247-50.degree. 3-allyloxy-4-nitrobenzoyl 246-7.degree.
4-nitro-3-n-pentyloxybenzoyl 175-7.degree.
3-n-(3-methyl-1-butyloxy)-4-nitro- benzoyl 139-41.degree.
3-n-(1-methyl-1-butyloxy)-4- nitrobenzoyl 138-40.degree.
4-nitro-3-n-(1-pent-4-enyloxy)- benzoyl 120-4.degree.
3-(2-ethoxyethoxy)-4-nitrobenzoyl 187-91.degree.
4-nitro-3-n-octyloxybenzoyl 118-22.degree.
4-allyloxy-3-nitrobenzoyl 155-7.degree. 4-n-butoxy-3-nitrobenzoyl
147-50.degree. 3-n-butylbenzoyl 140-3.degree. 3-n-pentylbenzoyl
134-5.degree. 3-n-hexylbenzoyl 119-24.degree. 2-acetoxybenzoyl
164-6.degree. 3,5-diisopropyl-2-hydroxybenzoyl 142-7.degree.
2-quinoxazoyl 258-60.degree. 4-cinnolinoyl 190-5.degree.
3-piperidinoyl 214-5.degree. 6-methyl-2-pyridinoyl 162-5.degree.
1-methyl-2-pyrroloyl 162-6.degree. 2-pyrroloyl 225-7.degree.
2-acetamido-4-methyl-5-thiazolesulfonyl 179-80.degree.
3-methyl-4-nitrobenzoyl 257-8.degree. 4-methyl-3-nitrobenzoyl
197-9.degree. N-carbobenzyloxy-tyrosinoyl 197-8.degree.
4-acetoxy-3-benzylbenzoyl 151-5.degree. 3-benzyl-4-hydroxybenzoyl
158-60.degree. 4-acetoxy-3-(4-fluorobenzyl)-benzoyl 131-5.degree.
3-(4-fluorobenzyl)-4-hydroxybenzoyl 156-9.degree.
3-(4-hydroxybenzyl)-4-hydroxy- benzoyl 184-6.degree.
4-acetoxy-3-(4-methylbenzyl)- benzoyl 142-5.degree.
4-hydroxy-3-(4-methylbenzyl)- benzoyl 220-4.degree.
4-hydroxy-3-phenylbenzoyl 140-3.degree.
3-n-hexyloxy-4-hydroxybenzoyl 203-5.degree.
4-hydroxy-3-n-(3-methylbutyloxy)- benzoyl 174-5.degree.
4-hydroxy-3-(3-oxobutyl)-benzoyl 143-5.degree. 3
(1-oxo-n-pentyl)-benzoyl 139.degree. 3 (1-hydroxy-n-pentyl)-benzoyl
197.degree. benzoyl 245.degree. 4-acetoxy-3-allylbenzoyl
120-22.degree. 3-allyl-4-hydroxybenzoyl 168-70.degree.
4-acetoxy-3-n-propylbenzoyl 220-4.degree.
4-hydroxy-3-n-pentylbenzoyl 148-51.degree.
4-hydroxy-3-n-propylbenzoyl 134-9.degree.
4-acetoxy-3-n-hexylbenzoyl 120-22.degree.
3-n-hexyl-4-hydroxybenzoyl 138-140.degree.
3-n-heptyl-4-hydroxybenzoyl 138-42.degree. 4-hydroxybenzoyl
256-8.degree. isobutyryl 144-8.degree. n-heptanoyl 146-8.degree.
n-nonanoyl 173-8.degree. n-dodecanoyl 148-52.degree.
n-tetradecanoyl 124-7.degree. 2-furanoyl 122-30.degree. cinnamoyl
228-31.degree. 4-hydroxycinnamoyl 137-43.degree. 4-methoxycinnamoyl
231-5.degree. 4-allyloxycinnamoyl 205-7.degree.
3-(4-n-propyloxyphenyl)-propionoyl >80.degree. (dec.)
3-(4-n-pentyloxyphenyl)-propionoyl 4-hydroxy-3-methoxycinnamoyl
165-7.degree. 4-acetoxy-3-methoxycinnamoyl 165-8.degree.
3,4-dimethoxycinnamoyl 264-7.degree. 3-phenylpropionoyl
220-4.degree. 3-aminobenzoyl 258-9.degree.
4-amino-3-n-butoxybenzoyl 166-8.degree. 3-amino-4-methoxybenzoyl
267-8.degree. 4-amino-3-hydroxybenzoyl 189-92.degree.
4-amino-3-n-propyloxybenzoyl 135-7.degree.
4-amino-3-n-pentyloxybenzoyl 138-41.degree.
4-amino-3-(3-methylbutoxy)-benzoyl 137-40.degree.
4-amino-3-(1-methyl-1-n-butoxy)-benzoyl 150-55.degree.
4-amino-3-(2-ethoxyethoxy)-benzoyl 159-62.degree.
4-amino-3-n-octyloxybenzoyl 123-6.degree. 3-amino-4-n-butoxybenzoyl
156-60.degree. 4-amino-3-methylbenzoyl 197-8.degree.
3-amino-4-methylbenzoyl 187-94.degree. 11-bromodecanoyl
131-5.degree. N-methylanthranoyl 150-55.degree. anthranoyl
212-17.degree. cyclohexylphenylacetyl 134-9.degree.
______________________________________
The novenamine N-acylates selectively prepared by the process of
this invention are useful in the same manner as the uses of
novenamine and N-acylates of novenamine described in U.S. Pat. No.
3,652,536 at Column 7, lines 25-37. They are particularly useful as
a disinfectant on various dental and medical equipment contaminated
with S. aureus.
* * * * *