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Cellular and microbial macromolecules in skin and bacteria refers to the collective set of essential biological components—including proteins, lipids, and nucleic acids—that serve as the non-specific targets for broad-spectrum topical antiseptics. Unlike targeted antimicrobial agents that inhibit specific enzymes, these macromolecules are disrupted through rapid, non-selective chemical reactions such as oxidation, halogenation, or denaturation. This mechanism is most prominently associated with iodine-based agents like povidone-iodine, where free iodine reacts with functional groups such as sulfhydryl, hydroxyl, and amino groups across a wide range of microbial and host molecules. This broad-spectrum activity effectively neutralizes bacteria, viruses, fungi, and protozoa, making it a cornerstone of wound care and surgical site preparation. However, because the action is non-selective, it can also affect host cellular macromolecules in the skin, potentially leading to localized tissue damage, irritation, or delayed wound healing if used in high concentrations or for prolonged periods.
Non-specific oxidation, halogenation, and denaturation of proteins, lipids, and nucleic acids, leading to rapid cell death and lysis.
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