# The power of neutralization: the critical step for the accurate antimicrobial potential of plasma-activated water

**Authors:** Manca Lunder, Sebastian Dahle, Borut Poljšak, Rok Fink

PMC · DOI: 10.3389/fmicb.2026.1774713 · Frontiers in Microbiology · 2026-02-20

## TL;DR

This study shows that neutralizing plasma-activated water is essential for accurately measuring its antimicrobial effects, especially when testing against bacteria like E. coli and S. aureus.

## Contribution

The study introduces a new neutralizer formulation that effectively quenches reactive species in plasma-activated water without harming bacteria.

## Key findings

- CAP treatment for 3 minutes achieved significant log reductions in E. coli and S. aureus.
- Storage of PAW at 4°C for 24 hours maintained antimicrobial activity due to long-lived RONS.
- A combined neutralizer formulation (Mix) was most effective in quenching residual RONS without bacterial toxicity.

## Abstract

Cold atmospheric plasma (CAP) has emerged as a promising alternative technology for water disinfection due to its strong antimicrobial activity mediated by plasma-activated water (PAW). In this study, CAP generated using a flow-through dielectric barrier discharge (DBD) reactor was evaluated for its antimicrobial efficacy against Escherichia coli and Staphylococcus aureus in model hard water, with particular emphasis on post-treatment reactivity and the need for neutralization in antimicrobial testing. CAP treatment for 3 min resulted in log reductions of 1.09 for E. coli and 3.27 for S. aureus, confirming effective microbial inactivation. Storage of PAW at 4°C for 24 h led to complete inactivation of both strains, demonstrating persistent antimicrobial activity driven by long-lived reactive oxygen and nitrogen species (RONS). Quantification of hydrogen peroxide, ozone, nitrite, and nitrate revealed significant depletion of ozone and hydrogen peroxide during storage, particularly in the presence of bacteria, indicating ongoing chemical–biological interactions. Nitrite and nitrate remained comparatively stable, suggesting a secondary or synergistic role in prolonged antimicrobial effects. The persistence of PAW activity highlighted the necessity of immediate neutralization to avoid overestimation of antimicrobial efficacy. Several chemical neutralizers recommended in standardized antimicrobial testing protocols were evaluated, with a combined “Mix” formulation (PBS, NaCl with tryptone, polysorbate 80, lecithin, and sodium thiosulphate) providing the most effective quenching of residual RONS while remaining non-toxic to bacteria. In parallel, the influence of solid culture media on bacterial recovery was assessed. We recommend combining the Mix neutralizer with non-selective or mildly selective media (NEA for E. coli and NMSA for S. aureus) to improve reproducibility and reliability in PAW antimicrobial testing. These findings contribute to methodological standardization and support the development of CAP-based water disinfection technologies.

Evaluation of different neutralizers for assessing antimicrobial potential of PAW.Flowchart illustrating the process of cold atmospheric plasma (CAP) generating plasma-activated water (PAW), its impact on bacteria such as Staphylococcus aureus and Escherichia coli, storage time, and concentration of reactive oxygen and nitrogen species (RONS), followed by neutralization, division into liquid and solid formats, combined analysis, and concluding with accurate assessment.

Evaluation of different neutralizers for assessing antimicrobial potential of PAW.

## Linked entities

- **Chemicals:** hydrogen peroxide (PubChem CID 784), ozone (PubChem CID 24823), nitrite (PubChem CID 946), nitrate (PubChem CID 943), NaCl (PubChem CID 5234), lecithin (PubChem CID 10425706), sodium thiosulphate (PubChem CID 24477)
- **Species:** Escherichia coli (taxon 562), Staphylococcus aureus (taxon 1280)

## Full-text entities

- **Diseases:** RONS (MESH:D000860), PAW (MESH:D000069578), CAP (MESH:D000067390), toxicity (MESH:D064420)
- **Chemicals:** CaCl2 (MESH:D002122), NO3 (MESH:C038619), copper (MESH:D003300), aldehydes (MESH:D000447), glycine (MESH:D005998), hydroxyl radicals (MESH:D017665), quaternary ammonium compounds (MESH:D000644), Water (MESH:D014867), chloramines (MESH:D002700), BPA (MESH:C006780), sodium benzoate (MESH:D020160), NO2 (MESH:D009585), lactose (MESH:D007785), peracetic acid (MESH:D010463), nitrogen (MESH:D009584), L-histidine (MESH:D006639), Agar (MESH:D000362), parabens (MESH:D010226), carbon (MESH:D002244), MgCl2 (MESH:D015636), NaCl (MESH:D012965), ibuprofen (MESH:D007052), salt (MESH:D012492), Nitrate (MESH:D009566), O2 (MESH:D010100), PBS (MESH:D007854), Tween 80 (MESH:D011136), glutaraldehyde (MESH:D005976), N-acetylcysteine (MESH:D000111), alcohols (MESH:D000438), RNS (MESH:D011886), magnesium (MESH:D008274), lecithin (MESH:D054709), saponin (MESH:D012503), mannitol (MESH:D008353), lipids (MESH:D008055), OH (MESH:C031356), basic fuchsin (MESH:C025485), sodium bisulfate (MESH:C012036), Nitrite (MESH:D009573), Chlorine (MESH:D002713), sodium thiosulfate (MESH:C017717), epoxy (MESH:D004853), aluminum (MESH:D000535), Mix (-), O3 (MESH:D010126), H2O2 (MESH:D006861), NaHCO3 (MESH:D017693), carvacrol (MESH:C073316), phenol red (MESH:D010637), bile salts (MESH:D001647), NO (MESH:D009614), o-phthalaldehyde (MESH:D009764)
- **Species:** Palaina sp. AW (species) [taxon 563717], Saccharomyces cerevisiae (baker's yeast, species) [taxon 4932], Escherichia coli (E. coli, species) [taxon 562], Salmonella (genus) [taxon 590], Chlorella sp. AP (species) [taxon 1446895], Staphylococcus aureus (species) [taxon 1280], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12962882/full.md

## References

89 references — full list in the complete paper: https://tomesphere.com/paper/PMC12962882/full.md

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Source: https://tomesphere.com/paper/PMC12962882