salts are used as disinfectants, surfactants, fabric softeners, and as antistatic agents (e.g. in shampoos). In liquid fabric softeners, the chloride salts are often used. In dryer anticling strips, the sulfate salts are often used. Older aluminium electrolytic capacitors and spermicidal jellies also contain quaternary ammonium salts. Quats are also used in contraception formulations, veterinary products, diagnostic testing, vaccine production, and nasal formulations. Some scientists have raised concerns about the level of understanding of safety profile of quat disinfectants on people. As of August 2020, half of disinfectants the United States Environmental Protection Agency suggested as effective against COVID-19 contained one of the quats, and often a quat as the sole ingredient. Salmonella and ecoli O-157 exposed to quats have developed cross resistance to antibiotics. A subject of concern is the potential effect of increased use of quats related to COVID-19 pandemic on antibiotic resistance in a larger microbial community in nature and engineered environment. Medicines Quaternary ammonium compounds have antimicrobial activity. Quaternary ammonium compounds, especially those containing long alkyl chains, are used as antimicrobials and disinfectants. Examples are benzalkonium chloride, benzethonium chloride, methylbenzethonium chloride, cetalkonium chloride, cetylpyridinium chloride, cetrimonium, cetrimide, dofanium chloride, tetraethylammonium bromide, didecyldimethylammonium chloride and domiphen bromide. Also good against fungi, amoebas, and enveloped viruses (such as SARS-CoV-2), quaternary ammonium compounds are believed to act by disrupting the cell membrane or viral envelope. Quaternary ammonium compounds are lethal to a wide variety of organisms except endospores and non-enveloped viruses. Phase transfer catalysts In organic chemistry, quaternary ammonium salts are employed as phase transfer catalysts (PTCs). Such catalysts accelerate reactions between reagents dissolved in immiscible solvents. The highly reactive reagent dichlorocarbene is generated via PTC by reaction of chloroform and aqueous sodium hydroxide. Fabric softeners and hair conditioners In the 1950s, distearyldimethylammonium chloride (DHTDMAC), was introduced as a fabric softener. This compound was discontinued because the cation biodegrades too slowly. Contemporary fabric softeners are based on salts of quaternary ammonium cations where the fatty acid is linked to the quaternary center via ester linkages; these are commonly referred to as betaine-esters or ester-quats and are susceptible to degradation, e.g., by hydrolysis. Characteristically, the cations contain one or two long alkyl chains derived from fatty acids linked to an ethoxylated ammonium salt. Other cationic compounds can be derived from imidazolium, guanidinium, substituted amine salts, or quaternary alkoxy ammonium salts. The antistatic qualities that make quaternary ammonium salts useful as