scholarly journals Rapid Hospital Room Decontamination Using Ultraviolet (UV) Light with a Nanostructured UV-Reflective Wall Coating

2013 ◽  
Vol 34 (5) ◽  
pp. 527-529 ◽  
Author(s):  
William A. Rutala ◽  
Maria F. Gergen ◽  
Brian M. Tande ◽  
David J. Weber

We tested the ability of an ultraviolet C (UV-C)–reflective wall coating to reduce the time necessary to decontaminate a room using a UV-C-emitting device (Tru-D SmartUVC). The reflective wall coating provided the following time reductions for decontamination: for methicillin-resistant Staphylococcus aureus, from 25 minutes 13 seconds to 5 minutes 3 seconds (P < .05), and for Clostridium difficile spores, from 43 minutes 42 seconds to minutes 24 seconds (P < .05).

2016 ◽  
Vol 37 (6) ◽  
pp. 667-672 ◽  
Author(s):  
John M. Boyce ◽  
Patricia A. Farrel ◽  
Dana Towle ◽  
Renee Fekieta ◽  
Michael Aniskiewicz

OBJECTIVETo evaluate ultraviolet C (UV-C) irradiance, UV-C dosage, and antimicrobial effect achieved by a mobile continuous UV-C device.DESIGNProspective observational study.METHODSWe used 6 UV light sensors to determine UV-C irradiance (W/cm2) and UV-C dosage (µWsec/cm2) at various distances from and orientations relative to the UV-C device during 5-minute and 15-minute cycles in an ICU room and a surgical ward room. In both rooms, stainless-steel disks inoculated with methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), and Clostridium difficile spores were placed next to sensors, and UV-C dosages and log10 reductions of target organisms achieved during 5-minute and 15-minute cycles were determined. Mean irradiance and dosage readings were compared using ANOVA.RESULTSMean UV-C irradiance was nearly 1.0E-03 W/cm2 in direct sight at a distance of 1.3 m (4 ft) from the device but was 1.12E-05 W/cm2 on a horizontal surface in a shaded area 3.3 m (10 ft) from the device (P<.001). Mean UV-C dosages received by UV-C sensors located at different distances and orientation relative to the device varied significantly during 5-minute cycles and during 15-minute cycles (P<.001). Log10 reductions ranged from >4 to 1–3 for MRSA, >4 to 1–2 for VRE and >4 to 0 log10 for C. difficile spores, depending on the distance from, and orientation relative to, the device with 5-minute and 15-minute cycles.CONCLUSIONUV-C irradiance, dosage, and antimicrobial effect received from a mobile UV-C device varied substantially based on location in a room relative to the UV-C device.Infect Control Hosp Epidemiol 2016;37:667–672


2018 ◽  
Vol 39 (9) ◽  
pp. 1122-1124 ◽  
Author(s):  
Brian M. Tande ◽  
Todd A. Pringle ◽  
William A. Rutala ◽  
Maria F. Gergen ◽  
David J. Weber

AbstractWe measured the disinfection of MRSA and Clostridium difficile spores using an ultraviolet C (UV-C) device, and we correlated those results to measurements and computer simulations of UV-C surface intensity. The results demonstrate both large differences in UV light intensity across various surfaces and how this leads to significant differences in disinfection.


Author(s):  
Jennifer L. Cadnum ◽  
Basya S. Pearlmutter ◽  
Sarah N. Redmond ◽  
Annette L. Jencson ◽  
Kevin J. Benner ◽  
...  

Abstract Objective: To evaluate the use of colorimetric indicators for monitoring ultraviolet-C (UV-C) light delivery to sites in patient rooms. Methods: In laboratory testing, we examined the correlation between changes in color of 2 commercial colorimetric indicators and log10 reductions in methicillin-resistant Staphylococcus aureus (MRSA) and Clostridioides difficile spores with exposure to increasing doses of UV-C from a low-pressure mercury room decontamination device. In patient rooms, 1 of the colorimetric indicators was used to assess UV-C dose delivery to 27 sites in the room. Results: In laboratory testing, the manufacturer’s reference colors for MRSA and C. difficile reduction corresponded with doses of ∼10,000 and 46,000 µJ/cm2; these doses resulted in >3 log10 reductions in MRSA and C. difficile spores, respectively. In patient rooms, the colorimetric indicators demonstrated suboptimal delivery of UV-C dosing to shadowed areas, which was improved by providing cycles on each side of the patient bed rather than in a single position and altering device placement. Increasing duration of exposure increased the number of sites achieving adequate dosing to kill C. difficile spores. Conclusions: Commercial colorimetric indicators provide rapid and easy-to-interpret information on the UV-C dose delivered to sites in patient rooms. The indicators may be useful for training environmental services personnel and optimizing the effectiveness of UV-C room decontamination devices.


2014 ◽  
Vol 35 (11) ◽  
pp. 1414-1416 ◽  
Author(s):  
Abhishek Deshpande ◽  
Thriveen S. C. Mana ◽  
Jennifer L. Cadnum ◽  
Annette C. Jencson ◽  
Brett Sitzlar ◽  
...  

OxyCide Daily Disinfectant Cleaner, a novel peracetic acid/hydrogen peroxide–based sporicidal disinfectant, was as effective as sodium hypochlorite for in vitro killing of Clostridium difficile spores, methicillin-resistant Staphylococcus aureus, and vancomcyin-resistant enterococci. OxyCide was minimally affected by organic load and was effective in reducing pathogen contamination in isolation roomsInfect Control Hosp Epidemiol 2014;35(11):1414–1416


2014 ◽  
Vol 35 (3) ◽  
pp. 310-312 ◽  
Author(s):  
Daniel J. Pallin ◽  
Carlos A. Camargo ◽  
Deborah S. Yokoe ◽  
Janice A. Espinola ◽  
Jeremiah D. Schuur

Contact precautions policies in US emergency departments have not been studied. We surveyed a structured random sample and found wide variation; for example, 45% required contact precautions for stool incontinence or diarrhea, 84% for suspected Clostridium difficile, and 79% for suspected methicillin-resistant Staphylococcus aureus infection. Emergency medicine departments and organizations should enact policies.


2020 ◽  
Vol 11 ◽  
Author(s):  
Sara A. Ochoa ◽  
Ariadnna Cruz-Córdova ◽  
Jetsi Mancilla-Rojano ◽  
Gerardo Escalona-Venegas ◽  
Veronica Esteban-Kenel ◽  
...  

Methicillin-resistant Staphylococcus aureus (MRSA) is considered an opportunistic pathogen in humans and is mainly associated with healthcare-associated infections (HCAIs). This bacterium colonizes the skin and mucous membranes of healthy people and causes frequent hospital outbreaks. The aim of this study was to perform molecular typing of the staphylococcal cassette chromosome mec (SCCmec) and agr loci as wells as to establish the pulsotypes and clonal complexes (CCs) for MRSA and methicillin-sensitive S. aureus (MSSA) outbreaks associated with the operating room (OR) at a pediatric hospital. Twenty-five clinical strains of S. aureus (19 MRSA and 6 MSSA strains) were recovered from the outbreak (patients, anesthesia equipment, and nasopharyngeal exudates from external service anesthesia technicians). These clinical S. aureus strains were mainly resistant to benzylpenicillin (100%) and erythromycin (84%) and were susceptible to vancomycin and nitrofurantoin. The SCCmec type II was amplified in 84% of the S. aureus strains, and the most frequent type of the agr locus was agrII, which was amplified in 72% of the strains; however, the agrI and agrIII genes were mainly detected in MSSA strains. A pulsed-field gel electrophoresis (PFGE) analysis grouped the 25 strains into 16 pulsotypes (P), the most frequent of which was P1, including 10 MRSA strains related to the anesthesia equipment, external service anesthesia technicians, and hospitalized patients. Multilocus sequence typing (MLST) identified 15 sequence types (STs) distributed in nine CCs. The most prevalent ST was ST1011, belonging to CC5, which was associated with the SCCmec type II and agrII type. We postulate that the external service anesthesia technicians were MRSA carriers and that these strains were indirectly transmitted from the contaminated anesthesia equipment that was inappropriately disinfected. Finally, the MRSA outbreak was controlled when the anesthesia equipment disinfection was improved and hand hygiene was reinforced.


2014 ◽  
Vol 35 (11) ◽  
pp. 1417-1420 ◽  
Author(s):  
Adrijana Gombosev ◽  
Salah E. Fouad ◽  
Eric Cui ◽  
Chenghua Cao ◽  
Leah Terpstra ◽  
...  

We surveyed infection prevention programs in 16 hospitals for hospital-associated methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci, extended-spectrum β-lactamase, and multidrug-resistant Acinetobacter acquisition, as well as hospital-associated MRSA bacteremia and Clostridium difficile infection based on defining events as occurring >2 days versus >3 days after admission. The former resulted in significantly higher median rates, ranging from 6.76% to 45.07% higherInfect Control Hosp Epidemiol 2014;35(11):1417–1420


2021 ◽  
Vol 40 ◽  
pp. 02003
Author(s):  
Mansi Dhikle ◽  
Vinaya Dharne ◽  
Pankaja Gaikar ◽  
Kausar Fakir

Sanitization with human efforts is not an easy task. Chances of contracting infections increases which leads to additional spread of bacteria. Currently, normal cleaning robots are used in most of the places but looking at the current situation the sanitization techniques need to be improved. The robot uses radiation of UV rays to kill the microrganisms. It gives a live video streaming of its surrounding using a Wi-fi based camera. With the help of Bluetooth module and android mobile, we can control the movement of the robot inside the room without being physically present. It is built with PIC Microcontroller and Ultraviolet-C (UVC) Sanitization LED. UV-C has bandwidth range of 200-280nm and is most powerful when it comes to killing pathogens in the room. This allows us to sterilise the room effectively. By killing the germs, the UV light restricts their multiplication by destroying their reproductive system. Thus use of this robot lowers the threat of infection, cost of traditional cleaning and sterilisation and increases security in medical facilities. Thus, we are trying to implement a more efficient way of sanitization by building a Low cost UV sanitization Robot which can be used in small clinics and for household purpose.


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