Moat John, Cargill James, Shone John, Upton Mathew
University of Manchester School of Medicine, Manchester Royal Infirmary, UK.
Can J Microbiol. 2009 Aug;55(8):928-33. doi: 10.1139/w09-046.
Environmental disinfection in a health care setting is an important aspect of infection control. Recently, there has been interest in the use of vapor- and gas-based treatments for decontamination of surfaces and rooms. We describe preliminary results for an ozone-based decontamination of surfaces seeded with a range of vegetative cells and spores of bacteria of clinical relevance. The efficacy of the approach for room sanitization was also assessed. The protocol included use of a quenching agent to rapidly reduce ozone concentrations to safe levels allowing treatment times of less than 1 h for the majority of organisms tested. Using bacteria seeded onto agar plates and solid surfaces, reductions in bacterial load of greater than 3 log values were recorded for a number of organisms including Escherichia coli and methicillin-resistant Staphylococcus aureus. Application of the process in a 30 m3 room showed similar reductions in viable counts for these organisms and for Clostridium difficile spores. We suggest that the potential of this ozone-quench approach should be further evaluated for disinfection or decontamination of healthcare environments.
医疗机构中的环境消毒是感染控制的一个重要方面。最近,人们对使用基于蒸汽和气体的处理方法对表面和房间进行净化产生了兴趣。我们描述了基于臭氧对一系列具有临床相关性的细菌的营养细胞和孢子接种的表面进行净化的初步结果。还评估了该方法对房间消毒的效果。该方案包括使用淬灭剂将臭氧浓度迅速降低到安全水平,使大多数受试生物体的处理时间少于1小时。使用接种在琼脂平板和固体表面上的细菌,记录了包括大肠杆菌和耐甲氧西林金黄色葡萄球菌在内的多种生物体的细菌载量减少超过3个对数单位。在一个30立方米的房间中应用该方法,这些生物体和艰难梭菌孢子的活菌数也有类似程度的减少。我们建议,这种臭氧淬灭方法在医疗环境消毒或净化方面的潜力应进一步评估。