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房间位置对移动紫外线C光设备的紫外线C辐照度、紫外线C剂量及抗菌效果的影响

Impact of Room Location on UV-C Irradiance and UV-C Dosage and Antimicrobial Effect Delivered by a Mobile UV-C Light Device.

作者信息

Boyce John M, Farrel Patricia A, Towle Dana, Fekieta Renee, Aniskiewicz Michael

机构信息

1Quality Improvement Support Services,Yale-New Haven Hospital,New Haven,Connecticut.

3Department of Laboratory Medicine,Yale-New Haven Hospital,New Haven,Connecticut.

出版信息

Infect Control Hosp Epidemiol. 2016 Jun;37(6):667-72. doi: 10.1017/ice.2016.35. Epub 2016 Mar 23.

Abstract

OBJECTIVE To evaluate ultraviolet C (UV-C) irradiance, UV-C dosage, and antimicrobial effect achieved by a mobile continuous UV-C device. DESIGN Prospective observational study. METHODS We 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. RESULTS Mean 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 (P4 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. CONCLUSION UV-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.

摘要

目的 评估一种移动式连续紫外线C(UV-C)设备的UV-C辐照度、UV-C剂量及抗菌效果。设计 前瞻性观察性研究。方法 在一间重症监护病房和一间外科病房内,我们使用6个紫外线传感器,在5分钟和15分钟的周期内,测定UV-C设备不同距离和不同方向处的UV-C辐照度(W/cm²)和UV-C剂量(µWsec/cm²)。在两个病房中,将接种耐甲氧西林金黄色葡萄球菌(MRSA)、耐万古霉素肠球菌(VRE)和艰难梭菌孢子的不锈钢圆盘放置在传感器旁边,测定5分钟和15分钟周期内达到的UV-C剂量及目标微生物的对数减少量。使用方差分析比较平均辐照度和剂量读数。结果 在距离设备1.3米(4英尺)的直视范围内,平均UV-C辐照度接近1.0E-03 W/cm²,但在距离设备3.3米(10英尺)的阴影区域的水平表面上为1.12E-05 W/cm²(P4至1-3对于MRSA,>4至1-2对于VRE,>4至0对数对于艰难梭菌孢子,这取决于与设备的距离和方向以及5分钟和15分钟的周期)。结论 移动式UV-C设备的UV-C辐照度、剂量和抗菌效果因房间内相对于UV-C设备的位置不同而有很大差异。《感染控制与医院流行病学》2016年;37:667-672。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada5/4890342/199915c87249/S0899823X16000350_fig1.jpg

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