Island Health, Vancouver, BC, Canada; Department of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.
Island Health, Vancouver, BC, Canada.
Am J Infect Control. 2020 May;48(5):545-549. doi: 10.1016/j.ajic.2019.09.009. Epub 2019 Nov 7.
Many health care workers are using smartphones and wearable devices without an enforced cleaning standard to prevent the spread of bacteria to patients. To our knowledge, no real-world trials have been performed to date, examining bacterial elimination on these devices in a hospital setting. The primary objective was to determine if ultraviolet wavelength C (UV-C) was more effective at eliminating bacteria on smartphones and wearable devices when compared with usual care.
This prospective before-and-after study included clinicians who used smartphones or wearable devices during their daily clinical practice. Devices underwent two 30-second UV-C disinfection cycles, at the beginning and end of clinician shifts. Swabs were collected at predetermined intervals both prior to and following a UV-C disinfection cycle to determine the extent of bacterial growth.
Following a run-in period of twice-daily UV-C disinfection, 20% of devices grew pathogenic bacteria prior to UV-C use. Comparatively, only 4% of devices grew bacteria post-UV-C; therefore, the decrease in bacterial growth was statistically significant (P = .002).
UV-C appears to be more effective at eliminating bacteria on smartphones and wearable devices when compared with usual care and is a useful disinfection device in a hospital setting. Further studies are needed to determine the interval at which UV-C should be used to prevent bacterial growth and spread.
许多医护人员在没有强制清洁标准的情况下使用智能手机和可穿戴设备,以防止细菌传播给患者。据我们所知,迄今为止,尚未在现实世界中进行任何试验,以检查医院环境中这些设备上的细菌消除情况。主要目的是确定与常规护理相比,紫外线 C(UV-C)波长是否更有效地消除智能手机和可穿戴设备上的细菌。
这项前瞻性前后对照研究纳入了在日常临床实践中使用智能手机或可穿戴设备的临床医生。设备在医生轮班开始和结束时,进行两次 30 秒的 UV-C 消毒循环。在 UV-C 消毒循环前后的预定时间点采集拭子,以确定细菌生长的程度。
在每日两次 UV-C 消毒的预试验期后,20%的设备在使用 UV-C 之前生长出了致病菌。相比之下,仅 4%的设备在 UV-C 后生长出细菌,因此细菌生长的减少具有统计学意义(P=0.002)。
与常规护理相比,UV-C 似乎更有效地消除智能手机和可穿戴设备上的细菌,并且是医院环境中一种有用的消毒设备。需要进一步的研究来确定应使用 UV-C 的间隔时间,以防止细菌生长和传播。