Kaple Claire E, Memic Samir, Cadnum Jennifer L, Varghese Martin Mathew, Hebrink Timothy J, Donskey Curtis J
Department of Molecular Biology and Microbiology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Research Service, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, USA.
Infect Control Hosp Epidemiol. 2024 Sep 25:1-6. doi: 10.1017/ice.2024.150.
Dispersal of gram-negative bacilli from sink drains has been implicated as a source of transmission in multiple outbreaks.
In an acute care hospital, we assessed how often patient care supplies and other frequently touched items were within 1 meter of sink drains. We tested the efficacy of a ceiling-mounted far ultraviolet-C (UV-C) light technology for decontamination of sink bowls and surfaces near sinks with and without a wall-mounted film that reflects far UV-C light.
Of 190 sinks assessed, 55 (29%) had patient care supplies or other frequently touched items within 1 meter of the drain. The far UV-C technology reduced , and on steel disk carriers by ≥1.5 log colony-forming units (CFU) in 45 minutes. On inoculated real-world items, ≥1.9 log CFU reductions in were achieved on sites in line with the light source versus 0.4-1.8 log CFU reductions on shaded surfaces. The addition of the reflective surface significantly enhanced efficacy in shaded sites ( < 0.01).
In a hospital setting, patient care supplies and other frequently touched items were often in proximity to sinks. The far UV-C light technology could potentially be useful for sink decontamination in high-risk areas.
革兰氏阴性杆菌从水槽排水口扩散被认为是多次暴发中传播的一个来源。
在一家急症医院,我们评估了患者护理用品和其他经常接触的物品距离水槽排水口1米以内的频率。我们测试了一种天花板安装的远紫外线C(UV-C)光技术对水槽盆和水槽附近表面进行消毒的效果,有和没有反射远UV-C光的壁挂薄膜的情况都进行了测试。
在评估的190个水槽中,55个(29%)的患者护理用品或其他经常接触的物品距离排水口1米以内。远UV-C技术在45分钟内使钢盘载体上的 、 和 减少≥1.5个对数菌落形成单位(CFU)。在接种的实际物品上,与光源对齐的部位在 上实现了≥1.9个对数CFU的减少,而在阴影表面上减少了0.4 - 1.8个对数CFU。添加反射表面显著提高了阴影部位的效果( < 0.01)。
在医院环境中,患者护理用品和其他经常接触的物品经常靠近水槽。远UV-C光技术可能对高风险区域的水槽消毒有用。