Huang Jhen-Rong, Yang Tsai-Wen, Hsiao Ya-I, Fan Hui-Min, Kuo Han-Yueh, Hung Kuo-Hsiang, Chen Po-Yen, Tan Ching-Ting, Shao Pei-Lan
Department of Laboratory Medicine, National Taiwan University Hospital Hsinchu Branch, Hsinchu, Taiwan.
Division of Infectious Disease, Department of Internal Medicine, National Taiwan University Hospital Hsinchu Branch, Hsinchu, Taiwan.
Microbiol Spectr. 2024 Oct 25;12(12):e0425123. doi: 10.1128/spectrum.04251-23.
In recent years, there has been a gradual increase in the prevalence of drug-resistant bacteria, primarily attributed to the widespread use of antibiotics. This has resulted in heightened mortality rates, morbidity, and exorbitant healthcare costs associated with antibiotic-resistant bacterial infections. In order to mitigate the spread of antibiotic-resistant bacteria, environmental disinfection plays a crucial role. Ultraviolet radiation C (UVC) light disinfection has emerged as a potent technique to limit the transmission of nosocomial pathogens and prevent healthcare-associated infections. Different types of high-touch surfaces were used. A serial disinfected experiment with different 222 nm UVC dosages was conducted on clinically isolated antibiotic-resistant bacteria, including methicillin-resistant (MRSA), vancomycin-resistant species (VRE), carbapenem-resistant (CREC), carbapenem-resistant (CRKP), carbapenem-resistant (CRAB), and carbapenem-resistant (CRPA) on different material surfaces. The bactericidal efficacy was evaluated by The Clinical & Laboratory Standards Institute (CLSI) guidelines. 222 nm UVC irradiation had a potent bactericidal efficacy on clinical antibiotic-resistant bacteria on different high-touch surfaces that are commonly found in the environment and healthcare facilities. 222 nm UVC irradiation time was tested from 10 s to 1 h. Different surfaces affect the efficiency of 222 nm UVC. The more adsorptive a material is, the higher the dosage of 222 nm UVC irradiation energy is required for effective disinfection. The use of 222 nm UVC lamps for disinfection on different materials has been shown to be a useful method. However, it is crucial to pay attention to the energy required for effective sterilization.
This study is crucial, providing compelling evidence on Far-ultraviolet radiation C (Far-UVC) light's efficacy against clinically significant antibiotic-resistant bacteria-a pressing issue in microbiology and infection control. Our research employs antibiotic-resistant strains from clinically isolated bacteria, emphasizing real-world relevance. Simultaneously, we assess Far-UVC light (222 nm) across diverse material surfaces commonly found in clinical settings. This dual approach ensures practical applicability and broad relevance. Our comprehensive setup and rigorous methodologies unequivocally demonstrate Far-UVC light's potency in combating antibiotic-resistant bacteria. Since 222 nm far-UVC has a disinfection capability and is harmless to mammalian cells, this dual effectiveness positions Far-UVC as a secure tool for infection control, with potential applications in healthcare settings, mitigating antibiotic-resistant bacteria spread, and reducing healthcare-associated infections.
近年来,耐药菌的流行率逐渐上升,主要归因于抗生素的广泛使用。这导致了与耐抗生素细菌感染相关的死亡率、发病率升高以及高昂的医疗成本。为了减轻耐抗生素细菌的传播,环境消毒起着至关重要的作用。紫外线C(UVC)光消毒已成为一种有效的技术,可限制医院病原体的传播并预防医疗相关感染。使用了不同类型的高接触表面。对临床分离的耐抗生素细菌进行了不同222nm UVC剂量的系列消毒实验,这些细菌包括耐甲氧西林(MRSA)、耐万古霉素菌(VRE)、耐碳青霉烯类(CREC)、耐碳青霉烯类(CRKP)、耐碳青霉烯类(CRAB)和耐碳青霉烯类(CRPA),实验在不同材料表面进行。杀菌效果按照临床和实验室标准协会(CLSI)指南进行评估。222nm UVC照射对环境和医疗设施中常见的不同高接触表面上的临床耐抗生素细菌具有强大的杀菌效果。测试了222nm UVC的照射时间从10秒到1小时。不同表面会影响222nm UVC的效率。材料的吸附性越强,有效消毒所需的222nm UVC照射能量剂量就越高。使用222nm UVC灯对不同材料进行消毒已被证明是一种有用的方法。然而,关注有效灭菌所需的能量至关重要。
本研究至关重要,为远紫外线C(Far-UVC)光对临床上重要的耐抗生素细菌的功效提供了有力证据,这是微生物学和感染控制中的一个紧迫问题。我们的研究采用了临床分离细菌中的耐抗生素菌株,强调了实际相关性。同时,我们评估了远紫外线C光(222nm)在临床环境中常见的各种材料表面上的效果。这种双重方法确保了实际适用性和广泛相关性。我们全面的设置和严谨的方法明确证明了远紫外线C光在对抗耐抗生素细菌方面的效力。由于222nm远紫外线具有消毒能力且对哺乳动物细胞无害,这种双重有效性使远紫外线C成为一种安全的感染控制工具,在医疗环境中具有潜在应用,可减轻耐抗生素细菌的传播并减少医疗相关感染。