Navarathna Thanuri, Chatterjee Piyali, Choi Hosoon, Coppin John D, Corona Brandon, Brackens Emma, Mayo Lynn, Hwang Munok, Williams Marjory, Bennett Morgan, Jinadatha Chetan
Department of Research, Central Texas Veterans Health Care System, Temple, TX, USA.
Department of Medicine, Central Texas Veterans Health Care System, Temple, TX, USA.
Infect Control Hosp Epidemiol. 2024 Dec 20;46(2):1-7. doi: 10.1017/ice.2024.219.
() is one of the most common causes of healthcare-associated infections (HAIs). Elimination of spores is difficult as they are resistant to common hospital-grade disinfectants. Copper-impregnated surfaces provide continuous reduction of multiple pathogens, potentially lowering the risk of infections. This manuscript aims to evaluate the efficacy of copper-impregnated surfaces on spores.
Control (no copper) coupons and copper coupons containing 20% copper-oxide were inoculated with spore loads ranging from 10 to 10 spores, with or without 5% fetal bovine serum soil load. After 4 hours of contact time, the spores were recovered, plated on growth media, and colony forming units were counted. The efficacy of copper (log kill) was estimated using a Bayesian latent variables model.
After 4 hours, unsoiled copper bedrail and copper table coupons at mean spore inoculation resulted in a 97.3% and 96.8% reduction in spore count (1.57 and 1.50 log kill, respectively). That of soiled bedrail and table coupons showed a 91.8% and 91.7% reduction (1.10 and 1.10 log kill, respectively).
Copper coupons can substantially reduce spores after 4 hours, but results vary depending on the initial spore concentration and presence or absence of organic material. Higher initial spore loads or excess organic material may prevent spores from contact with copper surfaces, thus decreasing kill efficacy. Continuous sporicidal effect of copper-impregnated surfaces may decrease spore burden and help prevent transmission of spores.
(某病原体)是医疗保健相关感染(HAIs)最常见的原因之一。由于孢子对常见的医院级消毒剂具有抗性,因此消除孢子很困难。含铜表面可持续减少多种病原体,有可能降低感染风险。本手稿旨在评估含铜表面对孢子的功效。
将对照(无铜)试样和含20%氧化铜的铜试样接种10至10个孢子的孢子负荷,有或无5%胎牛血清污染负荷。接触4小时后,回收孢子,接种到生长培养基上,并计算菌落形成单位。使用贝叶斯潜变量模型估计铜的功效(对数杀灭率)。
4小时后,平均孢子接种量下未污染的铜床栏和铜桌试样的孢子计数分别减少了97.3%和96.8%(分别为1.57和1.50对数杀灭率)。污染的床栏和桌子试样的孢子计数分别减少了91.8%和91.7%(分别为1.10和1.10对数杀灭率)。
铜试样在4小时后可大幅减少孢子,但结果因初始孢子浓度以及有机物质的存在与否而有所不同。较高的初始孢子负荷或过多的有机物质可能会阻止孢子与铜表面接触,从而降低杀灭效果。含铜表面的持续杀孢子作用可能会减轻孢子负担,并有助于防止孢子传播。