Leung Anders, Cutts Todd, Krishnan Jay
National Microbiology, Public Health Agency of Canada, Winnipeg, Canada.
Appl Biosaf. 2024 Dec 16;29(4):241-247. doi: 10.1089/apb.2024.0011. eCollection 2024 Dec.
Positive pressure breathing-air-fed protective suits are used in biosafety level 4 (BSL-4) containment laboratories as personal protective equipment to protect workers from high-consequence pathogens. However, even with the use of primary containment devices, the exterior surfaces of these suits could potentially become contaminated with those pathogens and result in their inadvertent removal from containment. To address the risk of such pathogens escaping from containment via contaminated protective suits, these suits are decontaminated in a disinfectant chemical shower situated in an anteroom prior to exiting the BSL-4 laboratory. Properly diluted chemical disinfectants such as Micro-Chem Plus™ (MCP) or peracetic acid are used for this purpose. However, whether these suits are properly decontaminated during the chemical shower process needs to be validated.
The purpose of this study was to develop a suit decontamination validation method for the BSL-4 chemical showers using a risk group 2 (RG2) surrogate virus for the high consequence pathogens that are handled in the BSL-4 laboratories. Here, we evaluated the efficacy of a 5% MCP shower using coupons made from different parts of protective suits (suit fabric, visor, boot, vinyl tape) laden with a dried-on mixture of vesicular stomatitis virus in tripartite organic soil load.
This validation study demonstrated that a chemical deluge shower procedure using 5% MCP for 2 min followed by a 3-min water rinse was successful in decontaminating the positive pressure suits that were experimentally contaminated with the live RG2 virus. This offers valuable insights into the rigor of the decontamination process being undertaken in the BSL-4 laboratory chemical showers.
正压呼吸式供气防护服在生物安全4级(BSL-4)防护实验室中用作个人防护装备,以保护工作人员免受高致病性病原体的侵害。然而,即使使用了一级防护设备,这些防护服的外表面仍有可能被这些病原体污染,并导致它们意外脱离防护环境。为应对此类病原体通过受污染的防护服逃离防护环境的风险,这些防护服在离开BSL-4实验室之前,要在前室的化学消毒喷淋中进行消毒。为此使用了适当稀释的化学消毒剂,如Micro-Chem Plus™(MCP)或过氧乙酸。然而,这些防护服在化学喷淋过程中是否得到了适当的消毒需要进行验证。
本研究的目的是开发一种针对BSL-4化学喷淋的防护服消毒验证方法,使用2级风险组(RG2)替代病毒来模拟BSL-4实验室中处理的高致病性病原体。在此,我们使用载有干燥水泡性口炎病毒与三方有机土壤负载混合物的防护服不同部位(防护服面料、面罩、靴子、胶带)制作的试片,评估了5% MCP喷淋的效果。
该验证研究表明,使用5% MCP进行2分钟的化学溢流喷淋程序,随后进行3分钟的水洗,成功地对被活RG2病毒实验性污染的正压防护服进行了消毒。这为BSL-4实验室化学喷淋中正在进行的消毒过程的严格性提供了有价值的见解。