Ultraviolet Radiation Technologies and Healthcare-Associated Infections: Standards and Metrology Needs

úNo touch..Ñ methods for health care room disinfection: Focus on clinical trials

BACKGROUND

Hospital patient room surfaces are frequently contaminated with multidrug-resistant organisms. Since studies have demonstrated that inadequate terminal room disinfection commonly occurs, ..úno touch..Ñ methods of terminal room disinfection have been developed such as ultraviolet light (UV) devices and hydrogen peroxide (HP) systems.

METHODS

This paper reviews published clinical trials of ..úno touch..Ñ methods and ..úself-disinfecting..Ñ surfaces.

RESULTS

Multiple papers were identified including clinical trials of UV room disinfection devices (N.ß=.ß20), HP room disinfection systems (N.ß=.ß8), handheld UV devices (N.ß=.ß1), and copper-impregnated or coated surfaces (N.ß=.ß5). Most but not all clinical trials of UV devices and HP systems for terminal disinfection demonstrated a reduction of colonization/infection in patients subsequently housed in the room. Copper-coated surfaces were the only ..úself-disinfecting..Ñ technology evaluated by clinical trials. Results of these clinical trials were mixed.

DISCUSSION

Almost all clinical trials reviewed used a ..úweak..Ñ design (eg, before-after) and failed to assess potential confounders (eg, compliance with hand hygiene and environmental cleaning).

CONCLUSIONS

The evidence is strong enough to recommend the use of a ..úno-touch..Ñ method as an adjunct for outbreak control, mitigation strategy for high-consequence pathogens (eg, Candida auris or Ebola), or when there are an excessive endemic rates of multidrug-resistant organisms.

A do-it-yourself test protocol using commercial Bacillus atrophaeus spores to evaluate the effectiveness of ultraviolet-C light room-decontamination devices

We developed a do-it-yourself test protocol using commercial Bacillus atrophaeus spores to assess the efficacy of ultraviolet-C (UV-C) light room-decontamination devices. Overall, 4 UV-C devices reduced B. atrophaeus by ≥3 log10 colony-forming units in 10 minutes, whereas a smaller device required 60 minutes. Of 10 in-use devices, only 1 was ineffective.

Virus Behavior after UV254 Treatment of Materials with Different Surface Properties

The COVID-19 pandemic highlighted the limitations in scientific and engineering understanding of applying germicidal UV to surfaces. This study combines surface characterization, viral retention, and the related UV dose response to evaluate the effectiveness of UV254 as a viral inactivation technology on five surfaces: aluminum, ceramic, Formica laminate, PTFE and stainless steel. Images of each surface were determined using SEM (Scanning Electron Microscopy), which produced a detailed characterization of the surfaces at a nanometer scale. From the SEM images, the surface porosity of each material was calculated. Through further analysis, it was determined that surface porosity, surface roughness, contact angle, and zeta potential correlate to viral retention on the material. The imaging revealed that the aluminum surface, after repeated treatment, is highly oxidized, increasing surface area and surface porosity. These interactions are important as they prevent the recovery of MS-2 without exposure to UV254. The dose response curve for PTFE was steeper than ceramic, Formica laminate and stainless steel, as inactivation to the detection limit was achieved at 25 mJ/cm2. These findings are consistent with well-established literature indicating UV reflectivity of PTFE is maximized. Statistical testing reinforced that the efficacy of UV254 for surface inactivation varies by surface type.

First-principle calculations to investigate structural, electronic, mechanical, optical, and thermodynamic features of promising (La, In)-doped AlSb for optoelectronic applications

CONTEXT

A remarkable change in lattice parameters and bulk modulus is achieved by the suitable addition of Al (Al_1-x La_x Sb) and In (Al_1-x In_x Sb) atoms in the AlSb compound. Electronic responses like band structure, the total partial density of states, and the elemental density of states are thoroughly investigated. The computed values indicate that the binary compound AlSb is an indirect band gap and an optically inactive response. After increasing the doping concentrations (0.25, 0.5, 0.75) of La and In in AlSb, the band gap changes from indirect to direct nature. Hence, Al_1-0.75 La_0.25 Sb, Al_1-0.50 La_0.50 Sb, Al_1-0.75 In_0.25Sb, and Al_1-0.50 In_0.50Sb become optically active. The illustrious roles of Al-3p and In-4d states on the band gap and nonlinear responses of these compounds are extensively explored by the comparison between the computed results of ultra-soft and norm converging pseudopotentials. The excess specific heat (C_V), enthalpy of mixing (Hm), and phonon dispersion curves resulting from the concentrations "x" are estimated in order to investigate the thermodynamic stability responses of the pristine and doped AlSb. The obtained C_V and thermal coefficient statistics for Al_1-x La_x Sb and Al_1-x In_x Sb may be useful for a good mapping of experimental results and examining these compounds' enharmonic responses. There is a valuable change in optical characteristics like dielectric functional, absorption, conductivity, and refractive index due to the addition of (La, In) impurities in AlSb. It is further observed that Al_1-0.75 La_0.25 Sb, Al_1-0.50 La_0.50 Sb, Al_1-0.75 In_0.25Sb, and Al_1-0.50 In_0.50Sb are significantly mechanically stable compared to pristine AlSb. The above results suggest that Al_1-x La_x Sb and Al_1-x In_x Sb are high-performance optical materials and can be promising potential candidates for optoelectronic applications.

METHODS

The structural, electronic, mechanical, vibrational, and optical responses of the pure and doped Al_1-0.75 La_0.25 Sb, Al_1-0.50 La_0.50 Sb, Al_1-0.75 In_0.25Sb, and Al_1-0.50 In_0.50Sb are investigated, using Heydscuseria-Ernzerhof screened hybrid functional (HSEO6) and generalized gradient approximation (GGA) with norm-converging and ultra-soft pseudopotential techniques in the density functional theory.

Aging of 3D Printed Polymers under Sterilizing UV-C Radiation

In the context of the COVID-19 pandemic, shortwave ultraviolet radiation with wavelengths between 200 nm and 280 nm (UV-C) is seeing increased usage in the sterilization of medical equipment, appliances, and spaces due to its antimicrobial effect. During the first weeks of the pandemic, healthcare facilities experienced a shortage of personal protective equipment. This led to hospital technicians, private companies, and even members of the public to resort to 3D printing in order to produce fast, on-demand resources. This paper analyzes the effect of accelerated aging through prolonged exposure to UV-C on mechanical properties of parts 3D printed by material extrusion (MEX) from common polymers, such as polylactic acid (PLA) and polyethylene terephthalate-glycol (PETG). Samples 3D printed from these materials went through a 24-h UV-C exposure aging cycle and were then tested versus a control group for changes in mechanical properties. Both tensile and compressive strength were determined, as well as changes in material creep properties. Prolonged UV-C exposure reduced the mechanical properties of PLA by 6-8% and of PETG by over 30%. These findings are of practical importance for those interested in producing functional MEX parts intended to be sterilized using UV-C. Scanning electron microscopy (SEM) was performed in order to assess any changes in material structure.