Enhancement of UV disinfection of urine matrixes by electrochemical oxidation

Evaluation of the prevention effect of high-quality nursing quality control in disinfection supply center on nosocomial infection

To explore the application effect of high-quality nursing quality control in disinfection supply center. The control group consisted of 1850 medical devices managed using the conventional quality control mode from January 2021 to December 2021, while the observation group consisted of 1900 medical devices managed using the high-quality nursing quality control mode from January 2022 to December 2022. The qualified rates of equipment cleaning, sterilization, and packaging were analyzed in both the observation and control groups. The occurrence of nosocomial infections in 2021 and 2022 were compared, and the changes in the Beck-Srivaatava stress scale index (BSSI) and Symptom Checklist-90 scores of the staff before and after implementing the high-quality nursing quality control mode were analyzed. The qualified rate of equipment cleaning, sterilization, and packaging in the observation group were 99.08%, 99.73%, and 99.78%, respectively, which were significantly higher than those in the control group (P < .05). The incidence of nosocomial infections in interventional and surgical cases in 2022 was 0.79%, which was significantly lower than that in 2021 (P < .05). The BSSI score of female staff was (68.76 ± 7.81) points, which was higher than that of male staff (P < .05). After the implementation of the high-quality nursing quality control mode, the BSSI score of the staff was (47.76 ± 9.12) points, which was significantly lower than that before implementation (P < .05). After the implementation of the high-quality nursing quality control mode, the staff's Symptom Checklist-90 scores for somatization, compulsion, interpersonal sensitivity, depression, hostility, and paranoia were (1.28 ± 0.29), (1.53 ± 0.24), (1.50 ± 0.21), (1.46 ± 0.32), (1.44 ± 0.26), and (1.38 ± 0.30) points, respectively, showing a decrease compared to before implementation (P < .05). The high-quality nursing quality control mode has great application value in the disinfection supply center. It can effectively improve the qualified rates of equipment cleaning, sterilization, and packaging, prevent nosocomial infections and improve the working pressure and psychological health of staff.

Application of electrochemical oxidation for the enhancement of antibiotic resistant bacteria removal in stormwater bioretention cells

Recently, increasing attention has been paid to the removal of antibiotic resistant bacteria (ARB) during electrochemical advanced oxidation processes. However, there is still no available literature about the application of electrochemical oxidation (EO) to enhance ARB removal in stormwater bioretention cells. Batch experiments were conducted to investigate target ARB (E. coli K-12 carrying blaTEM, tetR and aphA) removals in bioretention cells with different current densities and ratios of air to water (A/W). ARB removals for bioretention cells with 17.6 μA/m² of current density and 24:1 of A/W ratio was the largest with 5.28 log reduction, which was obviously higher than the one (3.68 log reduction) in the control (without EO). H₂O₂ production could be responsible for ARB removals in the used bioretention cells, where H₂O₂ levels increased at first and then decreased with the increase of current densities and A/W ratios. The evaluation for the application of EO implied that the highest antibiotic resistance (AR) conjugation frequency (3.8 × 10^-3) at 3.5 μA/m² of current density and 48:1 of A/W ratios was 124.5 % of the one in the control, while the largest AR transformation frequencies at 17.6 μA/m² of current density and 48:1 of A/W ratios was 366.9 % (tetR) and 216.2 % (aphA) of the corresponding in the control, and there were still stable for both dominant microflora and metabolic activities in bioretention cells with electricity and aeration, suggesting that EO could be promising for the enhancement of ARB removals in bioretention cells.

Research progress of electrochemical oxidation and self-action of electric field for medical wastewater treatment

A large number of pathogenic microorganisms exist in medical wastewater, which could invade the human body through the water and cause harm to human health. With the global pandemic coronavirus (COVID-19), public health safety become particularly important, and medical wastewater treatment is an important part of it. In particular, electrochemical disinfection technology has been widely studied in medical wastewater treatment due to its greenness, high efficiency, convenient operation, and other advantages. In this paper, the development status of electrochemical disinfection technology in the treatment of medical wastewater is reviewed, and an electrochemical three-stage disinfection system is proposed for the treatment of medical wastewater. Moreover, prospects for the electrochemical treatment of medical wastewater will be presented. It is hoped that this review could provide insight and guidance for the research and application of electrochemical disinfection technology to treat medical wastewater.GRAPHICAL ABSTRACT.

Effect of electrode parameters in the electro-production of reactive oxidizing species via boron-doped diamond under batch mode

Ozone and hydroxyl radicals (^• OH) are powerful reactive oxidizing species (ROS) that are commonly utilized in water disinfection. The electrochemical advanced oxidation process (EAOP) is often used to generate such oxidants, whereas optimizing its experimental setup and electrode parameters plays a crucial role in its performance. This research aims to find the optimal setup for ROS generation process from tap water via the boron-doped diamond. The effect of electrode's active area, type of electrode substrates (mesh or sheet), type of mesh substrate (rolled and unrolled), and number of anodes and cathodes are examined. The results showed that the use of two long-rolled BDD/Nb meshes as anode and one long-rolled mesh as a cathode gives the optimal performance of electrolysis process at 15 V potential and 3 min. These results will provide a start for developing a cost accepted, health-safe, household disinfection device that reduces susceptibility to human life-threatening waterborne diseases. PRACTITIONER POINTS: This research aims to find the optimal setup for ROS generation process from tap water via the boron-doped diamond. The effect of electrode's parameters on the electro-production of ROS is examined. The best performance is achieved using rolled mesh electrodes. Two long-rolled BDD/Nb meshes as anode electrodes and one long-rolled mesh cathode electrode give the optimal electrolysis process performance.

Antibiotic resistant bacteria inactivation through metal-free electrochemical disinfection with carbon catalysts and its potential risks

Recently, increasing attention has been paid to the inactivation of antibiotic resistant bacteria (ARB) during the electrochemical disinfection. However, no available information could be found on ARB inactivation in water during metal-free electrochemical disinfection. In this study, polyvinylidene fluoride (PVDF)-based carbon catalyst (PPC) was chosen as working electrode. Batch experiments were conducted to investigate key design for ARB inactivation, effects of water matrix and potential risks after the disinfection under the pre-determined conditions. The disinfection with current density at 2.25 mA/cm² and Air/Water ratio of 10:1 was optimal with the largest ARB inactivation (5.0 log reduction for 40 min), which was in line with the profile and yield of hydrogen peroxide (H₂O₂) during the disinfection. Effects of water matrix analysis implied that ARB inactivation efficiencies during the disinfection in acidic solutions were better than the one in alkaline solutions, which could be due to rich CC levels on surface of PPC cathode. After the optimal disinfection, ARB counts increased slightly at the first 2 h and then tended to disappear, and there were no conjugation transfer and little transformation for target antibiotic resistance genes, indicating that potential risks could be blocked after the disinfection for 40 min. Furthermore, intermittent flow was more effective in inactivating ARB compared with continuous flow. These suggested that the application of metal-free electrochemical disinfection with PPC to inactivate ARB in water was feasible and desirable in this study.

A hybrid nanofiltration and reverse osmosis process for urine treatment: Effect on urea recovery and purity

Human urine can be treated and concentrated using reverse osmosis (RO), but this process also concentrates pharmaceuticals and undesirable salts along with valuable nutrients such as urea. The final fertilizer product, therefore, has limited use on salt-sensitive crops or edible crops as the effects of pharmaceuticals remain a concern. Tight and loose nanofiltration (NF) pre-treatment was investigated as a method to recover urea in the permeate (which could then be further concentrated using RO), whilst pharmaceuticals and undesirable salts would be removed in the brine. Both NF options removed pharmaceuticals (NF90 - 99%, NF270 - 70%). Using a loose NF membrane, 78% of the urea was recovered in the permeate (80% water removal), however, the salt removal was poor (44%), and the urea purity only increased from 37 to 56%. Tight NF membranes provided better rejection of salts and organics (96% and 90% removed respectively). The urea purity in the permeate (75% water removal) from the tight NF process was 89%, however, the urea recovered was lower (48%). The tight NF permeate was then further concentrated with RO. At an overall water removal of 80%, 32.7% of the urea could be recovered with a purity of 85%. A decision tree was also developed to determine the optimum treatment process based on the desired final product. This decision tree could be used to determine the economic feasibility of each treatment process based on the final product choice and product value.

Recent advances on inactivation of waterborne pathogenic microorganisms by (photo) electrochemical oxidation processes: Design and application strategies

Compared with other conventional water disinfection processes, (photo) electrochemical oxidation (P/ECO) processes have the characteristics of environmental friendliness, convenient installation and operation, easy control and high efficiency of inactivating waterborne pathogenic microorganisms (PMs), so that more and more research work has been focused on this topic, but there is still a huge gap between the research and practical application. Here, the research network of inactivating PMs by P/ECO processes has been comprehensively summarized, and the electrode/reactor/process design strategies based on strengthening direct and indirect oxidation, enhancing mass transfer efficiency and electron transfer efficiency, and improving the effective dose of electrogenerated oxidants are discussed. Furthermore, the factors affecting the inactivation of PMs and the issues regarding to stability and lifetime of the electrode are discussed respectively. Finally, the important research priorities and possible research challenges of P/ECO processes are put forward to make significant progress of this technology.

Terpinolene as an enhancer for ultrasonic disinfection of multi-drug-resistant bacteria in hospital wastewater

The present study reports for the first time, a novel disinfection method that combines ultrasonication with a natural biocide terpinolene to inhibit tough and opportunistic antimicrobial-resistant (AMR) microorganisms isolated from hospital wastewater treatment plant (HWWTP). The enhancement of the disinfection process was evaluated for the effect of ultrasonication power, operating temperature, and inoculum size. A hybrid methodology combining terpinolene with traditional physico-chemical method of acoustic cavitation delivered efficient disinfection of the secondary effluent of field scale HWWTP, amended with a higher inoculum size of multi-drug-resistant coliform bacteria Enterobactor sp., Citrobacter freundii, and Klebsiella pneumonia. A bacterial load of 6.4 log CFU/mL was completely eliminated in 25 min. The present study also reports that due to the hybrid process, a very small concentration of 0.312 mM (0.25 × Minimum Inhibitory Concentration or MBC) of terpinolene was enough to completely disinfect the multi-drug-resistant coliforms. The leakage of intracellular nucleic acids during the disinfection process suggested disruption of cell membrane as the primary mechanism of disinfection followed by disruption of cellular metabolic function measured by respiratory chain dehydrogenase activity. Moreover, this study is the first to prove that terpinolene remained stable even after the cavitation process, thus revealing possibilities of recycling of the natural compound for wastewater disinfection. The results of the present research suggest that using terpinolene as a bio-additive can efficiently eliminate hazardous multi-drug-resistant bacteria and drastically reduce operational time and cost thus rendering it suitable to replace conventional wastewater disinfection.

Disinfection of polymicrobial urines by electrochemical oxidation: Removal of antibiotic-resistant bacteria and genes

In this work, data obtained from the University Hospital Complex of Albacete (Spain) were selected as a case study to carry out the disinfection experiments. To do this, different configurations of electrochemical reactors were tested for the disinfection of complex urines. Results showed that 4-6 logs bacterial removal were achieved for every bacterium tested when working with a microfluidic flow-through reactor after 180 min (0.423 Ah dm^-3). The MIKROZON® cell reached a total disinfection after 60 min (1.212 Ah dm^-3), causing severe damages induced in the cell walls observed in SEM images. The concentration profiles of the electrogenerated disinfectants in solution could explain the differences observed. Additionally, a mean decrease in the ARGs concentration ranked as follows: bla_KPC (4.18-logs) > bla_TEM (3.96-logs) > ermB (3.23-logs) using the MIKROZON® cell. This electro-ozonizer could be considered as a suitable alternative to reduce the risk of antibiotic resistance spread. Hence, this study provides an insight into different electrochemical reactors for the disinfection of complex hospital urine matrices and contributes to reduce the spread of antibiotic resistance through the elimination of ARGs. A topic of great importance nowadays that needs to be further studied.

Photo-assisted electrochemical advanced oxidation processes for the disinfection of aqueous solutions: A review

Disinfection is usually the final step in water treatment and its effectiveness is of paramount importance in ensuring public health. Chlorination, ultraviolet (UV) irradiation and ozone (O3) are currently the most common methods for water disinfection; however, the generation of toxic by-products and the non-remnant effect of UV and O3 still constitute major drawbacks. Photo-assisted electrochemical advanced oxidation processes (EAOPs) on the other hand, appear as a potentially effective option for water disinfection. In these processes, the synergism between electrochemically produced active species and photo-generated radicals, improve their performance when compared with the corresponding separate processes and with other physical or chemical approaches. In photo-assisted EAOPs the inactivation of pathogens takes place by means of mechanisms that occur at different distances from the anode, that is: (i) directly at the electrode's surface (direct oxidation), (ii) at the anode's vicinity by means of electrochemically generated hydroxyl radical species (quasi-direct), (iii) or at the bulk solution (away from the electrode surface) by photo-electrogenerated active species (indirect oxidation). This review addresses state of the art reports concerning the inactivation of pathogens in water by means of photo-assisted EAOPs such as photo-electrocatalytic process, photo-assisted electrochemical oxidation, photo-electrocoagulation and cathodic processes. By focusing on the oxidation mechanism, it was found that while quasi-direct oxidation is the preponderant inactivation mechanism, the photo-electrocatalytic process using semiconductor materials is the most studied method as revealed by numerous reports in the literature. Advantages, disadvantages, trends and perspectives for water disinfection in photo-assisted EAOPs are also analyzed in this work.