eine
Sfieos BMC
BMC infect Dis. 2012 May 16;12:120, doi 10.1186/1471-2334-12-120
Evaluation of a hand-held far-ultraviolet radiation
device for decontamination of Clostridium difficile
and other healthcare-associated pathogens
Michelle M Nerandeic 7, Jennifer L Cadnum, Kevin € Eckart, Cutis Donskey.
Afiiations
PMID: 22591268 PMCID: PMC3419611 DOL 10.1186/1471-2334-12-120,
Free PMC article
Abstract
Background: Environmental surfaces play an important role in transmission of healthcare-associated
pathogens. There is a need for new disinfection methods that ate effective against Clostridium difficile
spores, but also safe and rapid. The Steriray™ Disinfection Wand device is a hand-held room
{decontamination technology that utilizes fa-ultraviolet radiation (185-230 nm) to kill pathogens
Methods: We examined the efficacy of disinfection using the Steriay device in the laboratory, in
rooms of hospitalized patients, and on surfaces outside of patient rooms (ie. keyboards and portable
medical equipment). Cultures for C dificil, methcillin-resistant Staphylococcus aureus (MRSA), and
vancomycin-resistant Enterococcus (VRE) were collected from commonly-touched surfaces before and
after use of the Sterilray device,
Results: On inoculated surfaces in the laboratory, application of the Steilray device ata radiant dose
‘of 100 mu/em(2) for ~ 5 seconds consistently reduced recovery of C ffcile spores by 4.4 CFU logt9,
MRSA by 54 log(10)CFU and of VRE by 69 logIOCFU. A >3 logi0 reduction of MRSA and VRE was
achieved in ~2 seconds at a lower radiant dose, but killing of C.difcile spores was significantly
reduced. On keyboards and portable medical equipment that were inoculated with C. difficile spores,
application of the Steriray device at a radiant dose of 100 mi/cm(2) for ~ 5 seconds reduced
contamination by 32 log OCFU. However, the presence of organic material reduced the lethal effect
‘of the far-UV radiation In hospital rooms that were not pre-cleaned, disinfection with the Sterlray
device significantly reduced the frequency of positive C. difficile and MRSA cultures (? =0.007),
‘Conclusions: The Steriray™ Disinfection Wands a novel environmental disinfection technology that
rapidly kil C. difficile spores and other healthcare-associated pathogens on surfaces. However, the
presence of organic matter reduces the efficacy of far-UV radiation, possibly explaining the more
modest results observed on surfaces in hospital rooms that were not pre-cleaned,
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