Engineering Science Division, Applied Research Associates, Panama City, FL.
Engineering Science Division, Applied Research Associates, Panama City, FL.
Am J Infect Control. 2018 Jul;46(7):e49-e55. doi: 10.1016/j.ajic.2018.02.018. Epub 2018 Apr 17.
Safe and effective decontamination and reuse of N95 filtering facepiece respirators (FFRs) has the potential to significantly extend FFR holdings, mitigating a potential shortage due to an influenza pandemic or other pandemic events. Ultraviolet germicidal irradiation (UVGI) has been shown to be effective for decontaminating influenza-contaminated FFRs. This study aims to build on past research by evaluating the UVGI decontamination efficiency of influenza-contaminated FFRs in the presence of soiling agents using an optimized UVGI dose.
Twelve samples each of 15 N95 FFR models were contaminated with H1N1 influenza (facepiece and strap), then covered with a soiling agent-artificial saliva or artificial skin oil. For each soiling agent, 3 contaminated FFRs were treated with 1 J/cm UVGI for approximately 1 minute, whereas 3 other contaminated FFRs remained untreated. All contaminated surfaces were cut out and virus extracted. Viable influenza was quantified using a median tissue culture infectious dose assay.
Significant reductions (≥3 log) in influenza viability for both soiling conditions were observed on facepieces from 12 of 15 FFR models and straps from 7 of 15 FFR models.
These data suggest that FFR decontamination and reuse using UVGI can be effective. Implementation of a UVGI method will require careful consideration of FFR model, material type, and design.
安全有效地对 N95 过滤式面罩(FFR)进行消毒并重复使用,有可能显著延长 FFR 的使用期限,缓解因流感大流行或其他大流行事件而导致的 FFR 短缺问题。紫外线杀菌(UVGI)已被证明可有效对受流感污染的 FFR 进行消毒。本研究旨在利用优化的 UVGI 剂量,在存在污染剂的情况下,评估受污染的 FFR 的 UVGI 消毒效率,为过去的研究提供补充。
对 15 种 N95 FFR 模型中的每一种各取 12 个样本,使其分别受到 H1N1 流感(面罩和带子)的污染,然后在其上覆盖污染剂-人工唾液或人工皮肤油。对于每种污染剂,用 1 J/cm2 的 UVGI 对 3 个受污染的 FFR 进行处理,时间约为 1 分钟,而对其他 3 个受污染的 FFR 不进行处理。将所有受污染的表面切割下来并提取病毒。采用半数组织培养感染剂量测定法来定量检测活流感病毒。
在 15 种 FFR 模型中的 12 种和 7 种 FFR 模型的带子中,在两种污染条件下,面罩上的流感病毒存活量均显著减少(≥3 对数减少)。
这些数据表明,使用 UVGI 对 FFR 进行消毒和重复使用是有效的。实施 UVGI 方法需要仔细考虑 FFR 模型、材料类型和设计。