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模拟实际情况的试验方法评估消毒湿巾的病毒杀灭效果。

Evaluation of the virucidal efficacy of disinfectant wipes with a test method simulating practical conditions.

机构信息

Dr. Brill + Partner GmbH Institute for Hygiene and Microbiology, Norderoog 2, 28259 Bremen, Germany.

2Faculty of Medicine, Department for Molecular and Medical Virology, Ruhr University Bochum, Bochum, Germany.

出版信息

Antimicrob Resist Infect Control. 2019 Jul 16;8:121. doi: 10.1186/s13756-019-0569-4. eCollection 2019.

Abstract

BACKGROUND

The use of disinfectant wipes in hospitals is increasing over the last years. These wipes should be able to inactivate microorganisms including viruses on environmental surfaces and to prevent their transfer to clean areas.The European norm (EN) 16615:2015 describes a wiping process over four fields starting on the contaminated field 1 followed by fields 2-4 and back to the starting point (4-field test). This test method exclusively describes killing and transfer of vegetative bacteria and fungi by disinfectant wipes without measuring virucidal activities. Therefore, it was the aim of this study to use the existing test methodology additionally to evaluate virus inactivation by wipes.

METHODS

The 4-field test was performed with four commercially available disinfectant wipes including the examination of the active solutions of these wipes with a reference wipe. Murine norovirus (MNV) as surrogate of human noroviruses, adenovirus (AdV) type 5 and polyomavirus SV40 (SV40) were chosen as test viruses.

RESULTS

The per acetic acid (PAA)-based wipe (wipe A) was able to inactivate all three test viruses resulting in a four log reduction on test field 1, whereas the quaternary ammonium compound (QAC)-based products (wipes B and C) failed to reach such reduction. Both QAC-based wipes were able to inactivate SV40 and only the active solution of wipe B was effective against MNV. Another wipe with 2-propanol as active ingredient (wipe D) was not able to show a sufficient efficacy against all three test viruses. There was a good agreement between the results of the wipes and the corresponding fluids showing no influence of the material of wipes.Tests with the 2-propanol-based wipe D showed a transfer of all test viruses to the non-contaminated test fields 2-4. SV40 was additionally transferred by the QAC-based wipe C with 0.78% active ingredients to these additional fields. In all other cases no virus transfer to test fields 2-4 was observed. Finally, no virus could be detected in the PAA-based wipe A after usage in the 4-field test in contrast to the other wipes examined.

CONCLUSIONS

The successful performance of a 4-field test with viruses demonstrated that the existing wiping method with bacteria and fungi can be used in addition for measuring virucidal efficacy. The virus-inactivating properties of surface disinfectants could be evaluated therefore with a test simulating practical conditions with mechanical action resulting in more reliable data than the existing quantitative suspension tests and/or a carrier test without any mechanical action.

摘要

背景

近年来,医院中消毒剂擦拭片的使用不断增加。这些擦拭片应能够在环境表面上灭活包括病毒在内的微生物,并防止它们转移到清洁区域。欧洲标准(EN)16615:2015 描述了一个擦拭过程,共涉及四个区域,从污染区域 1 开始,然后是区域 2-4,最后回到起点(四区域测试)。该测试方法仅描述了消毒剂擦拭片对细菌和真菌的杀灭和转移,而没有测量病毒杀灭活性。因此,本研究的目的是使用现有的测试方法来评估擦拭片对病毒的灭活作用。

方法

使用四种市售的消毒剂擦拭片进行四区域测试,同时对这些擦拭片的活性溶液进行检查,包括参考擦拭片。选择鼠诺如病毒(MNV)作为人类诺如病毒的替代物、腺病毒(AdV)5 型和多瘤病毒 SV40(SV40)作为测试病毒。

结果

基于过氧乙酸(PAA)的擦拭片(擦拭片 A)能够灭活所有三种测试病毒,在测试区域 1 上实现了四个对数级的减少,而基于季铵化合物(QAC)的产品(擦拭片 B 和 C)则未能达到如此的减少。两种基于 QAC 的擦拭片均能够灭活 SV40,而只有擦拭片 B 的活性溶液对 MNV 有效。另一种含有 2-丙醇作为活性成分的擦拭片(擦拭片 D)对所有三种测试病毒均无效。擦拭片与相应溶液的结果之间具有良好的一致性,表明擦拭片材料没有影响。使用基于 2-丙醇的擦拭片 D 的测试表明,所有测试病毒均转移到非污染的测试区域 2-4。另外,含有 0.78%活性成分的基于 QAC 的擦拭片 C 也将 SV40 转移到这些附加区域。在所有其他情况下,未观察到病毒向测试区域 2-4 的转移。最后,与其他检查的擦拭片不同,在四区域测试中使用后,无法在基于 PAA 的擦拭片 A 中检测到病毒。

结论

成功进行了病毒四区域测试,证明了现有的针对细菌和真菌的擦拭方法可用于测量病毒杀灭效果。因此,可以使用模拟实际情况的机械作用的测试来评估表面消毒剂的病毒灭活特性,从而获得比现有的定量悬浮测试和/或无任何机械作用的载体测试更可靠的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba1/6636036/11a74046b63b/13756_2019_569_Fig1_HTML.jpg

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