Disinfecting Efficacy of an Ozonated Water Spray Chamber: Scientific Evidence of the Total and Partial Biocidal Effect on Personal Protective Equipment and in Vitro Analysis of a Viral Experimental Model

Due to the high recurrence of microbial infections, developing new technologies for preventing the dissemination of pathogens is essential, especially to prevent infection in humans. Thus, devices for the decontamination of surfaces reduce not only the spread of pathogens in the environment, but provide greater security and protection for communities. Ozone (O3) is a substance capable of reducing or eliminating several types of microorganisms owing to its biocidal capacity, including when it is dissolved in water. The objective of this study was to develop an instant decontamination device using ozonated water. To confirm its biocidal action and verify the device's efficacy, the reduction of the microbial load of important pathogens on personal protective equipment (PPE) was assessed. In addition, in order to confirm the biocidal action of ozonated water against SARS-CoV-2, in vitro tests on a viral model of Gammacoronavirus were performed. The results showed the efficacy of ozonated water in the disinfection device at concentration ranges of 0.3–0.6 mg/L and 0.7–0.9 mg/L of ozonated water, with growth reductions above 2 log10 for both concentration ranges tested and inactivation fractions above 60% (0.3–0.6 mg/L) and 80% (0.7–0.9 mg/L), with a high proportion of the tested PPE showing 100% microbial reduction. In vitro results for the evaluation of ozonated water in a viral model showed a 99.9% reduction percentage in the concentration range of 0.3 to 0.5 mg/L and a 99% reduction in the concentration range of 0.6 to 0.8 mg/L, with a 5.10 log EDI50/mL and 6.95 log EDI50/mL reduction, respectively. The instant decontamination system developed in this study proved effective for microbial reduction, and we confirmed the potential of ozonated water as a biocidal agent. Therefore, the proposed decontamination device could be considered as a tool for reducing contamination on surfaces using ozonated water.

Numerical and experimental analyses for the improvement of surface instant decontamination technology through biocidal agent dispersion: Potential of application during pandemic.

The transmission of SARS-CoV-2 through contact with contaminated surfaces or objects is an important form of transmissibility. Thus, in this study, we evaluated the performance of a disinfection chamber designed for instantaneous dispersion of the biocidal agent solution, in order to characterize a new device that can be used to protect individuals by reducing the transmissibility of the disease through contaminated surfaces. We proposed the necessary adjustments in the configuration to improve the dispersion on surfaces and the effectiveness of the developed equipment. Computational Fluid Dynamics (CFD) simulations of the present technology with a chamber having six nebulizer nozzles were performed and validated through qualitative and quantitative comparisons, and experimental tests were conducted using the method Water-Sensitive Paper (WSP), with an exposure to the biocidal agent for 10 and 30 s. After evaluation, a new passage procedure for the chamber with six nozzles and a new configuration of the disinfection chamber were proposed. In the chamber with six nozzles, a deficiency was identified in its central region, where the suspended droplet concentration was close to zero. However, with the new passage procedure, there was a significant increase in wettability of the surface. With the proposition of the chamber with 12 nozzles, the suspended droplet concentration in different regions increased, with an average increase of 266%. The experimental results of the new configuration proved that there was an increase in wettability at all times of exposure, and it was more significant for an exposure of 30 s. Additionally, even in different passage procedures, there were no significant differences in the results for an exposure of 10 s, thereby showing the effectiveness of the new configuration or improved spraying and wettability by the biocidal agent, as well as in minimizing the impact caused by human factor in the performance of the disinfection technology.

Potential application of novel technology developed for instant decontamination of personal protective equipment before the doffing step.

The use of personal protective equipment (PPE) has been considered the most effective way to avoid the contamination of healthcare workers by different microorganisms, including SARS-CoV-2. A spray disinfection technology (chamber) was developed, and its efficacy in instant decontamination of previously contaminated surfaces was evaluated in two exposure times. Seven test microorganisms were prepared and inoculated on the surface of seven types of PPE (respirator mask, face shield, shoe, glove, cap, safety glasses and lab coat). The tests were performed on previously contaminated PPE using a manikin with a motion device for exposure to the chamber with biocidal agent (sodium hypochlorite) for 10 and 30s. In 96.93% of the experimental conditions analyzed, the percentage reduction was >99% (the number of viable cells found on the surface ranged from 4.3x106 to <10 CFU/mL). The samples of E. faecalis collected from the glove showed the lowest percentages reduction, with 86.000 and 86.500% for exposure times of 10 and 30 s, respectively. The log10 reduction values varied between 0.85 log10 (E. faecalis at 30 s in glove surface) and 9.69 log10 (E. coli at 10 and 30 s in lab coat surface). In general, E. coli, S. aureus, C. freundii, P. mirabilis, C. albicans and C. parapsilosis showed susceptibility to the biocidal agent under the tested conditions, with >99% reduction after 10 and 30s, while E. faecalis and P. aeruginosa showed a lower susceptibility. The 30s exposure time was more effective for the inactivation of the tested microorganisms. The results show that the spray disinfection technology has the potential for instant decontamination of PPE, which can contribute to an additional barrier for infection control of healthcare workers in the hospital environment.