The antimicrobial efficacy of shielded ultraviolet germicidal irradiation in CT rooms with intense human circulation

Özet

PURPOSEComputed tomography (CT) premises are one of the strategic points in the spread of hospital-acquired infections. Ultraviolet germicidal irradiation (UVGI) is an effective method that couldpotentially be used to purify the ambient air in them. However, it cannot be directly used in thepresence of humans and, therefore, it is not operationally suitable in such units with continuoushuman circulation. Newer devices have been developed to purify air with more efficient andshielded UV-C sources. This study aims to assess the microbial air contamination in CT scanningrooms and investigates the efficacy and technical considerations of shielded UV-C arrays.METHODSTwo shielded UVGI systems, each equipped with 15 Watt UV-C LED arrays, were tested in a very busyCT unit. Initially, a pilot study was performed to determine ambient microorganisms under routineconditions before UVGI installation, followed by three basic scenarios of UVGI use under normal andabnormal conditions: A, UVGI, with both air-conditioning (AC) and ventilation on; B, UVGI, with AC onand ventilation off; C, UVGI, with both AC and ventilation off. Ambient air was sampled in various timepoints before and after the initialization of UV irradiation and analyzed for colony formation.RESULTSThe mean total colony count in the pilot study was 1360±450 CFU/m3. Pre-UVGI colony countwas 3510 CFU/m3 for Scenario A, ~10000 CFU/m3 for Scenario B and 990 CFU/m3 for Scenario C.Thirty minutes after UVGI, total colony counts in all three scenarios dropped to 30 to 70 CFU/m3.Under normal operating conditions and UVGI, the mean colony count was found as 21.4±13.5CFU/m3 and the average efficacy of the UVGI was found as 99.39%.CONCLUSIONThis study identified substantial microbial air contamination in CT scanning rooms during normal and abnormal operating conditions. UV-C LED arrays effectively eliminate these microbiological contaminants. This effect is also observed under abnormal operating conditions whereno other means of ventilation or air conditioning exists.