Malgorzata Z Pajak-Zajac, Adam Dowdell, Hugh E Potts, Andrew Smith, Declan A Diver
{"title":"Drain decontamination using in-situ generated ozone.","authors":"Malgorzata Z Pajak-Zajac, Adam Dowdell, Hugh E Potts, Andrew Smith, Declan A Diver","doi":"10.1016/j.jhin.2025.02.001","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sink drains can be a significant source of microbial contamination in healthcare settings, from aerosolization and splash-back of pathogens caused by flowing water.</p><p><strong>Aim: </strong>To demonstrate a method of ozone disinfection of drains using a novel generation process that suppresses pathogen growth in the drain sump, whether planktonic or dwelling in biofilms.</p><p><strong>Methods: </strong>& Results: Highly biocidal ozone was generated in-situ in the drain, using the ambient air sealed between the drain water-trap and a portable cold plasma device. Safety mechanisms in the device ensured that the operator was not exposed to ozone. Subsequent bacterial recovery illustrated an approximate bioburden reduction of 5log<sub>10</sub> for biofilms in the drain itself, and 6log<sub>10</sub> for biofilms located in the sink.</p><p><strong>Conclusions: </strong>Plasma-generated ozone is a safe and effective method for controlling bioburden in periodically wetted, otherwise inaccessible pipework and drains.</p><p><strong>Significance and impact of study: </strong>The portable ozone disinfection system described has demonstrated potential for controlling the escape of pathogens from drains. Compared to conventional liquid-based disinfection techniques we find the following advantages: (a) a gaseous biocide can reach all surfaces inside the treatment target, without any restriction from orientation or surface tension; (b) ozone is effective in reducing planktonic and biofilm bacterial counts; (c) the ozone is generated at the point of use from air, using only minimal electrical power, requiring no chemical delivery or storage, and producing no toxic residues.</p>","PeriodicalId":54806,"journal":{"name":"Journal of Hospital Infection","volume":" ","pages":""},"PeriodicalIF":3.9000,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hospital Infection","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jhin.2025.02.001","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Sink drains can be a significant source of microbial contamination in healthcare settings, from aerosolization and splash-back of pathogens caused by flowing water.
Aim: To demonstrate a method of ozone disinfection of drains using a novel generation process that suppresses pathogen growth in the drain sump, whether planktonic or dwelling in biofilms.
Methods: & Results: Highly biocidal ozone was generated in-situ in the drain, using the ambient air sealed between the drain water-trap and a portable cold plasma device. Safety mechanisms in the device ensured that the operator was not exposed to ozone. Subsequent bacterial recovery illustrated an approximate bioburden reduction of 5log10 for biofilms in the drain itself, and 6log10 for biofilms located in the sink.
Conclusions: Plasma-generated ozone is a safe and effective method for controlling bioburden in periodically wetted, otherwise inaccessible pipework and drains.
Significance and impact of study: The portable ozone disinfection system described has demonstrated potential for controlling the escape of pathogens from drains. Compared to conventional liquid-based disinfection techniques we find the following advantages: (a) a gaseous biocide can reach all surfaces inside the treatment target, without any restriction from orientation or surface tension; (b) ozone is effective in reducing planktonic and biofilm bacterial counts; (c) the ozone is generated at the point of use from air, using only minimal electrical power, requiring no chemical delivery or storage, and producing no toxic residues.
期刊介绍:
The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience.
The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that:
provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings;
provide new insight into cleaning, disinfection and decontamination;
provide new insight into the design of healthcare premises;
describe novel aspects of outbreaks of infection;
throw light on techniques for effective antimicrobial stewardship;
describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control;
improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change;
improve understanding of the use of IT systems in infection surveillance and prevention and control.