Search Results (172)

Biosecurity measures applied on poultry farms, with a recent history of highly pathogenic avian influenza virus infection, were monitored using 24 h/7 days-per-week video monitoring. Definition of biosecurity breaches were based on internationally acknowledged norms. Farms of four different production types (two broiler, two layer, two breeder broiler, and one duck farm) were selected. Observations of entry to and exit from the anteroom revealed a high degree of biosecurity breaches in six poultry farms and good biosecurity practices in one farm in strictly maintaining the separation between clean and potentially contaminated areas in the anteroom. Hand washing with soap and water and/or using disinfectant lotion was rarely observed at entry to the anteroom and was almost absent at exit. Egg transporters did not disinfect fork-lift wheels when entering the egg-storage room nor change or properly disinfect footwear. The egg-storage room was not cleaned and disinfected after egg transport by the farmer. Similarly, footwear and trolley wheels were not disinfected when introducing young broilers or ducklings to the poultry unit. Biosecurity breaches were observed when introducing bedding material in the duck farm. This study shows a need for an engaging awareness and training campaign for poultry farmers and their co-workers as well as for transporters to promote good biosecurity practices. Full article

Enteroviruses of the Picornaviridae family are transmitted primarily by the fecal–oral route. Transmission may occur following hand contact with contaminated fomites and subsequent ingestion of virus conveyed to the mouth by the contaminated hand. The persistence of these viruses on fomites likely plays a role in this transmission scenario. Six echoviruses (1, 2, 3, 5, 6, and 7) that cause frequently reported clinical cases in the United States were studied, along with poliovirus type 1 vaccine strain LSc-2ab. The infectivity half-lives of the enteroviruses deposited on vinyl tile coupons in a 10% fecal solution ranged from 1.7 to 12.6 h. The echovirus serotypes most commonly associated with reported infections persisted longer on the vinyl tiles than the less commonly reported types. This increased persistence on surfaces may favor the transmission of these echoviruses through the fecal–oral route. These results inform the future selection of appropriate model enteroviruses for challenging newly formulated and eco-friendly disinfectants or other strategies in infection prevention and control for enteroviruses. Full article

Pseudomonas aeruginosa is a highly adaptable opportunistic pathogen with significant clinical relevance in both human and veterinary medicine. Despite its well-documented role in hospital-acquired infections in human healthcare settings, its persistence and transmission within veterinary clinics remain underexplored. This review highlights the overlooked status of veterinary facilities as environmental reservoirs and amplification points for multidrug-resistant (MDR) P. aeruginosa, emphasizing their relevance to One Health surveillance. We examine the bacterium’s environmental survival strategies, including biofilm formation, resistance to disinfectants, and tolerance to nutrient-poor conditions that facilitate the long-term colonization of moist surfaces, drains, medical equipment, and plumbing systems. Common transmission vectors are identified, including asymptomatic animal carriers, contaminated instruments, and the hands of veterinary staff. The review synthesizes current data on antimicrobial resistance in environmental isolates, revealing frequent expression of efflux pumps and mobile resistance genes, and documents the potential for zoonotic transmission to staff and pet owners. Key gaps in environmental monitoring, infection control protocols, and genomic surveillance are identified, with a call for standardized approaches tailored to the veterinary context. Control strategies, including mechanical biofilm disruption, disinfectant cycling, effluent monitoring, and staff hygiene training, are evaluated for feasibility and impact. The article concludes with a One Health framework outlining cross-species and environmental transmission pathways. It advocates for harmonized surveillance, infrastructure improvements, and intersectoral collaboration to reduce the risk posed by MDR P. aeruginosa within veterinary clinical environments and beyond. By addressing these blind spots, veterinary facilities can become proactive partners in antimicrobial stewardship and global resistance mitigation. Full article

Introduction: Successful root canal therapy relies on thorough cleaning and disinfection to eliminate microorganisms and residual pulp tissue. Advanced irrigation activation techniques, including Sonic, Ultrasonic, and Diode Laser activation, have improved cleaning efficacy, bacterial reduction, smear layer removal, and irrigant hydrodynamics. On the other hand, these irrigation activation techniques may lead to a temperature rise that may risk the surrounding periodontal tissue. Thus, this study aimed to investigate the temperature rise during different irrigation activation techniques at various time intervals and evaluate the efficacy of these techniques in removing biofilm-mimicking hydrogel BMH of a simulated root canal system in 3D-printed tooth models. Methods: Ten extracted human mandibular premolars, prepared to size 40/0.04 taper, and a hundred 3D-printed resin premolars with simulated main (0.25 mm) and lateral canals (0.15 mm at 3, 7, 11 mm from apex) were used; 50 of them were filled with biofilm-mimicking hydrogel (BMH). Five irrigation activation techniques were evaluated: Diode Laser, Ultrasonic, Sonic, XP-Finisher, and Control (n = 10). Temperature rises were measured on the extracted premolars after 30 and 60 s of activation using a thermographic camera in a controlled environment (23 ± 2 °C). Irrigant penetration, with and without BMH, was assessed in 3D-printed premolars using a 2.5% sodium hypochlorite-contrast medium mixture, visualized with a CMOS radiographic sensor. Penetration was scored (main canal: 3 points; lateral canals: 0–2 points) and analyzed with non-parametric tests. Results: Diode Laser activation technique resulted in the highest temperature rise on the external root surface, followed by the Ultrasonic, with no statistically significant difference observed among the remaining groups. In terms of efficacy, Ultrasonic and Sonic activation achieved significantly greater irrigant penetration in samples without BMH, and greater BMH removal in samples with BMH, compared to Diode Laser, XP-Finisher, and Control groups. Conclusions: In this in vitro study, Diode Laser caused the highest temperature rise, followed by Ultrasonic, with significant increases from 30 to 60 s. Temperature rise did not significantly affect penetration or BMH removal. Ultrasonic and Sonic irrigation techniques achieved the highest depth of penetration (without BMH) and biofilm-mimicking Hydrogel removal (with BMH) compared to Diode Laser, XP-Finisher, and Control. Full article

Background/Objectives: Using chemical disinfectants to clean the base of heat-cured acrylic dentures has several negative effects, including toxicity. On the other hand, therapeutic herbs have fewer adverse effects. This study intended to determine how the antibacterial efficacy and the surface roughness of the heat-cured acrylic material used to fabricate dentures were affected by the use of Cordia myxa fruit (CMF) extract as a disinfection solution for dentures using the immersion technique. Methods: Heat-cured acrylic specimens were prepared (N = 110; 55 specimens) for each test; each group contained five specimens. Three CMF extract concentrations (50, 100, and 150 mg/mL) were made and examined for three immersion times (5, 10, and 15 min). The results were compared to the first control group, which used distilled water, and the second group, which used 2% glutaraldehyde for ten minutes, in accordance with the guidelines. One way analysis of variance ANOVA and Games–Howell post hoc test were employed in SPSS (Statistical Package for the Social Sciences) program for statistical analysis. Results: The results for the antibacterial test revealed that CMF solutions had a statistically significant difference in all test groups in comparison with the first control group and non-significant differences with (H p = 0.92; J p = 0.278; K p = 0.303) groups in comparison with the second control group (Glutaraldehyde 2%). For the surface roughness test, the effect was not statistically significant for all groups compared to the first and second control groups. Conclusions: It can be concluded that immersing the heat-cure acrylic samples in a solution of 100 mg/mL CMF extract for 15 min, and 150 mg/mL for 10 and 15 min, has an antibacterial effect similar to that of the Glutaraldehyde 2% antiseptic and no negative effect on surface roughness. Full article

Hospital-acquired infections (HAIs) previously focused mainly on multidrug-resistant (MDR) bacteria, with less attention on viruses. The COVID-19 pandemic highlighted the importance of controlling viral infections. Human rhinoviruses (HRVs) are among the viruses responsible for HAIs. HRVs are non-enveloped viruses that infect the upper airways after airborne or direct transmission. Due to their lack of a membrane envelope, HRVs exhibit moderate resistance to commonly applied alcoholic disinfectants. Therefore, there is a significant need to develop alternative disinfection and hand sanitation strategies to control HRV infections in healthcare settings without posing a risk to human health. The antimicrobial activity and safety of rhamnolipids and rhamnolipids nano-micelles (RMN) against MDR-bacteria and several viruses, including SARS-CoV-2, were confirmed recently. Also, we previously demonstrated the superior antimicrobial activity of RMN over rhamnolipids. In the current study, molecular docking demonstrated the weak interactions of rhamnolipids with HRV-1A (minor group) compared to HRV-14 (major group), suggesting a superior antiviral activity of rhamnolipids towards major group rhinoviruses. To biologically validate these data, RMN was prepared and characterized, and then antiviral activity against HRV-16 (major group) and HRV-1B (minor group) infection of HeLa cells was assessed. RMN showed a complete inhibition of HRV-16 infection with recovery of 100% of HeLa cell viability. In contrast, only partial inhibition of HRV-1B infection with approximately 50% protection against infection was observed. Therefore, RMN might be recommended as a disinfectant and/or a hand sanitizer component to control the spread of RVs in hospital care settings or elsewhere to reduce the incidence of respiratory infections. Full article

Clostridioides difficile (CD) is a Gram-positive, spore-forming anaerobic bacterium, usually transmitted through the fecal–oral route, that can result from direct person-to-person contact, exposure to contaminated environmental surfaces, or contact with the hands of colonized healthcare personnel. An increased number of infections, especially healthcare-associated, with this etiology has been observed in most countries. As a spore-forming organism, CD is resistant to alcohol formulations and is a challenge for chemical disinfection. The solution could be the supplementation of traditional disinfection with non-touch techniques, such as UV-C radiation. The adoption of UV-C as a supplementary disinfection method in hospitals has significantly increased since the COVID-19 pandemic. However, there are no current guidelines concerning the use of UV-C disinfection in hospitals. The aim of this study was to evaluate the effectiveness of UV-C irradiation in inactivating Clostridioides difficile from different types of surfaces in hospital settings. The study was based on laboratory tests evaluating the efficacy in eliminating three different C. difficile strains on carriers made of plastic, metal and glass after 10 min exposure to UV-C (wavelength, 253.7 nm). We observed a wide range of reductions in the C. difficile suspensions depending on the density of the carrier contamination, type of carrier, strains and the location of the carrier. The percentage reductions ranged from 0 to 100%, but the best results were observed for glass, with lower initial suspension density and carrier placement on a door frame. Statistically significant differences were only seen in different suspension densities. Our experiment was a continuation of the tests done for non-sporing bacteria and C. auris, and there were some interesting differences in C. difficile reflecting its biology, especially its sensitivity to an aerobic atmosphere during the sample drying. Although the elimination of C. difficile by UV-C radiation was confirmed in our experiment, it was lower than in the case of non-spore-forming bacteria. Thus, this method may be used in healthcare settings (hospitals) for improving environmental safety and preventing C. difficile spreading. Full article

Plants of the genus Betula pendula (Betulaceae) have been used as antiseptics in the treatment of skin diseases. While the bark of this plant has so far been used as a medicinal raw material, our research has revealed that the leaves are an extremely valuable source of health-promoting bioactive compounds, especially polyphenolic compounds. The antioxidant activity of a novel lotion from the Betula pendula leaf and its phenolic content was determined using the DPPH and FRAP assays and the Folin–Ciocalteu method, and a qualitative analysis was conducted using the GC-MS method. The antiseptic preparation was also subjected to HPLC analysis for an assessment of the phenolic acids content (gallic, 3,4-dihydroxybenzoic, 2,5-dihydroxybenzoic, chlorogenic, and 3-hydroxybenzoic acids). The shake flask method was used to determine the partition coefficient of the lotion to assess its lipophilicity. A new ethanol-reduced antiseptic lotion containing antimicrobial ingredients was evaluated using standard killing methods (EN 13697:2019 and EN 13697:2015) at 60 ± 10 s and 300 ± 10 s against six microorganisms. The aim of these tests was to determine whether the formulation exhibited performance like a traditional ethanol. In addition, hand disinfection tests were also carried out using the preparation obtained from B. pendula leaves in accordance with EN 1500:2013, using Escherichia coli strain K12 NCTC 10538. According to the results, high polyphenol contents (52 ± 2 mg GAE/g dry raw material) and other antioxidant and biologically active substances identified by GC-MS (phytol, alpha-tocospiro B, sitosterol, or dilauryl thiodipropionate) can be thought of as the parameters responsible for the effective activity of the preparation derived from birch leaves. Gallic acid and 3,4-dihydroxybenzoic acid had the greatest concentrations among the phenolic acids examined. The mean 60 s kill time was >99.9 for the new antiseptic against Staphylococcus aureus ATCC 6538 (at a concentration of 30 g/100 mL) and Pseudomonas aeruginosa ATCC 15442 (at a concentration of 40 g/100 mL), while ethanol showed the same reduction for these microorganisms at a concentration of 80 g/100 mL. Full article

Background/Objectives: In recent years, non-contact room disinfection devices using ultraviolet light and hydrogen peroxide have emerged as disinfection methods. However, data on their usefulness in neonatal intensive care units (NICUs) are limited. Therefore, the aim of the present study was to evaluate the effectiveness of environmental disinfection in controlling methicillin-resistant Staphylococcus aureus (MRSA) outbreaks in a NICU/growing care unit (GCU). Methods: Daily cleaning/disinfection of the patient environment was changed from using a cloth containing quaternary ammonium salts to an agent containing ethanol and surfactant, and terminal cleaning with a pulsed xenon ultraviolet light (PX-UV) non-contact disinfection device was added for patients with confirmed MRSA and those on contact precautions. MRSA incidence and environmental culture results were then compared before and after the method change. Results: The MRSA infection rate was 2.81/1000 patient days before the method change and 0.90/1000 patient days after the change (p = 0.008). Environmental cultures were positive in 12/137 (8.8%) before the change and 0 after the change. There were no adverse events in the neonates due to PX-UV irradiation of the environment. Conclusions: Daily cleaning and disinfection with ethanol and surfactant-containing cleaning disinfectants and a final cleaning with a PX-UV non-contact disinfection device reduced environmental MRSA contamination. In addition to adherence to hand hygiene and contact precautions, reducing MRSA present in the environment may contribute to MRSA control in NICUs and GCUs. Full article

Human norovirus (HuNoV) is a major causative agent of foodborne illness and causes acute viral gastroenteritis. This study aimed to compare the virucidal efficacies of alcohol-based disinfectants against HuNoV and its surrogates for murine norovirus and feline calicivirus using a cell culture infectivity assay. Additionally, the study evaluated the validity of estimating virucidal efficacy on HuNoV from the results of virucidal efficacy on the surrogate virus. All disinfectants decreased the titer of each virus by >3 log₁₀ and >4 log₁₀ for an exposure duration of 30 s against murine norovirus and feline calicivirus, respectively. However, acidic alcohol-based disinfectants completely inactivated the HuNoV GII.17 strain for 30 or 60 s, whereas an alkaline alcohol-based disinfectant did not inactivate HuNoV GII.17 for 60 s. This finding indicates that the pH of alcohol disinfectants affects their virucidal effects against HuNoV, and acidity has a higher virucidal efficacy against HuNoV than alkalinity. Disinfectants showing virucidal efficacy against surrogates were not effective against HuNoV. Few studies have used cell culture infectivity assays to test the inactivating effects of hand sanitizers on HuNoV and its surrogates. Our study provides useful information for the development of disinfectants that are effective against HuNoV. Full article

Background/Objectives: The COVID-19 pandemic has emphasized the importance of preparedness in preventing the spread of infectious diseases, especially in Emergency Departments (EDs), where initial patient assessments and triage occur. This study aims to evaluate the current practices and available tools for infection control in Pediatric EDs across Italy, focusing on the differences between various hospital types and regional settings. Methods: A cross-sectional national survey was conducted in February 2022, targeting healthcare workers in Pediatric EDs across Italy. The survey, distributed via the Italian Society for Pediatric Emergency and Urgent Medicine (SIMEUP) mailing list, collected data on infection control measures, including the availability of hand hygiene stations, personal protective equipment, disinfection protocols, and the use of rapid diagnostic tests. Results: A total of 80 questionnaires were completed from 119 (67.2%) different ERs. The majority of respondents were from Northern Italy (47.5%) and worked in hospitals with 24 h pediatric assistance (48.8%). Less than half of non-pediatric hospitals had separate access for children, potentially exposing them to adult pathogens. Across all settings, basic infection control measures, such as providing masks and hand gel, were widely implemented. However, significant differences were observed in the availability of social distancing, informational materials, and dedicated pediatric pathways, with I level assistance hospitals less likely to have these resources. Rapid diagnostic tests were available in most settings, but the focus was predominantly on SARS-CoV-2, despite other respiratory pathogens’ relevance in pediatric care. Conclusions: Strengthening preparations for future pandemics will be crucial in enhancing the resilience of healthcare systems and ensuring the safety of both patients and healthcare workers in the face of emerging infectious threats. Full article

Meticillin-resistant Staphylococcus aureus (MRSA) is a significant cause of hospital-acquired infections (HAIs), posing a serious threat to healthcare workers (HCWs). All touching behavior data were from a clinical skills competition of a medical school in Hong Kong; more than 12,000 touches involving 3 patients (infusion, critically ill, and agitation) and 25 HCWs were collected. A fomite transmission model considering real touch behaviors was established to simulate the MRSA transmission in an emergency room, then the MRSA exposure risk of HCWs and effectiveness of interventions were analyzed. HCWs had a low touch frequency of facial mucous (doctors: 1.7 times/h; nurses: 1.1 times/h). The MRSA intake fractions for doctors were 2–4 times higher than those for nurses. Handwashing twice per hour could reduce the MRSA intake fraction by 7%. Effectiveness of disinfecting only the top 10 high-risk public surfaces was 83% to 98% of the efficiency when disinfecting all public surfaces. MRSA mainly transferred via hand contact contributed over 89% of pathogen transmission. Therefore, disinfecting public surfaces or replacing them with antimicrobial surfaces was not effective. The findings highlight the importance of prioritizing hand hygiene among HCWs and optimizing interventions to enhance infection-control protocols in emergency rooms. And this study provides scientific evidence for the development of precise interventions for MRSA prevention and control in hospital emergency rooms. Full article

Common designs of workwear drying units require not only energy efficiency but also effective disinfection. One possibility of sanitising clothes during drying is to use the ozone generated inside the drying chamber. This process requires precise management of airflow and a uniform distribution of ozone in the chamber. Therefore, optimising the shape of the drying chamber must include not only the correct flow of drying air but also the correct distribution of ozone. This paper addresses the difficult problem of modelling the flow of sanitising ozone in an innovative drying chamber. The innovative shape of the chamber is shown in this article. Due to the low percentage of ozone in the air (up to 10 ppm), CFD simulation models of the usual mixture type are too inaccurate; therefore, special models have to be used. Therefore, this paper presents an experimentally verified methodology to simulate ozone flow in an innovative drying and sanitising cabinet using two methods: Discrete Phase Model (DPM) and Species Transport (ST). The DPM method uses a Euler–Lagrange approach to qualitatively assess the spread of ozone particles, treated with a description of the movement of the particles and not as a continuous gaseous substance. On the other hand, this already allows the verification of ozone concentrations, with an appropriate conversion of the measured quantities. The ANSYS/FLUENT 2023R1 program was used for the simulations after careful selection of the mesh, closing models, boundary conditions, etc. Simulations made it possible to analyse the distribution of ozone in the workspace and assess the effectiveness of the sanitisation process. The results of the simulations were verified on the basis of empirical tests, which showed the correctness of the model and the correct distribution of the sanitising ozone in the entire volume of the drying chamber in the innovative drying–sanitising chamber. The complete simulation of the air and ozone distribution using the presented models allowed for the optimisation of the opening and shapes, which contributed to improving the energy efficiency of the unit and increasing the efficiency of the sanitisation processes, making the described methodology very effective for optimising the chambers of various types of dryers. Full article

In response to the COVID-19 pandemic, higher education institutions adopted a set of measures to ensure safe face-to-face teaching and to control potential outbreaks. However, the effectiveness of the implemented measures is dependent on the behavior of students, who are generally young, often displaced, living with other colleagues, and constantly seeking physical contact, which makes their behavior outside the institution also of particular relevance to controlling the pandemic. An online questionnaire was developed and applied to characterize the behaviors adopted by students inside and outside the higher education institution, as well as risk perception based on the health belief model (HBM) and unrealistic optimism, with the participation of 620 students from three Portuguese higher education institutions. The adoption of safe behaviors is related to a greater perception of the benefits and of the severity of COVID-19. Unrealistic optimism also has a negative impact on preventive behaviors. The behaviors least adopted by students concerning potential exposure to COVID-19 were disinfecting hands and equipment after use, as well as physical distancing from colleagues. With regard to behaviors adopted outside the institution, it was found that students did not avoid physical contact with colleagues and family members. These findings contribute to our understanding of student behavior during the COVID-19 pandemic, help institutions understand if the applied strategies were effective or not, and denote the need to reinforce or improve the implemented strategies. Full article

The transmission of pathogens via touchscreens is a concern both in medical environments regarding nosocomial infections and in public spaces. This study presents the development of a self-disinfecting touchscreen system and its implementation into an existing medical device. The disinfection was achieved by irradiating UVC light laterally into the quartz front glass of the touchscreen. The system also included a two-stage safety shutdown feature to protect users from UVC exposure. To detect the presence of the user’s hand, a proximity sensor behind the front glass of the touch screen was installed in combination with touch input registration. A rapid disinfection of staphylococci was achieved without compromising usability and user safety. The prototype demonstrated a bacterial reduction of 99.96% or 3.4 (±0.36) log levels in less than 1 s. The results suggest that the technology has the potential to make a significant contribution to reducing the transmission of infections in healthcare settings and beyond. Full article