Elimination of biofilm and microbial contamination reservoirs in hospital washbasin U-bends by automated cleaning and disinfection with electrochemically activated solutions

Summary Background Washbasin U-bends are reservoirs of microbial contamination in healthcare environments. U-bends are constantly full of water and harbour microbial biofilm. Aim To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electroch...

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Veröffentlicht in:The Journal of hospital infection 2016-10, Vol.94 (2), p.169-174
Hauptverfasser: Swan, J.S, Deasy, E.C, Boyle, M.A, Russell, R.J, O’Donnell, M.J, Coleman, D.C
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container_end_page 174
container_issue 2
container_start_page 169
container_title The Journal of hospital infection
container_volume 94
creator Swan, J.S
Deasy, E.C
Boyle, M.A
Russell, R.J
O’Donnell, M.J
Coleman, D.C
description Summary Background Washbasin U-bends are reservoirs of microbial contamination in healthcare environments. U-bends are constantly full of water and harbour microbial biofilm. Aim To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electrochemical activation of brine including the disinfectant anolyte (predominantly hypochlorous acid) and catholyte (predominantly sodium hydroxide) with detergent properties. Methods Initially three washbasin U-bends were manually filled with catholyte followed by anolyte for five minutes each once weekly for five weeks. A programmable system was then developed with one washbasin that automated this process. This U-bend had three cycles of five minutes catholyte followed by five minutes anolyte treatment a week for three months. Quantitative bacterial counts from treated and control U-bends were determined on blood agar (CBA), R2A, PAS and PA agars following automated treatment and on CBA and R2A following manual treatment. Findings The average bacterial density from untreated U-bends throughout the study was >1 x 105 CFU/swab on all media with Pseudomonas aeruginosa accounting for approximately 50% of counts. Manual U-bend ECA treatment reduced counts significantly (
doi_str_mv 10.1016/j.jhin.2016.07.007
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U-bends are constantly full of water and harbour microbial biofilm. Aim To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electrochemical activation of brine including the disinfectant anolyte (predominantly hypochlorous acid) and catholyte (predominantly sodium hydroxide) with detergent properties. Methods Initially three washbasin U-bends were manually filled with catholyte followed by anolyte for five minutes each once weekly for five weeks. A programmable system was then developed with one washbasin that automated this process. This U-bend had three cycles of five minutes catholyte followed by five minutes anolyte treatment a week for three months. Quantitative bacterial counts from treated and control U-bends were determined on blood agar (CBA), R2A, PAS and PA agars following automated treatment and on CBA and R2A following manual treatment. Findings The average bacterial density from untreated U-bends throughout the study was >1 x 105 CFU/swab on all media with Pseudomonas aeruginosa accounting for approximately 50% of counts. Manual U-bend ECA treatment reduced counts significantly (<100 CFU/swab) ( P <0.01 for CBA; P <0.005 for R2A). Similarly, counts from the automated ECA-treatment U-bend were significantly reduced with average counts over 35 cycles on CBA, R2A, PAS and PA of 2.1(±4.5) ( P <0.0001), 13.1(±30.1) ( P <0.05), 0.7(2.8) ( P <0.001) and 0(±0) ( P <0.05) CFU/swab, respectively. P. aeruginosa was eliminated from all treated U-bends. Conclusion Automated ECA treatment of washbasin U-bends consistently minimises microbial contamination.]]></description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2016.07.007</identifier><identifier>PMID: 27485396</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Anolyte ; Automation - methods ; Bacteria - drug effects ; Bacterial Load ; Biofilm ; Biofilms - drug effects ; Catholyte ; Disinfectants - pharmacology ; Disinfection - methods ; Electrochemical Techniques - methods ; Electrochemically activated solutions ; Hospitals ; Hypochlorous Acid - pharmacology ; Infectious Disease ; Pseudomonas aeruginosa ; Sodium Hydroxide - pharmacology ; Solutions - pharmacology ; Washbasin U-bends ; Water Microbiology</subject><ispartof>The Journal of hospital infection, 2016-10, Vol.94 (2), p.169-174</ispartof><rights>2016 The Authors</rights><rights>Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-eb3801e1ac1f9f45bd6a11fbfa18ff13c55ada5170ad40faeb19df49bb10c13</citedby><cites>FETCH-LOGICAL-c455t-eb3801e1ac1f9f45bd6a11fbfa18ff13c55ada5170ad40faeb19df49bb10c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhin.2016.07.007$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27485396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swan, J.S</creatorcontrib><creatorcontrib>Deasy, E.C</creatorcontrib><creatorcontrib>Boyle, M.A</creatorcontrib><creatorcontrib>Russell, R.J</creatorcontrib><creatorcontrib>O’Donnell, M.J</creatorcontrib><creatorcontrib>Coleman, D.C</creatorcontrib><title>Elimination of biofilm and microbial contamination reservoirs in hospital washbasin U-bends by automated cleaning and disinfection with electrochemically activated solutions</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description><![CDATA[Summary Background Washbasin U-bends are reservoirs of microbial contamination in healthcare environments. U-bends are constantly full of water and harbour microbial biofilm. Aim To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electrochemical activation of brine including the disinfectant anolyte (predominantly hypochlorous acid) and catholyte (predominantly sodium hydroxide) with detergent properties. Methods Initially three washbasin U-bends were manually filled with catholyte followed by anolyte for five minutes each once weekly for five weeks. A programmable system was then developed with one washbasin that automated this process. This U-bend had three cycles of five minutes catholyte followed by five minutes anolyte treatment a week for three months. Quantitative bacterial counts from treated and control U-bends were determined on blood agar (CBA), R2A, PAS and PA agars following automated treatment and on CBA and R2A following manual treatment. Findings The average bacterial density from untreated U-bends throughout the study was >1 x 105 CFU/swab on all media with Pseudomonas aeruginosa accounting for approximately 50% of counts. Manual U-bend ECA treatment reduced counts significantly (<100 CFU/swab) ( P <0.01 for CBA; P <0.005 for R2A). Similarly, counts from the automated ECA-treatment U-bend were significantly reduced with average counts over 35 cycles on CBA, R2A, PAS and PA of 2.1(±4.5) ( P <0.0001), 13.1(±30.1) ( P <0.05), 0.7(2.8) ( P <0.001) and 0(±0) ( P <0.05) CFU/swab, respectively. P. aeruginosa was eliminated from all treated U-bends. Conclusion Automated ECA treatment of washbasin U-bends consistently minimises microbial contamination.]]></description><subject>Anolyte</subject><subject>Automation - methods</subject><subject>Bacteria - drug effects</subject><subject>Bacterial Load</subject><subject>Biofilm</subject><subject>Biofilms - drug effects</subject><subject>Catholyte</subject><subject>Disinfectants - pharmacology</subject><subject>Disinfection - methods</subject><subject>Electrochemical Techniques - methods</subject><subject>Electrochemically activated solutions</subject><subject>Hospitals</subject><subject>Hypochlorous Acid - pharmacology</subject><subject>Infectious Disease</subject><subject>Pseudomonas aeruginosa</subject><subject>Sodium Hydroxide - pharmacology</subject><subject>Solutions - pharmacology</subject><subject>Washbasin U-bends</subject><subject>Water Microbiology</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhSMEokPhBVggL9kk-CZxMpEQEqpaQKrEorC2_HNNPDj2YCdTzUPxjjgzpQsWrGxff-dYvucWxWugFVDo3u2q3Wh9Ved9RfuK0v5JsQHW1GU9NMPTYkNhYGXXU7goXqS0o5TmOnteXNR9u2XN0G2K39fOTtaL2QZPgiHSBmPdRITXZLIqBmmFIyr4WTxiERPGQ7AxEevJGNLezhm6F2mUIuXS91Ki14nIIxHLHCYxoybKofDW_zhZa5s5g-rkd2_nkaDLpxjUiPlZ4VyW5tvDSZqCW1YyvSyeGeESvnpYL4u7m-tvV5_L26-fvlx9vC1Vy9hcomy2FBCEAjOYlkndCQAjjYCtMdAoxoQWDHoqdEuNQAmDNu0gJVAFzWXx9uy6j-HXgmnmk00KnRMew5I4bGugw7bpWEbrM5o7lVJEw_fRTiIeOVC-hsR3fA2JryFx2vMcUha9efBf5IT6UfI3lQy8PwOY_3iwGHlSFr1CbWPuEtfB_t__wz9y5axfu_oTj5h2YYk-d48DTzWn_G4dk3VKoGtozTra_AEuWb7d</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Swan, J.S</creator><creator>Deasy, E.C</creator><creator>Boyle, M.A</creator><creator>Russell, R.J</creator><creator>O’Donnell, M.J</creator><creator>Coleman, D.C</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>Elimination of biofilm and microbial contamination reservoirs in hospital washbasin U-bends by automated cleaning and disinfection with electrochemically activated solutions</title><author>Swan, J.S ; Deasy, E.C ; Boyle, M.A ; Russell, R.J ; O’Donnell, M.J ; Coleman, D.C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-eb3801e1ac1f9f45bd6a11fbfa18ff13c55ada5170ad40faeb19df49bb10c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anolyte</topic><topic>Automation - methods</topic><topic>Bacteria - drug effects</topic><topic>Bacterial Load</topic><topic>Biofilm</topic><topic>Biofilms - drug effects</topic><topic>Catholyte</topic><topic>Disinfectants - pharmacology</topic><topic>Disinfection - methods</topic><topic>Electrochemical Techniques - methods</topic><topic>Electrochemically activated solutions</topic><topic>Hospitals</topic><topic>Hypochlorous Acid - pharmacology</topic><topic>Infectious Disease</topic><topic>Pseudomonas aeruginosa</topic><topic>Sodium Hydroxide - pharmacology</topic><topic>Solutions - pharmacology</topic><topic>Washbasin U-bends</topic><topic>Water Microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Swan, J.S</creatorcontrib><creatorcontrib>Deasy, E.C</creatorcontrib><creatorcontrib>Boyle, M.A</creatorcontrib><creatorcontrib>Russell, R.J</creatorcontrib><creatorcontrib>O’Donnell, M.J</creatorcontrib><creatorcontrib>Coleman, D.C</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swan, J.S</au><au>Deasy, E.C</au><au>Boyle, M.A</au><au>Russell, R.J</au><au>O’Donnell, M.J</au><au>Coleman, D.C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elimination of biofilm and microbial contamination reservoirs in hospital washbasin U-bends by automated cleaning and disinfection with electrochemically activated solutions</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>94</volume><issue>2</issue><spage>169</spage><epage>174</epage><pages>169-174</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract><![CDATA[Summary Background Washbasin U-bends are reservoirs of microbial contamination in healthcare environments. U-bends are constantly full of water and harbour microbial biofilm. Aim To develop an effective automated cleaning and disinfection system for U-bends using two solutions generated by electrochemical activation of brine including the disinfectant anolyte (predominantly hypochlorous acid) and catholyte (predominantly sodium hydroxide) with detergent properties. Methods Initially three washbasin U-bends were manually filled with catholyte followed by anolyte for five minutes each once weekly for five weeks. A programmable system was then developed with one washbasin that automated this process. This U-bend had three cycles of five minutes catholyte followed by five minutes anolyte treatment a week for three months. Quantitative bacterial counts from treated and control U-bends were determined on blood agar (CBA), R2A, PAS and PA agars following automated treatment and on CBA and R2A following manual treatment. Findings The average bacterial density from untreated U-bends throughout the study was >1 x 105 CFU/swab on all media with Pseudomonas aeruginosa accounting for approximately 50% of counts. Manual U-bend ECA treatment reduced counts significantly (<100 CFU/swab) ( P <0.01 for CBA; P <0.005 for R2A). Similarly, counts from the automated ECA-treatment U-bend were significantly reduced with average counts over 35 cycles on CBA, R2A, PAS and PA of 2.1(±4.5) ( P <0.0001), 13.1(±30.1) ( P <0.05), 0.7(2.8) ( P <0.001) and 0(±0) ( P <0.05) CFU/swab, respectively. P. aeruginosa was eliminated from all treated U-bends. Conclusion Automated ECA treatment of washbasin U-bends consistently minimises microbial contamination.]]></abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27485396</pmid><doi>10.1016/j.jhin.2016.07.007</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Anolyte
Automation - methods
Bacteria - drug effects
Bacterial Load
Biofilm
Biofilms - drug effects
Catholyte
Disinfectants - pharmacology
Disinfection - methods
Electrochemical Techniques - methods
Electrochemically activated solutions
Hospitals
Hypochlorous Acid - pharmacology
Infectious Disease
Pseudomonas aeruginosa
Sodium Hydroxide - pharmacology
Solutions - pharmacology
Washbasin U-bends
Water Microbiology
title Elimination of biofilm and microbial contamination reservoirs in hospital washbasin U-bends by automated cleaning and disinfection with electrochemically activated solutions
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