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Killing of Candida auris by UV-C: Importance of exposure time and distance
Theun de Groot1, Anuradha Chowdhary2, Jacques F Meis1,3,4
1Department of Medical Microbiology and Infectious Diseases, Canisius Wilhelmina Hospital (CWZ), Nijmegen, The Netherlands.
Background:
Candida auris is a globally emerging yeast, causing severe infections in patients with underlying diseases. This yeast is responsible for several outbreaks within healthcare facilities, where it can be found on hospital surfaces and patient care devices. Spread from these fomites may be prevented by improving the decontamination of hospital surfaces. UV-C decontamination may constitute an effective adjunct to routine room cleaning.
Objectives:
Our aim was to investigate the effect of different UV-C exposure times and distance in killing C auris, using strains from different countries.
Methods:
Candida auris was seeded on glass slides and exposed to UV-C for 5, 10, 20 and 30 minutes at 2 and 4 m.
Results:
A maximal effect of C auris killing was found after 30 minutes of UV-C exposure at 2 m. With half the time or twice the distance, the efficacy strongly diminished to ~10 and ~50 fold, respectively. At suboptimal exposure times and distances, the C auris strains from Japan/Korea were more sensitive to UV-C killing than C auris strains originating from Venezuela, Spain and India.
Conclusions:
Altogether, UV-C exposure times and distance are the most critical parameters to kill C auris, while strain variations of C auris also determine UV-C efficacy. Future studies should aim to determine the effect and place of UV-C on surface decontamination in hospital setting.
Insights
Ultraviolet germicidal irradiation (UVGI) effectively kills Candida auris, a dangerous hospital-acquired pathogen. Optimal decontamination requires specific UV-C exposure times and distances, with some C. auris strains showing varied sensitivity.
Area of Science:
- Microbiology
- Infectious Diseases
- Environmental Hygiene
Background:
- Candida auris is an emerging global pathogen causing severe infections, particularly in healthcare settings.
- This yeast colonizes hospital surfaces and medical devices, contributing to outbreaks.
- Effective surface decontamination is crucial to prevent the spread of C. auris.
Purpose of the Study:
- To evaluate the efficacy of UV-C irradiation in killing various strains of Candida auris.
- To determine the optimal parameters of UV-C exposure time and distance for C. auris decontamination.
Main Methods:
- Candida auris strains from diverse geographical origins were cultured on glass slides.
- Samples were exposed to UV-C light for varying durations (5, 10, 20, 30 minutes) at different distances (2 and 4 meters).
Main Results:
- Maximum killing of C. auris was achieved with 30 minutes of UV-C exposure at 2 meters.
- Reducing exposure time by half or doubling the distance significantly decreased efficacy (approx. 10-fold and 50-fold, respectively).
- Geographical origin influenced UV-C susceptibility, with strains from Japan/Korea being more sensitive than those from Venezuela, Spain, and India.
Conclusions:
- UV-C exposure time and distance are critical factors for effective C. auris killing.
- Variations in C. auris strains impact susceptibility to UV-C decontamination.
- Further research is needed to establish the role of UV-C in hospital surface decontamination protocols.
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