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Decontamination of Personal Protective Equipment
Karin Lemmer1, Georg Pauli1, Sabine Howaldt1
1Dr. Karin Lemmer is a scientist in the Unit Highly Pathogenic Microorganisms, Centre for Biological Threats and Special Pathogens; Professor Georg Pauli is the former Head of the Centre for Biological Threats and Special Pathogens; Sabine Howaldt is a medical technical assistant in the Unit Highly Pathogenic Microorganisms, Centre for Biological Threats and Special Pathogens; Dr. Ingeborg Schwebke is Deputy Head of the Unit Hospital Hygiene, Infection Prevention and Control, Department of Infectious Diseases; Professor Martin Mielke is Head of the Department of Infectious Diseases; and Professor Roland Grunow is Head of the Unit Highly Pathogenic Microorganisms, Centre for Biological Threats and Special Pathogens; all at the Robert Koch Institute, Berlin, Germany.
Bacillus thuringiensis spores effectively surrogate Bacillus anthracis spores for disinfectant testing. Field studies show 2% peracetic acid with brushing rapidly decontaminates personal protective equipment.
Area of Science:
- Microbiology
- Environmental Science
- Public Health
Background:
- Effective decontamination of personal protective equipment (PPE) is crucial for managing biohazardous threats.
- Identifying reliable surrogates for highly pathogenic agents like Bacillus anthracis spores is essential for safety and efficacy testing.
- Peracetic acid (PAA) is a potent disinfectant requiring optimized application protocols for field use.
Purpose of the Study:
- To determine a suitable surrogate for Bacillus anthracis spores for inactivation studies using peracetic acid.
- To establish optimized field conditions for effective PPE decontamination with PAA.
Main Methods:
- Comparative inactivation studies using Bacillus anthracis and Bacillus thuringiensis spores on PPE fabric carriers.
- Time-kill and concentration-dependent studies with PAA-based disinfectants.
- Field application trials involving spraying and brushing decontamination techniques.
Main Results:
- Bacillus thuringiensis strain DSM 350 spores demonstrated inactivation kinetics comparable to the most stable Bacillus anthracis strains, validating its use as a surrogate.
- A 2% PAA solution with 0.2% surfactant achieved rapid (3-5 minutes) and effective surface decontamination.
- Optimized field decontamination using spraying and brushing achieved effective results within 5 minutes.
Conclusions:
- Bacillus thuringiensis serves as an appropriate and safer surrogate for Bacillus anthracis in PAA inactivation studies.
- Optimized PAA decontamination protocols, including spraying and brushing, are effective for field application on contaminated PPE.
- Rapid and efficient decontamination of PPE against spore contamination is achievable under field conditions.
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