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Impact of a UV-C Multiemitter Disinfection System on Hospital Environmental Bioburden and Inactivation of Clinically
Edgar Fiscal-Baxin1,2, Auria Del Carmen López-Hernández1,2, María Fernanda González-Ruiz1,2
1Hospital Juárez de México, Mexico City 07760, Mexico.
Abstract:
Healthcare-associated infections remain a central hospital challenge, particularly in critical areas where invasive procedures and microbial contamination overlap. The hospital environment, including air and high-touch surfaces, acts as a persistent microorganism source that favors stability and spread. UV-C disinfection systems have become complementary tools to conventional cleaning. This study evaluated the disinfectant efficacy of a 254 nm multiemitter UV-C system under in situ and in vitro conditions. A 254 nm UV-C multiemitter system was deployed to eight hospital areas selected for epidemiological relevance. Air and surface sampling were conducted before and after standardized UV-C cycles. The bacterial and fungal aerobiome was quantified (CFU/m3) and surfaces were characterized by MALDI-TOF mass spectrometry. In vitro assays tested efficacy against planktonic cultures and mature biofilms of clinical ESKAPE isolates and C. albicans. The UV-C intervention achieved mean aerobiome reductions above 91.5%, with complete elimination in multiple critical zones. Surface contamination was reduced by 96.1%, including total disinfection across several sampled points. In vitro testing showed ≥99.99% to 100% elimination of planktonic microorganisms. Mature biofilms exhibited full loss of viability after UV-C exposure, independent of biofilm architecture and structural complexity. Therefore, the 254 nm UV-C multiemitter system significantly reduced environmental microbial burden in critical hospital areas, supporting its integration within infection-prevention programs and reinforcing environmental biosafety through the control of the microbial sources involved in transmission dynamics.
Insights
This study shows a 254 nm UV-C multiemitter system significantly reduced hospital environmental microbes. The UV-C disinfection effectively lowered airborne and surface contamination, enhancing infection prevention strategies.
Area of Science:
- Environmental microbiology
- Hospital infection control
- Disinfection technologies
Background:
- Healthcare-associated infections (HAIs) are a major hospital challenge, especially in critical care settings.
- The hospital environment, including air and surfaces, harbors microorganisms that contribute to infection spread.
- Ultraviolet germicidal irradiation (UV-C) is increasingly used as a supplementary disinfection method.
Purpose of the Study:
- To evaluate the disinfection efficacy of a 254 nm multiemitter UV-C system.
- To assess the system's performance under both in situ (real-world hospital) and in vitro (laboratory) conditions.
- To determine the impact of UV-C on airborne and surface microbial contamination in critical hospital areas.
Main Methods:
- A 254 nm UV-C multiemitter system was deployed in eight epidemiologically relevant hospital areas.
- Air and surface samples were collected before and after UV-C disinfection cycles.
- Aerobiome quantified (CFU/m³), surfaces characterized (MALDI-TOF MS), and in vitro assays performed against planktonic and biofilm cultures (ESKAPE pathogens, C. albicans).
Main Results:
- UV-C achieved >91.5% mean reduction in airborne microbes, with complete elimination in some zones.
- Surface contamination decreased by 96.1%, with total disinfection at several points.
- In vitro tests showed ≥99.99% elimination of planktonic microbes and complete viability loss in mature biofilms.
Conclusions:
- The 254 nm UV-C multiemitter system significantly reduces the microbial burden in critical hospital environments.
- This technology supports integration into infection prevention programs to enhance environmental biosafety.
- UV-C disinfection effectively controls microbial sources involved in hospital-acquired infection transmission.
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