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.

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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