Disinfection with sodium hypochlorite in hospital environmental surfaces in the reduction of contamination and infection prevention: a systematic review

OBJECTIVETo search for evidence of the efficiency of sodium hypochlorite on environmental surfaces in reducing contamination and prevention of healthcare-associated infection HAIs.METHODSystematic review in accordance with the Cochrane Collaboration.RESULTSWe analyzed 14 studies, all controlled trials, published between 1989-2013. Most studies resulted in inhibition of microorganism growth. Some decreased infection, microorganism resistance and colonization, loss of efficiency in the presence of dirty and surface-dried viruses.CONCLUSIONThe hypochlorite is an effective disinfectant, however, the issue of the direct relation with the reduction of HAIs remains. The absence of control for confounding variables in the analyzed studies made the meta-analysis performance inadequate. The evaluation of internal validity using CONSORT and TREND was not possible because its contents were not appropriate to laboratory and microbiological studies. As a result, there is an urgent need for developing specific protocol for evaluating such studies.

Environmental isolation, biochemical identification, and antifungal drug susceptibility of Cryptococcus species

Introduction The incidence of opportunistic fungal infections has increased in recent years and is considered an important public health problem. Among systemic and opportunistic mycoses, cryptococcosis is distinguished by its clinical importance due to the increased risk of infection in individuals infected by human immunodeficiency virus. Methods To determine the occurrence of pathogenic Cryptococcus in pigeon excrement in the City of Araraquara, samples were collected from nine environments, including state and municipal schools, abandoned buildings, parks, and a hospital. The isolates were identified using classical tests, and susceptibility testing for the antifungal drugs (fluconazole, itraconazole, voriconazole, and amphotericin B) independently was also performed. After collection, the excrement samples were plated on Niger agar and incubated at room temperature. Results A total of 87 bird dropping samples were collected, and 66.6% were positive for the genus Cryptococcus. The following species were identified: Cryptococcus neoformans (17.2%), Cryptococcus gattii (5.2%), Cryptococcus ater (3.5%), Cryptococcus laurentti (1.7%), and Cryptococcus luteolus (1.7%). A total of 70.7% of the isolates were not identified to the species level and are referred to as Cryptococcus spp. throughout the manuscript. Conclusions Although none of the isolates demonstrated resistance to antifungal drugs, the identification of infested areas, the proper control of birds, and the disinfection of these environments are essential for the epidemiological control of cryptococcosis.

The presence of qacA/B gene in Brazilian methicillin-resistant Staphylococcus aureus

A total of 74 methicillin-resistant Staphylococcus aureus (MRSA) strains isolated from three government hospitals in 2002 and 2003 were examined concerning the distribution of qacA/B gene, which is the determinant of resistance to quaternary ammonium compounds largely employed in hospital disinfection. By polymerase chain reaction the qacA/B gene was found in 80% of the isolates, which is a significant result considering it is the first time that qacA/B gene is being reported for Brazilian MRSA strains and it is presented at a high rate.

The depuration dynamics of oysters (Crassostrea gigas) artificially contaminated with hepatitis A virus and human adenovirus

Within the country of Brazil, Santa Catarina is a major shellfish producer. Detection of viral contamination is an important step to ensure production quality and consumer safety during this process. In this study, we used a depuration system and ultraviolet (UV) disinfection to eliminate viral pathogens from artificially infected oysters and analysed the results. Specifically, the oysters were contaminated with hepatitis A virus (HAV) or human adenovirus type 5 (HAdV5). After viral infection, the oysters were placed into a depuration tank and harvested after 48, 72 and 96 h. After sampling, various oyster tissues were dissected and homogenised and the viruses were eluted with alkaline conditions and precipitated with polyethylene glycol. The oyster samples were evaluated by cell culture methods, as well as polymerase chain reaction (PCR) and quantitative-PCR. Moreover, at the end of the depuration period, the disinfected seawater was collected and analysed by PCR. The molecular assays showed that the HAdV5 genome was present in all of the depuration time samples, while the HAV genome was undetectable after 72 h of depuration. However, viral viability tests (integrated cell culture-PCR and immunofluorescence assay) indicated that both viruses were inactivated with 96 h of seawater recirculation. In conclusion, after 96 h of UV treatment, the depuration system studied in this work purified oysters that were artificially contaminated with HAdV5 and HAV.

Macropropagation and micropropagation of Ziziphus spina-christi

Christ's thorn (Ziziphus spina-christi (L.) Desf.) is a cross-pollinated plant with a wide range of genetic variability in nature and, for this reason, vegetative propagation assumes importance for improvement programs. The objective of this work was to evaluate cutting, T budding and tissue culture methods for this species. Shoots of 22-25 cm length were treated by two culture media and three shoot diameters for cutting trial. The T budding treatments consisted of three and five collection dates in spring and autumn, respectively. Tissue culture nodal segments bearing axillary buds were removed from shoots of mature trees at different seasons. Experiments to determine the best disinfectant chemical, appropriate conditions and materials to prevent phenolic compound exudation, explant characteristics, media type and cytokinin-auxin ratios were carried out. Successful rooting happened only on the sand beds and with cuttings greater than 8 mm diameter. The effects of T budding seasons on budtake percentage were significantly different. The best time for explant harvesting was mid of summer. Amount of rooting on media containing IBA as well as activated charcoal and disinfection with Ca(OCl)2 at concentration of 5% for 20 minutes were the best treatments.

Ultrasound scan as a potential source of nosocomial and cross-infection: a literature review

AbstractThe authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.

Descoloração e degradação de poluentes orgânicos em soluções aquosas através do processo fotoeletroquímico

Organic compounds responsible for the color of wastewaters are usually refractory to biological digestion. In this paper the photo-assisted electrolysis process is used for color removal from three of the most colored wastewaters, which are daily generated in large amounts: the E1 bleach Kraft mill effluent, a textile reactive dye effluent and a landfill leachate. Electrolysis was carried out at 26,5 mA cm-2 in a flow reactor in which the anode surface was illuminated by a 400 W high pressure Hg bulb. In all experiments 70-75% of color reduction was observed which was also followed by a net organic load oxidation.

Química de sistemas supramoleculares constituídos por porfirinas e complexos metálicos

Supramolecular chemistry is expected to keep a high developing pace in the next years, giving support to the advancement of molecular devices and nanotechnology. In this sense, porphyrins and their analogues should play a significant role as a consequence of their catalytic, electrocatalytic, photochemical and photoelectrochemical properties. In this review we focused on our own strategy based on coordination chemistry for the design and build-up of supermolecules and supramolecular structures constituted by polynuclear porphyrins and metalloporphyrins. Included are also their properties and potential applications.

Fotocatálise eletroquímica de atrazina sobre dióxido de titânio: efeito de diferentes parâmetros experimentais

The atrazine photoelectrochemical degradation has been examined in solutions containing TiO2 on immobilized films under a variety of experimental conditions. It was possible to observe that the supporting electrolyte nature affects the intensity of the photocurrent, being an indicative of the adsorption process. The disappearance of the organic molecule follows approximately a pseudo-first order kinetic. As mineralization product, NH4+ and NO3- ion have been identified. These results indicated that the formation of NH4+ ion can be associated to the effect of atrazine adsorption, due to need of potential adaptation together with a variation in the supporting electrolyte concentration.

Filmes de nanodiamantes para aplicações em sistemas eletroquímicos e tecnologia aeroespacial

The goal of this work is to show the use of undoped nanodiamond films as a new material for electrochemical and aerospace applications. Correlation between the applications and physico-chemical features of nano and conventional CVD polycrystalline diamond films are presented. An important and innovative application of these nanodiamonds is organic electrosynthesis, including pharmaceutical and water disinfection products, as well as electroanalytical applications, for example, development of biosensors for detection of glucose, glutamate and dopamine. In aeronautics and space developments, these nanodiamonds could be used as electrodes in rechargable batteries and in tribological investigations.

Avaliação dos tratamentos eletroquímico e fotoeletroquímico na degradação de corantes têxteis

This paper presents the study of the oxidation of three textile dyes (Remazol black B, Remazol Brilliant Orange 3R and Remazol Golden Yellow RNL) using electrochemical and photoelectrochemical methods. In both methods, electrolysis experiments were performed at a current density of 50 mA cm-2 in an aqueous solution of each dye (30 mg L-1), using a photoelectrochemical flow-cell. For all the dyes studied, the photoelectrochemical method was demonstrated to be more efficient than the electrochemical one. Photoelectrochemical oxidation resulted in complete decoloration after 90 min of electrolysis and total organic carbon (TOC) removal reached up to 36%. It was observed that the dyes presenting chromophores at higher wavelengths are removed the quickest, which indicates that photosensitised (photoassisted) oxidation occurs. The level of color was reduced to levels below the standards presented in the literature, which indicates the viability of the photoelectrochemical process as part of the treatment of textile effluents.

Avaliação em escala laboratorial da utilização do processo eletrolítico no tratamento de águas

Water treatment uses chlorine for disinfection causing formation of trihalomethanes. In this work, an electrolytic water pre-treatment was studied and applied to the water from a fountainhead. The action against microorganisms was evaluated using cast-iron and aluminum electrodes. Assays were made in laboratory using the electrolytic treatment. After 5 min of electrolysis the heterotrophic bacteria count was below 500 cfu/mL and complete elimination of total and fecal coliforms was observed. Using electrolytic treatment as a pretreatment of conventional tap water treatment is proposed.

Reutilização de efluente de tingimentos de fibras acrílicas pós-tratamento fotoeletroquímico

On a laboratory scale effluents were produced from bichromic dyeing of acrylic fabrics with the basic dyes Blue Astrazon FGGL 300% and Yellow Gold Astrazon GL 200%. The residual dyeing baths were subjected to a photoelectrochemical treatment and reused in a second dyeing process. In the reutilization study, dyeings with treated effluent were compared with standard dyeings with distilled water. The results of dyeings using 100% of treated effluent were unsatisfactory, but the substitution of 10 to 30% of the treated effluent by distilled water resulted in reduced and more acceptable values for difference in colour intensity (ΔE) between 1.86 and 0.3.

Sistema multicomutado de análise em fluxo para determinação de amônio e monocloramina em águas residuais e produtos de desinfecção

A binary sampling flow analysis system equipped with gas diffusion cell was developed for NH4+ and/or NH2Cl determination in wastewater and disinfection products samples based on the Berthelot reaction of the NH2Cl diffused through the semi-permeable PTFE membrane. The effect of the analytical conditions related to the reaction and flow parameters were evaluated and N-NH4+ and N-NH2Cl were determined in concentration ranges from 0.17 to 5 mg L-1 and from 0.5 to 14.5 mg L-1, respectively. Limits of detection (3σ) of 50 and 140 µg L-1 for N-NH4+ and N-NH2Cl were calculated, respectively, and RSD of 5 and 2% were calculated for 10 consecutive determinations of N-NH4+ (1 and 3 mg L-1) and N-NH2Cl (3 and 9 mg L-1), respectively with 30 determinations h-1.

Avaliação (em escala laboratorial) da aplicação do processo eletrolítico em efluente de lagoa de estabilização de esgoto urbano

Physico-chemical and microbiological parameters were evaluated before and after applying an electrolytic process to effluents of a stabilization lagoon, in the presence or absence of "salt". Chlorine generation and bactericidal properties of the treatments were studied following two experiments. Effluent pH increased with electrolysis time. In the absence of "salt", 20 min electrolysis resulted in a COD (Chemical Oxygen Demand) reduction of 44%, along with ca. 99.9% (3 log10 cfu/mL) reduction in total coliforms, heterotrophic bacteria and Escherichia coli. These results indicated that the electrolytic process is a promising complementary technology to improve effluent quality for stabilization lagoons.