Bacterial but no SARS-CoV-2 contamination after terminal disinfection of tertiary care intensive care units treating COVID-19 patients

Antimicrob Resist Infect Control. 2021 Jan 12;10(1):11. doi: 10.1186/s13756-021-00885-z.

Abstract

Background: In intensive care units (ICUs) treating patients with Coronavirus disease 2019 (COVID-19) invasive ventilation poses a high risk for aerosol and droplet formation. Surface contamination of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) or bacteria can result in nosocomial transmission.

Methods: Two tertiary care COVID-19 intensive care units treating 53 patients for 870 patient days were sampled after terminal cleaning and preparation for regular use to treat non-COVID-19 patients.

Results: A total of 176 swabs were sampled of defined locations covering both ICUs. No SARS-CoV-2 ribonucleic acid (RNA) was detected. Gram-negative bacterial contamination was mainly linked to sinks and siphons. Skin flora was isolated from most swabbed areas and Enterococcus faecium was detected on two keyboards.

Conclusions: After basic cleaning with standard disinfection measures no remaining SARS-CoV-2 RNA was detected. Bacterial contamination was low and mainly localised in sinks and siphons.

Keywords: Disinfection; Hospital epidemiology; Hydrogen peroxide nebulisation; ICU; Nosocomial infection; SARS-CoV-2.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aerosols / analysis
  • Bacteria / classification
  • Bacteria / genetics
  • Bacteria / growth & development
  • Bacteria / isolation & purification*
  • COVID-19 / therapy*
  • COVID-19 / virology
  • Cross Infection / microbiology
  • Cross Infection / prevention & control
  • Cross Infection / virology
  • Disinfection / methods*
  • Equipment Contamination / statistics & numerical data*
  • Female
  • Humans
  • Intensive Care Units / statistics & numerical data*
  • Male
  • Middle Aged
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / isolation & purification
  • SARS-CoV-2 / physiology
  • Tertiary Healthcare / statistics & numerical data

Substances

  • Aerosols