Scoping review on the efficacy of filter and germicidal technologies for capture and inactivation of micro-organisms and viruses

J Hosp Infect. 2023 Dec:142:39-48. doi: 10.1016/j.jhin.2023.08.026. Epub 2023 Oct 4.

Abstract

The COVID-19 (SARS-CoV-2) pandemic increased the focus on preventing contamination with airborne pathogens (e.g. viruses, bacteria, and fungi) by reducing their concentration. Filtration, UV or ionization technologies could contribute to air purification of the indoor environment and inactivation of micro-organisms. The aim of this study was to identify the relevant literature and review the scientific evidence presented on the efficacy of filter and germicidal technologies (e.g. non-physical technologies) in air purification applications used to capture and inactivate micro-organisms and airborne viruses (e.g. SARS-CoV-2, rhinovirus, influenzavirus) in practice. A scoping review was performed to collect literature. Adopting exclusion criteria resulted in a final number of 75 studies to be included in this research. Discussion is presented on inactivation efficiencies of ultraviolet germicidal irradiation (UVGI) and ionization applications in laboratory studies and in practice. Specific attention is given to studies relating the use of UVGI and ionization to inactivation of the SARS-CoV-2 virus. Based on the consulted literature, no unambiguous conclusions can be drawn regarding the effectiveness of air purification technologies in practice. The documented and well-controlled laboratory studies do not adequately represent the practical situation in which the purifier systems are used.

Keywords: COVID-19; Inactivation efficiency; Indoor air quality; Ionization; Purification systems; SARS-CoV-2; UVGI.

Publication types

  • Review

MeSH terms

  • COVID-19* / prevention & control
  • Disinfection / methods
  • Fungi
  • Humans
  • SARS-CoV-2
  • Ultraviolet Rays
  • Viruses*