The UV-C disinfection robot (Mediland Enterprise Corporation, Taoyuan City, Taiwan) uses amalgam lamps (UV lamp NNI / XL Niederdruck VUV Strahler) and protective reflector technology to generate high-energy, broad-spectrum ultraviolet light (UV-C nm). The manufacturer of the lamps declares in the technical data sheet that the lamps have a filter that blocks radiation between nm, eliminating the possibility of producing ozone as a by-product of UV-C radiation. The UV-C device uses min disinfection cycles and multiple positions with minimal distances from high-touch surfaces. Due to the use of high-intensity UV-C radiation, the device must operate in unoccupied rooms. There are multi-motion sensors that shut off the device if any movement is detected inside the room being disinfected or if the door is accidentally opened. When the robot operates in accordance with these procedures, the manufacturer declares that the amalgam lamps produce no ozone gas and leave no toxic residues.
Hospital environmental hygiene is a complex process because it is influenced by several variables, such as the type of surface, incorrect disinfectant contact times, excessive dilution of disinfectant solutions, and potential biocide/antibiotic cross-resistance. In addition, it has been shown that the use of contaminated cloths and/or solutions promotes the spread of microorganisms between different environments [
Moreover, it would be important to evaluate the advantages of implemented cleaning and disinfection protocols with the use of UV-C devices in areas hosting fragile and vulnerable patients, e.g., in intensive care units. The principal limitation is the continuous presence of people in this type of setting. For this reason, it would be worth evaluating strategies aimed at protecting the patients safety using protective devices, which may be evaluated for human security during UV-C emission at specific dosages and times.
Hospitalized patients security in intensive care units should be ensured using protective devices, which may be evaluated for human security during UV-C emission at specific dosages and times. Considering the lack of literature data about these possible strategies, the use of a UV-C robot in the presence of persons still represents a critical issue that may be taken into account for the development of safe and effective technologies.
Among the appliable strategies for the improvement of cleaning and disinfection practices are the use of new materials and/or disinfectants, the training and audit of operators, and the use of new automated technologies, which are becoming increasingly important. In particular, no-touch disinfection technologies have the great advantage of not being dependent on the operator, ensuring process repeatability. Furthermore, their effectiveness has been demonstrated even on sites that are difficult to reach with manual intervention. Their use complements but does not replace ordinary cleaning and disinfection protocols. In the past few years, ultraviolet disinfection systems have been widely investigated and used as a way to improve standard cleaning protocols. Currently, ultraviolet devices are automated in order to guarantee process repeatability and reduce human errors. The application of UV devices as an addition to traditional environmental cleaning has become increasingly common due to their effectiveness in reducing the environmental microbial burden in a shorter time compared to other technologies using chemical products [