In this hospital, cleaning services were outsourced. According to the contract and the cleaning and disinfection standard operating protocol (SOP), during terminal disinfection, the housekeeping staff applied a chlorine-based detergent, Antisapril Detergent %, Angelini, followed by a chlorine-based disinfectant (Deornet Clor (COSÌ, Forlì-Cesena, Italy), active chlorine mgr/L) on furniture surfaces and electromedical devices.
In the OT and ICU, where the limit for hygiene quality is defined by national guidelines, respectively, % (/) and % (/) of the surface samples resulted in being non-compliant after SOP. In the ward rooms, according to the standard reported in the literature, % (/) of the sampled sites resulted in being non-compliant. All of the samples were compliant after UV-C disinfection. In all of the settings, % (/) of the sampled points received a medium UV-C dose of mJ/cm
These organisms belong to a group of carbapenem-resistant, gram-negative bacteria of national and international concern because of their implication as an emerging cause of severe healthcare-associated infections. In , the World Health Organization published the first global guidelines for the prevention and control of CRE-CRAB-CRPsA in healthcare facilities, which include environmental cleaning and disinfection as a key recommendation.
In that regard, the World Health Organization has reiterated the importance of using this type of disinfection after the adoption of the standard protocol for sanitizing hospital rooms, but, during the COVID- pandemic, the use of UVC radiation was also proposed immediately after the patient has been discharged in order to reduce the risk of the cleaning staff being infected, who can then safely apply the standard protocol [
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.