Impact of environmental factors on efficacy of upper-room air ultraviolet germicidal irradiation for inactivating airborne mycobacteria.

This study evaluated the efficacy of an upper-room air ultraviolet germicidal irradiation (UVGI) system for inactivating airborne bacteria, which irradiates the upper part of a room while minimizing radiation exposure to persons in the lower part of the room. A full-scale test room (87 m3), fitted with a UVGI system consisting of 9 louvered wall and ceiling fixtures (504 W all lamps operating) was operated at 24 and 34 degrees C, between 25 and 90% relative humidity, and at three ventilation rates. Mycobacterium parafortuitum cells were aerosolized into the room such that their numbers and physiologic state were comparable both with and without the UVGI system operating. Airborne bacteria were collected in duplicate using liquid impingers and quantified with direct epifluorescent microscopy and standard culturing assay. Performance of the UVGI system degraded significantly when the relative humidity was increased from 50% to 75-90% RH, the horizontal UV fluence rate distribution was skewed to one side compared to being evenly dispersed, and the room air temperature was stratified from hot at the ceiling to cold at the floor. The inactivation rate increased linearly with effective UV fluence rate up to 5 microW cm(-2); an increase in the fluence rate above this level did not yield a proportional increase in inactivation rate.

[1]  R. Rahn,et al.  Influence of relative humidity on the photochemistry of DNA films. , 1969, Biochimica et biophysica acta.

[2]  L. E. Alevantis,et al.  Effect of Ultraviolet Germicidal Lamps on Airborne Microorganisms in an Outpatient Waiting Room , 1992 .

[3]  T. Reponen,et al.  Survival of Mycobacteria on N95 Personal Respirators , 1999, Infection Control & Hospital Epidemiology.

[4]  Janet M. Macher,et al.  Evaluation of a Methodology for Quantifying the Effect of Room Air Ultraviolet Germicidal Irradiation on Airborne Bacteria , 2000 .

[5]  M. First,et al.  The characterization of upper-room ultraviolet germicidal irradiation in inactivating airborne microorganisms. , 2002, Environmental health perspectives.

[6]  R. Riley,et al.  Convection, air mixing, and ultraviolet air disinfection in rooms. , 1971, Archives of environmental health.

[7]  Tiina Reponen,et al.  Long-term sampling of airborne bacteria and fungi into a non- evaporating liquid , 1999 .

[8]  Mark Hernandez,et al.  Effects of Relative Humidity on the Ultraviolet Induced Inactivation of Airborne Bacteria , 2001 .

[9]  Mark Hernandez,et al.  Efficacy of ultraviolet germicidal irradiation of upper-room air in inactivating airborne bacterial spores and mycobacteria in full-scale studies , 2003 .

[10]  Mark Hernandez,et al.  A Combined Fluorochrome Method for Quantitation of Metabolically Active and Inactive Airborne Bacteria , 1999 .

[11]  Mark R. Stolzenburg,et al.  A New, Portable, Real-Time Ozone Monitor , 2000 .

[12]  J E Kaufman,et al.  Effect of relative humidity on the inactivation of airborne Serratia marcescens by ultraviolet radiation. , 1972, Applied microbiology.

[13]  R. Riley,et al.  Ultraviolet susceptibility of BCG and virulent tubercle bacilli. , 1976, The American review of respiratory disease.

[14]  H. Liltved,et al.  Influence of liquid holding recovery and photoreactivation on survival of ultraviolet-irradiated fish pathogenic bacteria , 1996 .

[15]  W. Wells,et al.  Air-borne Infection. Sanitary Control. , 1936 .

[16]  H. David,et al.  Ultraviolet Light Inactivation and Photoreactivation in the Mycobacteria , 1971, Infection and immunity.

[17]  David Satcher,et al.  Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994--CDC. Notice of final revisions to the "Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in health-care facilities, 1994". , 1994, Federal register.

[18]  David T. Grimsrud,et al.  Control of respirable particles in indoor air with portable air cleaners , 1985 .

[19]  J. Vincent,et al.  Improved methods for generation, sampling, and recovery of biological aerosols in filter challenge tests. , 1998, American Industrial Hygiene Association journal.

[20]  Methodology to Perform Clean Air Delivery Rate Type Determinations with Microbiological Aerosols , 1999 .

[21]  D. B. Seeley,et al.  Ultraviolet Radiation , 1952, The Yale Journal of Biology and Medicine.

[22]  D. Nagin,et al.  Control of tuberculosis in the workplace: engineering controls. , 1994, Occupational medicine.

[23]  Shelly L. Miller,et al.  Dosimetry of Room‐Air Germicidal (254 nm) Radiation Using Spherical Actinometry , 1999, Photochemistry and photobiology.

[24]  Hiroyuki Katayama,et al.  Photoreactivation of Escherichia coli after Low- or Medium-Pressure UV Disinfection Determined by an Endonuclease Sensitive Site Assay , 2002, Applied and Environmental Microbiology.

[25]  M. Tapper,et al.  The Use of Germicidal Lamps to Control Tuberculosis in Healthcare Facilities , 1993, Infection Control & Hospital Epidemiology.

[26]  W. Nicholson Photoreactivation in the genus Bacillus , 1995, Current Microbiology.

[27]  Mark Hernandez,et al.  Rapid Immunoassays for Detection of UV-Induced Cyclobutane Pyrimidine Dimers in Whole Bacterial Cells , 2002, Applied and Environmental Microbiology.