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Addressing personal protective equipment (PPE) decontamination: Methylene blue and light inactivates severe acute respiratory coronavirus virus 2 (SARS-CoV-2) on N95 respirators and medical masks with maintenance of integrity and fit.


ABSTRACT:

Objective

The coronavirus disease 2019 (COVID-19) pandemic has resulted in shortages of personal protective equipment (PPE), underscoring the urgent need for simple, efficient, and inexpensive methods to decontaminate masks and respirators exposed to severe acute respiratory coronavirus virus 2 (SARS-CoV-2). We hypothesized that methylene blue (MB) photochemical treatment, which has various clinical applications, could decontaminate PPE contaminated with coronavirus.

Design

The 2 arms of the study included (1) PPE inoculation with coronaviruses followed by MB with light (MBL) decontamination treatment and (2) PPE treatment with MBL for 5 cycles of decontamination to determine maintenance of PPE performance.

Methods

MBL treatment was used to inactivate coronaviruses on 3 N95 filtering facepiece respirator (FFR) and 2 medical mask models. We inoculated FFR and medical mask materials with 3 coronaviruses, including SARS-CoV-2, and we treated them with 10 µM MB and exposed them to 50,000 lux of white light or 12,500 lux of red light for 30 minutes. In parallel, integrity was assessed after 5 cycles of decontamination using multiple US and international test methods, and the process was compared with the FDA-authorized vaporized hydrogen peroxide plus ozone (VHP+O3) decontamination method.

Results

Overall, MBL robustly and consistently inactivated all 3 coronaviruses with 99.8% to >99.9% virus inactivation across all FFRs and medical masks tested. FFR and medical mask integrity was maintained after 5 cycles of MBL treatment, whereas 1 FFR model failed after 5 cycles of VHP+O3.

Conclusions

MBL treatment decontaminated respirators and masks by inactivating 3 tested coronaviruses without compromising integrity through 5 cycles of decontamination. MBL decontamination is effective, is low cost, and does not require specialized equipment, making it applicable in low- to high-resource settings.

SUBMITTER: Lendvay TS 

PROVIDER: S-EPMC8220024 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Addressing personal protective equipment (PPE) decontamination: Methylene blue and light inactivates severe acute respiratory coronavirus virus 2 (SARS-CoV-2) on N95 respirators and medical masks with maintenance of integrity and fit.

Lendvay Thomas Sean TS   Chen James J   Harcourt Brian H BH   Scholte Florine E M FEM   Lin Ying Ling YL   Kilinc-Balci F Selcen FS   Lamb Molly M MM   Homdayjanakul Kamonthip K   Cui Yi Y   Price Amy A   Heyne Belinda B   Sahni Jaya J   Kabra Kareem B KB   Lin Yi-Chan YC   Evans David D   Mores Christopher N CN   Page Ken K   Chu Larry F LF   Haubruge Eric E   Thiry Etienne E   Ludwig-Begall Louisa F LF   Wielick Constance C   Clark Tanner T   Wagner Thor T   Timm Emily E   Gallagher Thomas T   Faris Peter P   Macia Nicolas N   Mackie Cyrus J CJ   Simmons Sarah M SM   Reader Susan S   Malott Rebecca R   Hope Karen K   Davies Jan M JM   Tritsch Sarah R SR   Dams Lorène L   Nauwynck Hans H   Willaert Jean-Francois JF   De Jaeger Simon S   Liao Lei L   Zhao Mervin M   Laperre Jan J   Jolois Olivier O   Smit Sarah J SJ   Patel Alpa N AN   Mayo Mark M   Parker Rod R   Molloy-Simard Vanessa V   Lemyre Jean-Luc JL   Chu Steven S   Conly John M JM   Chu May C MC  

Infection control and hospital epidemiology 20210521 7


<h4>Objective</h4>The coronavirus disease 2019 (COVID-19) pandemic has resulted in shortages of personal protective equipment (PPE), underscoring the urgent need for simple, efficient, and inexpensive methods to decontaminate masks and respirators exposed to severe acute respiratory coronavirus virus 2 (SARS-CoV-2). We hypothesized that methylene blue (MB) photochemical treatment, which has various clinical applications, could decontaminate PPE contaminated with coronavirus.<h4>Design</h4>The 2  ...[more]

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