Synergistic efficacy of 405 nm light and chlorinated disinfectants for the enhanced decontamination of Clostridium difficile spores

The ability of Clostridium difficile to form highly resilient spores which can survive in the environment for prolonged periods causes major contamination problems. Antimicrobial 405 nm light is being developed for environmental decontamination within hospitals, however further information relating to its sporicidal efficacy is required. This study aims to establish the efficacy of 405 nm light for inactivation of C. difficile vegetative cells and spores, and to establish whether spore susceptibility can be enhanced by the combined use of 405 nm light with low concentration chlorinated disinfectants. Vegetative cells and spore suspensions were exposed to increasing doses of 405 nm light (at 70–225 mW/cm2) to establish sensitivity. A 99.9% reduction in vegetative cell population was demonstrated with a dose of 252 J/cm2, however spores demonstrated higher resilience, with a 10-fold increase in required dose. Exposures were repeated with spores suspended in the hospital disinfectants sodium hypochlorite, Actichlor and Tristel at non-lethal concentrations (0.1%, 0.001% and 0.0001%, respectively). Enhanced sporicidal activity was achieved when spores were exposed to 405 nm light in the presence of the disinfectants, with a 99.9% reduction achieved following exposure to 33% less light dose than required when exposed to 405 nm light alone. In conclusion, C. difficile vegetative cells and spores can be successfully inactivated using 405 nm light, the sporicidal efficacy can be significantly enhanced when exposed in the presence of low concentration chlorinated disinfectants. Further research may lead to the potential use of 405 nm light decontamination in combination with selected hospital disinfectants to enhance C. difficile cleaning and infection control procedures

A historical sketch of organised effort on behalf of the blind in Great Britain

CONTENTS: i. Early Days • ii. Comparisons • iii. An Old Time Controversy • iv. The Triumph of the Dot • v.The Beginnings of Co-operation • vi. State Aid for Education • vii. Later Braille and Braille Books • viii. State Aid for the Adult • ix. Finance and the Future • APPENDICES: Institutions from 1800 to 185

Effect of 405 nm high-intensity narrow-spectrum light on osteoblast function

A significant portion of medical devices fail due to acquired infection, with infection rates after arthroplasty surgery between 1-4%, and considerably higher after revision surgery. To reduce the associated costs of infection, a new preventative method is required. High intensity narrow spectrum (HINS) 405 nm light is a new technology shown to have bactericidal effects on a range of medically important bacteria[1]. The effect of HINS-light on osteoblasts and bacteria were investigated to determine the potential of this technology to contribute to infection prevention in operating theatres, during surgery and postoperative dressing changes

Mobility of antimony, arsenic and lead at a former mine, Glendinning, Scotland

Elevated concentrations of antimony (Sb), arsenic (As) and lead (Pb) in upland organic-rich soils have resulted from past Sb mining activities at Glendinning, southern Scotland. Transfer of these elements into soil porewaters was linked to the production and leaching of dissolved organic matter and to leaching of spoil material. Sb was predominantly present in truly dissolved (< 3 kDa) forms whilst As and Pb were more commonly associated with large Fe-rich/organic colloids. The distinctive porewater behaviour of Sb accounts for its loss from deeper sections of certain cores and its transport over greater distances down steeper sections of the catchment. Although Sb and As concentrations decreased with increasing distance down a steep gully from the main spoil heap, elevated concentrations (~ 6-8 and 13-20 μg L− 1, respectively) were detected in receiving streamwaters. Thus, only partial attenuation occurs in steeply sloping sections of mining-impacted upland organic-rich soils and so spoil-derived contamination of surface waters may continue over time periods of decades to centuries

Quantifying bacterial transfer from patients to staff during burns dressing and bed changes : implications for infection control

Routine nursing activities such as dressing/bed changes increase bacterial dispersal from burns patients, potentially contaminating healthcare workers (HCW) carrying out these tasks. HCW thus become vectors for transmission of nosocomial infection between patients. The suspected relationship between %total body surface area (%TBSA) of burn and levels of bacterial release has never been fully established. Bacterial contamination of HCW was assessed by contact plate samples (n = 20) from initially sterile gowns worn by the HCW during burns patient dressing/bed changes. Analysis of 24 gowns was undertaken and examined for relationships between %TBSA, time taken for activity, and contamination received by the HCW. Relationships between size of burn and levels of HCW contamination, and time taken for the dressing/bed change and levels of HCW contamination were best described by exponential models. Burn size correlated more strongly (R2 = 0.82, p < 0.001) than time taken (R2 = 0.52, p < 0.001), with levels of contamination received by the HCW. Contamination doubled with every 6–9% TBSA increase in burn size. Burn size was used to create a model to predict bacterial contamination received by a HCW carrying out bed/dressing changes. This may help with the creation of burn-specific guidelines on protective clothing worn by HCW caring for burns patients

Bactericidal effect of corona discharges in atmospheric air

The present paper explores the possibilities of using impulsive and steady-state corona discharges for bio-decontamination operations. A high tension tubular corona electrode was stressed with positive or negative dc voltage with magnitude up to 26 kV, and a grounded mesh was used as an opposite electrode. Different operational regimes of this corona generator were investigated for the production of ozone in air flow and the inactivation of microorganisms. The test microorganisms used in this work were Escherichia coli and Staphylococcus aureus, populations of which were seeded onto agar plates. These bacterial plates were located behind the grounded mesh electrode to assess bactericidal efficacy. The results show that corona discharges have a strong bactericidal effect, for example positive flashing corona discharges were able to reduce populations of the test microorganism by 94% within a 30-60 sec time interval. Negative steady-state corona discharges also produce noticeable bactericidal effect, reducing population of E. coli and S. aureus by more than 97% within 120 sec energisation interval. The bactericidal efficiency of different corona discharge modes and its correlation with ozone levels produced by these discharges is discussed. The results obtained in this work will help in the design and development of compact plasma systems for environmental application