---
title: "Disinfectant Chemistry Report Card #19 - Ultraviolet (UV) Room Decontamination"
description: "Disinfectant Chemistry Report Card #19 - Ultraviolet (UV) Room Decontamination"
---

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## Disinfectant Chemistry Report Card #19 - Ultraviolet (UV) Room Decontamination

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568aca5fd63b5f2928774b/1498845237509//img.jpg.com/static/595689fc9de4bbc892200518/t/59568aca5fd63b5f2928774b/1498843850294/1000w/>

Generally, decontamination of hospital rooms has been  
 done manually, using traditional applied disinfectant technologies as we have  
 discussed in previous Disinfectant Chemistry Report Cards.  Concerns associated with conventional  
 cleaning and disinfection methods include: lack of proper cleaning and  
 disinfection protocols, incompatibility between the disinfectant chemistry and  
 cleaning  substrate (e.g. the cloth...),  
 operator error (e.g. was the product diluted correctly?), concerns with  
 unrealistic contact time and if surfaces were actually contacted.  In looking for an adjunct to improve the  
 level of cleanliness in a patient room, a new technology has been developed  
 which uses ultraviolet light in an automated system to disinfect rooms.

Ultraviolet room disinfection systems use either a  
 continuous or a pulsed UV lamp. A continuous lamp, which requires a warm-up  
 period, is powered by low-pressure mercury vapour, and emits light at 253.7 nm,  
 while a pulsed system (no warm-up required) uses either xenon or krypton gas  
 with a pulsed emission that ranges from 200 nm to the visible light range.  These systems use the same general method;  
 inactivation of microbes by DNA and/or protein damage. UV light induces  
 formation of either thymine dimers or thymine-cytosine photoproducts,  
 preventing microbes from replicating; it is very effective for viruses and  
 bacteria, and less effective at inactivating fungi and spores.

Compared to H2O2 room disinfection systems, UV systems do  
 not require room sealing or HVAC shut-off and do not have consumable products  
 required, though both are residue free and there are no post-cleaning health  
 concerns. Decontamination times can be significantly reduced with the use of  
 UV-reflective wall coating. There are some disadvantages that come with a UV  
 disinfection system. Coverage is a primary concern, as indirect coverage does  
 not have the same disinfection efficacy that direct exposure does. Equipment  
 and furniture must be moved away from walls to ensure complete room coverage.  
 These systems may perform poorly against organisms with inherent resistance, or  
 ones that can repair themselves; there is evidence that bacteria can evolve UV  
 resistance when exposed to repeated cycles of low doses. Like other room  
 disinfection systems, the rooms must be empty and there is a significant  
 capital investment required. Lastly, UV systems share the same problem that  
 other disinfection systems have; reduced efficacy with soiled surfaces.

In terms of safety, direct exposure to UV-C radiation is  
 not fatal, but it can lead to skin and eye irritation.

Continuous lamps contain a very small amount of mercury,  
 about the same amount as a 4-foot fluorescent bulb, while pulsed UV lamps  
 contain non-toxic xenon or krypton gas. These systems may be destructive to  
 metals and plastics/vinyl and cause fading in coloured paints and fabrics. UV  
 light is known to degrade acetal, acrylonitrile butadiene styrene (ABS),  
 polyamide (PA) and polycarbonate (PC)-type plastics.  A side effect of low dose rates from indirect  
 exposure is bacterial resistance. Bacteria found at high altitudes have exhibited  
 resistance to UV light, and bacteria exposed to low doses of UV light can gain  
 resistance.

Ultraviolet disinfection systems are best for terminal  
 use and in the ICU or other high-risk infection areas, due to the high capital  
 cost and the evacuation requirement. They do not eliminate the need for other  
 infection control and cleaning practices, and are not feasible for hallways,  
 etc.

Here’s how we would score Ultra Violet Room  
 Decontamination on the key decision making criteria for room disinfection:

**• Speed of Disinfection – B-C**

**  
**

o *Cycle time can range from 15 minutes to 45 minutes  
 depending on room size and system used *

*o Room preparation is required - furniture must be pulled  
 away from walls *

**• Spectrum of Kill – A**

**  
**

o *Proven efficacy against all organisms: bacteria,  
 viruses, fungi, mycobacteria and bacterial endospores *

*o Requires direct exposure to ensure disinfection will  
 occur*

**• Cleaning Effectiveness – D **

**  
**

o *Ultraviolet Room Decontamination systems do not  
 eliminate the need for the physical removal of soils to ensure effectiveness  
 and provide an aesthetically  pleasing  
 environment*

**• Safety Profile – B**

**  
**

o *Used correctly, the safety concerns can be minimized*

**• Environmental Profile – A**

**  
**

o* No chemicals are used *

**• Cost Effectiveness – C**

**  
**

o *Costs of capital expenditure, labour, and consumables  
 need to be considered*

**For more in-depth scientific information about  
 Ultraviolet Room Decontamination Devices, stay tuned to  
[www.infectionpreventionresource.com](http://www.infectionpreventionresource.com/).

*Bugging Off!*

Nicole

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