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Sars-CoV-2 Contamination of Ambulance Surfaces and Effectiveness of Routine Decontamination Procedure

A Classic Hygiene Lesson for A Novel Pathogen

Bibliographic Data

ID15511586
AuthorsTatjana Baldovin (0000-0002-7375-9187, University of Padua), Irene Amoruso (0000-0003-4954-5848, University of Padua, corresponding author), Matteo Paganini (0000-0002-7556-6928, University of Padua), Camilla Marcato (University of Padua), Riccardo Boscolo Cegion (University of Padua), Andrea Favaro (Ospedale San Bassiano), Chiara Bertoncello (0000-0003-4040-8601, University of Padua), Marco Fonzo (0000-0002-9561-0711, University of Padua), Vincenzo Baldo (0000-0001-6012-9453, University of Padua)
Year2022
Volume19
Issue20
Pages13646-13646
Publication date2022-10-21
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192013646
PMID36294226
OpenAlexW4307263769
LanguageEN
Citations received1
References cited17

The efficacy of standard operating procedures (SOPs) for the decontamination of ambulances against SARS-CoV-2 has been debated. In Italy, the differential use of ambulances was implemented by regional health authorities, with selected vehicles being used exclusively for transporting COVID-19 patients. We investigated the presence of SARS-CoV-2 on high-touch surfaces in ambulances to assess contamination dynamics and the effectiveness of decontamination SOPs. Four high-touch surfaces were sampled before and after decontamination (T0; T1). The gloves of the EMS crew chief were also sampled. RNA extraction was performed with a commercial kit, followed by RT-qPCR molecular detection of SARS-CoV-2. A total of 11 transports were considered. Seven transports had at least one positive sample; all were related to a COVID-19 patient. Three of the negative transports had dealt with COVID-19 case, and one had dealt with a COVID-19-negative patient. One door handle and one oxygen knob were positive at T0, with negative T1 swabs. The monitors were positive in 5 transports at T0, yet they were never positive at T1. Three stretcher handles tested positive at T0, and two of them also at T1, possibly having bypassed decontamination during personnel dismounting. Gloves were contaminated in five transports, in which 1 to 3 additional samples (monitor, knob, stretcher) resulted as positive. Overall, the efficacy of decontamination SOPs was confirmed under the unprecedented conditions of the COVID-19 emergency. However, the importance of correct hand-hygiene and glove-disposal should be further emphasized through the dedicated training of EMS personnel

Aeronautics · Biology · Contamination · Coronavirus disease 2019 (COVID-19 · Crew · Human decontamination · Hygiene · Medical emergency · Pathology · Personal protective equipment · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · COVID-19 and healthcare impacts · Engineering · Infection Control and Ventilation · Infection Control in Healthcare · Medicine · Emergency Medicine

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    Open Access•Pierre Vandenberghe, Luís Ladeira et al.•International Journal of…•2024

  • Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents

    Open Access•Günter Kampf, Daniel Tödt et al.•Journal of Hospital Infection•2020

Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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