Sains Malaysiana 50(7)(2021): 2135-2140

http://doi.org/10.17576/jsm-2021-5007-26

 

Proof of Concept: The Effectiveness of Disinfectant Tunnel as Potential Measure against COVID-19

(Bukti Konsep: Keberkesanan Terowong Sanitasi sebagai Langkah Potensi terhadap COVID-19)

 

NORATIQAH MOHTAR1, NUR HAFZAN MD. HANAFIAH2, NG SUI YEE3, AMIRAH MOHD GAZZALI1 & THAIGARAJAN PARUMASIVAM1*

 

1Discipline of Pharmaceutical Technology, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, Malaysia

 

2Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, Malaysia

 

3Pharmacy Department, Pusat Sejahtera, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, Malaysia

 

Received: 21 January 2021/Accepted: 4 June 2021

 

ABSTRACT

Disinfectant tunnels have attracted attention as a potential measure to prevent the spread of COVID-19, but their safety and effectiveness are questionable. Disinfectants such as sodium hypochlorite were used, yet no scientific evidence is available on its effectiveness to eliminate SARS-CoV-2 on the human body through spraying, although this chemical is effective in the elimination of the virus on inanimate surfaces. Since safety issues are of importance, countries have halted the operation of these tunnels. Available literature has suggested several effective disinfectants against SARS-CoV-2, including iodine-based solution, such as povidone-iodine (PVP-I). This report describes the evaluation of the bactericidal activity of PVP-I in comparison to sodium hypochlorite, both in vitro and following spraying under a model tunnel. Two bacteria strains (Pseudomonas aeruginosa ATCC 27853 and Staphylococcus aureus ATCC 12600) were used as model microorganisms. The spraying pattern and droplets distribution from the tunnel are also being described and were correlated with the effectiveness of the disinfectant droplets to eliminate the model bacteria. Results showed that 0.5 % v/v PVP-I and 0.5% v/v sodium hypochlorite are bactericidal (> 5 log10 reduction) in vitro. However, sprayed disinfectants did not show similar activity. Bacterial growth was seen in all cloth samples for 0.5% v/v PVP-I and all cloth samples except right shoulder for 0.5 % v/v sodium hypochlorite. Hence, the design of any disinfectant tunnel is important, and with an effective disinfectant to justify its efficacy.

 

Keywords: Bactericidal; COVID-19; disinfectant; disinfectant tunnel; povidone iodine

 

ABSTRAK

Terowong sanitasi telah menarik minat sebagai suatu kaedah yang berpotensi untuk mengekang penularan wabak COVID-19, namun keselamatan dan keberkesanannya menjadi satu persoalan. Disinfektan seperti natrium hipoklorit telah digunakan namun tiada bukti saintifik berkaitan keberkesanannya untuk membasmi SARS-CoV-2 pada tubuh manusia melalui semburan, walaupun bahan kimia ini berkesan membasmi virus yang terdapat di permukaan objek tak bernyawa. Isu keselamatan ialah suatu yang penting, maka banyak negara telah menghentikan operasi terowong sebegini. Tinjauan kepustakaan menunjukkan terdapat beberapa disinfektan yang berkesan terhadap SARS-CoV-2 termasuk larutan berasaskan iodin, seperti iodin povidon (PVP-I). Laporan ini akan memperincikan penilaian terhadap aktiviti bakterisid PVP-I berbanding natrium hipoklorit secarain vitro dan melalui semburan di bawah satu model terowong. Dua strain bakteria(Pseudomonas aeruginosa ATCC 27853 dan Staphylococcus aureus ATCC 12600) telah digunakan sebagai model mikroorganisma. Corak semburan dan taburan titisan daripada terowong tersebut juga telah dijelaskan dan keputusan ini telah dikaitkan dengan keberkesanan titisan disinfektan tersebut untuk membasmi model bakteria tersebut. Keputusan menunjukkan PVP-I pada kepekatan 0.5 % v/v dan natrium hipoklorit pada kepekatan 0.5 % v/v telah menunjukkan aktiviti bakteriasid (penurunan≥5 log10) terhadap model bakteria secara in vitro. Walau bagaimanapun, disinfektan secara semburan tidak menunjukkan aktiviti yang sama. Pertumbuhan bakteria telah dilihat pada kesemua sampel kain yang digunakan untuk PVP-I dan kesemua sampel kain untuk natrium hipoklorit kecuali di bahu. Reka bentuk sesebuah terowong sanitasi adalah penting dan bersama-sama disinfektan yang berkesan, terowong sebegini mungkin boleh dibuktikan berkesan. Penggunaan terowong ini perlu dilakukan secara berhati-hati dan hanya pada keadaan tertentu, bukan untuk kegunaan harian bagi masyarakat awam.

 

Kata kunci: Bakteriasid; COVID-19; disinfektan; iodin povidon; terowong sanitasi

 

REFERENCES

Bigliardi, P.L., Alsagoff, S.A.L., El-Kafrawi, H.Y., Pyon, J.K., Wa, C.T.C. & Villa, M.A. 2017. Povidone iodine in wound healing: A review of current concepts and practices. International Journal of Surgery 44: 260-268.

Biswal, M., Kanaujia, R., Angrup, A., Ray, P. & Mohan Singh, S. 2020. Disinfection tunnels: Potentially counterproductive in the context of a prolonged pandemic of COVID-19. Public Health 183: 48-49.

Eggers, M., Koburger-Janssen, T., Eickmann, M. & Zorn, J. 2018. In vitro bactericidal and virucidal efficacy of povidone-iodine gargle/mouthwash against respiratory and oral tract pathogens. Infect. Dis. Ther. 7: 249-259.

Kampf, G. 2020. Potential role of inanimate surfaces for the spread of coronaviruses and their inactivation with disinfectant agents. Infection Prevention in Practice 2: 100044.

Kariwa, H., Fujii, N. & Takashima, I. 2006. Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions and chemical reagents. Dermatology 212(1): 119-123.             

Kirk-Bayley, J., Sunkaraneni, V. & Challacombe, S. 2020. The use of povidone iodine nasal spray and mouthwash during the current COVID-19 pandemic may reduce cross infection and protect healthcare worker. SSRN. http://dx.doi.org/10.2139/ssrn.3563092.

Lachapelle, J.M., Castel, O., Casado, A.F., Leroy, B. & Micali, G. 2013. Antiseptics in the era of bacterial resistance: A focus on povidone iodine. Clinical Practice 10: 579-592.

Mady, L.J., Kubik, M.W., Baddour, K., Snyderman, C.H. & Rowan, N.R. 2020. Consideration of povidone-iodine as a public health intervention for COVID-19: Utilization as 'Personal Protective Equipment' for frontline providers exposed in high-risk head and neck and skull base oncology care. Oral Oncology 105: 104724.

Ministry of Health. 2020. Rapid Evidence Updates: Disinfection Box/Chamber/Tunnel/Booth/ Partition/Gate to Reduce Transmission of COVID-19. Putrajaya: Ministry of Health Malaysia.

Mendoza, L. 2020. Medical use of povidone iodine against Covid-19. Why not? Current Trends in Clinical & Medical Sciences 2(1): 2020. DOI: 10.33552/CTCMS.2020.02.000529.

Parumasivam, T., Chang, R.Y.K., Abdelghany, S., Ye, T.T., Britton, W.J. & Chan, H.K. 2016. Dry powder inhalable formulations for anti-tubercular therapy. ADDR 102: 83-101.

Salvatico, S., Feuillolay, C., Jabbour, V., Gouhier-Kodas, C. & Roques, C.G. 2018. Representativeness of EN 1040/13727 assay conditions for evaluating in vitro the bactericidal activity of a chlorhexidine digluconate and benzalkonium chloride antiseptic preparation. Open Journal of Medical Microbiology 8: 56-73.

Thadani, L. 2020. Stop installation of disinfectant chambers. Readers' Blog by the Times of India. https://timesofindia.indiatimes.com/readersblog/liveandlovelife/stop-installation-of-disinfectant-chambers-12066/.

US EPA. 2020. List N: Disinfectants for use against SARS-CoV-2. Pesticide Registration.  https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2.

Viroxy Labs, V. 2017. EN 1040: 2005 Quantitative Suspension Test for the Evaluation of Basic Bactericidal Activity of Chemical Disinfectants and Antiseptics. https://www.viroxylabs.com/microbiological-testing-services/disinfectant-efficacy-testing/en-10402005/.

 

*Corresponding author; email: thaigarp@usm.my

 

 

previous