• Sarah Simmons, Charles Dale, James Holt, Deborah G Passey, and Mark Stibich.
• Xenex Disinfection Services, LLC, San Antonio, TX.
• Am J Infect Control. 2018 Sep 1; 46 (9): 1003-1008.

BackgroundManual cleaning and disinfection of the operating room (OR) environment may be inadequate due to human error. No-touch technologies, such as pulsed-xenon ultraviolet light (PX-UV), can be used as an adjunct to manual cleaning processes to reduce surface contamination in the OR. This article reports the cumulative results from 23 hospitals across the United States that performed microbiologic validation of PX-UV disinfection after manual cleaning.MethodsWe obtained samples from 732 high-touch surfaces in 136 ORs at 23 hospitals, after manual terminal cleaning, and again after PX-UV disinfection (n = 1464 surface samples). Samples were enumerated after incubation, and the results are reported as total colony-forming units (CFU).ResultsThe average CFU after manual cleaning ranged from 5.8 to 34.37, and after PX-UV, from 0.69 to 6.43. With manual cleaning alone, 67% of surfaces were still positive for CFUs; after PX-UV disinfection, that number decreased to 38% of all sampled surfaces-a 44% reduction. When comparing manual cleaning to PX-UV, the reduction in CFU count was statistically significant.ConclusionWhen used after the manual cleaning process, the PX-UV device significantly reduced contamination on high-touch surfaces in the OR.Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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