Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE

Abstract The COVID-19 pandemic has led to widespread shortages of personal protective equipment (PPE) for healthcare workers, including of N95 masks (filtering facepiece respirators; FFRs). These masks are intended for single use but their sterilization and subsequent reuse has the potential to subs...

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Autores principales: Avilash K. Cramer, Deborah Plana, Helen Yang, Mary M. Carmack, Enze Tian, Michael S. Sinha, David Krikorian, David Turner, Jinhan Mo, Ju Li, Rajiv Gupta, Heather Manning, Florence T. Bourgeois, Sherry H. Yu, Peter K. Sorger, Nicole R. LeBoeuf
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:1cdeeeb3fc8c40629d0c845befb258d62021-12-02T10:49:16ZAnalysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE10.1038/s41598-021-81365-72045-2322https://doaj.org/article/1cdeeeb3fc8c40629d0c845befb258d62021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81365-7https://doaj.org/toc/2045-2322Abstract The COVID-19 pandemic has led to widespread shortages of personal protective equipment (PPE) for healthcare workers, including of N95 masks (filtering facepiece respirators; FFRs). These masks are intended for single use but their sterilization and subsequent reuse has the potential to substantially mitigate shortages. Here we investigate PPE sterilization using ionized hydrogen peroxide (iHP), generated by SteraMist equipment (TOMI; Frederick, MD), in a sealed environment chamber. The efficacy of sterilization by iHP was assessed using bacterial spores in biological indicator assemblies. After one or more iHP treatments, five models of N95 masks from three manufacturers were assessed for retention of function based on their ability to form an airtight seal (measured using a quantitative fit test) and filter aerosolized particles. Filtration testing was performed at a university lab and at a National Institute for Occupational Safety and Health (NIOSH) pre-certification laboratory. The data demonstrate that N95 masks sterilized using SteraMist iHP technology retain filtration efficiency up to ten cycles, the maximum number tested to date. A typical iHP environment chamber with a volume of ~ 80 m3 can treat ~ 7000 masks and other items (e.g. other PPE, iPADs), making this an effective approach for a busy medical center.Avilash K. CramerDeborah PlanaHelen YangMary M. CarmackEnze TianMichael S. SinhaDavid KrikorianDavid TurnerJinhan MoJu LiRajiv GuptaHeather ManningFlorence T. BourgeoisSherry H. YuPeter K. SorgerNicole R. LeBoeufNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Avilash K. Cramer
Deborah Plana
Helen Yang
Mary M. Carmack
Enze Tian
Michael S. Sinha
David Krikorian
David Turner
Jinhan Mo
Ju Li
Rajiv Gupta
Heather Manning
Florence T. Bourgeois
Sherry H. Yu
Peter K. Sorger
Nicole R. LeBoeuf
Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
description Abstract The COVID-19 pandemic has led to widespread shortages of personal protective equipment (PPE) for healthcare workers, including of N95 masks (filtering facepiece respirators; FFRs). These masks are intended for single use but their sterilization and subsequent reuse has the potential to substantially mitigate shortages. Here we investigate PPE sterilization using ionized hydrogen peroxide (iHP), generated by SteraMist equipment (TOMI; Frederick, MD), in a sealed environment chamber. The efficacy of sterilization by iHP was assessed using bacterial spores in biological indicator assemblies. After one or more iHP treatments, five models of N95 masks from three manufacturers were assessed for retention of function based on their ability to form an airtight seal (measured using a quantitative fit test) and filter aerosolized particles. Filtration testing was performed at a university lab and at a National Institute for Occupational Safety and Health (NIOSH) pre-certification laboratory. The data demonstrate that N95 masks sterilized using SteraMist iHP technology retain filtration efficiency up to ten cycles, the maximum number tested to date. A typical iHP environment chamber with a volume of ~ 80 m3 can treat ~ 7000 masks and other items (e.g. other PPE, iPADs), making this an effective approach for a busy medical center.
format article
author Avilash K. Cramer
Deborah Plana
Helen Yang
Mary M. Carmack
Enze Tian
Michael S. Sinha
David Krikorian
David Turner
Jinhan Mo
Ju Li
Rajiv Gupta
Heather Manning
Florence T. Bourgeois
Sherry H. Yu
Peter K. Sorger
Nicole R. LeBoeuf
author_facet Avilash K. Cramer
Deborah Plana
Helen Yang
Mary M. Carmack
Enze Tian
Michael S. Sinha
David Krikorian
David Turner
Jinhan Mo
Ju Li
Rajiv Gupta
Heather Manning
Florence T. Bourgeois
Sherry H. Yu
Peter K. Sorger
Nicole R. LeBoeuf
author_sort Avilash K. Cramer
title Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
title_short Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
title_full Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
title_fullStr Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
title_full_unstemmed Analysis of SteraMist ionized hydrogen peroxide technology in the sterilization of N95 respirators and other PPE
title_sort analysis of steramist ionized hydrogen peroxide technology in the sterilization of n95 respirators and other ppe
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/1cdeeeb3fc8c40629d0c845befb258d6
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