scholarly journals Dry Heat as a Decontamination Method for N95 Respirator Reuse

Author(s):  
Chamteut Oh ◽  
Elbashir Araud ◽  
Joseph V. Puthussery ◽  
Hezi Bai ◽  
Gemma G. Clark ◽  
...  

<div> <div> <p>A pandemic such as COVID-19 can cause a sudden depletion in the worldwide supply of respirators, forcing healthcare providers to reuse them. In this study, we systematically evaluated dry heat treatment as a viable option for the safe decontamination of N95 respirators (1860, 3M) before its reuse. We found that the dry heat generated by an electric cooker (100°C, 5% relative humidity, 50 min) effectively inactivated Tulane virus (>5.2-log<sub>10</sub> reduction), rotavirus (>6.6-log<sub>10</sub> reduction), adenovirus (>4.0-log<sub>10</sub> reduction), and transmissible gastroenteritis virus (>4.7-log<sub>10</sub> reduction). The respirator integrity (determined based on the particle filtration efficiency and quantitative fit testing) was not compromised after 20 cycles of 50-min dry heat treatment. Based on these results, we propose dry heat decontamination generated by an electric cooker (e.g., rice cookers, instant pots, ovens) to be an effective and accessible decontamination method for the safe reuse of N95 respirators.<br></p> </div> </div>

2020 ◽  
Author(s):  
Chamteut Oh ◽  
Elbashir Araud ◽  
Joseph V. Puthussery ◽  
Hezi Bai ◽  
Gemma G. Clark ◽  
...  

<div> <div> <p>A pandemic such as COVID-19 can cause a sudden depletion in the worldwide supply of respirators, forcing healthcare providers to reuse them. In this study, we systematically evaluated dry heat treatment as a viable option for the safe decontamination of N95 respirators (1860, 3M) before its reuse. We found that the dry heat generated by an electric cooker (100°C, 5% relative humidity, 50 min) effectively inactivated Tulane virus (>5.2-log<sub>10</sub> reduction), rotavirus (>6.6-log<sub>10</sub> reduction), adenovirus (>4.0-log<sub>10</sub> reduction), and transmissible gastroenteritis virus (>4.7-log<sub>10</sub> reduction). The respirator integrity (determined based on the particle filtration efficiency and quantitative fit testing) was not compromised after 20 cycles of 50-min dry heat treatment. Based on these results, we propose dry heat decontamination generated by an electric cooker (e.g., rice cookers, instant pots, ovens) to be an effective and accessible decontamination method for the safe reuse of N95 respirators.<br></p> </div> </div>


Author(s):  
Cole Meisenhelder ◽  
Loïc Anderegg ◽  
Andrew Preecha ◽  
Chiu Oan Ngooi ◽  
Lei Liao ◽  
...  

Current shortages of Filtering Facepiece Respirators (FFRs) have created a demand for effective methods for N95 decontamination and reuse. Before implementing any reuse strategy it is important to determine what effects the proposed method has on the physical functioning of the FFR. Here we investigate the effects of two potential methods for decontamination; dry heat at 95 °C, and autoclave treatments. We test both fit and filtration efficiency for each method. For the dry heat treatment we consider the 3M 1860, 3M 1870, and 3M8210+ models. After five cycles of the dry heating method, all three FFR models pass both fit and filtration tests, showing no degradation. For the autoclave tests we consider the 3M 1870, and the 3M 8210+. We find significant degradation of the FFRs following the 121 °C autoclave cycles. The molded mask tested (3M 8210+) failed fit testing after just 1 cycle in the autoclave. The pleated (3M 1870) mask passed fit testing for 5 cycles, but failed filtration testing. The 95 °C dry heat cycle is scalable to over a thousand masks per day in a hospital setting, and is above the temperature which has been shown to achieve the requisite 3 log kill of SARS-CoV-2[1], making it a promising method for N95 decontamination and reuse.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0257963
Author(s):  
John G. Yuen ◽  
Amy C. Marshilok ◽  
Peter Todd Benziger ◽  
Shan Yan ◽  
Jeronimo Cello ◽  
...  

In times of crisis, including the current COVID-19 pandemic, the supply chain of filtering facepiece respirators, such as N95 respirators, are disrupted. To combat shortages of N95 respirators, many institutions were forced to decontaminate and reuse respirators. While several reports have evaluated the impact on filtration as a measurement of preservation of respirator function after decontamination, the equally important fact of maintaining proper fit to the users’ face has been understudied. In the current study, we demonstrate the complete inactivation of SARS-CoV-2 and preservation of fit test performance of N95 respirators following treatment with dry heat. We apply scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM/EDS), X-ray diffraction (XRD) measurements, Raman spectroscopy, and contact angle measurements to analyze filter material changes as a consequence of different decontamination treatments. We further compared the integrity of the respirator after autoclaving versus dry heat treatment via quantitative fit testing and found that autoclaving, but not dry heat, causes the fit of the respirator onto the users face to fail, thereby rendering the decontaminated respirator unusable. Our findings highlight the importance to account for both efficacy of disinfection and mask fit when reprocessing respirators to for clinical redeployment.


2021 ◽  
Author(s):  
John G Yuen ◽  
Amy C. Marschilok ◽  
Peter Todd Benziger ◽  
Shan Yan ◽  
Jeronimo Cello ◽  
...  

In times of crisis, including the current COVID-19 pandemic, the supply chain of filtering facepiece respirators, such as N95 respirators, are disrupted. To combat shortages of N95 respirators, many institutions were forced to decontaminate and reuse respirators. While several reports have evaluated the impact on filtration as a measurement of preservation of respirator function after decontamination, the equally important fact of maintaining proper fit to the users’ face has been understudied. In the current study, we demonstrate the complete inactivation of SARS-CoV-2 and preservation of fit test performance of N95 respirators following treatment with dry heat. We apply scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM/EDS), X-ray diffraction (XRD) measurements, Raman spectroscopy, and contact angle measurements to analyze filter material changes as a consequence of different decontamination treatments. We further compared the integrity of the respirator after autoclaving versus dry heat treatment via quantitative fit testing and found that autoclaving, but not dry heat, causes the fit of the respirator onto the users face to fail, thereby rendering the decontaminated respirator unusable. Our findings highlight the importance to account for both efficacy of disinfection and mask fit when reprocessing respirators to for clinical redeployment.


Transfusion ◽  
2008 ◽  
Vol 48 (4) ◽  
pp. 790-790 ◽  
Author(s):  
Johannes Blümel ◽  
Albert Stühler ◽  
Herbert Dichtelmüller

2017 ◽  
Vol 112 ◽  
pp. 489-493
Author(s):  
K.M. Tabi ◽  
G.F. Ngando Ebongue ◽  
G.N. Ntsomboh ◽  
E. Youmbi

2018 ◽  
Vol 84 (7) ◽  
Author(s):  
Lin He ◽  
Zhan Chen ◽  
Shiwei Wang ◽  
Muying Wu ◽  
Peter Setlow ◽  
...  

ABSTRACTDNA damage kills dry-heated spores ofBacillus subtilis, but dry-heat-treatment effects on spore germination and outgrowth have not been studied. This is important, since if dry-heat-killed spores germinate and undergo outgrowth, toxic proteins could be synthesized. Here, Raman spectroscopy and differential interference contrast microscopy were used to study germination and outgrowth of individual dry-heat-treatedB. subtilisandBacillus megateriumspores. The major findings in this work were as follows: (i) spores dry-heat-treated at 140°C for 20 min lost nearly all viability but retained their Ca2+-dipicolinic acid (CaDPA) depot; (ii) in most cases, dry-heat treatment increased the average times and variability of all major germination events inB. subtilisspore germination with nutrient germinants or CaDPA, and in one nutrient germination event withB. megateriumspores; (iii)B. subtilisspore germination with dodecylamine, which activates the spore CaDPA release channel, was unaffected by dry-heat treatment; (iv) these results indicate that dry-heat treatment likely damages spore proteins important in nutrient germinant recognition and cortex peptidoglycan hydrolysis, but not CaDPA release itself; and (v) analysis of single spores incubated on nutrient-rich agar showed that while dry-heat-treated spores that are dead can complete germination, they cannot proceed into outgrowth and thus not to vegetative growth. The results of this study provide new information on the effects of dry heat on bacterial spores and indicate that dry-heat sterilization regimens should produce spores that cannot outgrow and thus cannot synthesize potentially dangerous proteins.IMPORTANCEMuch research has shown that high-temperature dry heat is a promising means for the inactivation of spores on medical devices and spacecraft decontamination. Dry heat is known to killBacillus subtilisspores by DNA damage. However, knowledge about the effects of dry-heat treatment on spore germination and outgrowth is limited, especially at the single spore level. In the current work, Raman spectroscopy and differential interference contrast microscopy were used to analyze CaDPA levels in and kinetics of nutrient- and non-nutrient germination of multiple individual dry-heat-treatedB. subtilisandBacillus megateriumspores that were largely dead. The outgrowth and subsequent cell division of these germinated but dead dry-heat-treated spores were also examined. The knowledge obtained in this study will help understand the effects of dry heat on spores both on Earth and in space, and indicates that dry heat can be safely used for sterilization purposes.


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