The presence of dry biofilms harbouring bacterial pathogens is virtually universal on commonly used items in healthcare settings. The role of dry biofilms in spreading HCAIs may be underestimated. The risk may be further exacerbated by inefficient cleaning and disinfection practices for hospital surfaces.

Candida auris is an emerging pathogen that needs to be controlled effectively due to its association with a high mortality rate. The presence of biofilms on dry surfaces has been shown to be widespread in healthcare settings. We produced a C. auris dry surface biofilm (DSB) on stainless steel surfaces following sequential hydration and desiccation cycles for 12 days. The ASTM2967-15 was used to measure the reduction in viability of 12 commercially wipe-based disinfectants and sodium hypochlorite (1000 ppm) against C. auris DSB. We also evaluated C. auris transferability and biofilm regrowth post-treatment. A peracetic acid (3500 ppm) product and two chlorine-based products (1000 ppm available chlorine) were successful in reducing C. auris viability and delaying DSB regrowth. However, 50% of the products tested failed to decrease C. auris viability, 58% failed to prevent its transferability, and 75% did not delay biofilm regrowth. Using three different parameters to measure product efficacy provided a practical evaluation of product effectiveness against C. auris DSB. Although log10 reduction in viability is traditionally measured, transferability is an important factor to consider from an infection control and prevention point of view as it allows for determination of whether the surface is safe to touch by patients and hospital staff post-treatment.

Significance and Impact of the Study: The widespread presence of biofilms on dry surfaces in healthcare settings has been recently documented. These dry surface biofilms (DSB) present an unprecedented challenge to cleaning and disinfection processes. Here, we describe a practical efficacy protocol based on an in vitro Staphylococcus aureus DSB model. The protocol measures reduction in viability, transferability and biofilm regrowth post-treatment to provide altogether a practical assessment of product efficacy against dry surface biofilms. AbstractDry surface biofilms (DSB) harbouring pathogens are widespread in healthcare settings, are difficult to detect and are resistant to cleaning and disinfection interventions. Here, we describe a practical test protocol to palliate the lack of standard efficacy test methods for DSB. Staphylococcus aureus DSB were produced over a 12-day period, grown with or without the presence of organic matter, and their composition and viability were evaluated. Disinfectant treatment was conducted with a modified ASTM2967-15 test and reduction in viability, transferability and biofilm regrowth post-treatment were measured. Dry surface biofilms produced over a 12-day period had a similar carbohydrates, proteins and DNA content, regardless of the presence or absence of organic matter. The combination of sodium hypochlorite (1000 ppm) and a microfiber cloth was only effective against DSB in the absence of organic load. With the increasing concerns of the uncontrolled presence of DSB in healthcare settings, the development of effective intervention model in the presence of organic load is appropriate for the testing of biocidal products, while the use of three parameters, log 10 reduction, transferability and regrowth, provides an accurate and practical measurement of product efficacy.Staphylococcus aureus dry surface biofilm model K. Ledwoch et al.

Microalgae are getting more interests from industry and science communities. Applications of these small, unicellular microorganisms are countless: from fourth generation biofuels, through fish feed to pharmaceuticals. Ordinary methods of cultivation may be associated with many problems such as high costs, high energy consumption, and low product yield. It is difficult to control contaminations in open ponds while photobioreactors are mainly at laboratory scale and expensive to scale-up. Scientists are investigating various methods of microalgae cultivation and processing to overcome those problems. One of the novel approaches is the non-suspended method for microalgae culturing, where microalgae are grown on attached surfaces. Growing microalgae on surfaces is an attractive option and showing promising results. In comparison with ordinary suspended photobioreactors, the attached systems offer higher biomass yields, easy to scale-up with better light distribution within the reactor and better control of contamination. Moreover, the consumption of water can be drastically reduced. So far, there is not enough research for this method. Limited studies have been reported on enclosure mode of this approach with algae encapsulation into matrix. It is found that this mode would be difficult to scale up due to high costs of the enclosure material and difficulty of separating microalgae from matrix. Non-enclosure mode is more promising way of non-suspended cultivation. So far, no work has been carried out to conduct non-suspended culturing with the use of aeroterrestrial microalgae. They are species growing on the surfaces at highly humid environments. Using them in attached cultivation systems could potentially lower the water consumption to minimum. Studies have shown that the biomass of lower water content can be produced if compared to non-suspended cultivation methods. In addition, mechanization of the cultivation and harvesting processes would be less complex, as the product will not be immersed in the liquid. There would be no need for glass reactors, as lights can be placed in the spaces between surfaces. The light distribution is predicted to be the highest among all existing methods, as there would be no free floating particles absorbing and reflecting light. It will only need humid conditions, rich in CO2 between attachment surfaces. To evaluate potential advantages for non-suspended culturing of aeroterrestrial microalgae in non-enclosure way, proper experiments need to be conducted. In this review, basic concepts of attached cultivation system are discussed, focusing on the studies of biofilm formation including factors affecting deposition and systems. The detailed description of aeroterrestrial microalgae is included to give insight into potential applications of the species into attached cultivation systems

Objective: The abundance and prevalence of dry-surface biofilms (DSBs) in hospitals constitute an emerging problem, yet studies rarely report the cleaning and disinfection efficacy against DSBs. Here, the combined impact of treatments on viability, transferability, and recovery of bacteria from DSBs has been investigated for the first time. Methods: Staphylococcus aureus DSBs were produced in alternating 48-hour wet–dry cycles for 12 days on AISI 430 stainless steel discs. The efficacy of 11 commercially available disinfectants, 4 detergents, and 2 contactless interventions were tested using a modified standardized product test. Reduction in viability, direct transferability, cross transmission (via glove intermediate), and DSB recovery after treatment were measured. Results: Of 11 disinfectants, 9 were effective in killing and removing bacteria from S. aureus DSBs with >4 log10 reduction. Only 2 disinfectants, sodium dichloroisocyanurate 1,000 ppm and peracetic acid 3,500 ppm, were able to lower both direct and cross transmission of bacteria (<2 compression contacts positive for bacterial growth). Of 11 disinfectants, 8 could not prevent DSB recovery for >2 days. Treatments not involving mechanical action (vaporized hydrogen peroxide and cold atmospheric plasma) were ineffective, producing <1 log10 reduction in viability, DSB regrowth within 1 day, and 100% transferability of DSB after treatment. Conclusions: Reduction in bacterial viability alone does not determine product performance against biofilm and might give a false sense of security to consumers, manufacturers and regulators. The ability to prevent bacterial transfer and biofilm recovery after treatment requires a better understanding of the effectiveness of biocidal products.