We conducted a systematic review
of hygiene intervention effectiveness
against SARS-CoV-2, including
developing inclusion criteria, conducting the search, selecting articles
for inclusion, and summarizing included articles. Overall, 96 268
articles were screened and 78 articles met inclusion criteria with
outcomes in surface contamination, stability, and disinfection. Surface
contamination was assessed on 3343 surfaces using presence/absence
methods. Laboratories had the highest percent positive surfaces (21%, n = 83), followed by patient-room healthcare facility surfaces
(17%, n = 1170), non-COVID-patient-room healthcare
facility surfaces (12%, n = 1429), and household
surfaces (3%, n = 161). Surface stability was assessed
using infectivity, SARS-CoV-2 survived on stainless steel, plastic,
and nitrile for half-life 2.3–17.9 h. Half-life decreased with
temperature and humidity increases, and was unvaried by surface type.
Ten surface disinfection tests with SARS-CoV-2, and 15 tests with
surrogates, indicated sunlight, ultraviolet light, ethanol, hydrogen
peroxide, and hypochlorite attain 99.9% reduction. Overall there was
(1) an inability to align SARS-CoV-2 contaminated surfaces with survivability
data and effective surface disinfection methods for these surfaces;
(2) a knowledge gap on fomite contribution to SARS-COV-2 transmission;
(3) a need for testing method standardization to ensure data comparability;
and (4) a need for research on hygiene interventions besides surfaces,
particularly handwashing, to continue developing recommendations for
interrupting SARS-CoV-2 transmission.