Frontiers in Public Health (Jan 2023)

Detection of hospital environmental contamination during SARS-CoV-2 Omicron predominance using a highly sensitive air sampling device

  • Kai Sen Tan,
  • Kai Sen Tan,
  • Kai Sen Tan,
  • Kai Sen Tan,
  • Alicia Xin Yu Ang,
  • Douglas Jie Wen Tay,
  • Douglas Jie Wen Tay,
  • Douglas Jie Wen Tay,
  • Jyoti Somani,
  • Alexander Jet Yue Ng,
  • Li Lee Peng,
  • Justin Jang Hann Chu,
  • Justin Jang Hann Chu,
  • Justin Jang Hann Chu,
  • Justin Jang Hann Chu,
  • Paul Anantharajah Tambyah,
  • Paul Anantharajah Tambyah,
  • David Michael Allen,
  • David Michael Allen

DOI
https://doi.org/10.3389/fpubh.2022.1067575
Journal volume & issue
Vol. 10

Abstract

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Background and objectivesThe high transmissibility of SARS-CoV-2 has exposed weaknesses in our infection control and detection measures, particularly in healthcare settings. Aerial sampling has evolved from passive impact filters to active sampling using negative pressure to expose culture substrate for virus detection. We evaluated the effectiveness of an active air sampling device as a potential surveillance system in detecting hospital pathogens, for augmenting containment measures to prevent nosocomial transmission, using SARS-CoV-2 as a surrogate.MethodsWe conducted air sampling in a hospital environment using the AerosolSenseTM air sampling device and compared it with surface swabs for their capacity to detect SARS-CoV-2.ResultsWhen combined with RT-qPCR detection, we found the device provided consistent SARS-CoV-2 detection, compared to surface sampling, in as little as 2 h of sampling time. The device also showed that it can identify minute quantities of SARS-CoV-2 in designated “clean areas” and through a N95 mask, indicating good surveillance capacity and sensitivity of the device in hospital settings.ConclusionActive air sampling was shown to be a sensitive surveillance system in healthcare settings. Findings from this study can also be applied in an organism agnostic manner for surveillance in the hospital, improving our ability to contain and prevent nosocomial outbreaks.

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