Author:
Williams Teresa C.,Asselin Edouard,Mazzulli Tony,Woznow Tracey,Hamzeh Hadi,Nahkaie Davood,Waisman Dean,Stojkova Biljana,Dixon Richard,Bryce Elizabeth,Charles Marthe
Abstract
AbstractSurfaces on transit vehicles are frequently touched and could potentially act as reservoirs for micro-organism transmission. Regular cleaning and disinfection to minimize the spread of micro-organisms is operationally challenging due to the need to keep vehicles in circulation. The application of copper (Cu) alloys to high- touch surfaces could help reduce the risk of cross-contamination, however, little is known about the durability and efficacy of engineered copper surfaces after prolonged use. Three Cu products (decal, thermal fabrication, and alloy covers) were assessed over a 12-month period. These Cu products were randomly installed on 110 stanchions on three buses and four train (SkyTrain) cars in Vancouver and three buses, two subway cars, and two streetcars in Toronto with mirrored control surfaces directly opposite. Bacterial counts (Colony forming units, CFU) and ATP bioluminescence (ATPB) were measured every two months after peak morning routes. Durability of the Cu products were assessed monthly through visual inspection and colorimetry assays or by ex-situ microscopy. Cu products on stanchions reduced the mean colony forming units (CFU) of all vehicles by 42.7% in the mean CFU (0.573 (CI 95% 0.453–0.726), p-value < 0.001) compared to control surfaces. The three Cu products exhibited an overall 87.1% reduction in the mean ATPB readings (0.129 (CI 95% 0.059–0.285, p-value < 0.001) compared to controls. Surface Cu concentration for all three products was consistent throughout the 12-month period. Electron microscopy (SEM) and Energy-dispersive X-ray Spectroscopy (EDS) cross-sectional analysis showed no change in thickness or dealloying of Cu products, however SEM top-down analysis revealed substantial carbon accumulation on all surfaces. Cu products installed on transit vehicles maintained antimicrobial efficacy and durability after 12 months of use.
Publisher
Springer Science and Business Media LLC
Reference39 articles.
1. APTA Public Transportation Fact Book (2022).
2. Canada, S. Urban Public Transit (2022).
3. Kalb, L., Bäßler, P., Schneider-Brachert, W. & Eckl, D. B. Antimicrobial photodynamic coatings reduce the microbial burden on environmental surfaces in public transportation—A field study in buses. Int. J. Environ. Res. Public Health 19(4), 2325 (2022).
4. Souli, M. et al. Antimicrobial activity of copper surfaces against carbapenemase-producing contemporary Gram-negative clinical isolates. J. Antimicrob. Chemother. 68(4), 852–857 (2013).
5. Bryce, E. A. et al. Antimicrobial efficacy and durability of copper formulations over one year of hospital use. Infect. Control Hosp. Epidemiol. 43, 1–9 (2021).