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Disinfection effect of ozonated water on SARS-CoV-2 in the presence of salivary proteins - Journal of Hospital Infection

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  • Disinfection effect of ozonated water on SARS-CoV-2 in the presence of salivary proteins - Journal of Hospital Infection

    Available online: 14 November 2024

    https://doi.org/10.1016/j.jhin.2024.11.005

    Author(s): Mayo Yasugi, Kiyoe Gunji, Ken-ichiro Inagaki, Mami Kuroda, Chihiro Ii

    S U M M A R Y

    Background: Ozonated water is expected to be an effective disinfectant for SARS-CoV-2
    present on environmental fomites; however, ozone is consumed by organic substances,
    resulting in attenuation of its effect. SARS-CoV-2 present in saliva can contaminate
    environmental surfaces; therefore, it is essential to understand the effect of organic
    substances in saliva on the disinfectant properties of ozonated water.

    Aim: To assess organic factors in saliva and the extent to which they diminish the effect of
    ozonated water on SARS-CoV-2.

    Methods: Ozonated water was exposed to salivary organic factors and residual ozone
    concentrations were measured. SARS-CoV-2 was exposed to a salivary factor and virus
    inactivation by ozonated water was measured.

    Findings: Amylase and mucin consumed ozone in a concentration-dependent manner.
    Urea did not. Ozonated water appeared to inactivate SARS-CoV-2 within 30 s. The amount
    of inactivated SARS-CoV-2 decreased as the protein concentration increased. Virus inac-
    tivation was stronger by 1.5 mg/L ozonated water than by 0.5 mg/L ozonated water.

    Conclusion: This study suggests that the salivary amylase and mucin decay ozone in a
    concentration-dependent manner, thereby attenuating the disinfection properties of
    ozonated water for SARS-CoV-2. An increase of the initial amount of ozone can ameliorate
    the disinfection effect of ozonated water on SARS-CoV-2. Ozone consumption should be
    taken into consideration for virus infection control. These results provide fundamental
    information about the effect of ozonated water when used to decontaminate surfaces
    harbouring SARS-CoV-2 in saliva.



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