tetano
Editor, Senior Moderator
Clin Infect Dis
. 2020 Oct 3;ciaa1517.
doi: 10.1093/cid/ciaa1517. Online ahead of print.
Survival of SARS-CoV-2 and influenza virus on the human skin: Importance of hand hygiene in COVID-19
Ryohei Hirose[SUP] 1 2 [/SUP], Hiroshi Ikegaya[SUP] 3 [/SUP], Yuji Naito[SUP] 2 [/SUP], Naoto Watanabe[SUP] 1 2 [/SUP], Takuma Yoshida[SUP] 1 2 [/SUP], Risa Bandou[SUP] 1 3 [/SUP], Tomo Daidoji[SUP] 1 [/SUP], Yoshito Itoh[SUP] 2 [/SUP], Takaaki Nakaya[SUP] 1 [/SUP]
Affiliations
Abstract
Background: The stability of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on human skin remains unknown, considering the hazards of viral exposure to humans. We generated a model that allows the safe reproduction of clinical studies on the application of pathogens to human skin and elucidated the stability of SARS-CoV-2 on the human skin.
Methods: We evaluated the stability of SARS-CoV-2 and influenza A virus (IAV), mixed with culture medium or upper respiratory mucus, on human skin surfaces and the dermal disinfection effectiveness of 80% (w/w) ethanol against SARS-CoV-2 and IAV.
Results: SARS-CoV-2 and IAV were inactivated more rapidly on skin surfaces than on other surfaces (stainless steel/glass/plastic); the survival time was significantly longer for SARS-CoV-2 than for IAV [9.04 h (95% confidence interval: 7.96-10.2 h) vs. 1.82 h (1.65-2.00 h)]. IAV on other surfaces was inactivated faster in mucus versus medium conditions, while SARS-CoV-2 showed similar stability in the mucus and medium; the survival time was significantly longer for SARS-CoV-2 than for IAV [11.09 h (10.22-12.00 h) vs. 1.69 h (1.57-1.81 h)]. Moreover, both SARS-CoV-2 and IAV in the mucus/medium on human skin were completely inactivated within 15 s by ethanol treatment.
Conclusions: The 9-h survival of SARS-CoV-2 on human skin may increase the risk of contact transmission in comparison with IAV, thus accelerating the pandemic. Proper hand hygiene is important to prevent the spread of SARS-CoV-2 infections.
Keywords: SARS-CoV-2; hand hygiene; human skin; influenza A virus; stability.
. 2020 Oct 3;ciaa1517.
doi: 10.1093/cid/ciaa1517. Online ahead of print.
Survival of SARS-CoV-2 and influenza virus on the human skin: Importance of hand hygiene in COVID-19
Ryohei Hirose[SUP] 1 2 [/SUP], Hiroshi Ikegaya[SUP] 3 [/SUP], Yuji Naito[SUP] 2 [/SUP], Naoto Watanabe[SUP] 1 2 [/SUP], Takuma Yoshida[SUP] 1 2 [/SUP], Risa Bandou[SUP] 1 3 [/SUP], Tomo Daidoji[SUP] 1 [/SUP], Yoshito Itoh[SUP] 2 [/SUP], Takaaki Nakaya[SUP] 1 [/SUP]
Affiliations
- PMID: 33009907
- DOI: 10.1093/cid/ciaa1517
Abstract
Background: The stability of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on human skin remains unknown, considering the hazards of viral exposure to humans. We generated a model that allows the safe reproduction of clinical studies on the application of pathogens to human skin and elucidated the stability of SARS-CoV-2 on the human skin.
Methods: We evaluated the stability of SARS-CoV-2 and influenza A virus (IAV), mixed with culture medium or upper respiratory mucus, on human skin surfaces and the dermal disinfection effectiveness of 80% (w/w) ethanol against SARS-CoV-2 and IAV.
Results: SARS-CoV-2 and IAV were inactivated more rapidly on skin surfaces than on other surfaces (stainless steel/glass/plastic); the survival time was significantly longer for SARS-CoV-2 than for IAV [9.04 h (95% confidence interval: 7.96-10.2 h) vs. 1.82 h (1.65-2.00 h)]. IAV on other surfaces was inactivated faster in mucus versus medium conditions, while SARS-CoV-2 showed similar stability in the mucus and medium; the survival time was significantly longer for SARS-CoV-2 than for IAV [11.09 h (10.22-12.00 h) vs. 1.69 h (1.57-1.81 h)]. Moreover, both SARS-CoV-2 and IAV in the mucus/medium on human skin were completely inactivated within 15 s by ethanol treatment.
Conclusions: The 9-h survival of SARS-CoV-2 on human skin may increase the risk of contact transmission in comparison with IAV, thus accelerating the pandemic. Proper hand hygiene is important to prevent the spread of SARS-CoV-2 infections.
Keywords: SARS-CoV-2; hand hygiene; human skin; influenza A virus; stability.