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Applied and Environmental Microbiology, April 2004, p. 2021-2027, Vol. 70, No. 4
0099-2240/04/$08.00+0 DOI: 10.1128/AEM.70.4.2021-2027.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts 02115
Received 21 July 2003/ Accepted 20 December 2003
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Experimental UVGI exposure systems consisting of three basic components (aerosol generation unit, UVGI exposure unit, and bioaerosol sampling unit) have been built in laboratories worldwide to investigate the influence of various environmental parameters on UVGI efficacy (7, 11, 13). This information is important to explain and assess UVGI efficacy under various conditions, as well as to improve UVGI features to maximize the deactivation rate. Although experiments have been undertaken under controlled conditions, it is generally recognized that data from different laboratories might vary significantly due to differences in UVGI exposure systems and experimental conditions (1, 19).
The composition of the suspending medium released along with the microorganisms from various sources plays a crucial role in controlling the viability, deposition site, and infectivity of the agents in respiratory systems and in determining the success of UVGI deactivation as an intervention (2, 4, 14, 17). However, few studies have focused on the influence of the suspending medium on the susceptibility of airborne agents to UVGI (15, 17, 18). In this study, we aimed to (1) compare the size and UVGI susceptibility of airborne Serratia marcescens in several suspending media that are commonly used in UVGI laboratory experiments (2) and to relate changes in susceptibility to size and suspending medium at two relative humidity (RH) levels in an experimental exposure system built in our laboratory. S. marcescens, chosen as a model bacterium in this study, has been widely used in UVGI research, having reported UVGI susceptibility values (Z) of 0.02 to 4.99 m2 J1 in air (1, 7, 8, 9). UVGI susceptibility was calculated with the following equations:
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Experimental system.
The details of the experimental system are shown in Fig. 1. Briefly, the system is composed of three parts: (i) aerosol generating and drying section, (ii) UVGI exposure unit, and (iii) sampler. The first part contains a six-jet Collison nebulizer (model CN-38; BGI, Waltham, Mass.) running at 20 lb/in2. This nebulizer generated 90% of aerosols [using nonvolatile di(2-ethylhexyl)phthalate (DOP) as a reference; when volatile suspending media, e.g., water, are used, evaporation begins as soon as the aerosol is released into the air and particles become smaller than the reference size] within a size range from 0.95 to 2.2 µm, with a count median diameter (CMD) of 1.25 µm and a geometric standard deviation (GSD) of 1.29. CMD is the size at which the aerosol particles are divided into two groups; one-half of all the particles are smaller than the median size, and one-half of all the particles are larger than the median size. In this study, we measured the size of particles based on their aerodynamic behavior. The size of a particle is equal to the diameter of a spherical particle with a density of 1 g cm3 and with the same settling velocity as the measured particle (6). Because many of these droplets are larger than S. marcescens cells (0.5 to 0.8 µm in diameter and 0.9 to 2 µm in length) (5), most droplets could contain at least one bacterial cell. However, the viscosity and salt content of the suspending medium may change the droplet size and the number of aerosolized particles compared to those for DOP. The aerosolized droplets are released into a manifold and pass through baffles to produce turbulence and introduce evenly distributed air-dried particles at the entrance into the UVGI section. When one nebulizer was used, RH was 36%, measured inside the UVGI exposure section with a HOBO H8 temperature/RH meter (Onset Computer Corporation, Bourne, Mass.). When a higher level of RH was required, another six-jet Collison nebulizer filled with distilled water was added upstream of the first nebulizer. It produced RH of 68%. The airflow through the system was maintained at 1 ft3/min with about ±4% fluctuation, and the measured temperature was 26 ± 1°C.
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FIG. 1. Schematic diagram of the experimental UVGI exposure system.
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The third part of the chamber is designed for sampling. It contains a bypass to a high-efficiency particulate air (HEPA) filter, a one- or six-stage Andersen sampler (Andersen Samplers, Inc., Atlanta, Ga.), or a particle counter and sizer (API Aerosizer; TSI Inc., Shoreview, Minn.). Samplers were operated at 1 ft3/min for 3 min. The whole system was set up inside a 6-ft biosafety cabinet.
Experimental procedures.
The suspending media tested were (i) distilled water, (ii) phosphate buffer (PB) (0.02% KH2PO4, 0.115% Na2HPO4, 0.02% KCl [pH 7.4]), (iii) 10% fetal calf serum (Cambrex Bio Science, Walkersville, Inc., Walkersville, Md.), (iv) PBS, and (v) synthetic saliva (PBS with 10% fetal calf serum). Bacterial culture aliquots were suspended in PBS and adjusted to 0.25. This cell suspension was serially diluted 1,000-fold, and 1 ml of the final suspension was mixed with 70 ml of the suspending medium in the nebulizer. Fifty milliliters of this cell mixture was transferred into the nebulizer reservoir. The culturable cell concentrations in the nebulizer were determined before and after the run by culturing a 0.1-ml aliquot on NA with or without serial dilution. The cell densities were around 103 to 104 CFU per ml.
Before collection of the first sample, nebulization was begun and the system was equilibrated for 5 min at the UV-off setting. The airborne particles were then collected by a single-stage Andersen sampler running at 1 ft3/min for 3 min of sampling time. For selection of the appropriate UVGI dose for the experiments, bacteria suspended in water-only medium were aerosolized continuously and exposed to a UVGI dose of either 0, 0.73, 1.84, or 3.42 J m2. Another 3-min time interval was applied to equilibrate each change in UV setting. Triplicate samples at each UV setting were collected on NA plates loaded into the one-stage Andersen sampler. The collected samples were incubated at 30°C for 2 days. The number of colonies formed on the plates was counted and converted to the corresponding corrected particle counts by using the positive-hole conversion table (Andersen Samplers, Inc.).
The UVGI dose at 0.73 J m2 was selected for the experiments to investigate the effect of suspending medium on microbial UVGI susceptibility. Bacteria suspended in various media were aerosolized and exposed to UVGI at 36 or 68% RH. A six-stage Andersen biological sampler was used, and all stages were loaded with NA plates. Triplicate samples were collected under each experimental condition. The collected bacteria were incubated, the colonies were enumerated, and the number of positive holes was corrected as noted above.
Determination of the number and CMD of aerosolized particles.
The numbers and particle sizes of dried droplets aerosolized from different suspending media with or without bacteria and with UV on or off were determined at 36% RH by using an API Aerosizer. The Aerosizer covering the size range 0.1 to 10 µm was operated for 1 min at 2.5 liters min1 and was set for a specific gravity of 1. Note that although the Aerosizer could be set to measure particles as small as 0.1 µm, many believe that the lowest reliable measurable diameter is 0.3 to 0.5 µm (16). Duplicate samples were collected in each run. CMD and GSD for each suspending medium were determined by using log-probability plots. For culturable particles, the CMD and GSD were determined by using data from the six-stage Andersen sampler.
Statistical analysis.
For each pair of exposure conditions (UV off and UV on), only the stages of the six-stage sampler that had more than 30 CFU on the NA plates at the UV-off setting were selected for calculation. This lower limit of CFU was recommended to provide sufficient statistical power for comparison purposes (11).
Confidence intervals, at
= 0.05, were calculated to indicate the uncertainty of the replicate samplings. One-way analysis of variance at a significance level of 0.05 with Bonferroni correction for multiple comparisons (SPSS, Inc., Chicago, Ill.) was used to evaluate the statistical significance of differences in bacterial susceptibility to UV among the different suspending media at 36% RH.
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FIG. 2. Survival curve of S. marcescens under a range of UVGI exposures.
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TABLE 1. Distribution of particle sizes of culturable S. marcescens from different suspending media aerosolized by a nebulizera at 36% RH
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TABLE 2. Change in aerosolized culturable cell concentration and S. marcescens particle size with change in RHa
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For the serum-only medium, a direct comparison between the cell concentration at low and high RH was not undertaken because of foaming in the nebulizer reservoir. The CMD and GSD of particles in serum at high RH were calculated (Table 2) and compared with prior data collected at low RH (Table 1). Median size increased by 16% when RH increased from 36 to 68%.
Comparison of UVGI susceptibility of S. marcescens aerosolized in different suspending media.
At 36% RH, S. marcescens suspended in water-only and serum-only medium had the highest Z (2.2 and 1.7 m2 J1, respectively) and therefore was most susceptible to UVGI. Cells in PB, saliva, and PBS (Z = 0.72 to 0.92 m2 J1) were less susceptible to UVGI damage (Table 3). By comparing UVGI susceptibility of particles at stages 4, 5, and 6 of the six-stage sampler, we found the protective effect of saliva and PBS at low RH to be directly related to the size of the culturable particles, with decreasing UVGI susceptibility as the particle size decreased (Table 3). A linear regression line was determined for the Z of the bacteria in PBS in relation to their particle diameter (Z = 0.36 diameter + 0.12; R2 = 0.97). This relation was not observed in the bacteria suspended in serum-only or PB medium. At the higher RH, UVGI susceptibility decreased, the amount of the decrease depending on the composition of the suspending medium (Table 3). For PBS, the magnitude of protection was not related to particle size, whereas for the serum-only medium the protective effect was highest for the largest particles. In some replicates the protective effect of serum on the large particles was impeccable; negative Z values were recorded, indicating that the number of CFU recovered at the UV-on setting was higher than that at the UV-off setting. Although the difference in CFU between these UV-on and -off conditions was within the variation of CFU among the UV-off samples, these negative Z values contributed to an increase in confidence interval (Table 3, serum-only, high RH).
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TABLE 3. UVGI susceptibility (Z) of aerosolized culturable S. marcescens from different suspending media and RHa by a nebulizerb
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TABLE 4. Total particle count and mean size of different suspending media aerosolized with S. marcescens by a nebulizera at 36% RH
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Comparing deactivation by humidity and UVGI exposure.
Both UVGI exposure and drying at low RH could decrease the number of culturable bacteria. To evaluate the comparative role of UVGI and drying, we compared the effectiveness o f these two interventions in deactivating S. marcescens. The UVGI doses required to achieve the same reduction in bacterial counts when RH decreased from 68 to 36% with PBS and water-only medium were calculated as follows: Fraction remaining after reducing RH = countslow RH/countshigh RHin water = 683/859 = 0.795; in PBS = 5385/19498 = 0.276 UV dose required to achieve = equivalent reduction ln (1/fraction remaining) UVGI susceptibilityhigh RHin water = ln (1/0.795)/0.92 = 0.25 J m2 in PBS = ln (1/0.276)/0.11 = 11.70 J m2UVGI doses were required to achieve the same reduction in culturable particles as that for decreasing RH were 0.25 J m2 for water-only medium and 11.70 J m2 for PBS medium, both under high-RH conditions.
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In these experiments, a relatively diluted concentration of bacterial cells was used compared to the number of droplets aerosolized, making it likely that only one bacterial cell was embraced in most aerosol particles. The fact that nearly all the airborne bacteria suspended in water-only medium were collected on the impactor stage, retaining the size range of 0.65 to 1.1 µm, supported this hypothesis. According to the size of particles, S. marcescens suspended in water-only medium produced aerosols that would deposit primarily in the alveolar region (0.65 to 1.1 µm), while those suspended in PB and serum-only medium were of a size that would likely settle in both terminal bronchi (1.1 to 2.1 µm) and the alveoli. Finally, aerosols in PBS and saliva covered a wider spectrum of particle sizes, some of which could deposit in secondary bronchi (2.1 to 3.3 µm) to alveoli (Andersen Samplers, Inc.) (6).
Given similar droplet size distributions, the GSD for all media except water-only medium were similar (GSD = 1.56). Water suspension produced relatively monodisperse culturable particles, a logical result because water evaporates and leaves no residue around the cells. For other suspending media, because nebulized droplet size distribution was constant, the CMD reflects the influence of different suspending media. Increases in cell size and in cultural recovery with increasing RH have previously been reported and discussed (7, 12, 13). Our data are the first to compare the influence of different suspending media. We demonstrated that the size of particles from serum-only suspending medium is more responsive to an increase in RH than those from water-only and PBS media.
Suspending medium and UVGI susceptibility at low RH.
The influence of suspending medium on UVGI susceptibility has been clearly demonstrated in this study. Thus, outcomes from different laboratories for these types of experiments are likely to vary depending on the suspending medium used. Although serum has been reported as a good protective layer for some airborne microorganisms because of its proteinaceous nature (4, 14), its protective value against UVGI exposure was no greater than that of water at low RH. Salt particles were strongly protective against UVGI deactivation, perhaps because of their UV absorption properties and the formation of a physical barrier (3). Although PB and serum produced culturable particles of similar sizes, PB was more protective than serum. Moreover, although PBS and saliva produced larger particles than PB, total UVGI susceptibility was statistically the same as that for PB. This result suggests that particle size is not the sole factor determining UVGI susceptibility. On the other hand, compared to water, increase in particle size by nebulizing with different suspending media was a good indicator of decreasing UVGI susceptibility.
Humidity, particle size, and UVGI susceptibility.
At low RH, cells in PBS exhibited an increase in UVGI susceptibility with increased particle size. Similar results were obtained for cells suspended in synthetic saliva. In serum-only suspension, UVGI susceptibility was unrelated to size at low RH, but at high RH, susceptibility increased as size decreased, a reverse trend to that for PBS and saliva.
These results may be explained by the properties of the media. We suspected that, for media containing salt, the formation of large crystals under dry conditions may lead to gaps in the salt layer, allowing UVGI penetration to the cells. Salt forms cubical crystals, so that the larger the crystals (and hence the particle size), the larger the gaps. However, this phenomenon disappeared at high RH, possibly because the salt dissolves in water, forming a homogenous UVGI-absorbing layer. Although we demonstrated that bacterial aerosols held more water at 68% RH than that at 36%, we did not investigate the state of the salt, crystallized or dissolved, around the bacteria under these RH conditions. For serum suspensions, it has been reported that this protein-rich viscous layer could keep the aerosolized bacteria, i.e., Klebsiella pneumoniae, in a hydrated state at RH above 45% (4). It is likely that the role of the serum coating on the particles was to reduce evaporation of water (4). Serratia and Klebsiella are in the same family, Enterobacteriaceae (5); thus, it is reasonable that serum provides a similar protective effect on S. marcescens. Our data support this hypothesis. The difference in CMD from low to high RH was 16% for serum-coated particles, compared to 8% for water-only medium and 6% for PBS. Under dry conditions (36%), the serum layer probably dried out and lost its function of water retention. Larger serum particles lower UVGI susceptibility at 68% RH, emphasizing the role of water in protection from UV-induced cell damage. Although different relationships between particle size and UVGI susceptibility were shown in this study at different suspending media and RH conditions, we did not investigate the mechanism involved in these relationships. Particle size may act directly or indirectly with other associated factors in controlling microbial UVGI susceptibility.
Comparison of our survival curve and UVGI susceptibility in the literature.
In our study, S. marcescens aerosols exposed to UVGI decayed with a Z value of 2.20 m2 J1 when suspended in water-only medium. This result supports the one-hit model for UVGI deactivation. Ko and coworkers (7), who worked in our laboratory with the same exposure system, found a similar one-hit model result; however, the Z values reported at low RH (22 to 33%) were about 0.58 m2 J1. These investigators used synthetic saliva in their study and selected the fifth stage only for the calculation of UVGI susceptibility. If we compare our data by using the same medium and particle size, the Z value becomes 0.75 m2 J1 (Table 3), which is reasonably close to the value found by Ko et al. (7). This example demonstrates how to apply our results to compare UVGI susceptibility from different studies.
We also compared our results with those of Riley and Kaufman (13). These investigators did not describe the suspending medium; however, the fractions of total counts on stages of their cascade impactor were 7, 56, and 33% on the fourth, fifth, and sixth stages, respectively. One can hypothesize that they suspended their bacteria in PBS because of the similarity of their culturable particle size distribution to ours with that suspending medium (Table 1). In their study, the counts on stages 5 and 6 were combined for the calculation of the fraction remaining after UVGI exposure, but UVGI susceptibility was not calculated. Because survival curves were plotted in their study, it is possible to calculate the Z values from the plots. A two-stage relationship, which is different from results of studies both by us and by Ko et al. (7), was found. The survival curves from Riley and Kaufman's data indicated two subpopulations in the samples that were described by the equation
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We then investigated the hypothesis that the subpopulation effect shown in the Riley and Kaufman study is due to the aerosolization of a range of particles with various sizes and UVGI susceptibility. For our survival curve, the bacteria were suspended in water-only medium, which produced 96% of culturable particles at size range 0.65 to 1.1 µm. Therefore, we were evaluating the UVGI susceptibility of a group of similar-sized particles within a size range of 0.65 to 1.1 µm. Similarly, the data of Ko et al. were derived from a single stage (fifth stage) representing a small range of particle sizes, and a straight line was expected. However, Riley and Kaufman combined the counts on the fifth and sixth stages. In our study with PBS, particles from different stages had different susceptibilities to UVGI: 1 m2 J1 for fourth, 0.8 m2 J1 for fifth, and 0.4 m2 J1 for sixth stage. These data support the assumption that the Riley and Kaufman samples were likely to contain more than one population of particles that had different UVGI susceptibilities due to differences in particle size produced by the medium. However, the importance of the change in UVGI susceptibility by particle size in producing this two-stage relationship in their study cannot be known without considering all factors, such as nebulization and aerosolization conditions. In addition to our proposed cause of variation of UVGI susceptibility in a population, the range of particle sizes aerosolized, other alternate and prevailing viewpoints on this issue were discussed by Kowalski et al. (9).
Particle shading on UVGI efficacy.
In our study, the presence of aerosols did not cause a reduction in UVGI efficacy. We calculated the size of aerosolized PBS particles, assuming that they (i) are fully dry, (ii) have a cubic shape, (iii) have a density of 2.17 g ml1, (iv) form droplets of 1.25 µm in diameter, and (v) have a salt concentration of 0.96% in the liquid medium. In that case, each PBS particle contains 9.74 x 1015 g of salt, which is equivalent to a cube with a length of 0.17 µm. We also calculated the volume of air occupied by one aerosol particle as 5 mm3, assuming 2 x 108 particles per m3 of air. These calculations supported the conclusion that the aerosol particles were widely spaced and would shade only a very small portion of the cell.
Implications of experimental results.
This study compared several laboratory-used suspending media with respect to their effects on the sizes of airborne aerosolized bacteria and their susceptibilities to UVGI. This information is valuable for data comparison and deciding on an appropriate medium to use for various applications. Moreover, we proposed a new mechanism by which laboratory-determined UVGI susceptibility may be changed due to the variation in particle size in different suspending media. We recommend using a suspending medium that is similar to the source of microorganisms for laboratory UVGI studies, for instance, using synthetic saliva to simulate aerosols discharged from human respiratory systems.
We thank Ed Nardell, Christine Rogers, and Steve Rudnick for reviewing the manuscript and Kevin Banahan for technical assistance with the experimental chamber.
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