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Appl. Environ. Microbiol. doi:10.1128/AEM.02839-06
Copyright (c) 2007, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

Evaluation of liquid and fog application of Sterilox® hypochlorous acid solution (HOCl) for surface inactivation of human norovirus

Geun Woo Park*, Deyanna M. Boston, Julie A. Kase, Mark N. Sampson, and Mark D. Sobsey

Department of Environmental Sciences and Engineering, University of North Carolina at Chapel Hill; PuriCore Inc, 508 Lapp Road, Malvern, Pennsylvania 19355

* To whom correspondence should be addressed. Email: gpark{at}cdc.gov.


   Abstract

Noroviruses (NVs) are the most frequent cause of outbreaks of gastroenteritis in common settings, with surface-mediated transfer via contact with fecally contaminated surfaces implicated in exposure. NVs are environmentally stable, persistent and have a low infectious dose. Several disinfectants have been evaluated for efficacy to control viruses on surfaces, but their toxicity and potential damage to treated materials limits the applicability of some. Sterilox® hypochlorous acid (HOCl) solution (HAS) has shown broad spectrum antimicrobial activity while being suitable for general use.

The objectives of this study were to evaluate the efficacy of HAS to reduce NV both in aqueous suspensions and on inanimate carriers. HOCl was further tested as a fog to decontaminate large spaces. HOCl effectiveness was evaluated using nonculturable human NV measured by RT-PCR and two surrogate viruses, coliphage MS2 and murine norovirus, that were detected by both infectivity and RT-PCR. Exposing virus-contaminated carriers of ceramic tile (porous) and stainless steel (non-porous) to 200-20 ppm of HOCl solution resulted in ≥ 99.9 % (≥ 3 log10) reductions of both infectivity and RNA titer of tested viruses within 10 minutes of exposure time. HOCl fogged in a confined space reduced the infectivity and RNA titers of NV, MNV-1 and MS2 on these carriers by at least 99.9% (3 log10), regardless of carrier location and orientation. We conclude that Sterilox® hypochlorous acid (HOCl) solution as a liquid or fog is likely to be effective in disinfecting common settings to reduce NV exposures and thereby control virus spread via fomites.




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