784. Efficiency of Quaternary Ammonium Disinfectants against SARS-CoV-2 and Coronavirus 229E

Abstract Background The recent pandemic of CoVid19 has increased our need to assess the impact of disinfectants on the inactivation of human coronaviruses. The goals of this study were 1) quantify the disinfection of SARS-CoV-2 and human coronavirus 229 inactivations by various quaternary ammonium formulations, and 2) demonstrate the impact of disinfectants on preventing fomite-to-finger transfer of coronaviruses. Methods We compared the inactivation of both SARS-Covid -2 and coronavirus 229E suspended in 5% fetal calf sera and dried on both metal and plastic surfaces. In addition, studies were conducted with a silinated quaternary ammonium compound that left a residual on the surface. Studies were also conducted on the finger transfer of coronavirus from various surfaces. The virus was allowed to dry on the surface for 30 minutes, then a transfer was conducted by placing the finger pad directly onto the contaminated surface. The finger was tested for the virus. The study was then repeated with virus-contaminated porcelain surfaces that were sprayed with a quaternary product or placed on a surface with a quaternary ammonium compound that left a residual. Results Several readily available quaternary ammonium formulations were evaluated and proved to be effective with greater than a 99.9% reduction in titer after drying on both metal and plastic surfaces. In addition, a silinated quaternary ammonium compound that left a residual on the surface was capable of inactivating SARS-CoV-2 for at least seven days after application. Studies on the finger transfer of coronavirus from various surfaces showed that the amount of virus transfer to the finger varied from 0.46 to 49.0% depending upon the surface. Little or no virus transfer occurred from treated surfaces compared to the untreated controls. In addition, coronavirus 229E appears to be a good model for use in disinfection assessments for SARS-CoV-2. Conclusion Our results demonstrate that various quaternary ammonium disinfectant formulations are effective against human coronaviruses. Finger transfer tests showed that transmission of coronavirus from surfaces can be prevented, reducing the risk of fomite transmission. Coronavirus 229E appears to be a good model for use in disinfection assessments for SARS-CoV-2. Disclosures Charles P. Gerba, Ph.D., Allied Biosciences (Grant/Research Support)Behr (Grant/Research Support)Corning Inc. (Grant/Research Support)PPG (Grant/Research Support)Procter and Gamble (Other Financial or Material Support, donation)Rickett and Coleman (Grant/Research Support)


Conclusion.
Organism type, not sampling method, appeared to the most important factor in bacterial recovery. Recovery of SA was significantly higher than KP, likely because it was able to better withstand manipulation and the physical stress of drying on test surfaces. The sampling tool appeared to have the second largest impact. RODAC yielded the highest recovery, followed by swabs, then sponges. Knowing the variable recovery based on method, surface and organism is important for meaningful interpretation of environmental surveillance conducted during outbreak investigations or quality assurance monitoring. Disclosures

Session: P-38. HAI: Disinfection/Sterilization & Environmental Infection Prevention
Background. Interventions used to reduce the incidence of hospital-acquired infections (HAIs) include hand hygiene, isolation, and decolonization. The routine use of chlorhexidine gluconate (CHG) and nasal mupirocin ointment has been shown to be an effective universal decolonization option to reduce bacterial transmission and prevent HAIs. The objective of this study is to compare the pre-and post-intervention of universal decolonization among ICU patients at Desert Regional Medical Center, an acute care Level II trauma center.
Methods. The first part of this study is a retrospective chart review of all ICU patients from June 2020 to August 2020. The second part of this research is a prospective study from December 2020 to March 2021. The prospective study will include all patients admitted to the ICU who completed the decolonization regimen of mupirocin for 5 days and daily CHG baths. In the intervention phase, all ICUs patients will be decolonized with nasal mupirocin twice daily for 5 days and CHG baths daily for the entire ICU stay. The primary outcome is the number of ICU bloodstream infections (BSIs). Secondary outcomes include the number of ICU-related central line associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), and ventilator associated pneumonia (VAP). An infection attributed to ICU stay is defined as an infection onset occurring more than 48 hours after ICU admission. Fisher's exact and chi square test was used for the statistical analysis.
Results. A total of 130 patients were included in this study. Universal decolonization resulted in a reduction in overall ICU infections in the baseline group vs intervention group using a p-value of 0.05 (ICU-BSI 5 vs 4, p=0.73; CLABSI 2 vs 1, p=0.56; CAUTI 4 vs 2, p=0.41; VAP 23 vs 17, p=0.25).
Conclusion. Patients in the intervention group had a lower incidence of ICU infections compared to the baseline group. These findings suggest that universal decolonization may be an effective strategy in reducing ICU incidence rates of BSI, CLABSI, CAUTI, and VAP. Further studies need to be conducted to validate this finding with a greater population enrolled to achieve adequate power.
Disclosures. All Authors: No reported disclosures

Efficiency of Quaternary Ammonium Disinfectants against SARS-CoV-2 and Coronavirus 229E
Charles P. Gerba, PhD; University of Arizona, Tucson, AZ

Session: P-38. HAI: Disinfection/Sterilization & Environmental Infection Prevention
Background. The recent pandemic of CoVid19 has increased our need to assess the impact of disinfectants on the inactivation of human coronaviruses. The goals of this study were 1) quantify the disinfection of SARS-CoV-2 and human coronavirus 229 inactivations by various quaternary ammonium formulations, and 2) demonstrate the impact of disinfectants on preventing fomite-to-finger transfer of coronaviruses.