Chemosphere, Journal Year: 2024, Volume and Issue: 357, P. 142034 - 142034
Published: April 12, 2024
Language: Английский
Chemosphere, Journal Year: 2024, Volume and Issue: 357, P. 142034 - 142034
Published: April 12, 2024
Language: Английский
The Science of The Total Environment, Journal Year: 2021, Volume and Issue: 806, P. 150568 - 150568
Published: Sept. 24, 2021
Language: Английский
Citations
121The Science of The Total Environment, Journal Year: 2023, Volume and Issue: 869, P. 161855 - 161855
Published: Jan. 25, 2023
Language: Английский
Citations
94Journal of Hazardous Materials, Journal Year: 2023, Volume and Issue: 451, P. 131130 - 131130
Published: March 3, 2023
Language: Английский
Citations
84Coordination Chemistry Reviews, Journal Year: 2023, Volume and Issue: 499, P. 215466 - 215466
Published: Oct. 19, 2023
Language: Английский
Citations
71The Science of The Total Environment, Journal Year: 2023, Volume and Issue: 891, P. 164489 - 164489
Published: June 4, 2023
Language: Английский
Citations
67Desalination, Journal Year: 2023, Volume and Issue: 559, P. 116654 - 116654
Published: May 1, 2023
Language: Английский
Citations
50Chemosphere, Journal Year: 2023, Volume and Issue: 344, P. 140264 - 140264
Published: Sept. 25, 2023
Language: Английский
Citations
50The Science of The Total Environment, Journal Year: 2023, Volume and Issue: 878, P. 162976 - 162976
Published: March 22, 2023
Despite advances in medicine and innovations many underpinning fields including disease prevention control, the Spaulding classification system, originally proposed 1957, remains widely used for defining disinfection sterilization of contaminated re-usable medical devices surgical instruments. Screening PubMed Scopus databases using a PRISMA guiding framework generated 272 relevant publications that were this review. Findings revealed there is need to evolve how are designed, processed by cleaning, (and/or sterilization) mitigate patient risks, acquiring an infection. This Classification use as it logical, easily applied understood users (microbiologists, epidemiologists, manufacturers, industry) regulators. However, substantial changes have occurred over past 65 years challenge interpretation application system includes inter alia emergence new pathogens (viruses, mycobacteria, protozoa, fungi), greater understanding innate adaptive microbial tolerance disinfection, toxicity increased number vulnerable patients associated procedures, complexity design devices. Common cited examples include endoscopes enable non- or minimal invasive procedures but highly sophisticated with various types materials (polymers, electronic components etc), long narrow channels, right angle heat-sensitive accessories (e.g., values) can be high levels bioburden tissues after use. Contaminated flexible duodenoscopes been source several significant infection outbreaks, where at least 9 reported cases caused multidrug resistant organisms [MDROs] no obvious breach processing detected. this, evidence lack attention cleaning maintenance these equipment. Over last few decades increasing genomic resistance chemical disinfectant methods along environmental stresses. To reduce has elevate higher-risk (such duodenoscopes) from semi-critical [contact mucous membrane intact skin] critical sterile tissue blood] entails transition low-temperature modalities instead routinely high-level disinfection; thus, margin safety endoscope processing. timely review addresses important issues surrounding meet modern-day needs. It specifically automated, robust drying combined real-time monitoring device There understand entire end-to-end adopting silo approaches future will informed artificial intelligence deep-learning/machine learning. For example, combinational solutions address formation complex biofilms harbour pathogenic opportunistic microorganisms on surfaces Emerging trends addressed sustainability sector enabled via Quintuple Helix Hub approach combines academia, industry, healthcare, regulators, society unlock real world solutions.
Language: Английский
Citations
45Water Research, Journal Year: 2025, Volume and Issue: 274, P. 123092 - 123092
Published: Jan. 4, 2025
Chlorine, the most widely utilized disinfectant for drinking water globally, has recently been implicated in facilitating spread of antibiotic resistance genes (ARGs), raising concerns about its underestimated environmental and ecological risks. However, given current fragmented research focus results, a comprehensive understanding potential mechanisms influencing factors behind chlorination-promoted ARGs transmission systems is crucial. This work first to systematically review variations abundance, mechanisms, factors, mitigation strategies related during chlorination process. The results indicated that could induce genetic mutations promote horizontal gene transfer through multiple pathways, including increased reactive oxygen species, enhanced membrane permeability, stimulation SOS response, activation efflux pumps. In addition, this delves into significant discoveries regarding affecting ARG water, such as chlorine concentration, reaction time, disinfection byproducts, pipe materials, biofilms, matrix. A series effective from source point-of-use were proposed aimed at mitigating risks system. Finally, we address existing challenges outline future directions overcome these bottlenecks. Overall, aims advance our role dissemination inspire innovative ideas optimizing techniques, minimizing transmission, enhancing safety water.
Language: Английский
Citations
3Journal of Hazardous Materials Advances, Journal Year: 2025, Volume and Issue: unknown, P. 100602 - 100602
Published: Jan. 1, 2025
Language: Английский
Citations
3