Global Health Alert: Racing to Control Antimicrobial-Resistant Candida auris and Healthcare Waste Disinfection Using UVC LED Technology
Emerging antimicrobial-resistant (AMR) Candida auris presents a formidable global health challenge, causing severe healthcare-associated infections (HAIs) with high mortality rates. Its ability to colonize surfaces and resist standard disinfectants undermines traditional hygiene practices, prompting an urgent need for new strategies. Ultraviolet C (UVC) light offers a promising approach with rapid and broad-spectrum germicidal efficacy. This review examines current literature on UVC LED technology in combating C. auris, highlighting its effectiveness, limitations, and applications in healthcare hygiene. UVC light has potent activity against C. auris, with up to 99.9999% inactivation depending on certain conditions such as microbial load, type of organism, surface, environmental, equipment, and UVC radiation factors. UVC LEDs can effectively combat C. auris, driving down healthcare costs and reducing attributable global mortality. Here, we explore implementation strategies for the targeted disinfection of high-risk areas and equipment, air handling units (AHUs), and water treatment systems. Challenges associated with UVC LED disinfection devices in healthcare settings, current performance limitations, and radiation safety are discussed. This will help in optimizing application protocols for effective disinfection and radiation safety. To further strengthen healthcare facility hygiene practices and curb the global spread of C. auris, recommendations for integrating UVC LED disinfection into infection control programs are shared.
Authors
- Theekshana Fernando (ORCID: https://orcid.org/0000-0002-1454-2738)
- Silas Onyango Awuor (ORCID: https://orcid.org/0000-0003-2455-3454)
- Tatiana Koutchma (ORCID: https://orcid.org/0000-0003-4580-7046)
- Eric O. Omwenga (ORCID: https://orcid.org/0000-0001-8583-8109)
- Richard M. Mariita (ORCID: https://orcid.org/0000-0003-4430-464X)
- Jamie M. Reedy (ORCID: https://orcid.org/0009-0009-5882-4583)
Institutions
- Agriculture and Agri-Food Canada (CA)
- Yale Cancer Center (US)
- Jaramogi Oginga Odinga University of Science and Technology (KE)
- University at Albany, State University of New York (US)
- Crystal Research (United States) (US)
- Kisii University (KE)
Publication Details
- Journal
- Hygiene
- Published
- 2024-09-23
- DOI
- https://doi.org/10.3390/hygiene4030030
- Citations
- 2
- Primary Topic
- Antifungal resistance and susceptibility
- Type
- article
- Field-Weighted Citation Impact
- 0.78