Severe acute respiratory syndrome coronavirus 2 RNA contamination of inanimate surfaces and virus viability in a health care emergency unit.

M Colaneri, E Seminari, S Novati, E Asperges, S Biscarini, A Piralla, E Percivalle, I Cassaniti, F Baldanti, R Bruno, M U Mondelli, COVID19 IRCCS San Matteo Pavia Task Force
Author Information
  1. M Colaneri: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  2. E Seminari: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  3. S Novati: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  4. E Asperges: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  5. S Biscarini: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  6. A Piralla: Molecular Virology Unit, Microbiology and Virology, University of Pavia, Pavia, Italy.
  7. E Percivalle: Molecular Virology Unit, Microbiology and Virology, University of Pavia, Pavia, Italy.
  8. I Cassaniti: Molecular Virology Unit, Microbiology and Virology, University of Pavia, Pavia, Italy.
  9. F Baldanti: Molecular Virology Unit, Microbiology and Virology, University of Pavia, Pavia, Italy; Department of Clinical, Surgical, Diagnostic, and Paediatric Sciences, University of Pavia, Pavia, Italy.
  10. R Bruno: Division of Infectious Diseases I, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Clinical, Surgical, Diagnostic, and Paediatric Sciences, University of Pavia, Pavia, Italy.
  11. M U Mondelli: Division of Infectious Diseases II and Immunology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Internal Medicine and Therapeutics, Pavia, Italy. Electronic address: mario.mondelli@unipv.it.

Abstract

OBJECTIVES: To detect possible severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) RNA contamination of inanimate surfaces in areas at high risk of aerosol formation by patients with coronavirus disease 2019 (COVID-19).
METHODS: Sampling was performed in the emergency unit and the sub-intensive care ward. SARS-CoV-2 RNA was extracted from swabbed surfaces and objects and subjected to real-time RT-PCR targeting RNA-dependent RNA polymerase and E genes. Virus isolation from positive samples was attempted in vitro on Vero E6 cells.
RESULTS: Twenty-six samples were collected and only two were positive for low-level SARS-CoV-2 RNA, both collected on the external surface of continuous positive airway pressure helmets. All transport media were inoculated onto susceptible cells, but none induced a cytopathic effect on day 7 of culture.
CONCLUSIONS: Even though daily contact with inanimate surfaces and patient fomites in contaminated areas may be a medium of infection, our data obtained in real-life conditions suggest that it might be less extensive than hitherto recognized.

Keywords

References

  1. Euro Surveill. 2020 Jan;25(3): [PMID: 31992387]
  2. PDA J Pharm Sci Technol. 2008 May-Jun;62(3):191-9 [PMID: 18661868]
  3. Curr Opin Infect Dis. 2019 Aug;32(4):372-379 [PMID: 31259864]
  4. Int J Infect Dis. 2020 May;94:103-106 [PMID: 32311449]
  5. J Hosp Infect. 2020 Mar 19;: [PMID: 32201338]
  6. BMC Med. 2015 Sep 03;13:210 [PMID: 26336062]
  7. JAMA. 2020 Apr 28;323(16):1610-1612 [PMID: 32129805]
  8. J Hosp Infect. 2020 Jun 17;: [PMID: 32563551]
  9. N Engl J Med. 2020 Apr 16;382(16):1564-1567 [PMID: 32182409]
  10. J Hosp Infect. 2016 Mar;92(3):235-50 [PMID: 26597631]
  11. Science. 2020 May 1;368(6490):489-493 [PMID: 32179701]
  12. J Infect Dis. 1982 Jul;146(1):47-51 [PMID: 6282993]

MeSH Term

Animals
Betacoronavirus
Chlorocebus aethiops
Coronavirus Envelope Proteins
Equipment Contamination
Fomites
Humans
Intensive Care Units
Microbial Viability
RNA-Dependent RNA Polymerase
Reverse Transcriptase Polymerase Chain Reaction
SARS-CoV-2
Vero Cells
Viral Envelope Proteins
Viral Proteins

Chemicals

Coronavirus Envelope Proteins
Viral Envelope Proteins
Viral Proteins
envelope protein, SARS-CoV-2
RNA-Dependent RNA Polymerase

Word Cloud

Created with Highcharts 10.0.0RNAsurfacesacuterespiratorysyndromeSARS-CoV-2contaminationinanimatepositivecellscoronavirus-2areascoronavirusdisease2019emergencyunitcaresamplesVeroE6collectedSevereOBJECTIVES:detectpossibleseverehighriskaerosolformationpatientsCOVID-19METHODS:Samplingperformedsub-intensivewardextractedswabbedobjectssubjectedreal-timeRT-PCRtargetingRNA-dependentpolymeraseEgenesVirusisolationattemptedin vitroRESULTS:Twenty-sixtwolow-levelexternalsurfacecontinuousairwaypressurehelmetstransportmediainoculatedontosusceptiblenoneinducedcytopathiceffectday7cultureCONCLUSIONS:Eventhoughdailycontactpatientfomitescontaminatedmaymediuminfectiondataobtainedreal-lifeconditionssuggestmightlessextensivehithertorecognized2virusviabilityhealthCoronavirusEnvironmentalSurfaces

Similar Articles

Cited By (74)