Patients and visitors in healthcare facilities can acquire infections by direct or indirect contact with common surfaces (room door handles, bed rails, taps, sterile packaging, mops, ward fabrics and plastics, keyboards and telephones) that have become contaminated with pathogenic microbes. Making these surfaces microbe-unfriendly can break the cycle of contamination and infection. Antiadhesive coating, e.g., Sharklet, Pilkington, are limited in that they do not kill microbes. Polycationic coatings, e.g., microban, have short lifetime, expensive and microbes gain resistance over time. Antimicrobial coatings that release microbiocides, e.g., AgION, SilvaGard, are expensive and microbes gain resistance with time. Others that release toxic silver or copper ions, which are currently in clinical trials, have limited lifetimes, are difficult to apply, and are costly. Further, copper surfaces were unsuccessful in reducing bacterial concentrations to the benign level in clinical trials.
TiO2 photocatalysis has attracted intense interest for applications in self-cleaning and antimicrobial coatings as TiO2 can completely mineralize organic contaminants including microorganisms and the process produces no toxic by-products. Further, TiO2 is environmentally benign and inexpensive. Unfortunately, TiO2, which is an excellent photocatalyst under UV light, has very limited capability for visible light absorption, which limits its utility in an normal interior surface of a building. Strategies at modifying the crystal structure of TiO2 to extend its absorption band into the visible region have not led to a proven and widely adopted photocatalytic system.
A manner that allows TiO2 or other transition metal oxides, alkali metal oxides, or alkali earth metal oxides to degrade organic contaminants including bacteria under visible light is desirable. Furthermore, achievement of transparent, visible light activated photocatalytic coatings to prevent healthcare-acquired infections is desirable.
L=Locker; K=Knob; D=Soap Dispenser; R=Bathroom Rail; B=Bed Rail; and C=Counter with (N=3 and where lower dashed line indicate the threshold of microbial counts for benign surfaces and the upper dashed line indicates the average microbial counts on a copper surface.
Embodiments of the invention are directed to photocatalysts that result from contaminate activation by TiO2 or other metal oxide, such as the oxides of vanadium, chromium, titanium, zinc, tin, and cerium, ore even those of alkali metal oxides or alkali earth metal oxides.
The contaminant degradation is dependent on overlap between the contaminant's absorption spectrum and the incident light spectrum. Contaminate can be microbes or organic compounds with a chromophore that has some absorbance of visible light. Optical long-pass filters were used to effectively create several wavelength bands in the region between 385 nm, which is the lower limit of emission of the fluorescent lamps employed experimentally, and 800 nm, the nominal upper limit of visible light. According Mordant Orange (MO), which absorbs most strongly at 400 nm, degrades fastest with light in this wavelength region. This was confirmed experimentally, as shown in
An auxiliary visible light absorbent, such as a dye, enhances photocatalytic degradation through increased exciton generation and, concomitantly, electron transport to anatase where ROS's are formed
Rutile can act as an enhancer for visible light activity of anatase. The mixed phase coating prepared by depositing a rutile coating followed by deposition of an anatase coating when compared with two layer coatings of anatase shows a slight improvement in photocatalytic rate at light between 400 nm and 495 nm, as indicated in
Transparent photocatalytic coatings are obtained when the particle loading is equal to128 μg/cm2, which yields a nominal thickness of 0.25 μm, as shown in
Bactericidal activity of fully optimized photocatalytic coatings was compared to coatings lacking PHF and coatings lacking anatase and PHF. A benign strain of the pale yellow-colored bacterium, Staphylococcus aureus (ATCC 25923), was used as a model for MRSA, which is often the cause of healthcare-acquired infections. Photocatalysis inactivates cells by degrading the cell surface. Because most MRSA strains do not express a capsule, the efficacy of photocatalysis against MRSA should be equal to or superior to that of S. aureus examined.
The fully optimized coating that consisting of anatase, rutile, and a high concentration of PHF displays a rapid rate of bacterial degradation, as indicated in
The antimicrobial coating was further evaluated for its ability to control the microbial burden on surfaces in a beta facility. Patients in healthcare facilities can acquire infections by direct or indirect contact with common surfaces, for example, room door handles, bed rails, taps, sterile packaging, mops, ward fabrics and plastics, keyboards and telephones that have become contaminated with pathogenic microbes. Making these surfaces microbe-unfriendly can break the cycle of contamination and infection. Antimicrobial coatings that slowly release toxic silver or copper ions, currently in clinical trials have limited lifetime, are difficult to apply and are costly. The best performing prior art antimicrobial coating in clinical trials, copper, was unsuccessful in reducing bacterial concentrations to a benign level.
Surfaces that were initially steamed and allowed to dry for 15 minutes were coated with BioShield NuTiO primer, and allowed to dry for another 15 minutes. The primer was provided as a binding agent for the antimicrobial coating. The antimicrobial coating was applied to the primer coating using a commercial fogger. Selected surfaces were sampled within 1 hour of coating, and again at 2, 4, 6 and 12 months, as shown in
No significant change in bacterial count was observed on the wall, whereas the count on the thermostat decreased by 93% after 12 months. Initial bacterial counts on both lockers (L) and door knobs (K) greatly exceeded the benign limit. Counts decreased by 99% within 2 months and remained within the benign range for the duration of the study. Soap dispensers (D) had low counts (below benign limit), possibly due to antimicrobial agents used in the soap. Initial bacterial counts on bathroom rails (R) and bed rails (B) were above the benign limit, with bed rails exhibiting the highest initial counts among all surfaces studied. Bacterial counts on these two surfaces decreased significantly throughout the study.
Bacterial levels on the kitchen counter (C) were very high initially and remained above the benign limit for all but the last sampling. Of the five surfaces with initial bacterial counts above the benign level, only the kitchen counter failed to exhibit consistently good performance. This is possibly due to frequent wiping (several times daily), which may have removed the antimicrobial coating. The incidence of acquired infections in the beta facility during the first six months of the study was reduced by 55% compared to the previous year. The beta facility results suggest that contaminant-activated photocatalysis can transform common indoor surfaces into antimicrobial surfaces with potential to break the cycle of contamination and infection.
Visible light absorbing organic contaminants, including bacteria activate pristine titanium dioxide, are visible light photocatalysis for their self-degradation. Hence, highly efficacious and cost-effective antimicrobial coating that is easy to apply and lasts for at least one year are available. The contaminant-activated photocatalysis has broad implications in design of paints, pharmaceuticals, food additives, polymer composites, cosmetics, catalysts and antimicrobial coatings.
Photocatalytic coating formulation was prepared by adding 10 mg of anatase (A7) to 10 mL of dilute NaOH (pH=9.5) in a 20 mL scintillation vial wrapped with aluminum foil. The suspension was sonicated (Misonix Sonicator 3000, Farmingdale, NY) at the highest power level providing 180-200 W for 30 minutes total (10 min on/2 min off×3). Similarly, rutile (R22) and silica (S15) coating formulations were prepared without exposing to visible light. In case of anatase+PHF, the anatase suspension was sonicated for 30 minutes followed by addition of 1 mL of a PHF solution (1000 or 100 mg/L). The nanocomposites suspension was mixed with a magnetic stirrer for 10 minutes in dark.
Ceramic tiles were utilized to evaluate the photocatalytic degradation of organic dye and inactivation of microbes. A volume of 0.4 mL of a selected coating formulation was pipetted on the tile surface as the first coat. The coated surfaces were dried for one hour at 40° C. in dark. A second coat of the same or a different coating formulation was applied following the same procedure. A total surface loading of 128 μg/cm was achieved using this procedure. Organic dye or S. aureus suspension was applied to the test surfaces. In case of an organic dye, 0.02 mL of PR solution (2000 mg/L) or MO solution (2000 mg/L) was pipetted onto coated tiles and allowed to spread. The dye-coated tiles were dried at 50° C. for 20 minutes in dark before starting the performance evaluation. In case of S. aureus, 0.1 mL of S. aureus suspension (2-3×105 CFU/mL) was pipetted onto each coated tile surface and allowed to spread, giving a surface loading of 6400-9600 CFU/cm2. The tiles with S. aureus were dried in the dark in a biosafety cabinet for 3 hours.
A Perkin-Elmer Lambda 800 UV/VIS spectrophotometer with PELA-1000 reflectance accessory was used to measure light adsorption by TiO2 over a range of 300 to 700 nm. The band gap energy was determined from E=hc/λ, where λ us the wavelength at which a strong cutoff in absorption is observed, h is the Plank constant (4.14×10-15 eV.$) and c is the speed of light in vacuum (3.00×108 m/s). A white Teflon plate was used as the internal reference. The band gaps for anatase and rutile were determined from UV3 Visible absorption measurements to be 3.2 eV for A7 and 3.03 eV for R22. The crystal type and the size of crystallite was determined with X-ray diffraction on an APD 3720 diffractometer (Philips, Andover, Mass.) with Cu-Kα radiation (40 kV, 25 mA) and diffracted beam monochromator, using a step scan mode with the step of 0.075° (20) and 4 s per step. Crystal structure was identified according to the database of International Centre for Diffraction Data (ICDD). The crystallite size was determined from the Scherrer equation:
where L is the average crystallite size, K is the shape factor (0.9), A is the X-ray wavelength of Cu-Kα radiation (1.54 A), B is the overall line broadening in radians at the full width at half maximum (FWHM) intensity, b is the line broadening in radians at the FWHM intensity caused by the instrument itself (0.07) and 0 is the Bragg angle, i.e., the angle at which highest intensity was observed. X-ray diffraction patterns of anatase and rutile are in good agreement with the anatase and rutile crystalline structures given in the ICDD database. Photocatalysts utilized in the antimicrobial coatings were anatase and rutile with 7 nm and 22 nm primary crystallite sizes, respectively.
The purity of TiO2 powders (anatase and rutile) was determined with X-ray photoelectron spectroscopy (XPS) (Perkin-Elmer PHI 5100ESCA system). The data obtained was analyzed with AugerScan software (Thermo Fisher Scientific, Waltham, Mass.). X-ray photoelectron spectra indicated the presence of titanium, oxygen and adventitious carbon in each powder. Rutile also included a small amount (4.9 atomic %) of aluminum, potentially from the aluminum substrate. Both powders were pure white in color.
Specific surface area of anatase and rutile was measured under nitrogen using a NOVA 1200 with multipoint BET (Quantachrome Instruments, Boynton Beach, Fla.). TiO2 powder was degassed and dried under vacuum at 110° C. prior to measurement.
Scanning electron microscopy (JOEL 6335F FEG-SEM) was used to observe the ultrastructure of TiO2 coating at the conditions of 10 kV accelerating voltage and 10 mm working distance.
Staphylococcus aureus (ATCC 25923) was obtained from American Type Culture Collection (Manassas, Va.). Tryptic soy agar and tryptic soy broth (Becton, Dickinson and Company, Sparks, Md.) were used for culturing and enumerating the bacteria. A mass of 40 g Tryptic soy agar powder was suspended in 1 L of deionized water and mixed thoroughly with heating to the boiling point. The solution was autoclaved at 120° C. and 16 bar for 15 minutes. Plates were made by pouring the autoclaved agar into 100×15 mm sterile plastic Petri dishes (Fisher Scientific) and air dried in a laminar flow hood (LABCONCO purifier class 2 safe cabinet) for 24 hours. The dried agar plates were used immediately or stored in inverted position in a refrigerator at 4° C. Broth was prepared by adding a mass of 32 g tryptic soy broth powder to 1 L of deionized water and mixing thoroughly with heating to the boiling point. The broth was autoclaved at 120° C. and 16 bar for 20 minutes. Autoclaved broth was used immediately or stored in a refrigerator at 4° C. Phosphate-buffered saline (PBS) solution was prepared by dissolving 12.36 g Na2HPO4, 1.8 g NaH2PO4 and 85 g NaCl in 1000 mL of deionized water and then diluting 10× immediately before use. PBS/SDS solution was prepared by adding 0.576 g sodium dodecyl sulfate (SDS) to 1000 mL of PBS and then autoclaving at 120° C. and 16 bar for 15 minutes.
The S. aureus culture was maintained by streaking the bacteria on tryptic soy agar in a Petri dish. The inoculated plate was inverted and incubated at 37° C. for 24 hours. An inoculation loop was used to transfer a loop full of S. aureus from the plate to a 250 mL Erlenmeyer flask containing 100 mL of autoclaved tryptic soy broth. The flask was then placed in an incubator at 37° C. for 24 hours. After 24 hours, a volume of 1 mL of bacterial suspension was added to ten centrifuge tubes each containing 1 mL of 50% glycerol as cryoprotectant. The mixture was then stored at -84° C. until further use.
S. aureus was cultured by adding a 2 ml aliquot of S. aureus that was previously frozen at −84° C. in 25% glycerol to a 250 mL Erlenmeyer flask containing 100 mL of sterile tryptic soy broth. The culture was incubated in a shaker-incubator at 150 rpm and 37° C. for 24 hours. The suspension was washed three times with sterile deionized water and the final pellet was resuspended in 15 mL of deionized water. The number of colony forming units (cfu) in a suspension of S. aureus was determined by serial dilution and viable plate counts. A series of 10-fold dilutions (10-1 to 10-7) were prepared from the S. aureus suspension by adding 0.333 mL of sample to 3.0 mL sterile deionized water in a dilution tube, followed by vortexing for 10 seconds. A volume of 0.1 mL of diluted sample was spread over the surface of tryptic soy agar using a Teflon rod in each of three 100×15mm Petri dishes. The inoculated plates were inverted and then incubated at 37° C. for 24 hours. Where possible, results were taken from plates that contained between 30 and 300 colonies.
Organic dye or S. aureus suspension was applied to the test surfaces. In case of organic dye, 0.02 mL of PR solution (2000 mg/L) or MO solution (2000 mg/L) was pipetted onto coated tiles and allowed to spread. The dye-coated tiles were dried at 50° C. for 20 minutes in dark before starting the performance evaluation. In case of S. aureus, 0.1 mL of S. aureus suspension (2-3×105 CFU/mL) was pipetted onto each coated tile surface and allowed to spread, giving a surface loading of 6400-9600 CFU/cm2. The tiles with S. aureus were dried in the dark in a biosafety cabinet for 3 hours.
The photocatalytic experiments were carried out under fluorescent lamps (General Electric model T8 Ultramax F28T8-SPX41) at visible light irradiance of 1.8-2.0 W/m2. The UVA irradiance (0.000 W/m2) was below the detection limit of the instrument consistent with no UV emission from the fluorescent lamp spectra. The UVA irradiance (0.000 W/m2) was below the detection limit of the instrument consistent with no UV emission from the fluorescent lamp spectra. The visible light and UVA irradiances were measured with a PMA 2140 Global detector or a PMA 2110 UVA detector attached to a PMA2110 meter (Solar Light Co., Glenside, Pa.).
The temporal changes in dye concentration were determined by measuring the absorbance after predetermined times of exposure to visible light. The inactivation of S. aureus was evaluated by determining the viable counts after exposure to visible light.
Reflectance of coated or uncoated tile surfaces was measured with the Perkin-Elmer Lambda 800 with PELA-1000 Reflectance Spectroscopy Accessory (Perkin Elmer; Waltham, Mass.). Absorbance was calculated as the negative log10 of reflectance expressed as fraction. Coated tiles without dye were used as the internal reference in the measurement. Dye degradation was calculated according to:
where A0 is the calculated absorbance of dye on coated tile before exposure to visible light and At is the absorbance of dye on coated tile after exposure to visible light at a given time.
The inactivation of S. aureus was evaluated by determining the viable counts after exposure to visible light. Bacteria were recovered by immersing a tile in 20 mL PBS/SDS solution within a polypropylene centrifuge tube and vortexing for 15 seconds. The tube was then sonicated at highest power for 1 minute. During sonication, the tube was immersed in a flowing water bath at 28° C. After sonication, the tube was vortexed for 15 seconds. The viable bacteria in a volume of 0.1 mL suspension from the centrifuge tube were enumerated as described previously. The inactivation was calculated with the following equation:
where CFU0 is the number of colonies at time zero and CFUt is the number of colonies after time t.
The significance of visible light absorption by contaminant was delineated by employing filters to limit the wavelengths of visible light available for absorption. Four 400 nm longpass filters (2″×2″) were joined to form a square of 4″×4″ held together by transparent tape. The tiles coated with PR or MO dyes were prepared as stated above. In each set of experiment, four tiles were placed in a Petri dish. In case of neutral filter experiments, the Petri dishes were covered with their lids. In case of longpass filter experiments, the 4″×4″ filters were placed on the Petri dish without lids and the experiments were carried out as above.
The Bioshield primer was applied directly from the manufacturer's container. The A7+0.1PHF nanocomposites was prepared by adding 200 mg of A7 to 180 mL of dilute NaOH solution (pH=9-9.5). The A7 suspension was sonicated (Misonix Sonicator 3000; Farmingdale, N.Y.) at the highest power level providing 180-200 W for 30 minutes total (10 min on/2 min off×3). A volume of 20 mL of PHF solution (1 mg/mL) was then added to A7 suspension and mixed with magnetic stirrer for 10 minutes. This procedure was repeated to accumulate a total volume of 5 L.
All surfaces (walls, ceilings, furniture, attached fixtures, etc.) were steamed prior to coating to remove contaminants and ensure adhesion of the coating. After 15 minutes of drying, Bioshield primer was applied using an electric fogger (Model 2600, American Air & Water®, Inc.; Hilton Head Island, S.C.). After 15 minutes of drying time, the A7+0.1PHF formulation was applied to all surfaces.
Sterile cotton swabs were used to collect microbes from selected surfaces. A swab was immersed in sterile deionized water, followed by wiping on selected surfaces (2×2 in) back and forward 5 times. Microbes adhered to the wetted cotton were streaked on Tryptic soy agar plates. The plates were inverted and then placed in a 37° C. incubator. Colony forming units (CFU) were counted after 48 hours of incubation.
It should be understood that the examples and embodiments described herein are for illustrative purposes only and that various modifications or changes in light thereof will be suggested to persons skilled in the art and are to be included within the spirit and purview of this application.
This application claims the benefit of U.S. Provisional Application Ser. No. 62/368,357, filed Jul. 29, 2016, the disclosure of which is hereby incorporated by reference in its entirety, including all figures, tables and drawings.
This invention was made with government support under Grant No. 1127830 awarded by the National Science Foundation and Grant No. 0749481 awarded by the National Science Foundation. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2017/044677 | 7/31/2017 | WO | 00 |
Number | Date | Country | |
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62368357 | Jul 2016 | US |