Sink drains in hospitals are notorious reservoirs of bacteria, hosting both planktonic micro-organisms and biofilms within the siphon. Disinfectants based on peracetic acid are both non-corrosive and effective in eliminating biofilm and planktonic micro-organisms, presenting a potential solution for decontaminating sink drains. To examine the effectiveness of Clinell Drain Disinfectant, a peracetic-acid-based disinfectant, in the intensive care unit (ICU) of UZ Brussel. All 10 sinks in one of the ICU subunits known to be heavily contaminated were treated with Clinell Drain Disinfectant for one month. Throughout the treatment period, bacterial growth in the P-traps was systematically monitored qualitatively (using eSwab) and quantitatively (employing a sterile catheter and syringe) on various selective agar plates, processed and incubated in the WASPLab system. Matrix-assisted laser desorption/ionization time-of-flight mass spectroscopy was used to identify all morphologically distinct colonies. At baseline, most of the sink drains were colonized by high concentrations of multidrug-resistant micro-organisms, primarily VIM-producing P.aeruginosa. The cultures taken immediately after decontamination yielded negative results, with only a very few exceptions. Nonetheless, it was observed that the biofilm in the upper section of the drain system remained unaffected, and within two days it was capable of recolonizing the liquid in the P-traps at a concentration >100,000cfu/mL. After one month, this disinfecting protocol did not result in a lasting decontamination of the sink drains. This study demonstrated the disinfectant's efficacy in decontaminating the P-trap liquid.
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