Surface Contamination Research Articles

Faucets and keyboards as a major reservoir of gram-negative bacilli in a regional hospital in Northeast Brazil

Infections related to healthcare assistance represent a major public health problem worldwide, and the main etiological agents associated with these infections are microorganisms also found on inanimate hospital surfaces. Therefore, understanding the dynamics of bacterial contamination of hospital surfaces is essential for professionals working in these services. Objective: To evaluate the contamination of inanimate surfaces by Gram-negative bacilli (GNB) in a Regional Hospital in Northeast Brazil. Methods: This is an observational and cross-sectional study. Samples were collected from different hospital wards using a sterile swab soaked in saline solution. They were then plated on MacConkey agar and incubated at 36°C for 48 hours. The bacterial isolates were counted and identified using the Gram staining method, TSI agar, and oxidase test. Results: Out of the 150 samples collected, 71 showed no microbiological growth, 11 showed growth of filamentous fungi, and 66 showed growth of Colony Forming Units (CFU). A total of 132 morphologically distinct colonies were identified, with 55 identified as yeasts and 77 as GNB. In the evaluation of hospital wards, the Adult Emergency Room and the Orthopedic Surgical Clinic showed the highest growth of GNB. Regarding the surfaces studied, the most contaminated were faucets, computer keyboards, mattresses, and beds. Conclusions: Hospital areas with higher human traffic are the most contaminated, particularly on frequently handled objects. Therefore, it is necessary to focus on disinfecting these surfaces to break the transmission chain of these etiological agents.

Development of α-ray visualization survey meter in high gamma and neutron background environment.

A survey meter was developed to reliably detect and visualize surface contamination of suits and objects by α-nuclides in high γ/n-rays background radiation environment. The survey meter features a semi-opaque ZnS:Ag scintillator mounted directly onto a multi-anode photomultiplier tube (MA-PMT) and amplification circuits, ensuring output gain equalization for all channels. α-ray events induce localized light emission in thin-film scintillators. By directly mounting the scintillator, diffusion of light before reaching the MA-PMT is suppressed, concentrating it in just a few channels, thereby facilitating discrimination from background radiation. This design also enables clear visualization of the shape of surface contamination. The prototyped survey meter is capable of responding up to 2.1×107cpm, with no γ-ray response even in high-radiation environments exceeding 1Sv/h. In actual environments with high background radiation, contamination of ~1/100th of the surface contamination density limit of 4Bq/cm2 could be reliably detected.

Cleaning and Disinfection of Surfaces in a COVID-19 Respiratory Syndrome Unit: A Quasi-Experimental Study

Objective: This study aimed to assess the impact of an educational intervention on the cleaning and disinfection processes within a respiratory syndrome unit, serving as a designated facility for COVID-19 patients. Methods: A quasi-experimental design was employed, incorporating a pre-intervention and postintervention assessment. The evaluation of surfaces involved various monitoring techniques, including Adenosine Triphosphate (ATP) testing, colony-forming unit analysis, and visual inspections. All statistical analyses were conducted at a significance level of 5% (p < 0.05). Results: Following the implementation of the educational intervention, a notable reduction in surface contamination rates was observed. Significant improvements were noted for specific surfaces when utilizing the ATP testing method, including benchtops (p = 0.030), mattresses (p = 0.014), doorknobs (p = 0.014), and armchairs (p = 0.014). Furthermore, a decrease in the total count of aerobic bacteria was observed for benchtops (p = 0.014), mattresses (p = 0.014), and doorknobs (p = 0.014). Visual inspection results also indicated enhancements, with approval rates for benchtops, armchairs, and mattresses rising from 0% before the intervention to 37.5% afterward. Conclusion: The findings of this study demonstrate substantial improvements in approval rates following the implementation of the educational intervention. Additionally, this research provides valuable insights for the development of ongoing educational initiatives for the healthcare team, incorporating evaluation and feedback mechanisms as well as updates to cleaning and disinfection protocols.

Studying the Photoactivity of Ag-Decorated TiO2 Nanotubes with Combined AFM and Raman Spectroscopy

The drive for the development of systems that can simultaneously investigate chemical and morphological information comes from the requisite to fully understand the structure and chemical reactivity relationships of materials. This is particularly relevant in photocatalysis, a field ruled by surface interactions. An in-depth understanding of these complex interactions could lead to significant improvements in materials design, and consequently, in photocatalytic performances. Here, we present a first approach to a combined atomic force microscopy (AFM) and Raman spectroscopy characterization of anodic TiO2 nanotubes arrays decorated with Ag nanoparticle electrodeposition from either the same anodizing organic electrolyte or from an aqueous one. Photocatalytic substrates were used in up to 15 consecutive photocatalysis tests to prove their possible deterioration with reuse. Sample aging can, in principle, produce changes in both the morphology and the chemical compounds that characterize the photocatalyst surface. Adopting multiple characterization techniques, such as a combination of AFM and Raman spectroscopy in an original setup, can profitably enable the observation of surface contamination. A significant drop in photocatalytic activity was observed after 10 cycles on samples where silver was deposited from the organic electrolyte, while the others remained stable. Such a drop was ascribed to photocatalyst deactivation. While in other cases, a simple recovery treatment allowed the initial photoactivity to be restored, this deactivation was not restored even after chemical and thermal cleaning treatments.

Enhanced removal of fluoride ions using lanthanum-doped coconut shell biochar in PVDF ultrafiltration membranes

Fluoride contamination in surface and ground water poses significant health risks, necessitating a low-energy, cost-effective removal method. Herein, an ultrafiltration (UF) adsorptive membrane doped with lanthanum (La)-based coconut shell biochar was synthesized to effectively remove fluoride ions. Based on the results of adsorption and membrane separation performance, it was found that La-based biochar showed a significantly higher adsorption capacity (126.7 mg F/g) compared to bare biochar (27.41 mg F/g), due to the oxygen-containing functional groups from La2O2CO3 that enhance binding sites and electrostatic attraction for fluoride ions. Furthermore, the addition of La-modified adsorbent to the polyvinylidene fluoride (PVDF) UF membrane markedly altered its structure and surface properties, changing the pore structure to porous, narrowing pore size, increasing active adsorption sites, and improving hydrophilicity. These changes boosted fluoride ion rejection from 9.53 % to 62.07 % with tiny effect on membrane permeability. More important, this UF adsorptive membrane exhibited excellent antifouling ability with the lowest flux decline (J/J0 =0.450) compared to pristine PVDF membrane (J/J0 =0.142), which was owing to the better improved surface properties. In all, this study provides a novel strategy for efficient, economic and selective separation of fluoride ions and further extends the application of UF to the field of ion removal.

Multifunctional Smart Fabrics with Integration of Self-Cleaning, Energy Harvesting, and Thermal Management Properties.

Due to their good wearability, smart fabrics have gradually developed into one of the important components of multifunctional flexible electronics. Nevertheless, function integration is typically accomplished through the intricate stacking of diverse modules, which inevitably compromises comfort and elevates processing complexities. The integration of these discrete functional modules into a unified design for smart fabrics represents a superior solution. Here, we put forward a rational approach to functional integration for the typical challenges of thermal management, energy supply, and surface contamination in smart fabrics. This sandwich-structured multilayer fabric (MLF) is obtained by continuous electrospinning of two layer P(VDF-HFP) fabric and one layer P(VDF-HFP) fabric functionalized with core-shell SiO2/ZnO/ZIF-8 (SZZ) nanoparticles. Specifically, MLFs achieve effective and stable energy harvesting in triboelectric nanogenerators (TENGs) with hydrophobicity and antibacterial properties. Meanwhile, MLFs also have high mid-infrared emissivity and sunlight reflectivity, successfully realizing radiative cooling under different climates, and have been applied in wearing clothing, roof shading, and car covers. This work may contribute to the design and manufacturing of next-generation thermal comfort smart fabrics and wearable electronics, particularly in terms of the rational design of multifunctional devices.

Development of a method for evaluating fabric surface contamination by particulate matter using fluorescent particles

Functional clothing products are being developed to prevent the attachment of particulate matter (PM). However, currently, PM-blocking performance of such products cannot be quantitatively evaluated. This study developed a method for measuring fabric surface contamination by PM by contaminating textile fabrics with PM and using an image processing technique. Silicate particles exhibiting fluorescence characteristics with a suitable size distribution were selected as PM simulants. The fabric surface contamination was calculated by contaminating textile fabrics under wind speed and PM concentration conditions similar to actual atmospheric environment. The number of pixels was obtained in the black and white binary images converted from the images of the textile fabrics captured under an ultraviolet (UV) light source. Experiments were performed using finished nylon fabric with PM-blocking performance and raw nylon fabric without PM-blocking performance. Comparison of the fabric surface contamination shows that it is possible to evaluate the PM-blocking performance of fabrics.

Scanning electron microscopy imaging of multilayer-doped GaN: Effects of surface band bending, surface roughness, and contamination layers on doping contrast

Dopant profiling by a scanning electron microscope possesses great potential in the semiconductor industry due to its rapid, contactless, non-destructive, low cost, high spatial resolution, and high accuracy characteristics. Here, the influence of plasma and wet chemical treatments on doping contrast was investigated for a multilayered p-n GaN specimen, which is one of the most promising third-generation wide bandgap semiconductors. Angle-resolved x-ray photoelectron spectroscopy and atomic force microscope were employed to characterize the degree of surface band bending, surface roughness, gallium oxides, and hydrocarbons on the surface of GaN. N2 and air plasmas were unable to remove the surface contamination layers, although the degree of surface band bending was suppressed. In contrast, wet chemical methods offer superior capability in removing contamination layers; however, the surface roughness was increased to varying degrees. Notably, NH4F solution is capable of improving the doping contrast. The underlying mechanism was elucidated from the perspective of surface band bending, surface roughness, and contamination. The findings reported here will provide a feasible solution for effective characterization of semiconductor materials and devices.

Impact of monolayer WS2 surface properties on the gate dielectrics formation by atomic layer deposition

Two-dimensional transition metal dichalcogenides (2D TMDs), such as MoS2 and WS2, have emerged as promising channel materials for future generation transistors. However, carbon-based surface contaminants pose a significant challenge in the formation of high-quality metal–oxide–semiconductor gate stacks for 2D TMDs. Carbon-based surface contaminants are known to be present even on directly grown 2D TMDs that have not been in contact with polymers. These organic contaminants affect precursor adsorption during atomic layer deposition (ALD) of gate dielectrics on 2D TMDs and as such the 2D-dielectric interface. This study examines the effectiveness of predeposition annealing in mitigating carbon-based contaminants while maintaining the integrity of a directly grown WS2 monolayer on a SiO2 substrate. We show that a WS2 monolayer on a SiO2/Si substrate remains stable during vacuum annealing at temperatures up to 400 °C. Water contact angle measurements and x-ray photoelectron spectroscopy confirm that the surface concentration of carbon starts to decrease at 150 °C. Thermal anneal improves the surface coverage of Al2O3 for both conventional chemisorption-based ALD and physisorbed-precursor-assisted ALD processes by facilitating more effective Al2O3 nucleation on the WS2 monolayer. The impact of predeposition anneal on the Al2O3 growth behavior in both processes can be explained by changes in surface contaminant levels. Our results underscore the importance of surface pretreatment in dielectric deposition on 2D TMDs and demonstrate that predeposition anneal is an effective method to enhance ALD-based dielectric deposition on directly grown 2D TMDs.

Integrated geophysical and geospatial techniques for surface and groundwater modeling

An integrated approach using geophysical and geospatial techniques was employed to model the surface and subsurface water-bearing strata and assess aquifer vulnerability in the Sehnsa town, Kotli district, State of Azad Kashmir, Pakistan. The inadequate scientific studies in the hilly terrain with such complex geological conditions has led to the failure of the boreholes for groundwater extraction. For the evaluation of groundwater potential and subsurface lithology, 30 vertical electrical soundings (VES) stations utilizing the Schlumberger electrode configuration were completed, modeled and analyzed spatially. Numerous geoelectrical parameters like true resistivity, thickness of subsurface layers and Dar-Zarrouk parameters were evaluated. The subsurface lithology delineated comprised topsoil, clayey sand, sandstone, and boulder clays which closely resemble to the borehole lithologs available in the study area. The inversion model confirms the presence of patches of high-resistivity sandstone in the southwestern part of the study area with the maximum thickness of the aquifer up to 140 m. Most aquifers were classified as unconfined with Q–type resistivity curves. The protective overburden capacity of the aquifers is rated as poor at VES 1, 3–5, 8, 10–16, 18, 19, 22–25, 27 and 30 whereas the moderate category was found at VES 2, 9 and 20 and excellent at VES 7 and 28, respectively. Therefore, the VES stations with poor and moderate ratings of overburden protective capacity are vulnerable for surface contaminants. The aquifer recharge was associated with rainfall and partly from the Poonch River. The effective integration of geophysical and geospatial techniques in this study provides sufficient information about the regional water resources and gives a preliminary model that can facilitate efficient water resource management in the area. These approaches can be successfully applied to diverse geographical and hydrogeological sites due to their versatility and reliability.

An Assessment of Surface Contamination and Dermal Exposure to 5-Fluorouracil in Healthcare Settings by UPLC-MS/MS Using a New Atmospheric Pressure Ionization Source

5-Fluorouracil (5-FU) is a well-known cytostatic drug, which is often used in cancer treatments. Yet, it is also a very dangerous compound for people who are occupationally exposed to it for a long time, such as pharmacy employees, nurses and cleaning staff. We aimed to improve and implement a LC-MS/MS method for 5-FU quantification on surface contamination samples collected with swabs in a pharmacy department and outpatient nursing station of a university hospital. To improve the existing methods to quantify 5-FU, we compared a LC-MS/MS method using the frequently applied electrospray ionization source (ESI) with a UniSpray ionization source (USI). To determine the contamination of 5-FU in a pharmacy department preparing 5-FU infusion bags, which are then given to patients in the outpatient nursing stations, we collected multiple surface swabs of the laminar flow cabinets and frequently touched objects, before the preparation and administration of 5-FU and afterwards. Furthermore, we sampled the protective gloves and the bare hands of employees of the pharmacy department, involved in the preparation of the infusion bags. Using the USI source, we were able to reach the lowest limit of quantification (LOQ). With this technique, we were able to detect 5-FU contamination on the laminar flow cabinets and frequently used objects in the pharmacy department and the outpatient nursing station in the very low ng/cm2 range. This contamination was mostly higher after preparation or administration than before. While we also found 5-FU on the protective gloves, we almost found no 5-FU on the skin of the pharmacy technicians preparing the 5-FU infusion bags. In conclusion, our method was able to detect very low concentrations of 5-FU contamination, but the contamination we found is very unlikely to result in any issues for the personnel working in these areas.

Decontamination of Fused-Silica Surfaces by UVC Irradiation as Potential Application on Touchscreens.

The contamination of surfaces by antibiotic-resistant pathogens presents an escalating challenge, especially on touchscreens in public settings such as hospitals, airports, and means of transport. Traditional chemical cleaning agents are often ineffective and leave behind harmful residues. Thus, the application of optical radiation is gaining relevance as a rapid, effective, and environmentally friendly disinfection method. This study examines the contamination of publicly accessible touchscreens and the efficacy of an irradiation approach for the radiation disinfection of microorganisms on quartz surfaces with UVC LEDs. In this setup, the LED radiation is laterally coupled into a quartz plate that serves as cover glass of a simplified touchscreen model. The process allows for the irradiation of microorganisms on the surface, without the user being exposed to hazardous radiation. To assess the efficacy of the disinfection process, a range of bacteria, mostly ESKAPE surrogates, such as Staphylococcus carnosus, Acinetobacter kookii, Escherichia coli, Enterococcus mundtii, and additionally Micrococcus luteus, were spread over a quartz plate with a homebuilt nebulization system. After operating the side-mounted LEDs for 30 s, a reduction in all bacteria except M. luteus by more than three orders of magnitude was observed. In the case of M. luteus, a significant reduction was achieved after 60 s (p < 0.05). This result demonstrates the potential of side-mounted UVC LEDs for rapid disinfection of touchscreens between two users and thus for reducing the spread of pathogens without irradiating humans.

Mechanism of Wheel-Rail Adhesion Recovery during Large Sliding processes under Water Lubrication condition

The challenge of low adhesion between the wheel and rail constrains the advancement of train braking technologies, resulting in sliding during braking, increased braking distances, and even operational safety incidents. Low adhesion arises from the contamination of the rail surface by a third body, such as water or oil, significantly reducing adhesion. However, experimental studies have found that wheel-rail adhesion coefficient under water lubrication conditions possesses a recovery capability: In scenarios characterized by low adhesion in water lubrication conditions, a secondary rise in adhesion occurs when substantial wheel-rail sliding is present. This paper focuses on numerically modeling the unique phenomenon of adhesion recovery during large-sliding processes under water lubrication conditions. Considering the notable differences in frictional heating during wheel sliding, as opposed to pure rolling conditions, we construct a wheel-rail contact model under mixed lubrication conditions that incorporates the solid-liquid coupled heat transfer effect. This model achieves stable solutions for the wheel-rail contact relationship and the temperature at the wheel-rail interface. The impacts of velocity, axle load, water temperature, and slide ratio on the adhesion recovery phenomenon are discussed, revealing the underlying mechanism of adhesion recovery during large sliding processes. Finally, brake adhesion tests under water lubrication conditions are conducted on a scaled test rig to validate the proposed theoretical model.

РАДІАЦІЙНИЙ СТАН ЗОНИ ВІДЧУЖЕННЯ В 2023 РОЦІ ЗА РЕЗУЛЬТАТАМИ РАДІАЦІЙНО-ЕКОЛОГІЧНОГО МОНІТОРИНГУ

The article presents results of radiation and environmental monitoring in the Exclusion Zone for the year 2023, after de-occupation of the territory, which was carried out in accordance with the current regulation of work, with the exception of objects on which it is temporarily impossible to carry out work due to the lack of safe access. In 2022, due to the full-scale invasion of russian federation, radiation monitoring of the environment was interrupted, monitoring of radiation-hazardous objects and environmental components of the Exclusion Zone was not carried out. Implementation of priority measures to restore the radiation and environmental monitoring system in the Exclusion Zone, after occupation by russian troops, made it possible to resume the work of the automated radiation monitoring system points, to create an additional network of measurement of gamma radiation indicators in the Exclusion Zone, to restore work of the central analytical laboratory and to restore the work of aspiration units. Thus, the enterprise resumed obtaining the necessary data on the dose rate of gamma radiation, information on the radiation state of the surface layer of the atmosphere, radiation state of surface and underground waters, radiation state of landscapes and places of residence of self-settlers. According to the results of radiation and environmental monitoring in the Exclusion Zone in 2023, important analytical data were obtained: - Maximum power values of the ambient dose equivalent of gamma radiation are characteristic of the territories in the northern and western 'traces' of radioactive fallout; - Radiation state of the Exclusion Zone air environment and its dynamics during 2023 were determined by the nature of surface contamination of the territory, man-made and biological factors, as well as meteorological conditions. Control levels exceeding by 2.5 times of 137Cs volumetric activity in the air was recorded in Chornobyl; - Surface waters remain an important route of radionuclide removal beyond the Exclusion Zone. Removal of 90Sr from Pripyat River in the area of Chornobyl in 2023 was at a level that was 2.4 times higher than the average value for the last 5 years; - As a result of observations of the radiation state of underground waters, it was determined that the average value of radionuclide contamination of eocene and cenomanian-lower cretaceous water-bearing complexes does not exceed 1 Bq/m3 for 137Cs and 5.7 Bq/m3 for 90Sr; - Monitoring results at landscape landfills indicate that the most contaminated component of the environment is the top layer of soil cover; - Radiation survey results of unauthorized residence places of the population in the Exclusion Zone showed that over the years there is an increase in the intake of 90Sr in the food products of 'self-settlers'.

Eliminate all surface contamination

Eliminate all surface contamination

Selective Plasma Treatment Endowing Low-Friction and Wear-Resistant Surface of Polycrystalline Diamond against Copper.

Despite its unrivaled hardness, polycrystalline diamond can be severely worn under the interaction with softer copper during the ultrafine copper wire drawing process. The influence of the polycrystalline diamond surface state on its friction behavior is investigated in this work, and argon, oxygen, and hydrogen plasma treatments are adopted to regulate the surface state of diamond. When sliding against copper, the original diamond plate exhibits a coefficient of friction (COF) exceeding 0.4, copper wears by transferring to the diamond, and diamond wears owing to the carbon cluster removal, as confirmed by the TOF-SIMS analyses of the obvious wear tracks. After hydrogen plasma treatment, the tribological performance of diamond sliding against copper is most significantly improved, in which the COF is more stable and reaches 0.18 with minimal wear debris. Hydrogen plasma treatment generates more hydrogen termination on the diamond surface as well as a hydrogen-containing amorphous carbon layer, which provides an isolated lubrication effect and strongly reduces adhesive wear. Argon plasma treatment also decreases the level of COF to a certain extent, which is attributed to its polishing and cleaning action that removes surface contamination and reduces roughness. In contrast, oxygen plasma treatment induces a pronounced etching effect, resulting in groove-like protrusions on the diamond surface that exacerbates abrasive wear. Our research provides a more sustainable and residue-free solution for minimizing friction and wear of polycrystalline diamond wire drawing dies.

Effect of chemical bond polarity on wafer and cleavage surface oxidation for GaAs, GaSb, InAs and InSb single crystals

Rapid development of III–V semiconductor device technologies and broadening of device applications are hindered by the high density of surface states produced in those materials by intrinsic complex oxides and surface contaminations. Surface oxides acting as non-radiating recombination centers produce a number of surface levels in the band gap. Oxidation mechanisms depend on the chemical composition of a specific III–V semiconductor compound because surface reactivities differ between materials. The effect of chemical bond polarity on surface oxidation processes in single crystal III–V semiconductor wafers is currently an important research topic. In this work, surface-sensitive XPS method has been used for studying oxidation regularities in GaAs, InAs, GaSb and InSb single crystals undergoing natural atmospheric oxidation and subjected chemical-mechanical polishing. A method of assessing oxidation levels based on chemical shifts of XPS spectral features has been developed. Oxidation level has been shown to depend on chemical bond ionicity degree, the latter being evaluated using the Sanderson and Phillips models. A decrease in surface oxidation level with an increase in bond ionicity degree has been observed for (110) single crystal wafer cleavage surfaces and for (100) single crystal wafer surfaces after single crystal slicing and chemical-mechanical polishing. We show that surface oxidation level increases in the InAs–GaAs–InSb–GaSb sequence, from arsenides to antimonides.

Analysis of silver metal with a Thermo Scientific K-Alpha XPS instrument at 50 and 200 eV pass energies

Silver metal was analyzed by x-ray photoelectron spectroscopy using a Thermo Scientific K-Alpha instrument with an Al Kα x-ray source (1486.6 eV). The silver survey spectrum and high-resolution Ag 3d, Ag M4N45N45, Ag M5N45N45, Ag 3p, O 1s, C 1s, Ar 2p, Ag 4p, and Ag 4s narrow scans were obtained. The sample analyzed is the standard instrument calibration silver foil mounted inside the analysis chamber of the K-Alpha. Sputtering with monoatomic Ar+ was performed prior to analysis to remove surface contamination. Narrow and survey scans were collected at 50 and 200 eV pass energy, respectively.

How long do bacteria, fungi, protozoa, and viruses retain their replication capacity on inanimate surfaces? A systematic review examining environmental resilience versus healthcare-associated infection risk by "fomite-borne risk assessment".

SUMMARYIn healthcare settings, contaminated surfaces play an important role in the transmission of nosocomial pathogens potentially resulting in healthcare-associated infections (HAI). Pathogens can be transmitted directly from frequent hand-touch surfaces close to patients or indirectly by staff and visitors. HAI risk depends on exposure, extent of contamination, infectious dose (ID), virulence, hygiene practices, and patient vulnerability. This review attempts to close a gap in previous reviews on persistence/tenacity by only including articles (n = 171) providing quantitative data on re-cultivable pathogens from fomites for a better translation into clinical settings. We have therefore introduced the new term "replication capacity" (RC). The RC is affected by the degree of contamination, surface material, temperature, relative humidity, protein load, organic soil, UV-light (sunlight) exposure, and pH value. In general, investigations into surface RC are mainly performed in vitro using reference strains with high inocula. In vitro data from studies on 14 Gram-positive, 26 Gram-negative bacteria, 18 fungi, 4 protozoa, and 37 viruses. It should be regarded as a worst-case scenario indicating the upper bounds of risks when using such data for clinical decision-making. Information on RC after surface contamination could be seen as an opportunity to choose the most appropriate infection prevention and control (IPC) strategies. To help with decision-making, pathogens characterized by an increased nosocomial risk for transmission from inanimate surfaces ("fomite-borne") are presented and discussed in this systematic review. Thus, the review offers a theoretical basis to support local risk assessments and IPC recommendations.

Analysis of the radiation accidents prevalence in nuclear medicine in the Russian Federation

Radiation events (accidents) appearance is an integral part of the use of ionizing radiation sources in medicine in general and nuclear medicine in particular. To minimize the negative impact on patients, workers, and public due to such events, it is necessary to have reliable information about real prevalence of the radiation events (accidents). The current work presents the analysis of the radiation accidents with medical ionizing radiation sources registered in the “Data bank of radiation accidents and incidents” of the Rospotrebnadzor Information and Analytical Centre for Radiation Safety and the results of workers questionnaires conducted in 25 nuclear medicine departments (about 30% of all nuclear medicine departments in the Russian Federation). The results of the analysis showed that the most common registered radiation accidents in the “Data bank of radiation accidents and incidents” are identification of passengers with high external dose rate as well as identification of waste contaminated by medical radionuclides. The results of the questionnaire showed that the most common radiation accidents (events) in nuclear medicine are contamination of work clothes or work surfaces with radionuclides, or patient fluids containing radionuclides; conducting examination without proper referral; extravasation of radiopharmaceutical. Existing systems of identification and registration of radiation accidents do not allow to identify radiation events (accidents) specific to nuclear medicine. The further research aimed at developing a classification of radiation events (accidents) in medicine and methods for responding to such events are feasible.