Environmental cleaning to prevent COVID-19 infection. A rapid systematic review

Autores

Palavras-chave:

COVID-19 [supplementary concept], Coronavirus infections, Environmental monitoring, Disinfection, Sterilization

Resumo

BACKGROUND: Faced with a pandemic, all healthcare actions need to reflect best practices, in order to avoid high transmissibility, complications and even hospitalizations. For hospital environments, the prod- ucts recommended and authorized by regulatory institutions for environmental cleaning and disinfection need to be highly effective. OBJECTIVE: To identify, systematically evaluate and summarize the best available scientific evidence on environmental cleaning to prevent COVID-19 infection. DESIGN AND SETTING: A systematic review of studies analyzing cleaning products that inactivate corona- virus, conducted within the evidence-based health program of a federal university in São Paulo (SP), Brazil. METHODS: A systematic search of the relevant literature was conducted in the PubMed, EMBASE, Co- chrane Library, CINAHL and LILACS databases, for articles published up to May 27, 2020, relating to studies evaluating cleaning products that inactivate coronavirus in the environment. RESULTS: Seven studies were selected. These analyzed use of 70% alcohol, detergent, detergent contain- ing iodine, household bleach, sodium hypochlorite, hydrogen peroxide, chlorine dioxide, glutaraldehyde, ultraviolet irradiation and plasma air purifier. The effectiveness of treating sewage with sodium hypochlo- rite and chlorine dioxide was also evaluated. CONCLUSION: Disinfection of environments, especially those in ordinary use, such as bathrooms, needs to be done constantly. Viral inactivation was achieved using chlorine-based disinfectants, alcohol, deter- gents, glutaraldehyde, iodine-containing detergents, hydrogen peroxide compounds and household bleaches. Alcohol showed efficient immediate activity. In sewage, sodium hypochlorite had better action than chlorine dioxide. REGISTRATION NUMBER: DOI: 10.17605/OSF.IO/YC5P4 in the Open Science Framework.

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Biografia do Autor

Patrícia Mitsue Saruhashi Shimabukuro, Department of Evidence-Based Health, Universidade Federal de São Paulo

Nurse, Hospital Sancta Maggiore São Paulo, São Paulo (SP), Brazil; Master’s Student, Master’s Program, Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Márcio Luís Duarte, Department of Evidence-Based Health, Universidade Federal de São Paulo

MD, MSc. Musculoskeletal Radiologist, Webimagem, São Paulo (SP), Brazil; Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Aline Mizusaki Imoto, Department of Evidence-Based Health, Universidade Federal de São Paulo

PT, PhD. Professor, Professional and Academic Master’s Program in Health Sciences, Evidence-Based Health Laboratory, Escola Superior de Ciências da Saúde (ESCS), São Paulo (SP), Brazil.

Alvaro Nagib Atallah, Department of Evidence-Based Health, Universidade Federal de São Paulo

MD, PhD. Head of Department of Evidence-Based Health, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Eduardo Signorini Bicas Franco, Department of Evidence-Based Health, Universidade Federal de São Paulo

PT, MSc. Doctoral student, Department of Evidence-Based Health, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Maria Stella Peccin, Department of Evidence-Based Health, Universidade Federal de São Paulo

PT, PhD. Associate Professor, Department of Human Movement Sciences, and Advisor of Evidence-Based Health Program, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

Mônica Taminato, Department of Evidence-Based Health, Universidade Federal de São Paulo

PhD. Nurse, Escola Paulista de Enfermagem (EPE), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.

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Publicado

2020-12-03

Como Citar

1.
Shimabukuro PMS, Duarte ML, Imoto AM, Atallah AN, Franco ESB, Peccin MS, Taminato M. Environmental cleaning to prevent COVID-19 infection. A rapid systematic review. Sao Paulo Med J [Internet]. 3º de dezembro de 2020 [citado 14º de março de 2025];138(6):505-14. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/372

Edição

v. 138 n. 6 (2020)

Seção

Artigo Original

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Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.