Application of a quaternary ammonium agent on surgical face masks before use for pre-decontamination of nosocomial infection-related bioaerosols

Abstract

Surgical face masks are commonly used by the general public in indoor environments. However, masks could be contaminated, resulting in secondary microbial infections when they act as touchable fomites. Therefore, we evaluated the ability and durability of a covalently bound antimicrobial surfactant coated onto mask surfaces before use to reduce the bacterial burden upon exposure to aerosols. With regard to bacteria that settled onto the mask surface, this antimicrobial product provided >99.3% efficiency for all three tested bacterial species. In addition, the antimicrobial ability of the coated mask maintained efficacy at least one week after coating. For bioaerosols that came into contact with the mask (103 CFU/m3), the antimicrobial agent reduced the average colony rates by 91.8%, but the rates decreased with increased bioaerosol concentrations. Moreover, regardless of whether the coated mask was processed with the bioaerosol penetration test or the National Institute for Occupational Safety and Health-certified sodium chloride aerosol test, the filtration performance of the surgical mask was not significantly altered. These results demonstrate that this antimicrobial product has a durable inhibitory activity for the reduction of bacterial burdens on masks.