Evidence map›Paper›PMID 37976243›Full record

ArticlePloS one2023

Preclinical safety evaluation of continuous UV-A lighting in an operative setting.

Rachael Guenter, Rui Zheng-Pywell, Brendon Herring, Madisen Murphy, Jeremy Foote, Kevin Benner, J Bart Rose

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Erasable FAP Targeted Spray-On Probe for Fluorescence-Guided Surgery.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Rachael GuenterDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.ORCID 0000-0002-1024-7037
Rui Zheng-PywellDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Brendon HerringDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Madisen MurphyDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Jeremy FooteDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.ORCID 0000-0002-6621-6096
Kevin BennerGE Current, a Daintree Company, East Cleveland, Ohio, United States of America.ORCID 0000-0002-6897-654X
J Bart RoseDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.ORCID 0000-0002-0471-3978
University of Alabama at Birmingham · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008361 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YACOUBIAN, TALENE ALENE · 1992 to 2024
$16.8M
Characterizing the Role of NOTCH2 in Neuroendocrine TumorsF31CA260945 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HERRING, BRENDON ROBERT · 2022 to 2024
$125k
NCI NIH HHS F31 CA260945NIGMS NIH HHS T32 GM008361
6 · The paper itself

Abstract

backgroundGermicidal ultraviolet (UV-C) light has been shown as an effective modality for disinfection in laboratory settings and in the operative room. Traditionally, short-wavelength UV-C devices, which have previously been shown to cause DNA damage, are utilized only for disinfection in pre- and post-operative settings and are not continuously active during operations. Continuous use of intraoperative UV light has potential to decrease pathogens and subsequent surgical site infections (SSIs), which arise in approximately 5-15% of operative cases. SSIs are a significant determinant of patient morbidity, readmission rates, and overall cost. Therefore, a method of UV light disinfection with a low risk of DNA damage is needed so that greater antimicrobial protection can be afforded to patients during the entirety of their surgical procedures. A new disinfection device that harnesses longer-wavelength UV-A light to disinfect the surgical field throughout the entirety of the procedure, including pre- and post-operation has been developed.

methodsThis study aimed to determine if UV-A light administered intraoperatively was safe, as defined by the minimal presence of DNA damage and safe amounts of reflection upon medical personnel. Using in vitro models, we examined the differential impacts of UV-C and UV-A light on DNA damage and repair pathways. In a murine model, we looked at the production of DNA damage photoproduction in relation to UV-A versus UV-C exposure.

resultsOur results show UV-A light does not induce a significant amount of DNA damage at the cellular or tissue level. Furthermore, a preclinical porcine study showed that surgical personnel were exposed to safe levels of UV-A irradiance from an overhead UV-A light used during an operation. The amount of UV-A transmitted through surgical personal protective equipment (PPE) also remained within safe levels.

conclusionsIn conclusion, we found that UV-A may be safe for intraoperative use.

Indexed as

LightingUltraviolet RaysAnimalsDisinfectionHumansMiceSwine

Identifiers

PMID37976243
PMCPMC10656011
OpenAlexW4388775586

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.