Evidence map›Paper›PMID 41526825›Full record

ArticleBMC infectious diseases2026

Efficacy of UV-C devices in Clostridioides difficile environmental decontamination in a hospital setting: a before-after study.

Nofar Fourman, Esther Houri-Levi, Eyal Meltzer, Bella Mechnik, Nani Pinas-Zade, Leonid Maizels, Yehudit Eden-Friedman, Shir Raibman-Spector, Gili Regev-Yochay, Mayan Gilboa

Abstract read
In one paragraph

Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Fate ofFrontiers in microbiology · 2026
    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

10 authors.

Nofar FourmanFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Esther Houri-LeviFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Eyal MeltzerFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Bella MechnikInfection Prevention & Control Unit, Sheba Medical Center, 2 Sheba Road, Tel Hashomer, Ramat-Gan, 52621, Israel.
Nani Pinas-ZadeInfection Prevention & Control Unit, Sheba Medical Center, 2 Sheba Road, Tel Hashomer, Ramat-Gan, 52621, Israel.
Leonid MaizelsFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Yehudit Eden-FriedmanFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Shir Raibman-SpectorFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Gili Regev-YochayFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel.
Mayan GilboaFaculty of Medical & Health Sciences, Ramat Aviv, Tel Aviv University, Tel Aviv, 69978, Israel. Maayangilboa@tau.ac.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClostridioides difficile infection (CDI) is a leading healthcare-associated infection, with significant morbidity, mortality, and healthcare costs. Effective environmental decontamination is critical for infection control, as C. difficile spores persist on surfaces despite standard cleaning protocols. Ultraviolet (UV) light devices have been proposed as adjuncts to standard disinfection methods, yet their real-world effectiveness in reducing environmental contamination remains unclear. This study evaluates the impact of UV devices on environmental contamination in hospital rooms previously occupied by symptomatic CDI patients and asymptomatic C. difficile carriers.

methodsWe conducted a prospective interventional before-after study in a tertiary hospital’s internal medicine wards. Environmental samples were collected from ten high-touch sites in 33 rooms occupied by CDI patients (n = 5) or asymptomatic carriers (n = 28). Following routine daily cleaning with sodium hypochlorite (bleach), UV disinfection was performed, and samples were taken before and after UV application using sponge environmental wipes and cultured to quantify colony-forming units (CFUs). A contamination scale (0–4) was used to assess overall contamination levels, incorporating both CFU counts and the number of affected sites. Statistical analysis included Student’s t-test and chi-square tests.

resultsBefore UV disinfection, 27% (9/33) of rooms were classified as heavily contaminated, and 12% (4/33) had medium contamination. After UV application, 21% (7/33) remained heavily contaminated, while 18% (6/33) exhibited medium contamination (p = 0.46). The mean contamination scale score decreased from 1.94 ± 1.56 to 1.58 ± 1.64 (p = 0.08). No significant reductions were observed in CFU couants (29.61±61.07 before vs. 17.97 ± 42.53 after, p = 0.1) or the number of contaminated sites (2.24±2.26 before vs. 1.91 ± 2.19 after, p = 0.07).

conclusionsOur findings suggest that adding UV disinfection after daily bleach cleaning did not significantly reduce C. difficile contamination. Further evidence is needed to determine the potential added value of UV technology.

Indexed as

Clostridioides difficileClostridium InfectionsDecontaminationDisinfectionUltraviolet RaysColony Count, MicrobialCross InfectionEnvironmental MicrobiologyHospitalsHumansProspective StudiesC. difficile carrierClostridioides difficileDecontaminationUV deviceUV robot

Identifiers

PMID41526825
PMCPMC12888133

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.