Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T00:23:43.808Z Has data issue: false hasContentIssue false

Gaseous Chlorine Dioxide as an Alternative for Bedbug Control

Published online by Cambridge University Press:  02 January 2015

Shawn G. Gibbs*
Affiliation:
Department of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center College of Public Health, Omaha, Nebraska
John J. Lowe
Affiliation:
Department of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center College of Public Health, Omaha, Nebraska Center for Preparedness Education, University of Nebraska Medical Center College of Public Health, Omaha, Nebraska
Philip W. Smith
Affiliation:
Center for Preparedness Education, University of Nebraska Medical Center College of Public Health, Omaha, Nebraska Department of Internal Medicine, Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska
Angela L. Hewlett
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska
*
Department of Environmental, Agricultural and Occupational Health, University of Nebraska Medical Center College of Public Health, 985110 Nebraska Medical Center, Omaha, NE 68198 ([email protected])

Abstract

Objective.

This study evaluated the efficacy of gaseous chlorine dioxide (ClO2) for extermination of bedbugs (Cimex lectularius and Citnex hemipterus).

Background.

Bedbugs have received attention because of recent outbreaks. Bedbug eradication is difficult and often requires a time-consuming multifaceted approach.

Setting.

Laboratory and hospital room.

Methods.

Bedbugs were exposed to concentrations of ClO2 of 362, 724, and 1,086 parts per million (ppm) in an exposure chamber. Bedbug mortality was then evaluated. The ability of ClO2 to penetrate various spaces in a hospital room was evaluated using Bacillus atropheus as a surrogate organism.

Results.

Concentrations of 1,086 and 724 ppm of ClO2 yielded 100% bedbug mortality assessed immediately after exposure. Live young were not observed for any eggs exposed to ClO2 gas. ClO2 at a concentration of 362 ppm for 1,029 parts per million hours (ppm-hours) achieved 100% mortality 6 hours after exposure. A ClO2 concentration of 362 ppm for 519 ppm-hours had 100% mortality 18 hours after exposure. Up to a 6-log reduction in B. atropheus spores was achieved using similar concentrations of ClO2 in a hospital room, indicating that the concentrations needed to kill bedbugs can be achieved throughout a hospital room.

Conclusions.

ClO2 is effective at killing bedbugs in the laboratory, and similar concentrations of ClO2 gas can be achieved in a hospital room. ClO2 can be removed from the room without residuals.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Delaunay, P, Blanc, V, Del Giudice, P, et al. Bedbugs and infectious diseases. Clin Infect Dis 2011;52:200210.CrossRefGoogle ScholarPubMed
2.Delaunay, P, Blanc, V, Dandine, M, et al. Bedbugs and healthcare-associated dermatitis, France. Emerg Infect Dis 2009; 15:989990.CrossRefGoogle ScholarPubMed
3.Hwang, SW, Svoboda, TJ, De Jong, IJ, Kabasele, KJ, Gogosis, E. Bed bug infestations in an urban environment. Emerg Infect Dis 2005;11:533538.CrossRefGoogle Scholar
4.Goddard, J, deShazo, R. Bed bugs (Cimex lectularius) and clinical consequences of their bites. JAMA 2009;301:13581366.CrossRefGoogle ScholarPubMed
5.Silverman, AL, Qu, LH, Blow, J, Zitron, IM, Gordon, SC, Walker, ED. Assessment of hepatitis B virus DNA and hepatitis C virus RNA in the common bedbug (Cimex lectularius L.) and kissing bug (Rodnius prolixus). Am J Gastroenterol 2001;96:21942198.CrossRefGoogle ScholarPubMed
6.Lowe, CF, Romney, MG. Bedbugs as vectors for drug-resistant bacteria. Emerg Infect Dis 2011;17:11321134.CrossRefGoogle ScholarPubMed
7.Environmental Protection Agency (EPA). Pesticide registration (PR notice) notice 2002-1. Notice to Manufacturers, Formulators, Producers, Registrants and Applicators of Pesticide Products. EPA, 2011. http://www.epa.gov/PR_Notices/pr2002-l.pdf. Accessed September 20, 2011.Google Scholar
8.Moore, DJ, Miller, DM. Field evaluations of insecticide treatment regimens for control of the common bed bug, Cimex lectularius (L.). Pest Manag Sci 2009;65:332338.CrossRefGoogle ScholarPubMed
9.Centers for Disease Control and Prevention. Acute illnesses associated with insecticides used to control bed bugs-seven states, 2003-2010. MMWR Morb Mortal Wkty Rep 2011;60:269274.Google Scholar
10.Anderson, AL, Leffler, K. Bedbug infestations in the news: a picture of an emerging public health problem in the United States. J Environ Health 2008;70:2427, 52-53.Google ScholarPubMed
11.Canter, DA, Gunning, D, Rodgers, P, O'Connor, L, Traunero, C, Kempter, CJ. Remediation of Bacillus anthracis contamination in the U.S. Department of Justice mail facility. Biosecur Bioterror 2005;3:119127.CrossRefGoogle ScholarPubMed
12.Environmental Protection Agency (EPA). EPA's Registered Sterilizers, Tuberculocides, and Antimicrobial Products against Certain Human Public Health Bacteria and Viruses. EPA, 2011. http://www.epa.gov/oppad001/chemregindex.htm. Accessed September 20, 2011.Google Scholar
13.Rastogi, VK, Ryan, SP, Wallace, L, et al. Systematic evaluation of the efficacy of chlorine dioxide in decontamination of building interior surfaces contaminated with anthrax spores. Appl Environ Microbiol 2010;76:33433351.CrossRefGoogle ScholarPubMed
14.Environmental Protection Agency (EPA). Building Decontamination Alternatives. EPA, 2005. http://www.oaspub.epa.gov/eims/eimscomm.getfile?p_download_id=498200. Accessed November 22, 2011.Google Scholar
15.Romero, A, Potter, MF, Haynes, KF. Evaluation of chlorfenapyr for control of the bedbug, Cimex lectularius L. Pest Manag Sci 2010;66:12431248.CrossRefGoogle Scholar
16.Leininger-Hogan, S. Bedbugs in the intensive care unit: a risk you cannot afford. Crit Care Nurs Q 2011;34:150153.CrossRefGoogle ScholarPubMed
17.Doggett, SL, Orton, CJ, Lilly, DG, et al. Bed bugs: the Australian response. Insects 2011;2:96111.CrossRefGoogle ScholarPubMed
18.Occupational Safety and Health Administration. Occupational Safety and Health Guideline for Chlorine Dioxide. http://www.osha.gov/SLTC/healthguidelines/chlorinedioxide/recognition.html. Accessed September 20, 2011.Google Scholar