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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Aug 31, 2022
Date Accepted: Oct 18, 2022
Date Submitted to PubMed: Oct 21, 2022

The final, peer-reviewed published version of this preprint can be found here:

Disinfection of Virtual Reality Devices in Health Care Settings: In Vitro Assessment and Survey Study

Roberts S, Havill N, Flores R, Hendrix C II, Williams M, Feinn R, Martinello R, Marks A, Murray T

Disinfection of Virtual Reality Devices in Health Care Settings: In Vitro Assessment and Survey Study

J Med Internet Res 2022;24(12):e42332

DOI: 10.2196/42332

PMID: 36269222

PMCID: 9756115

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Disinfection of virtual reality devices in healthcare settings

  • Scott Roberts; 
  • Nancy Havill; 
  • Rosa Flores; 
  • Curtis Hendrix II; 
  • Maximillian Williams; 
  • Richard Feinn; 
  • Richard Martinello; 
  • Asher Marks; 
  • Thomas Murray

ABSTRACT

Background:

Virtual reality (VR) devices are increasingly used in healthcare settings. Use between patients has the potential to unintentionally transmit pathogens between patients and/or hospital staff. No standard operating procedure for disinfection exists to ensure safe use between patients.

Objective:

To determine the efficacy of disinfectants on virtual reality devices in order to ensure safe use in healthcare settings.

Methods:

Three types of bacteria were inoculated onto porous and non-porous surfaces of two VR devices, the Meta Oculus Quest and Meta Oculus Quest 2. Disinfection was performed using either isopropyl alcohol or alcohol-free quaternary ammonium wipes. Quantitative culture was used to assess the adequacy of disinfection. A survey was separately sent out to VR device technicians at other pediatric healthcare institutes to compare methods of disinfection and how they were established.

Results:

Both products achieved adequate disinfection of the treated surfaces, however a greater log-kill was achieved on non-porous surfaces than porous surfaces. alcohol performed better than quaternary ammonium on porous surfaces. Survey respondents reported wide variability is disinfection processes with only one person reporting an established standard operating procedure.

Conclusions:

Disinfection can be achieved through use of either isopropyl alcohol or quaternary ammonium products. Porous surfaces showed lesser log-kill rates than non-porous surfaces, indicating use of an added barrier may be of benefit and should be a point of future research. Given the variability in disinfection process across healthcare systems, a standard operating procedure is proposed.


 Citation

Please cite as:

Roberts S, Havill N, Flores R, Hendrix C II, Williams M, Feinn R, Martinello R, Marks A, Murray T

Disinfection of Virtual Reality Devices in Health Care Settings: In Vitro Assessment and Survey Study

J Med Internet Res 2022;24(12):e42332

DOI: 10.2196/42332

PMID: 36269222

PMCID: 9756115

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