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Table 4 Risk-based recommendations for biocontainment and associated mitigation strategies for low- and high-risk laboratory activities

From: Biosafety and biosecurity requirements for Orientia spp. diagnosis and research: recommendations for risk-based biocontainment, work practices and the case for reclassification to risk group 2

Mitigation strategy

Lowa to Mediumb-risk laboratory activities

High-risk laboratory activities c

Personnel protection

Gown

Gloves

Eye protection

Covered shoes

Avoidance of sharps

Respiratory protection

Gown

Gloves

Eye protection

Covered shoes

Avoidance of sharps

Primary containment

Class II BSC (annually certified)

Aerosol generating procedures (i.e., centrifugation) devices with bioseal (gaskets buckets and corresponding lids (screw or clip type).

Buckets may only be opened in the BSC

Class II BSC (annually certified)

Aerosol generating procedures (i.e., centrifugation) devices with bioseal (gaskets buckets and corresponding lids (screw or clip type). Buckets may only be opened in the BSC

Secondary biocontainment

Biosafety Level 2 or Core

Biosafety Level 3 or Heightened Control Measures

Disinfection (any of the following options)

Autoclave – 121 °C for 30 min

Dry heat - 160-170 °C for at least 60 min

Chemical (at least 30 min contact time)

 1% Virkon (surfaces) or 2% Virkon (liquids)

 1% sodium hypochlorite

 70% ethanol

 Glutaraldehyde

 Formaldehyde

 Quaternary ammonium disinfectants

Autoclave – 121 °C for 30 min

Dry heat - 160-170 °C for at least 60 min

Chemical (at least 30 min contact time)

 1% Virkon (surfaces) or 2% Virkon (liquids)

 1% sodium hypochlorite

 70% ethanol

 Glutaraldehyde

 Formaldehyde

 Quaternary ammonium disinfectants

Training

Staff need to be trained and demonstrate proficiency in GMPP

Staff need to be trained and demonstrate proficiency in GMPP

  1. BSC biological safety cabinet, GMPP good microbiological practises and procedures
  2. aLow-risk – ≤100 ml (in a single or multiple culture vessels) at a concentration of ≤106 cfu/ml Orientia spp. organisms
  3. bMedium-risk - ≤500 ml (in a single or multiple culture vessels) at a concentration of ≤106 cfu/ml Orientia spp. organisms
  4. cHigh-risk - > 500 ml (in a single or multiple culture vessels) at a concentration of > 106 cfu/ml Orientia spp. organisms