Serena Giorgi

The study describes the results of a full LCA applied to 24 statistically-based dwelling archetypes, representative of the EU housing stock in 2010. The aim is to quantify the average environmental impacts related to housing in Europe and to define reference values (baseline scenario) for policies development. The average environmental impacts is calculated accounting for the number of dwellings (clustered per typology, year of construction and climate zone) related to each representative model. System boundaries include production, construction, use (energy and water consumption), maintenance and replacement and end-of-life phases of each dwelling. The environmental life cycle impact assessment is carried out using the ILCD method. EU average annual environmental impact per person, per dwelling and per m2 were calculated. Results show that the average life cycle greenhouse gases emissions related to housing per person per year are 2.62 t CO2eq and related to a representative dwelling per year are of 6.36 t CO2eq. The use phase (energy and water consumption) is the most relevant one, followed by the production of construction materials and by maintenance. Single-family houses are responsible for the highest share of impacts from housing in Europe. The same type of building has different impacts in different climatic zones, especially because of differences in the need for space heating. In general, electricity use and space heating are the activities that contribute the most to the overall impacts. The overall results could be used as a baseline scenario for testing eco-innovation scenarios for impact reduction and for setting targets.

Aims: High-touch surfaces cleaning and disinfection require the adoption of effective and proper executed protocols, especially during carbapenem-resistant Acinetobacter baumannii (CRAB) endemo-epidemic situations. We evaluated the effectiveness and residual disinfectant activity of disposable pre-impregnated wipes (Modified Operative Protocol, MOP) in reducing environmental bioburden versus a two-step Standard Operative Protocol (SOP) in a 12-bed Intensive Care Unit. Methods: Five high-touch surfaces were cleaned and disinfected either according to the SOP (alcohol-based cleaning and chlorine-based disinfection) or using quaternary ammonium compounds-based disposable wipes (MOP). Sampling was performed before each procedure and at 0.5, 2.5, 4.5 and 6.5 h after (560 sites). Total viable count (TVC) was evaluated according to Italian hygiene standard (<50 CFU/24 cm2). Clinical and environmental CRAB strains isolated were genotyped. Results: On non-electromedical surfaces the difference between TVC before procedure and at each of the following times was significant only for the MOP (p < 0.05, Wilcoxon test). Using the MOP, only 7.4% (10/135) of sites showed TVC >50 CFU/24 cm2 (hygiene failures) versus 18.9% (25/132) after SOP (p < 0.05, Fisher’s Exact test). On infusion pumps a higher number of hygiene failures was observed after the SOP (7/44, 15.9%) compared with the MOP (4/45, 8.9%). Genotyping highlighted a common source of infection. Conclusion: On high-touch surfaces, the use of disposable wipes by in-house auxiliary nurses may represent a more effective alternative to standard cleaning and disinfection procedure performed by outsourced cleaning services, showing effectiveness in reducing microbial contamination and residual disinfection activity up to 6.5 h.