Ultraviolet light (of the UV-C wavelength) has been used for decades to prevent tuberculosis by disinfecting the air in the unoccupied zone. UV-C light has also been shown in laboratory studies to successfully inactivate bacteria and viruses. The fixtures/ technology used are called upper room germicidal ultraviolet (UR-GUV) fixtures.
This study is called 'Effectiveness of germicidal ultraviolet Light in an Upper room Configuration In Decreasing COVID-19 in Aged-care Residential facilities’ or ELUCIDAR, and will test whether UR-GUV can reduce COVID-19 infection in Residential Aged Care Facilities (RACFs).
The ELUCIDAR study started in November 2024 and will run for 12 months in RACFs across Victoria, Australia.
This study is a cluster-randomised controlled trial, where the ‘clusters’ are residential aged care facilities, which will be randomised to either a control or intervention group. This design allows the study team to collect and compare the outcome data between the 2 groups of RACFs and assess the real-world effectiveness of UR-GUV.
Does UV-C light reduce COVID-19 transmission in the real-world setting?This light has been shown in laboratory studies to successfully inactivate bacteria and viruses.
The main aim of this study is to measure the rate of COVID-19 infection in residents of aged care facilities that use standard infection control and prevention measures, comparing those with UR-GUV installed to those without. The study also aims to determine the effectiveness of this intervention in the real-world setting, including optimal installation and delivery of this technology.
The ELUCIDAR study will also aim to:
measure hospitalisations and deaths caused by COVID-19, influenza and RSV
determine the acceptability and feasibility of UR-GUV operation in residential aged care facilities
determine the cost-effectiveness of UR-GUV in residential aged care facilities.
The study recruited 61 RACFs that have 75 operational beds or more. The RACFs are in metropolitan Melbourne or Greater Geelong, Victoria, Australia.
The facilities were randomly put into 2 groups:
RACFs that have UR-GUV fixtures (which are commercially available) installed on the ceilings of common areas. This is the intervention group.
RACFs that have no UR-GUV fixtures installed. This is the control group.
The UR-GUV fixtures have been installed in the common areas in 30 RACFs and will remain turned on 24hrs a day for the duration of the study.
Both groups will continue to follow the current standards for infection prevention as per the Victorian Department of Health guidelines.
You can learn more about the use of germicidal ultraviolet light from the Victorian Department of Health.
The Department of Health Human Research Ethics Committee has granted the ELUCIDAR study human research ethics approval.
This study is registered with the Australian New Zealand Clinical Trials Registry ANZCTR – Registration (ACTRN12624000791538), an approved World Health Organization registry.
Learn more about this study through the Victorian Department of Health.