Airborne fungi in an intensive care units anda surgical center of a university hospital
Keywords:
Seasons, Airborne fungi, Hospital, PrevalenceAbstract
Mould spores are widespread in the environment and can colonize the host's respiratory tract. ln hospitais and hea/th clinics, it is necessary to determine the concentration of anemophilous microorganisms from indoor and!or externai areas, with the purpose of identifying possible sources of contamination and potential diffusion of these pathogens. The maximum recommended value should be <750 CFU/m3 of fungi for the //E environment ratio of <1.5, the presence of pathogenic fungi being unacceptable. The aim was to monitor and characterize airborne fungi in a General Hospital, to evaluate the pathogenic potential of isolated strains and to compare internai and externai mycoflora. Samples were collected during the winter of 2008 and the summer of 2009, prior to the cleaning of the air-conditioning system. The evaluation of mycota in intensive care units and the surgical center was performed using the passive sedimentation technique. The strains of iso/ated filamentous fungi were subjected to a growth test at a temperature of 37°C. The colonies were identified using macroscopic and micromorphological features. During winter, 93 strains were isolated from inside the hospital and 356 outside the hospital (//E= 0.2). Three strains (A. clavatus, A. fumigatus, Penicillium sp.) from inside the hospital and 2 strains (Paecilomyces sp. and Penicillium sp.) from outside the hospital grew at 37°C (!!E= 1 5). During the summer, 116 strains from inside and 142 from outside the hospital were iso/ated (JIE = 0.8).
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References
Brasil. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. (2000). Resolução n.176, de 24 de outubro de 2000. Diário Oficial da União, Brasília, DF, 25 outubro.
Cox-Ganser, J.M.; Rao, C.Y; Park, J.H.; Schumpert, J.C. & Kreiss, K. (2009). Asthma and respiratory symptoms in hospital workers related to dampness and biological contaminants. lndoor Air, 19(4):280-90.
Debeaupuis, J.P.; Sarfati, J.; Chazalet, V. & Latgé, J.P. (1997). Genetic diversity among clinicai and environmental isolates of Aspergillus fumigates. lnfection and lmmunity, 65(8):3080-5.
Eames, I.; Shoaib, D.; Klettner, C.A. & Taban, V (2009) Movement of airborne contaminants in a hospital isolation room. Journal of the Royal Society Interface, 6:757-66.
Gava, M.A. (2002). Desempenho nos diferentes meios de cultura utilizados na avaliação de fungos presentes em ambientes de produção de alimentos. Dissertação mestrado em Ciências: Microbiologia Agrícola - Universidade de São Paulo.
Kim, KY & Kim, C.N. (2007) Airborne microbiological characteristics in public buildings of Korea. Building and Environment, 5(42):8.
Lacaz, C.S.; Porto, E.; Heins-Vaccari, E.M. & Melo N.T. (1998). Guia para identificação: fungos, actinomicetos, algas de interesse médico. São Paulo: Sarvier.
Leenders, A.C.A.P.; van Belkum, A.; Behrendt, M .; Luijendijk, A. & Verbruch, H.A. (1999). Densit and molecular epidemiology of Asperegillus in air and relationship to outebreaks of aspergil!us infection. Journal of Clinica! Microbiology, 37(6):1752-7.
Lobato, R.C.; Vargas, VS. & Silveira, É.S (2009) Sazonalidade e prevalência de fungos anemófilos em ambiente hospitalar no sul do Rio Grande do Sul, Brasil. Revista da Faculdade de Ciências Médicas de Sorocaba, 11(2):21-8
Mobin, M. & Salmito, A. (2006). Microbiota fungica dos condicionadores de ar nas unidades de terapia intensiva de Teresina, PI. Revista da Sociedade de Medicina Tropical, 39(6):556-9
Mudarri, D. & Fisk, W.J. (2007). Public health and economic impact of dampness and mold. lndoor Air, 17(3):226-35.
Nzeako, B.C.; AI-Lawati, H.; Elsafie, A.; AI-Jabri, M. & AI Balkhair, A. (2011). Correlation Between Sedimentation Plate and Surface Swab in the lsolation of Fungi from the Hospital Wards. lnternational Journal of Microbiological Research, 2(2):129-34
Panackal, A.; Lmhof, A.; Hanley, E. & Marr, K. (2006). Aspergillus ustus infections among transplant recipients. Emerging lnfectious Diseases, 12:403-8.
Portnoy, J.M.; Kwak, K.; Dowling, P.; Van-Osdol, T & Barnes, C. (2005). Health effects of indoor fungi. Annals Allergy Asthma lmmuno/ogy, 94:313-20.
Quadros, M.E.; Lisboa, H.M.; Oliveira, V.L. & Schirmer, W.N. (2009). Qualidade do ar em ambientes internos hospitalares: estudo de caso e análise crítica dos padrões atuais. Revista Engenharia Sanitária e Ambiental, 14(3):431-8.
Qudiesat, K.; Abu-Elteen, K.; Elkarmi, A.; Hamad, M. & Abussaud, M. (2009). Assessment of airborne pathogens in healthcare settings. African Journal of Microbio/ogy Research, 3(2):66-76
Schenck, P.; Ahmed, A.K.; Bracker, A., & DeBernardo, R. (2010). Climate change, indoor air quality and health. Mansfield: University of Connecticut Health Center.
Shelton, B.G.; Kimberly, H.; Kirkland, W.; Flanders, D. & Morris, G.K. (2002). Profiles of airborne fungi in buildings and outdoor environments in the United States. App/ied Environmental Microbiology, 68:1743-53.
Soares, M.M.S.R.; Ribeiro, M.C.; Amaral, M.E.C.; Teixeira, A.B.A.; Antonelli, L.R.V. & Castro, L.C.M. (1997) Micota do ar na cidade de Campinas. Bioikos, 11(1/2):33-9
Steel, G.D. & Torrie, J.H. (1980). PrinojJ!es and procedures of statistics: a biometrical approach. 2nd ed. New York: McGraw-Hill.
Storey, E.; Dangman, K.D.; Schenck, P.; DeBernardo, R.L.; Yang, C.S.; Bracker, A., et ai. Guidance for c!inicians on the recognition and management of health effects re!ated to mo/d exposure and moisture indoors. Mansfield: University of Connecticut Health Center, 2004. Available from: <http://www.oehc.uchc.edu/CIEH.asp>. cited: 20 Feb. 2011.
Teixeira, A.B.A.; Silva, M.; Lyra, L.; Luz, E.A.; Uno, J. & Miyaji, M. (2005) Antifungai susceptibility and pathogenic potential of environmental isolated filamentous fungi compareci with colonizing agents in immunocom promised recipients. Mycophatologia, 160:129-35.
Wang, YT.; Chiu, J.C; Hsu, Y.C.; Wu, TN.; Shen, YH. & Wen, S.B. (2011). lnvestigation on indoor air quality of public sites in Tainan area. Advanced Materiais Research, 255:1413-7.
Zaitz, C.; Campbel, I.; Marques, S.A.; Ruiz L.R. & Sousa, V,M. (1998). Compêndio de micologia médica. Rio de Janeiro: Medisi.