The investigation of type and concentration of bio-aerosols in the air of surgical rooms: A case study in Shariati hospital, Karaj

Indoor air pollution due to bacterial bioaerosols in beauty salons of Ardabil, Iran: characterization, influencing factors and health risk assessment

Beauty salons are establishments that provide hair, face, and body treatments for consumers. In this research, type of bacteriological pollution and the associated bacteriological human health risks were evaluated using Monte Carlo Simulation. A cross-sectional study design was carried out in 50 randomly selected beauty salons in Ardabil, during April-June, 2022. Pseudomonas (74 ± 42 CFU/m3) was found frequently in almost all (98%) of the salons. Staphylococcus (9 ± 25 CFU/m3) and Escherichia coli (5 ± 13 CFU/m3) were found in 20%, and Acinetobacter (2 ± 7 CFU/m3) was found in 10% of the salons. Salons with makeup and hair dressing had higher concentrations of Staphylococcus. The concentrations of bacteria fairly decreased with relative humidity and increased with the temperature. Furthermore, higher concentrations of the bioaerosols were observed in larger salons and more crowded salons. There was no significant correlation between the type of heating system, building material of the walls, type of ventilation system, as well as bride's makeup in the salons with concentration of the bioaerosols. The average annual infection risk of Escherichia coli 7.27 (10- 4) per person per year (pppy), which was higher than the acceptable limit (10-4 pppy) suggested by WHO. The results of health risk were above the safe limit of EPA and WHO, indicating possible adverse effects to exposed individuals.

Assessment of personal deposited dose and particle size distribution of bacterial aerosol in kindergarten located in southern Poland

The study's primary focus lies in examining the relationship between respiratory and deposition doses of bacterial aerosols in urban kindergarten, providing valuable insights into the specific doses absorbed by individuals in different sections of their respiratory systems based on the aerodynamic diameter of bacterial particles. Samples were collected twice a week, using by an Andersen cascade impactor during autumn and winter seasons 2018/2019 resulting in a total of 1152 Petri dishes analyzed. The highest average concentration of bacterial aerosol was observed during autumn (1698 ± 663 CFU/m3) in comparison to winter months (723 ± 134 CFU/m3). Respirable doses for children and staff were 2945 and 2441 CFU/day during winter and 5988 and 4964 CFU/day during autumn, respectively. Deposition doses incorporated from empirical models for regional deposition in the respiratory tract showed that children in kindergarten absorb 33% less of bacteria into alveolar region if breath by nose instead of mouth. Additionally, risk assessment results indicate that the hazard indices for children attending kindergartens for 3 years and for staff working 25 years are below 1, suggesting minor risks associated with the inhalation of bioaerosols during autumn and winter. HI was <1, so the non-carcinogenic effects are on an acceptable level, but the indoor/outdoor ratio were 3.5 and 2.4 for autumn and winter, respectively, indicating children's and adult's exposure to bacterial aerosol should be reduced.

Mycological Methods for Routine Air Sampling and Interpretation of Results in Operating Theaters

Many infectious diseases are transmitted via the air and are, therefore, particularly difficult to combat. These infections include various invasive mycoses caused by molds. The usual route of infection is the inhalation of conidia. In hospitals, infection can also occur through the deposition of conidia in otherwise sterile anatomical sites during surgical and other invasive procedures. Therefore, knowledge of airborne mold concentrations can lead to measures to protect patients from fungal infections. The literature on this topic contains insufficient and sometimes ambiguous information. This is evidenced by the fact that there are no international recommendations or guidelines defining the methodology of air sampling and the interpretation of the results obtained. Surgical departments, intensive care units and medical mycology laboratories are, therefore, left to their own devices, leading to significant differences in the implementation of mycological surveillance in hospitals. The aim of this mini-review is to provide an overview of the current methods of air sampling and interpretation of results used in medical mycology laboratories.

Review of bioaerosols from different sources and their health impacts

The emission of bioaerosols in the ambient atmosphere from different sources is a cause of concern for human health and the environment. Bioaerosols are a combination of biotic matter like microbes and pollens. The present review emphasizes the understanding of various sources of bioaerosols (industries, municipal solid waste, and medical facilities), their components, and their impact on human health. The study of bioaerosols is of great importance as large numbers of people are estimated to be exposed on the global scale. Bioaerosols exposure in different work environments results in health issues such as infectious diseases, allergies, toxic effects, and respiratory problems. Hence, extensive research is urged to establish an effective assessment of bioaerosols exposure in the workplace, risks involved, distribution, and validation. The present review is intended to explore the relationship between bioaerosols exposure to the atmosphere and its impacts on human health. Some of the preliminary findings, based on our analysis of bioaerosols arising from municipal solid waste at a landfill site and a waste transfer station in Hyderabad, India, are also discussed herein.

Ecological study on household air pollution exposure and prevalent chronic disease in the elderly

Older people spend most of their time indoors. Limited evidence demonstrates that exposure to indoor air pollutants might be related to chronic complications. This study aimed to estimate the correlation between household air pollution (HAP)'s long-term exposure and the prevalence of elevated hypertension, diabetes mellitus (DM), obesity, and low-density lipoprotein (LDL) cholesterol. From the Global Burden disease dataset, we extracted HAP, hypertension, DM, body mass index, and LDL cholesterol data from Iran from 1990 to 2019 to males and females in people over 50 years. We present APC and AAPC and their confidence intervals using Joinpoint Software statistical software. R software examined the correlation between HAP and hypertension, DM2, Obesity, and high LDL cholesterol. Our finding showed a significant and positive correlation between HAP exposure and prevalence of high low-density lipoprotein cholesterol (p ≤ 0.001, r = 0.70), high systolic blood pressure (p ≤ 0.001, r = 0.63), and high body mass index (p ≤ 0.001, r = 0.57), and DM2 (p ≤ 0.001, r = 0.38). The analysis results also illustrated a positive correlation between indoor air pollution and smoking (p ≤ 0.001, r = 0.92). HAP exposure might be a risk factor for elevated blood pressure, DM, obesity, and LDL cholesterol and, consequently, more serious health problems. According to our results, smoking is one of the sources of HAP. However, ecological studies cannot fully support causal relationships, and this article deals only with Iran. Our findings should be corroborated in personal exposure and biomonitoring approach studies.

Microbiological analysis of bacterial and fungal bioaerosols from burn hospital of Yazd (Iran) in 2019

INTRODUCTION

Bioaerosols play an important role in incidence of infections in indoor and outdoor air of hospitals. Microorganisms play a critical role in the health of human beings and they are found everywhere in the environment, including different wards of a hospital. So, quantitative and qualitative analysis of microorganisms is highly important in hospital air. The aim of this study was to evaluate the diversity and density of bacteria and fungi in the air of Shohadaye Mehrab Hospital in Yazd City, Iran.

MATERIALS AND METHODS

Sampling was performed using a single-stage pump (Quick Take30) at a flow rate of 28.3 l per minute for five minutes. As a result, 288 indoor and outdoor hospital air samples were collected. Numbers and types of bacterial and fungal colonies were identified using colony morphology, gram staining, and standard microbial tests. Chi-square test, PCA and linear mixed model were run by SPSS version 24.0 for data analysis.

RESULTS

The highest bacterial contaminations were found in the burns ward (294 CFU/m³), operating theater (147 CFU/m³), and emergency department (124 CFU/m³), respectively. Fungal contamination was higher in the derm ward (110 CFU/m³) than other sampling sites. The dominant genus of gram-positive bacteria was Staphylococcus epidermidis (n = 60, 62.5%) and the dominant genus of gram-negative bacteria was Citrobacter freundi (n = 11, 11.5%). The most fungal gens isolated from the hospital air samples were Penicillium (n = 73, 76%), Alternaria (n = 51, 53.1%), Aspergillus niger (n = 40, 41.7%), and Aspergillus flavus (n = 34, 35.4%), respectively.

CONCLUSION

Considering that the burn wounds represent a susceptible site for opportunistic microorganisms, even low concentration of fungi/bacteria in air can be considered as a risk factor that facilitates transmission of the infectious agents in the hospital. Therefore, control measures should be taken to reduce the infection hazard in health staff and patients. These measures include ensuring effective ventilation, cleaning and decontaminating surfaces and equipment, restricting the personnel and patient companions' movement across the wards.

Diversity of Bioaerosols in Selected Rooms of Two Schools and Antibiotic Resistance of Isolated Staphylococcal Strains (Bydgoszcz, Poland): A Case Study

The present study is aimed at evaluating microbiological air pollution in libraries, cafeterias and selected classrooms of two schools in Bydgoszcz city, northern Poland and determining the antibiotic resistance of Staphylococcal strains isolated from the indoor air. One of the investigated schools (School A) is located in the very center of the city, in the vicinity of a park, among old houses and stone-lined streets, while the other (School B), among modern residential buildings, close to a street with heavy traffic. In each school, air samples were collected in the morning, always from all three sampling sites, using the MAS-100 sampler. Selective growth media were used for bacteria and mold isolation and quantifying analysis. The antibiotic resistance of the isolated mannitol-positive staphylococci was assessed using the disc diffusion method in accordance with EUCAST recommendations. The highest mean concentration of heterotrophic bacteria was recorded in the cafeterias: 884 CFU m−3 in School A and 1906 CFU m−3 in School B. Molds were the most abundant in the library and cafeteria in School B, where their average concentration exceeded 300 CFU m−3. Cladosporium and Penicillium species prevailed, while Fusarium, Acremonium and Aspergillus were less abundant. Airborne mannitol-positive staphylococci were recorded at low concentrations, ranging from 6 to 11 CFU m−3 on average. According to the taxonomic analysis, Staphylococcus aureus isolates were the most abundant in both schools, followed by S. xylosus, S. haemolyticus and S. saprophyticus. The antibiograms indicated that resistance to erythromycin was common in 62.5% of the isolated staphylococcal strains. Levofloxacin and gentamicin were the most effective antibiotics. No multidrug-resistant strains were identified.

The Dose of Fungal Aerosol Inhaled by Workers in a Waste-Sorting Plant in Poland: A Case Study

Bioaerosol monitoring is a rapidly emerging area in the context of work environments because microbial pollution is a key element of indoor air pollution and plays an important role in certain infectious diseases and allergies. However, as yet, relatively little is known about inhaled doses of microorganisms in workplaces. Today, the important issue of social concern is due to waste management, transport, sorting, and processing of wastes and their environmental impact and effects on public health. In fact, waste management activities can have numerous adverse effects on human wellbeing. Health effects are generally linked to exposure (EX), defined as the concentration of a contaminant and the length of time a person is exposed to this concentration. Dose is an effective tool for evaluating the quantity of a contaminant that actually crosses the body’s boundaries and influences the goal tissue. This document presents an analysis of the fungal waste-sorting plant EX dose (FWSPED) inhaled by workers in a waste-sorting plant (WSP) in Poland in March 2019. The main purpose of this research was to assess FWSPED inhaled by workers in two cabins at the WSP: the preliminary manual sorting cabin (PSP) and the purification manual sorting cabin (quality control; QSP). It was found that the FWSPED inhaled by workers was 193 CFU/kg in the PSP and 185 CFU/kg in the QSP. Fungal particles were quantitatively evaluated and qualitatively identified by the GEN III Biolog system. During the research, it was found that isolates belonging to the Aspergilus flavus and Penicillum chrysogenum strains were detected most frequently in the WSP. The total elimination of many anthropogenic sources is not possible, but the important findings of this research can be used to develop realistic management policies and methods to improve the biological air quality of WSPs for effective protection of WSP workers.

Efficiency and Eco-Costs of Air Purifiers in Terms of Improving Microbiological Indoor Air Quality in Dwellings—A Case Study

Air pollution, a by-product of economic growth, generates an enormous environmental cost in Poland. The issue of healthy living spaces and indoor air quality (IAQ) is a global concern because people spend approximately 90% of their time indoors. An increasingly popular method to improve IAQ is to use air purifiers (APs). Indoor air is often polluted by bioaerosols (e.g., viruses, bacteria, fungi), which are a major concern for public health. This work presents research on culturable bacterial aerosol (CBA) samples collected from dwellings with or without active APs during the 2019 summer season. The CBA samples were collected using a six-stage Andersen cascade impactor (ACI). The CBA concentrations were expressed as Colony Forming Units (CFU) per cubic metre of air. The average concentration of CBA in dwellings when the AP was active was 450–570 CFU/m3, whereas the average concentration when the AP was not active was 920–1000 CFU/m3. IAQ, when the APs were active, was on average almost 50% better than in cases where there were no procedures to decrease the concentration of air pollutants. Moreover, the obtained results of the particle size distribution (PSD) of CBA indicate that the use of APs reduced the proportion of the respirable fraction (the particles < 3.3 µm) by about 16%. Life cycle assessment (LCA) was used to assess the ecological cost of air purification. Our conceptual approach addresses the impact of indoor air pollution on human health and estimates the ecological cost of APs and air pollution prevention policies.