2014, Number 3
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Revista Cubana de Salud Pública 2014; 40 (3)
Air bacteria existing in the intensive care units of 'Fernando Troconis' university hospital in Colombia
Vélez-Pereira A, Camargo CY
Language: Spanish
References: 34
Page: 362-368
PDF size: 505.29 Kb.
ABSTRACT
Introduction: nosocomial infections are considered to be significant health problems. The most frequent pathogenic agents responsible for this are
Pseudomonas spp. and
Staphylococcus spp. which can be present in bioaerosols in hospitals.
Objective: to assess the presence of airborne bacteria in intensive care unit of "Fernando Troconis" university hospital in Colombia.
Methods: samples were collected in triplicate at the two monitoring stations located in each of the three intensive care units of the hospital (adult, pediatric and
neonatal), using cascade impactor with selective agars: mannitol salt for
Staphylococcus spp. and pseudomona agar for
Pseudomonas spp. The collected samples were incubated at 37 °C for 48 hours. A hierarchical variance analysis was applied to determine the influence of factors such as gender, monitoring station and unit on the concentration of airborne bacteria concentration.
Results: the highest concentration was 979.9 ± 31.3 CFU/m
3 and the maximum average value was 277 ± 59.2 CFU/m
3.
Staphylococcus spp. concentration exceeded that of
Pseudomonas spp. The intensive care unit with the highest concentration was the adult one, followed by the neonatal and the pediatric ones.
Breathable aerosols accounted for 65 % compared with settleable aerosols, and higher concentration of breathable
Staphylococcus spp. airborne bacteria (71.5 %) compared with
Pseudomonas spp. (64.6 %).
Conclusions: airborne bacteria concentration in the intensive care units was high, with significant percentage of breathable aerosols. All this increases the probabilities for the assisted patients to catch nosocomial infections caused by airborne bacteria.
REFERENCES
El-Gilanya AH, Abdel-Wahab F, Ghoneim M, M. Khashab, . Abdel-Hady D. Nosocomial infection surveillance in an Egyptian neonatal intensive care unit. J Hospital Infection. 2013;83:196-9.
Laupland KB, Niven DJ, Fick GH, Kirkpatrick AW, Grant V. Cost and outcomes of nosocomial bloodstream infections complicating major traumatic injury. J Hospital Infection. 2010;76:296-9.
Sánchez-Velázquez LD, Ponce de León Rosales S, Rangel Frausto MS. The Burden of Nosocomial Infection in the Intensive Care Unit: Effects on Organ Failure, Mortality and Costs. A Nested Case-Control Study. Arch Medical Res. 2006;37:3705.
Cosgrove SE, Keith SK, Eliopoulous GM, Carmeli Y. Health and Economic Outcomes of the Emergence of Third-Generation Cephalosporin Resistance in Enterobacteral Species. Arch Intern Med. 2002;162:185-90.
Guillet M, Jean-Ralph Z, Marc-Olivier T, Grandin L, Carbonnelle E, Join-Lambert O, et al. Horizontal transmission of Streptococcus pneumoniae in the surgical ward: A rare source of nosocomial wound infection. Amer J Infection Control. 2012;40-1: 71-2.
Chipchase L, Schabrun S. Healthcare equipment as a source of nosocomial infection: a systematic review. J Hospital Infection. 2006;63:239-45.
Wagenlehner FME, Loibl E, Vogel H, Naber KG. Incidence of nosocomial urinary tract infections on a surgical intensive care unit and implications for management. Internat J Antimicrobial Agents. 2006;28S:S86-S90.
Chaberny IF, Ruseva E, Sohr D, Buchholz S, Ganser A, Mattner F, Gastmeier P. Surveillance with successful reduction of central line-associated bloodstream infections among neutropenic patients with hematologic or oncologic malignancies. Ann Hematol. 2009;88:90712.
Agarwal R, Gupta D, Ray P, Aggarwal AN, Jindal SK. Epidemiology, risk factors and outcome of nosocomial infections in a Respiratory Intensive Care Unit in North India. J Infection. 2006;53:98-105.
Lopez-Ferrera A, Matamoros-Aguijar M. Nosocomial infection at the pediatric intensive care unit. Relationship between risk factors and incidence. Rev Med Post Unah. 2002;7(3):273-8.
Ramírez Zaldívar M, Fernández Chelala B, Cruz Portelles A, Jardines González E, Bermúdez Aguilera Y. Comportamiento de las infecciones nosocomiales en Unidad de Cuidados Intensivos en un quinquenio (2005-2009). Medisur. 2011;9(5):40-6.
Rebolledo RH, Ballestero DR, Gutierrez JLB, Aguilera CT, Zubillaga SG, Garcia MB. Infeccion nosocomial y del sitio quirúrgico en un hospital de tercer nivel (2002- 2005). Actas Urológicas Españolas. 2006;30(9):905-12.
Doig CJ, Laupland KV, Zygun DA, Davies HD, Church DL, Louie TJ. Incidence and Risk Factors for Acquiring Nosocomial Urinary Tract Infection in the Critically Ill. J Critical Care. 2002;17(1):50-7.
López-Pueyo MJ, Barcenilla-Gaite F, Amaya-Villar R, Garnacho-Montero J. Multirresistencia antibiótica en unidades de críticos. Med Intensiva. 2011;35(1):41-53.
Stefani S, Campanile F, Bongiorno D, Borbone S. Hospital-associated methicillin-resistant Staphylococcus aureus (HA-MRSA) in Italy. Ann Clin Microbiol Antimicrobials. 2009;8(22):1-10.
Gibbs S, Gandara A, Mota LC, Flores C, Perez HR, Green CF. Isolation of Staphylococcus aureus and antibiotic-resistant Staphylococcus aureus from residential indoor bioaerosols. Envirom Health Perspec. 2006;114(12):1859-64.
Sostarich AM, Zolldann D, Haefner H, Luetticken R, Schulze-Roebecke R, Lemmen SW. Impact of Multiresistance of Gram-negative Bacteria in Bloodstream Infection on Mortality Rates and Length of Stay. Clin Epidemiol Study. 2006;36:315.
Knauer A, Fladerer P, Strempfl C, Krause R, Wenisch C. Effect of hospitalization and antimicrobial therapy on antimicrobial resistance of colonizing Staphylococcus epidermidis. Wien Klin Wochenschr. 2004;116(14):489-94.
Ki Youn K, Yoon Shin K, Daekeun K. Distribution Characteristics of Airborne Bacteria and Fungi in the General Hospitals of Korea. Industrial Health. 2010;48:236-43.
Li CS, Hou PA. Bioaerosol characteristics in hospital clean rooms. Science Total Environm. 2005;305(1-3):16976.
Pastuszka JS, Marchwiñska-Wyrwa E, Wlaz A. Bacterial Aerosol in Silesian Hospitals: Preliminary Results. Polish J Environm Studies. 2005;14(6):883-90.
Obbard JP, Fang LS. Airborne Concentrations of Bacteria in a Hospital Environment in Singapore. Water, Air, Soil Poll. 2003;144(1-4):333-41.
Jaffal AA, Nsanze H, Bener A, Ameen AS, Banat IM, Mogheth AA. Hospital airborne microbial pollution in a desert country. Environm Internat. 1997;23:167-72.
Wilson MS, Otth CL, Medina GS, Otth LR, Fernández HJ, Arce M, et al. Genotipos de Staphylococcus aureus con fenotipo meticilino resistente, aislados de pacientes del Hospital Base de Valdivia. Rev Méd Chile. 2007;135:596-601.
Lebeque YP, Morris HJQ, Cálas NV. Infecciones nosocominales: incidencia de Pseudomonas aeruginosa. Rev Cubana Med. 2006 [citado 14 May 2013];45(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034 - 75232006000100005&lng=es&nrm=iso
Topley WWC. The bacteriology of air. In: Wilson GS, Miles AA editors. Principles of bacteriology and immunity. Baltimore: The Williams and Wilkins Company, Topley and Wilson's; 1955. p. 2270-83.
American Conference of Industrial Hygienists. Guidelines for the assessment of bioaerosols in the indoor environment. American Conference of Governmental Industrial Hygienists Bioaerosol Committee. Cincinnati, OH: ACGIH; 1989.
Hernandez MT, Fabian MP, Miller SL, Reponen T. Ambient bioaerosol índices for indoor air quality assessments of flood reclamation. Aerosol Science. 2005;36:763-83.
Rao C, Burge HA, Chang JCS. Review of quantitative standards and guidelines for fungi in indoor air. J Air Waste Manag Ass. 1996;46:899-908.
Robertson LD. Monitoring viable fungal and bacterial bioaerosol concentrations to identify acceptable levels for common indoor environments. Indoor Built Environm. 1997;1997(6):295-300.
Reponen T, Nevalainen A, Jantunen M, Pellikka M, Kalliokoski P. Normal range criteria for indoor air bacteria and fungal spores in subarctic climate. Indoor Air. 1992;2(1):26-31.
Maroni M, Axelrad R, Bacaloni A. NATO´s efforts to set indoor air quality guidelines and standards. American Industrial Hygiene Association J. 1995;56:499-508.
World Health Organization. Indoor air quality: biological contaminants: report on a WHO meeting, Rautavaara, 29 August2 September 1988. Copenhagen: WHO, Regional Office for Europe; 1988.
Hernandez M, Miller SL, Landfear DW, Macher JM. A combined fluorochrome method for quantization of metabolically active and inactive airborne bacteria. Aerosol Science Technol. 1999;30(6):145-60.