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Fungal Microbiota in Air-Conditioning Installed in Both Adult and Neonatal Intensive Treatment Units and Their Impact in Two University Hospitals of the Central Western Region, Mato Grosso, Brazil

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Abstract

To evaluate fungal microbiota in air-conditioning units installed in intensive care units in two university hospitals in Cuiaba city, Mato Grosso, central western region of Brazil, 525 solid environmental samples were collected, 285 from Hospital A and 240 from Hospital B. Collections were performed using sterile swabs on air-conditioning unit components: cooling coils, ventilators, and filters. Mycelial fungi identification was achieved by observation of the macroscopic and micromorphological characteristics in different culture mediums (maize meal, oatmeal and potato dextrose agars and malt extract) using the Ridell technique. Eleven genera and 27 distinct species belonging to the hyphomycetes and ascomycetes classes were isolated and identified. The most frequently detected genera in both hospitals were Aspergillus spp, Penicillium spp, and Cladosporium spp. Values for colony-forming units per gram were 64 and 75%, well above the limits recommended by Health Ministry resolution 176/00 at the locations selected for analysis in Hospitals A and B, respectively. In conclusion, evaluation of fungal microbiota in the air-conditioning units indirectly determined that the air quality was compromised in both university hospitals analyzed, which constitutes a risk factor for the acquisition of infection in the intensive care units.

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References

  1. ABNT Associação Brasileira de Normas Técnicas. NBR 6401. Instalações centrais de ar condicionado para conforto—parâmetros básicos de projeto. Rio de Janeiro, dez. 1980.

  2. ABNT Associação Brasileira de Normas Técnicas. NBR 7256. Tratamento de ar em unidades de saúde. Rio de Janeiro, abr. 1982.

  3. ABNT Associação Brasileira de Normas Técnicas. NBR ISSO 14644-1. Salas limpas e ambientes controlados associados. Rio de Janeiro, abr. 2005.

  4. Afonso MSM, Tipple AFV, Souza ACS, Prado MA, Anders OS. A qualidade do ar em ambientes hospitalares climatizados e sua influência na ocorrência de infecções. Revista Eletronica de Enfermagem. 2004;6:181–8.

    Google Scholar 

  5. Anaissie EJ, Stratton SL, Dignani MC, Lee CK, Mahfouz TH. et al. Cleaning patient shower facilities: a novel approach to reducing patient exposure to aerosolized Aspergillus species and other opportunistic molds. Clin Infect Dis. 2002; 35:86–8.

    Google Scholar 

  6. Anaissie EJ, Stratton SL, Dignani MC, Lee CK, Mahfouz TH. et al. Pathogenic Aspergillus species recovered from a hospital water system: a 3 year prospective study. Clin Infect Dis. 2001; 34:780–9.

    Google Scholar 

  7. ANVISA 2000. Resolução ANVS/DC n. 176. D.O. 206 de 24 de outubro de 2000.

  8. ANVISA 2003. Disponível em: anvisa.gov.br/servicosaude/hsentinela/histórico.htm#. Acessado em: 07/07/2007.

  9. Biomérieux. Sistema de identificação de leveduras API 20 AUX. Marcy-IEtoile. France.

  10. Braga KAM, Souza LBS, Santana WJ, Coutinho HDM. Microorganismos mais freqüentes em unidades de terapia intensiva. Revista Medica Hosp Ana Costa. 2004;9:71–4.

    Google Scholar 

  11. De Hoog GS, Guarro J, Gené J, Figueras MJ. Aspergillus niger v. Tiegh. (Harz). Nannf. In: Atlas of Clinical Fungi. 3rd edn. Utrecht, The Netherlands: Centraalbureau voor schimmecultures; 2007. p. 1–3.

  12. De Hoog GS, Guarro J, Gené J, Figueras MJ. Cladosporium cladosporioides (Fres.) de Vries. Nannf. In: Atlas of clinical fungi. 3rd edn. Utrecht, The Netherlands: Centraalbureau voor schimmecultures; 2007. p. 1–3.

  13. De Hoog GS, Guarro J, Gené J, Figueras MJ. Cladosporium elatum (Harz). Nannf. In: Atlas of clinical fungi. 3rd edn. Utrecht, The Netherlands: Centraalbureau voor schimmecultures; 2007. p. 1–3.

  14. De Hoog GS, Guarro J, Gené J, Figueras MJ. Cryptococcus uniguttulatus (Zach) Phaff & Fell. In: Atlas of clinical fungi. 3rd edn. Utrecht, The Netherlands: Centraalbureau voor schimmecultures; 2007. p. 1–2.

  15. De Hoog GS, Guarro J, Gené J, Figueras MJ. Penicillium chrysogenum Thom. In: Atlas of clinical fungi. 3rd edn. Utrecht, The Netherlands: Centraalbureau voor schimmecultures; 2007. p. 1–3.

  16. Doggett MS. Characterization of fungal biofilms within a municipal water distribution system. Appl Environm Microbiol. 2000;66:1249–51.

    Article  CAS  Google Scholar 

  17. Diniz JNM, Silva RAM, Miranda ET, Giannini MJSM. Monitoring of airborne fungus and yeast species in a hospital unit. Revista Saúde Publica. 2005;39:398–405.

    Google Scholar 

  18. Eickhoff TC. Airborne Nosocomial Infection: a contemporary perspective. Infect Control Hosp Epidemiol. 1994;15:663–72.

    Article  PubMed  CAS  Google Scholar 

  19. Fridkin SK, Jarvis WR. Epidemiology of nosocomial fungal infections. Clin Microbiol Rev. 1996;9:499–511.

    PubMed  CAS  Google Scholar 

  20. Gioda A, Aquino Neto. Considerações sobre estudos de ambientes industriais e não industriais no Brasil: uma abordagem comparativa. Cadernos de Saúde Pública. 2003;19:1389–97.

    Article  PubMed  Google Scholar 

  21. Hahn T, Cumming KM, Michaek AM, Lipman BJ, Segal BH, et al. Efficacy of high-efficiency particulate air filtration in preventing aspergillosis in immunocompromised patients with hematologic malignancies. Infect Control Hosp Epidemiol. 2002;23:525–31.

    Article  PubMed  Google Scholar 

  22. Hart CA, Makin T. Legionella in hospitals: a review. J Hospital Infect 1991; 18 (Suppl A): 481–9.

    Google Scholar 

  23. Hota B. Contamination, disinfection, and cross colonization: are hospital surfaces reservoirs for nosocomial infection? Clin Infect Dis. 2004;39:1182–9.

    Article  PubMed  Google Scholar 

  24. Klich MA. Media and incubation. In: Identification of common Aspergillus species. 1st edn. Utrecht, The Netherlands: Centraalbureau voor Schimmecultures; 2002. p. 6.

  25. Lacaz CS, Porto E, Martins JEC, Heins-Vaccari EM, Mello NT. Cladosporium bantianum. In: Guia para identificação: fungos actinomicetos e algas de interesse médico, 1ª edição Savier; São Paulo; 1998. p. 200–204.

  26. Larone DH. Paecylomices spp. In: Medically important fungi-a guide to identification. 4ª edição. Washington DC; 2002. p. 270–271.

  27. Martins ST, Moreira M, Furtado GHC, et al. Application of control measures for infections caused by multiresistant gram-negative bacteria in intensive care unit patients. Memoria do Instituto Oswaldo Cruz. 2004;99:331–4.

    Article  Google Scholar 

  28. Mobin M, Salmito MA. Fungus microbiota in air conditioners in intensive care units in Teresina, Piauí. Rev Soc Bras Med Trop. 2006;39(6):556–9.

    Article  PubMed  Google Scholar 

  29. Moreno G, Higa TCS, Maitelli GT. Geografia de Mato Grosso: território, sociedade, ambiente. 1ª Ed. Entrelinhas, Cuiabá; 2005. p. 244.

  30. Ministério da Saúde. Portaria n°3523/GM. Brasília, Diário oficial da União em 28 de agosto de 1998.

  31. Nucci M, Maiolino A. Infecções em transplante de medula óssea. Simpósio Transplante de medula óssea. 2000;33:278–93.

    Google Scholar 

  32. Oren L, Haddad N, Finkelstein R, Rowe JM. Invasive pulmonary aspergillosis in neutropenic patients during hospital construction: Before and after chemoprophylaxis and institution of HEPA filters. Am J Hematol. 2001;66:257–62.

    Article  PubMed  CAS  Google Scholar 

  33. Perdelli F, Sartini M, Spagnolo AM, Dalera M, Lombardi R, et al. A problem of hospital hygiene: the presence of aspergilli in hospital wards with different air-conditioning features. Am J Infect Control. 2006;34:264–8.

    Article  PubMed  Google Scholar 

  34. Radiobrás. Disponível em http: www.radiobras/gov.br/anteriores/1998/sinopse2004.

  35. Rhame FS. Prevention of nosocomial aspergillosis. J Hosp Infect. 1991;18:466–72.

    Article  PubMed  Google Scholar 

  36. Santos LC. Ar condicionado. In: Laboratório Ambiental, Cascavel, PR; 1999. p. 217–223.

  37. Singh N, Paterson DL. Aspergillus infections in transplant recipients. Clin Microbiol Rev. 2005;18:44–69.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors acknowledge the valuable contributions by Dr. Márcia dos Santos Lazera (IPEC, FIOCRUZ, RJ) and Dr. Abdon Khaled Karhawi (UNIC, IUNI, MT). This work was supported by grants from the state research support foundation, FAPEMAT.

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Correspondence to Rosane Christine Hahn.

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de Almeida Alves Simões, S., Júnior, D.P.L. & Hahn, R.C. Fungal Microbiota in Air-Conditioning Installed in Both Adult and Neonatal Intensive Treatment Units and Their Impact in Two University Hospitals of the Central Western Region, Mato Grosso, Brazil. Mycopathologia 172, 109–116 (2011). https://doi.org/10.1007/s11046-011-9411-0

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