Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings

Aim. To study the microbial diversity and dust organic component in surgical healthcare settings and to assess the risk of dust-mediated transmission of healthcare-associated infections.Materials and Methods. Dust sampling (n = 41) was carried out using sterile gloves and containers from ventilation...

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Main Authors: E. A. Chezganova, O. S. Efimova, V. M. Sakharova, A. R. Efimova, S. A. Sozinov, Z. R. Ismagilov, E. B. Brusina
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2020-03-01
Series:Фундаментальная и клиническая медицина
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Online Access:https://fcm.kemsmu.ru/jour/article/view/216
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author E. A. Chezganova
O. S. Efimova
V. M. Sakharova
A. R. Efimova
S. A. Sozinov
Z. R. Ismagilov
E. B. Brusina
author_facet E. A. Chezganova
O. S. Efimova
V. M. Sakharova
A. R. Efimova
S. A. Sozinov
Z. R. Ismagilov
E. B. Brusina
author_sort E. A. Chezganova
collection DOAJ
description Aim. To study the microbial diversity and dust organic component in surgical healthcare settings and to assess the risk of dust-mediated transmission of healthcare-associated infections.Materials and Methods. Dust sampling (n = 41) was carried out using sterile gloves and containers from ventilation grilles and adjacent air ducts of the exhaust ventilation systems in various healthcare settings. Size and shape of dust particles were studied by means of scanning electron microscopy and dynamic light scattering. Elemental analysis (CHNSO) was conducted employing high temperature catalytic oxidation. Bacterial composition of the dust was investigated using a VITEK 2 Compact biochemical analyzer while viral diversity was screened by polymerase chain reaction.Results. Dust in healthcare units consisted of globular particles and/or microsized fibers. Regardless of the healthcare setting, globular particles prevailed in the dust structure. Dust nanoparticles was characterised by an average first size peak of 85.6 ± 12.6 nm and an average second peak of 307.1 ± 76.2 nm. Dust collected in non-surgical units contained a higher nitrogen content than surgical settings (p < 0.001). Proportions of hydrogen, carbon, and sulfur did not differ between non-surgical and surgical units. The dust collected from healthcare settings in different cities also varied in nitrogen content (p = 0.033). A wide microbial diversity was detected in dust samples and a high frequency (46.34%) of its contamination was found. In surgical departments, dust contamination was notable for multidrug-resistant bacteria (28.57%), while viruses prevailed in non-surgical departments (23.3%).Conclusions. Dust generated in surgical departments contains nanosized particulate matter, multidrug-resistant microorganisms, and a prominent organic component all defining it as a possible reservoir of multidrug-resistant microorganisms which may potentially cause healthcare-associated infections via airborne transmission.
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spelling doaj-art-8d5eb32a2590406da5aeee1628d93c842025-08-20T03:19:57ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412020-03-0151152510.23946/2500-0764-2020-5-1-15-25185Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settingsE. A. Chezganova0O. S. Efimova1V. M. Sakharova2A. R. Efimova3S. A. Sozinov4Z. R. Ismagilov5E. B. Brusina6Kemerovo State Medical UniversityInstitute of Coal Chemistry and Material Science, Siberian Branch of the Russian Academy of SciencesResearch Institute for Complex Issues of Cardiovascular DiseasesKemerovo Regional Center for Hygiene and EpidemiologyInstitute of Coal Chemistry and Material Science, Siberian Branch of the Russian Academy of SciencesInstitute of Coal Chemistry and Material Science, Siberian Branch of the Russian Academy of SciencesKemerovo State Medical UniversityAim. To study the microbial diversity and dust organic component in surgical healthcare settings and to assess the risk of dust-mediated transmission of healthcare-associated infections.Materials and Methods. Dust sampling (n = 41) was carried out using sterile gloves and containers from ventilation grilles and adjacent air ducts of the exhaust ventilation systems in various healthcare settings. Size and shape of dust particles were studied by means of scanning electron microscopy and dynamic light scattering. Elemental analysis (CHNSO) was conducted employing high temperature catalytic oxidation. Bacterial composition of the dust was investigated using a VITEK 2 Compact biochemical analyzer while viral diversity was screened by polymerase chain reaction.Results. Dust in healthcare units consisted of globular particles and/or microsized fibers. Regardless of the healthcare setting, globular particles prevailed in the dust structure. Dust nanoparticles was characterised by an average first size peak of 85.6 ± 12.6 nm and an average second peak of 307.1 ± 76.2 nm. Dust collected in non-surgical units contained a higher nitrogen content than surgical settings (p < 0.001). Proportions of hydrogen, carbon, and sulfur did not differ between non-surgical and surgical units. The dust collected from healthcare settings in different cities also varied in nitrogen content (p = 0.033). A wide microbial diversity was detected in dust samples and a high frequency (46.34%) of its contamination was found. In surgical departments, dust contamination was notable for multidrug-resistant bacteria (28.57%), while viruses prevailed in non-surgical departments (23.3%).Conclusions. Dust generated in surgical departments contains nanosized particulate matter, multidrug-resistant microorganisms, and a prominent organic component all defining it as a possible reservoir of multidrug-resistant microorganisms which may potentially cause healthcare-associated infections via airborne transmission.https://fcm.kemsmu.ru/jour/article/view/216surgical unitsdustnanoparticleshospital strainreservoir of pathogenshealthcare-associated infectionsairborne transmission
spellingShingle E. A. Chezganova
O. S. Efimova
V. M. Sakharova
A. R. Efimova
S. A. Sozinov
Z. R. Ismagilov
E. B. Brusina
Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
Фундаментальная и клиническая медицина
surgical units
dust
nanoparticles
hospital strain
reservoir of pathogens
healthcare-associated infections
airborne transmission
title Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
title_full Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
title_fullStr Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
title_full_unstemmed Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
title_short Particulate matter as a possible reservoir of multidrug-resistant microorganisms in surgical healthcare settings
title_sort particulate matter as a possible reservoir of multidrug resistant microorganisms in surgical healthcare settings
topic surgical units
dust
nanoparticles
hospital strain
reservoir of pathogens
healthcare-associated infections
airborne transmission
url https://fcm.kemsmu.ru/jour/article/view/216
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