Rautiala Sirpa, Torvinen Eila, Torkko Pirjo, Suomalainen Sini, Nevalainen Aino, Kalliokoski Pentti, Katila Marja-Leena
Kuopio Regional Institute of Occupational Health, P.O. Box 93, 7071 Kuopio, Finland.
J Occup Environ Hyg. 2004 Jan;1(1):1-6. doi: 10.1080/15459620490250008.
Construction workers' exposure to airborne viable mycobacteria was studied during the remediation of three moldy and two nonmoldy buildings. Furthermore, the concentrations of airborne fungal and actinobacterial spores were determined. The samples for the microbial analyses were collected using a six-stage impactor and an all-glass impinger sampler, and by filter sampling. Specific mycobacteria media and nonselective media were used for the cultures. The samples were cultured for the total numbers of rapidly growing and slow-growing mycobacteria, and the isolates obtained were identified to the genus or species level. Mycobacteria were recovered from the air during the remediation of two of the moldy buildings and one nondamaged building. Concentrations of mycobacteria up to 160 cfu/m3 were detected. A total of 43 mycobacterial isolates was recovered. Most of the isolates were slow-growers, only two rapid-growing strains being detected. The 38 identified isolates belonged to potentially pathogenic species, including Mycobacterium avium complex, M. scrofulaceum, and M. fortuitum, and to saprophytic species, including M. nonchromogenicum and M. terrae. Mycobacteria were the most often detected in samples taken with a six-stage impactor. They were found in buildings with both high and low concentrations of fungi. In conclusion, mycobacteria, both potentially pathogenic and saprophytic species, may be released into the indoor air during the remediation of buildings.
在对三座发霉建筑和两座未发霉建筑进行修复期间,对建筑工人接触空气中活分枝杆菌的情况进行了研究。此外,还测定了空气中真菌和放线菌孢子的浓度。微生物分析样本通过六级冲击器、全玻璃冲击式采样器以及过滤采样进行采集。使用特定的分枝杆菌培养基和非选择性培养基进行培养。对样本中快速生长和缓慢生长的分枝杆菌总数进行培养,并将获得的分离株鉴定到属或种水平。在两座发霉建筑和一座未受损建筑的修复过程中,从空气中检测到了分枝杆菌。检测到分枝杆菌的浓度高达160 cfu/m³。共回收了43株分枝杆菌分离株。大多数分离株生长缓慢,仅检测到两株快速生长菌株。已鉴定的38株分离株属于潜在致病菌种,包括鸟分枝杆菌复合群、瘰疬分枝杆菌和偶然分枝杆菌,以及腐生菌种,包括非产色分枝杆菌和土地分枝杆菌。用六级冲击器采集的样本中分枝杆菌检出率最高。在真菌浓度高和低的建筑中均发现了分枝杆菌。总之,在建筑修复过程中,潜在致病和腐生的分枝杆菌菌种都可能释放到室内空气中。