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在医院建筑施工期间对室内真菌污染进行的前瞻性调查。

Prospective survey of indoor fungal contamination in hospital during a period of building construction.

作者信息

Sautour M, Sixt N, Dalle F, L'ollivier C, Calinon C, Fourquenet V, Thibaut C, Jury H, Lafon I, Aho S, Couillault G, Vagner O, Cuisenier B, Besancenot J-P, Caillot D, Bonnin A

机构信息

Parasitology and Mycology Laboratory, Hôpital du Bocage, BP 77908, 21079 Dijon Cedex, France.

出版信息

J Hosp Infect. 2007 Dec;67(4):367-73. doi: 10.1016/j.jhin.2007.09.013. Epub 2007 Nov 26.

Abstract

An 18-month survey of indoor fungal contamination was conducted in one haematology unit during a period of construction work. Air was sampled with a portable Air System Impactor and surfaces with contact Sabouraud plates. During this survey the mean concentration of viable fungi in air was 4.2 cfu/m(3) and that for surfaces was 1.7 cfu/plate. At the beginning of construction work, there were increases in airborne fungal spores (from 3.0 to 9.8 cfu/m(3)) in the unit, but concentrations did not exceed 10 cfu/m(3) during the 18-month period. The most frequently recovered airborne fungi were Penicillium spp. (27-38%), Aspergillus spp. (25%) and Bjerkandera adusta, a basidiomycete identified with molecular tools (7-12%). Blastomycetes accounted for more than 50% of the fungal flora on surfaces. Investigating the impact of a new air-treatment system (mobile Plasmair units), there were significant reductions in fungal contamination for the Plasmer -treated rooms, and in these rooms we observed the same level of fungal load whether construction work was in progress or not.

摘要

在一个血液科进行了为期18个月的室内真菌污染调查,调查期间该科室正在进行建设施工。使用便携式空气系统撞击器对空气进行采样,使用接触式沙氏平板对表面进行采样。在此次调查中,空气中活真菌的平均浓度为4.2 cfu/m³,表面的平均浓度为1.7 cfu/平板。在建设施工开始时,该科室空气中的真菌孢子有所增加(从3.0增至9.8 cfu/m³),但在这18个月期间浓度未超过10 cfu/m³。最常检测到的空气传播真菌是青霉属(27 - 38%)、曲霉属(25%)以及通过分子工具鉴定的担子菌烟管菌(7 - 12%)。芽生菌在表面真菌菌群中占比超过50%。在调查一种新型空气处理系统(移动式等离子空气净化装置)的影响时,经等离子处理的房间真菌污染显著减少,并且在这些房间中,无论建设施工是否进行,我们都观察到相同水平的真菌负荷。

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