Horner W Elliott, Barnes Charles, Codina Rosa, Levetin Estelle
Air Quality Sciences, Atlanta, GA, USA.
J Allergy Clin Immunol. 2008 Mar;121(3):592-597.e7. doi: 10.1016/j.jaci.2007.11.020. Epub 2008 Feb 19.
Inspections and testing of indoor environments for mold growth increased dramatically in the past decade. Allergists can now be presented copies of reports and laboratory data and asked to provide an interpretation, although allergists are seldom trained to review environmental data. There is no single sampling method that is both specific for mold growth and robust enough to reliably detect mold growth. There is no standard method for these inspections or testing and no widely recognized credential for investigators, and therefore reports also vary in quality, objectives, and thoroughness. Despite these issues, observations from informed inspections coupled with results from qualified analyses of samples that are collected with a useful strategy can usually indicate whether mold growth is present in a building, but the nature of the report should be assessed before any interpretation of the results and data are attempted. This rostrum discusses objectives of inspections, describes qualifications for investigators, outlines the limitations of various sampling methods applicable to mold and to some degree endotoxin, and provides guidance for data interpretation.
在过去十年中,针对室内环境霉菌生长的检查和测试急剧增加。现在,过敏症专科医生可能会收到报告副本和实验室数据,并被要求做出解读,尽管过敏症专科医生很少接受过审查环境数据的培训。没有一种单一的采样方法既对霉菌生长具有特异性,又强大到足以可靠地检测出霉菌生长。对于这些检查或测试,没有标准方法,对于调查人员也没有广泛认可的资质认证,因此报告在质量、目标和详尽程度上也各不相同。尽管存在这些问题,但通过明智的检查所获得的观察结果,再加上采用有效策略采集的样本进行合格分析所得到的结果,通常可以表明建筑物中是否存在霉菌生长,但在对结果和数据进行任何解读之前,都应该先评估报告的性质。本讲台讨论了检查的目标,描述了调查人员的资质,概述了适用于霉菌以及在一定程度上适用于内毒素的各种采样方法的局限性,并为数据解读提供指导。