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盐矿温泉疗养胜地地下治疗室的生物气溶胶。

Bioaerosols of subterraneotherapy chambers at salt mine health resort.

作者信息

Frączek Krzysztof, Górny Rafał L, Ropek Dariusz

机构信息

Department of Microbiology, University of Agriculture, 24/28 Mickiewicza Avenue, 30-059 Kraków, Poland.

出版信息

Aerobiologia (Bologna). 2013;29(4):481-493. doi: 10.1007/s10453-013-9298-y. Epub 2013 Mar 16.

Abstract

Nowadays, an inhalation of naturally generated aerosols has again become a widely practiced method of balneological treatment of various respiratory diseases. The aim of this study was to characterize the microbial aerosol of subterraneotherapy chambers at the Bochnia Salt Mine Health Resort in southern Poland. The measurements were carried out using a 6-stage Andersen impactor over a period of 1 year in both indoor (i.e., two subterranean chambers, where curative treatments took place) and outdoor air. The maximum bacterial aerosol concentrations in the chambers reached 11,688 cfu/m. In such interiors, a high-performance method of microbial contaminant reduction need be introduced, especially when large groups of young patients are medically cured. Respecting fungal aerosol, its average indoor concentration (88 cfu/m) was significantly lower than outdoor level (538 cfu/m). It confirms that ventilation system provides efficient barrier against this type of biologically active propagules. Among identified micro-organisms, the most prevalent indoors were Gram-positive cocci, which constituted up to 80 % of airborne microflora. As highly adapted to the diverse environments of its human host (skin, respiratory tract), they can be easily released in high quantities into the air. The number of people introduced into such subterranean chambers should be in some way limited. The analysis of microclimate parameters revealed that temperature and relative humidity influenced significantly the level of bacterial aerosol only. Hence, a constant control of these parameters should be scrupulously superintended at this type of subterranean premises.

摘要

如今,吸入自然产生的气溶胶再次成为治疗各种呼吸道疾病的一种广泛应用的浴疗方法。本研究的目的是对波兰南部博赫尼亚盐矿疗养胜地地下治疗室的微生物气溶胶进行特征描述。测量使用六级安德森撞击器,在一年时间内对室内(即进行治疗的两个地下治疗室)和室外空气进行测量。治疗室内细菌气溶胶的最大浓度达到11,688 cfu/m。在这样的室内环境中,需要引入一种高效的减少微生物污染的方法,尤其是当有大批年轻患者接受治疗时。关于真菌气溶胶,其室内平均浓度(88 cfu/m)明显低于室外水平(538 cfu/m)。这证实了通风系统对这类生物活性繁殖体提供了有效的屏障。在已鉴定的微生物中,室内最常见的是革兰氏阳性球菌,占空气微生物群落的比例高达80%。由于它们高度适应人类宿主的不同环境(皮肤、呼吸道),它们很容易大量释放到空气中。进入这类地下治疗室的人数应以某种方式加以限制。小气候参数分析表明,温度和相对湿度仅对细菌气溶胶水平有显著影响。因此,在这类地下场所应严格监督对这些参数的持续控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1f4/3787802/dd884fdd62f2/10453_2013_9298_Fig1_HTML.jpg

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