Department of medical parasitology and mycology, Arak university of medical sciences, Arak, Iran.
Department of medical parasitology, Tarbiat Modares university, Tehran, Iran.
J Mycol Med. 2017 Sep;27(3):334-338. doi: 10.1016/j.mycmed.2017.04.003. Epub 2017 Jul 25.
Fungal infections are common complication among hospitalized patients especially between who is immunocompromised. Wet cooling systems in the hospital environment play a critical role as a source of these infections. The aim of this study was survey of wet cooling system of hospitals for fungal contamination in Arak city.
This study was conducted during May to September of 2016. Sampling was done as random. Samples were obtained from water and straw of 84 wet cooling systems of four hospitals in Arak city. Samples were cultured in Sabouraud dextrose agar medium contain of chloramphenicol. Identification of fungi was performed by Slide culture method.
From 84 wet cooling systems, 32 (38.1%) were contaminated with fungi. The highest fungal contamination was found in wards of oncology and CCU. The most prevalent of fungi isolated in this study were Aspergillus spp. and Candida spp., respectively.
The findings of this descriptive cross-sectional study clearly indicate, in wards of the hospital that used wet cooling systems, there was considerable fungal contamination, particularly Aspergillus contamination. These results highlight a clear need for greater attention to the use of non-aqueous or closed circulation cooling systems, especially where susceptible patients receive medical care.
真菌感染是住院患者的常见并发症,尤其是免疫功能低下者。医院环境中的湿冷却系统是这些感染的重要来源。本研究旨在调查阿拉克市医院湿冷却系统的真菌感染情况。
本研究于 2016 年 5 月至 9 月进行。采用随机抽样方法。从阿拉克市 4 家医院的 84 个湿冷却系统的水和稻草中采集样本。样本在含有氯霉素的沙氏葡萄糖琼脂培养基中培养。通过滑液培养法进行真菌鉴定。
从 84 个湿冷却系统中,有 32 个(38.1%)被真菌污染。肿瘤病房和 CCU 病房的真菌污染最严重。本研究中分离出的最常见真菌分别为曲霉属和念珠菌属。
这项描述性横断面研究的结果清楚地表明,在使用湿冷却系统的医院病房中,存在相当程度的真菌污染,特别是曲霉污染。这些结果突出表明,需要更加重视使用非水或闭路循环冷却系统,特别是在接受医疗护理的易感患者中。