Indoor Air and Surface Fungal Contamination in the Special Care Baby Unit of a Tertiary Hospital in Jos, Nigeria
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Abstract
Fungi frequently contaminate the indoor air as well as surfaces of hospital equipment and furniture. This pose a significant risk for neonates in the Special Care Baby Unit. This study aimed to determine the rate of fungal contamination of indoor air and surfaces of the special care baby unit of a tertiary health facility in Jos, Nigeria. The study was carried out at the special care baby unit of the Jos University Teaching Hospital. Indoor air samples were obtained using sedimentation method whereas samples from surfaces were collected using sterile pre-moistened cotton tipped swab sticks. The swab sticks were inoculated onto sabouraud dextrose agar plates which were incubated along with indoor air culture plates for seven days. Univariate analysis was carried out using STATA (version 14IC). Fungal contamination rate of the special care baby unit was 20.2%. Aspergillus species (29.6%) was the most predominant fungus isolated. Most of the fungi were isolated from the outborn term and outborn preterm rooms of the special care baby unit. The fungi isolated include Aspergillus spp, Candida spp, Penicillium spp, Cladosporium spp, Curvularia spp, Fusarium spp, Paecillomyces spp, Alternatia spp, and Rhodotorulla spp. Fungi are a major cause of indoor air as well as surface contamination in special care baby unit of the hospital. Routine cleaning and disinfection will lead to a reduction in the fungal load.
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Peters A, Otter J, Moldovan A, Parneix P, Voss A, Pittet D. Keeping hospitals clean and safe without breaking the bank; summary of the Healthcare Cleaning Forum 2018. Antimicrob Resist Infect Control [Internet]. 2018 Nov 8;7:132. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225655/ DOI: https://doi.org/10.1186/s13756-018-0420-3
Hota B. Contamination, disinfection, and cross-colonization: are hospital surfaces reservoirs for nosocomial infection? Clin Infect Dis [Internet]. 2004/09/27. 2004 Oct 15;39(8):1182–9. Available from: https://pubmed.ncbi.nlm.nih.gov/15486843 DOI: https://doi.org/10.1086/424667
Tong X, Xu H, Zou L, Cai M, Xu X, Zhao Z, et al. High diversity of airborne fungi in the hospital environment as revealed by meta-sequencing-based microbiome analysis. Sci Rep [Internet]. 2017 Jan 3;7:39606. Available from: https://pubmed.ncbi.nlm.nih.gov/28045065 DOI: https://doi.org/10.1038/srep39606
Perdelli F, Cristina ML, Sartini M, Spagnolo AM, Dallera M, Ottria G, et al. Fungal contamination in hospital environments. Infect Control Hosp Epidemiol. 2006 Jan;27(1):44–7. DOI: https://doi.org/10.1086/499149
Kampan S. Air Quality and Employee Hygiene-related Behavior in a Post Anesthesia Care Unit in Thailand. Asian/Pacific Isl Nurs J [Internet]. 2019;4(1):11–9. Available from: https://pubmed.ncbi.nlm.nih.gov/31037269 DOI: https://doi.org/10.31372/20190401.1005
Srivastava S, Shetty N. Healthcare-associated infections in neonatal units: lessons from contrasting worlds. J Hosp Infect [Internet]. 2007/03/12. 2007 Apr;65(4):292–306. Available from: https://pubmed.ncbi.nlm.nih.gov/17350726 DOI: https://doi.org/10.1016/j.jhin.2007.01.014
Ramasethu J. Prevention and treatment of neonatal nosocomial infections. Matern Heal Neonatol Perinatol [Internet]. 2017 Feb 13;3:5. Available from: https://pubmed.ncbi.nlm.nih.gov/28228969 DOI: https://doi.org/10.1186/s40748-017-0043-3
Sathiyamurthy S, Banerjee J, Godambe S V. Antiseptic use in the neonatal intensive care unit - a dilemma in clinical practice: An evidence based review. World J Clin Pediatr [Internet]. 2016 May 8;5(2):159–71. Available from: https://pubmed.ncbi.nlm.nih.gov/27170926 DOI: https://doi.org/10.5409/wjcp.v5.i2.159
Ghajari A, Lotfali E, Azari M, Fateh R, Kalantary S. Fungal Airborne Contamination as a Serious Threat for Respiratory Infection in the Hematology Ward. Tanaffos [Internet]. 2015;14(4):257–61. Available from: https://pubmed.ncbi.nlm.nih.gov/27114728
Azimi F, Naddafi K, Nabizadeh R, Hassanvand MS, Alimohammadi M, Afhami S, et al. Fungal air quality in hospital rooms: a case study in Tehran, Iran. J Environ Heal Sci Eng [Internet]. 2013 Dec 19;11(1):30. Available from: https://pubmed.ncbi.nlm.nih.gov/24355065 DOI: https://doi.org/10.1186/2052-336X-11-30
Mesquita-Rocha S, Godoy-Martinez PC, Gonçalves SS, Urrutia MD, Carlesse F, Seber A, et al. The water supply system as a potential source of fungal infection in paediatric haematopoietic stem cell units. BMC Infect Dis [Internet]. 2013 Jun 26;13:289. Available from: https://pubmed.ncbi.nlm.nih.gov/23802862 DOI: https://doi.org/10.1186/1471-2334-13-289
Setlhare G, Malebo N, Shale K, Lues R. Identification of airborne microbiota in selected areas in a health-care setting in South Africa. BMC Microbiol [Internet]. 2014 Apr 22;14:100. Available from: https://pubmed.ncbi.nlm.nih.gov/24750818 DOI: https://doi.org/10.1186/1471-2180-14-100
Cahill OJ, Claro T, O’Connor N, Cafolla AA, Stevens NT, Daniels S, et al. Cold air plasma to decontaminate inanimate surfaces of the hospital environment. Appl Environ Microbiol [Internet]. 2014/01/17. 2014 Mar;80(6):2004–10. Available from: https://pubmed.ncbi.nlm.nih.gov/24441156 DOI: https://doi.org/10.1128/AEM.03480-13
Mora M, Mahnert A, Koskinen K, Pausan MR, Oberauner-Wappis L, Krause R, et al. Microorganisms in Confined Habitats: Microbial Monitoring and Control of Intensive Care Units, Operating Rooms, Cleanrooms and the International Space Station. Front Microbiol [Internet]. 2016 Oct 13;7:1573. Available from: https://pubmed.ncbi.nlm.nih.gov/27790191 DOI: https://doi.org/10.3389/fmicb.2016.01573
Park JH, Ryu SH, Lee JY, Kim HJ, Kwak SH, Jung J, et al. Airborne fungal spores and invasive aspergillosis in hematologic units in a tertiary hospital during construction: a prospective cohort study. Antimicrob Resist Infect Control [Internet]. 2019;8(1):88. Available from: https://doi.org/10.1186/s13756-019-0543-1 DOI: https://doi.org/10.1186/s13756-019-0543-1
Gheith S, Ranque S, Bannour W, Ben Youssef Y, Khelif A, Ben Said M, et al. Hospital environment fungal contamination and aspergillosis risk in acute leukaemia patients in Sousse (Tunisia). Mycoses [Internet]. 2015 Jun 1;58(6):337–42. Available from: https://doi.org/10.1111/myc.12320 DOI: https://doi.org/10.1111/myc.12320
Radford SA, Johnson EM, Leeming JP, Millar MR, Cornish JM, Foot AB, et al. Molecular epidemiological study of Aspergillus fumigatus in a bone marrow transplantation unit by PCR amplification of ribosomal intergenic spacer sequences. J Clin Microbiol [Internet]. 1998 May;36(5):1294–9. Available from: https://pubmed.ncbi.nlm.nih.gov/9574694 DOI: https://doi.org/10.1128/JCM.36.5.1294-1299.1998
Brooks B, Olm MR, Firek BA, Baker R, Geller-mcgrath D, Reimer SR, et al. The developing premature infant gut microbiome is a major factor shaping the microbiome of neonatal intensive care unit rooms. 2018;6(112):1–12. DOI: https://doi.org/10.1186/s40168-018-0493-5
Licina D, Bhangar S, Brooks B, Baker R, Firek B, Tang X, et al. Concentrations and Sources of Airborne Particles in a Neonatal Intensive Care Unit. PLoS One [Internet]. 2016 May 13;11(5):e0154991–e0154991. Available from: https://pubmed.ncbi.nlm.nih.gov/27175913 DOI: https://doi.org/10.1371/journal.pone.0154991
Caggiano G, Napoli C, Coretti C, Lovero G, Scarafile G, De Giglio O, et al. Mold contamination in a controlled hospital environment: a 3-year surveillance in southern Italy. BMC Infect Dis [Internet]. 2014 Nov 15;14:595. Available from: https://pubmed.ncbi.nlm.nih.gov/25398412 DOI: https://doi.org/10.1186/s12879-014-0595-z
Zupančič J, Novak Babič M, Zalar P, Gunde-Cimerman N. The Black Yeast Exophiala dermatitidis and Other Selected Opportunistic Human Fungal Pathogens Spread from Dishwashers to Kitchens. PLoS One [Internet]. 2016 Feb 11;11(2):e0148166–e0148166. Available from: https://pubmed.ncbi.nlm.nih.gov/26867131 DOI: https://doi.org/10.1371/journal.pone.0148166
Shams-Ghahfarokhi M, Aghaei-Gharehbolagh S, Aslani N, Razzaghi-Abyaneh M. Investigation on distribution of airborne fungi in outdoor environment in Tehran, Iran. J Environ Heal Sci Eng [Internet]. 2014 Mar 3;12(1):54. Available from: https://pubmed.ncbi.nlm.nih.gov/24588901 DOI: https://doi.org/10.1186/2052-336X-12-54
Afshari MA, Riazipour M, Kachuei R, Teimoori M, Einollahi B. A qualitative and quantitative study monitoring airborne fungal flora in the kidney transplant unit. Nephrourol Mon [Internet]. 2013/03/30. 2013;5(2):736–40. Available from: https://pubmed.ncbi.nlm.nih.gov/23841036 DOI: https://doi.org/10.5812/numonthly.5379
Dehghani M, Sorooshian A, Nazmara S, Baghani AN, Delikhoon M. Concentration and type of bioaerosols before and after conventional disinfection and sterilization procedures inside hospital operating rooms. Ecotoxicol Environ Saf [Internet]. 2018/08/17. 2018 Nov 30;164:277–82. Available from: https://pubmed.ncbi.nlm.nih.gov/30121503 DOI: https://doi.org/10.1016/j.ecoenv.2018.08.034