Skip to main content

Advertisement

Log in

Monitoring Environmental Aspergillus spp. Contamination and Meteorological Factors in a Haematological Unit

  • Published:
Mycopathologia Aims and scope Submit manuscript

Abstract

The opportunistic pathogens belonging to the Aspergillus genus are present in almost all seasons of the year, and their concentration is related to meteorological conditions. The high density of Aspergillus spp. conidia in a haematological hospital ward may be a significant risk factor for developing invasive fungal diseases in immunocompromised patients. Aim of the present study was to evaluate the variability of airborne Aspergillus spp. conidia contamination in a Haematological Unit (HU) within a period of 16 months in relation with some meteorological parameters. An environmental Aspergillus surveillance was conducted in the HU in four rooms and their bathrooms, in the corridor and in three external sites using an agar impact sampler. During each sampling, temperature and relative humidity at each site were recorded and current wind speed and rainfall events were taken from the official weather service. Aspergillus spp. conidia concentration differed significantly across the sampling sites. Internal Aspergillus spp. loads were significantly dependent on temperature, internal relative humidity and rain. External conidia concentrations were significantly influenced by outdoor temperature and relative humidity. A suitable indicator was introduced to evaluate the seasonal distribution of Aspergillus spp. conidia in the sampling sites, and a significant dependence on this indicator was observed inside the HU. Seventeen different fungal species belonging to the Aspergillus genus were detected during the sampling period. Aspergillus fumigatus was the most frequently isolated species and its distribution depended significantly on the seasonal indicator both inside and outside the hospital ward.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Steinbach WJ, Benjamin DK Jr, Kontoyiannis DP, et al. Infections due to Aspergillus terreus: a multicenter retrospective analysis of 83 cases. Clin Infect Dis. 2004;39:192–8.

    Article  PubMed  Google Scholar 

  2. Marr KA, Patterson T, Denning D. Aspergillosis. Pathogenesis, clinical manifestations and therapy. Infect Dis Clin North Am. 2002;16:875–94.

    Article  PubMed  Google Scholar 

  3. Rüping MJGT, Gerlach S, Fischer G, et al. Environmental and clinical epidemiology of Aspergillus terreus: data from a prospective surveillance study. J Hosp Infect. 2011;78:226–30.

    Article  PubMed  Google Scholar 

  4. Arnow PM, Sadigh M, Costas C, Weil D, Chudy R. Endemic and epidemic aspergillosis associated with in-hospital replication of Aspergillus organisms. J Infect Dis. 1991;1:998–1002.

    Article  Google Scholar 

  5. Price DL, Simmons RB, Crow SA, Ahearn DG. Mould colonization during use of preservative-treated and untreated air filters, including HEPA filters from hospitals and commercial locations over an 8-year period (1996–2003). J Ind Microbiol Biotechnol. 2005;32:321–8.

    Article  Google Scholar 

  6. Cheng SM, Streifel AJ. Infection control considerations during construction activities: land excavation and demolition. Am J Infect Control. 2001;29:321–8.

    Article  PubMed  CAS  Google Scholar 

  7. Burch M, Levetin E. Effects of meteorological conditions on spore plumes. Int J Biometeorol. 2002;46:107–17.

    Article  PubMed  CAS  Google Scholar 

  8. Troutt C, Levetin E. Correlation of spring spore concentrations and meteorological conditions in Tulsa. Oklahoma Int J Biometeorol. 2001;45:64–74.

    Article  CAS  Google Scholar 

  9. Angulo-Romero J, Mediavilla-Molina A, Domínguez-Vilches E. Conidia of Alternaria in the atmosphere of the city of Cordoba, Spain in relation to meteorological parameters. Int J Biometeorol. 1999;43:45–9.

    Article  PubMed  CAS  Google Scholar 

  10. Sabariego S, Diaz de la Guardia C, Alba F. The effect of meteorological factors on the daily variation of airborne fungal spores in Granada (southern Spain). Int J Biometeorol. 2000;44:1–5.

    Article  PubMed  CAS  Google Scholar 

  11. Guinea J, Peláez T, Alcalá L, Bouza E. Outdoor environmental levels of Aspergillus spp. conidia over a wide geographical area. Med Mycol. 2006;44:349–56.

    Article  PubMed  Google Scholar 

  12. Augustowska M, Dutkiewicz J. Variability of airborne microflora in a hospital ward within a period of one year. Ann Agric Environ Med. 2006;13:99–106.

    PubMed  Google Scholar 

  13. Satour M, Sixt N, Dalle F, et al. Prospective survey of indoor fungal contamination in hospital during a period of building construction. J Hosp Infect. 2007;67:367–73.

    Article  Google Scholar 

  14. Andreoni S, Farina C, Lombardi G. Atlas of medical mycology. Milan: Systems Comunicazioni; 2003.

    Google Scholar 

  15. Li DW, Kendrick B. A year-round study on functional relationships of airborne fungi with meteorological factors. Int J Biometeorol. 1995;39:74–80.

    Article  PubMed  CAS  Google Scholar 

  16. Hospenthal DR, Kwon-Chung KJ, Bennett JE. Concentration of airborne Aspergillus compared to the incidence of invasive aspergillosis: lack of correlation. Med Mycol. 1998;36:165–8.

    PubMed  CAS  Google Scholar 

  17. Leenders ACAP, van Belkum A, Behrendt M, Luijendijk A, Verbrugh HA. Density and molecular epidemiology of Aspergillus in air and relationship to outbreaks of Aspergillus infection. J Clin Microbiol. 1999;37:1752–7.

    PubMed  CAS  Google Scholar 

  18. Rainer J, Peintner U, Pöder R. Biodiversity and concentration of airborne fungi in a hospital environment. Mycopathologia. 2000;149:87–97.

    Article  Google Scholar 

  19. Brenier-Pinchart MP, Lebeau B, Quesada JL, et al. Influence of internal and outdoor factors on filamentous fungal flora in hematology wards. Am J Infect Control. 2009;37:631–7.

    Article  PubMed  Google Scholar 

  20. Tong Y, Lighthart B. Solar radiation has a lethal effect on natural populations of culturable outdoor atmospheric bacteria. Atmos Environ. 1997;31:897–900.

    Article  CAS  Google Scholar 

  21. Holwill IL, Clark JM, Swanton JE, Griffiths WD, Stewart IW. Characterization of bioaerosols: the effects of environmental conditions and pollutants. J Aerosol Sci. 1998;29:607–8.

    Article  Google Scholar 

  22. Jones AM, Harrison RM. The effects of meteorological factors on atmospheric bioaerosol concentrations-a review. Sci Total Environ. 2004;326:151–80.

    Article  PubMed  CAS  Google Scholar 

  23. Centers for Disease Control and Prevention (CDC). Guidelines for preventing opportunistic infections among hematopoietic stem cell transplant recipients. MMWR Recomm Rep. 2000;49:1–125.

    Google Scholar 

  24. Siegel JD, Rhinehart E, Jackson M, Chiarello L, the Healthcare Infection Control Practices Advisory Committee. Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. 2007. http://www.cdc.gov/ncidod/dhqp/pdf/isolation2007.pdf.

  25. Ruiz-Camps I, Aguado JM, Almirante B, Bouza E, Ferrer-Barbera CF, Len O, et al. Guidelines for prevention of invasive mould diseases caused by filamentous fungi by Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC). Clin Microbiol Infect. 2011;17(suppl 2):1–24.

    Article  PubMed  CAS  Google Scholar 

  26. Girmenia C, Gentile G. Infezioni in ematologia: epidemiologia, profilassi, clinica. In: Collana: Grandangolo in ematologia. Genova: Forum Service Editore s.c.a.r.l.; 1999. p. 71.

  27. Menegueti MG, Ferreira LR, Silva MF, Silva AS, Bellissimo-Rodrigues F. Assessment of microbiological air quality in hemato-oncology units and its relationship with the occurrence of invasive fungal infections: an integrative review. Rev Soc Bras Med Trop. 2013;46(4):391–6 [Epub ahead of print].

    Article  PubMed  Google Scholar 

  28. Perdelli F, Sartini M, Spagnolo AM, Dallera M, Lombardi R, Cristina ML. A problem of hospital hygiene: the presence of aspergilli in hospital wards with different air-conditioning features. Am J Infect Control. 2006;34:264–8.

    Article  PubMed  Google Scholar 

  29. Vonberg RP, Gastmeier P. Nosocomial aspergillosis in outbreak settings. J Hosp Infect. 2006;63:246–54.

    Article  PubMed  Google Scholar 

  30. Muñoz P, Burillo A, Bouza E. Environmental surveillance and other control measures in the prevention of nosocomial fungal infections. Clin Microbiol Infect. 2001;7:38–45.

    Article  PubMed  Google Scholar 

  31. Alberti C, Bouakline A, Ribaud P, et al. Relationship between environmental fungal contamination and the incidence of invasive aspergillosis in haematology patients. J Hosp Infect. 2001;48:198–206.

    Article  PubMed  CAS  Google Scholar 

  32. Pini G, Faggi E, Donato R, Sacco C, Fanci R. Invasive pulmonary aspergillosis in neutropenic patients and the influence of hospital renovation. Mycoses. 2008;5:117–22.

    Article  Google Scholar 

Download references

Acknowledgments

This work was fund by Regione Piemonte Finalized Research Grant 2003.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to L. Fracchia.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cavallo, M., Andreoni, S., Martinotti, M.G. et al. Monitoring Environmental Aspergillus spp. Contamination and Meteorological Factors in a Haematological Unit. Mycopathologia 176, 387–394 (2013). https://doi.org/10.1007/s11046-013-9712-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11046-013-9712-6

Keywords

Navigation