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Haig CW, Mackay WG, Walker JT, Williams C. Bioaerosol sampling: sampling mechanisms, bioefficiency and field studies. J Hosp Infect 2016; 93:242-55. [PMID: 27112048 PMCID: PMC7124364 DOI: 10.1016/j.jhin.2016.03.017] [Citation(s) in RCA: 88] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2015] [Accepted: 03/15/2016] [Indexed: 11/21/2022]
Abstract
Investigations into the suspected airborne transmission of pathogens in healthcare environments have posed a challenge to researchers for more than a century. With each pathogen demonstrating a unique response to environmental conditions and the mechanical stresses it experiences, the choice of sampling device is not obvious. Our aim was to review bioaerosol sampling, sampling equipment, and methodology. A comprehensive literature search was performed, using electronic databases to retrieve English language papers on bioaerosol sampling. The review describes the mechanisms of popular bioaerosol sampling devices such as impingers, cyclones, impactors, and filters, explaining both their strengths and weaknesses, and the consequences for microbial bioefficiency. Numerous successful studies are described that point to best practice in bioaerosol sampling, from the use of small personal samplers to monitor workers' pathogen exposure through to large static samplers collecting airborne microbes in various healthcare settings. Of primary importance is the requirement that studies should commence by determining the bioefficiency of the chosen sampler and the pathogen under investigation within laboratory conditions. From such foundations, sampling for bioaerosol material in the complexity of the field holds greater certainty of successful capture of low-concentration airborne pathogens. From the laboratory to use in the field, this review enables the investigator to make informed decisions about the choice of bioaerosol sampler and its application.
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Affiliation(s)
- C W Haig
- Institute of Healthcare Associated Infection, University of the West of Scotland, Paisley, UK.
| | - W G Mackay
- Institute of Healthcare Associated Infection, University of the West of Scotland, Paisley, UK
| | - J T Walker
- Public Health England, National Infection Service, Biosafety Unit, Porton Down, UK
| | - C Williams
- Institute of Healthcare Associated Infection, University of the West of Scotland, Paisley, UK
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Ghosh B, Lal H, Srivastava A. Review of bioaerosols in indoor environment with special reference to sampling, analysis and control mechanisms. ENVIRONMENT INTERNATIONAL 2015; 85:254-72. [PMID: 26436919 PMCID: PMC7132379 DOI: 10.1016/j.envint.2015.09.018] [Citation(s) in RCA: 136] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Revised: 09/10/2015] [Accepted: 09/11/2015] [Indexed: 05/19/2023]
Abstract
Several tiny organisms of various size ranges present in air are called airborne particles or bioaerosol which mainly includes live or dead fungi and bacteria, their secondary metabolites, viruses, pollens, etc. which have been related to health issues of human beings and other life stocks. Bio-terror attacks in 2001 as well as pandemic outbreak of flue due to influenza A H1N1 virus in 2009 have alarmed us about the importance of bioaerosol research. Hence characterization i.e. identification and quantification of different airborne microorganisms in various indoor environments is necessary to identify the associated risks and to establish exposure threshold. Along with the bioaerosol sampling and their analytical techniques, various literatures revealing the concentration levels of bioaerosol have been mentioned in this review thereby contributing to the knowledge of identification and quantification of bioaerosols and their different constituents in various indoor environments (both occupational and non-occupational sections). Apart from recognition of bioaerosol, developments of their control mechanisms also play an important role. Hence several control methods have also been briefly reviewed. However, several individual levels of efforts such as periodic cleaning operations, maintenance activities and proper ventilation system also serve in their best way to improve indoor air quality.
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Affiliation(s)
- Bipasha Ghosh
- School of Environmental Science, Jawaharlal Nehru University, New Delhi, India
| | - Himanshu Lal
- School of Environmental Science, Jawaharlal Nehru University, New Delhi, India
| | - Arun Srivastava
- School of Environmental Science, Jawaharlal Nehru University, New Delhi, India.
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Wubulihairen M, Lu X, Lee PKH, Ning Z. Development and laboratory evaluation of a compact swirling aerosol sampler (SAS) for collection of atmospheric bioaerosols. ATMOSPHERIC POLLUTION RESEARCH 2015; 6:556-561. [PMID: 32288534 PMCID: PMC7110794 DOI: 10.5094/apr.2015.062] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 12/19/2014] [Accepted: 12/20/2014] [Indexed: 05/28/2023]
Abstract
Inhalation of infectious bioaerosols has been linked to a variety of respiratory diseases. However, efficient sampling techniques to allow high temporal resolution sampling are limited to collect and study bioaerosols in the various occupational and ambient micro-environmental atmospheres. This study introduces a medium flow swirling bioaerosol sampler (SAS) approach that collects atmospheric bioaerosols at the flow rate of 167 Lpm (10 cubic meter per hour). The collection of bioaerosols is achieved through a combination of impaction and cyclonic centrifugal motion. Aerosol deposition efficiency tests were performed with monodispersive polystyrene latex (PSL) particles ranging from 0.1 to 10 μm. Results have shown that the sampler has cut-off size of 0.7 μm and 1.5 μm, with and without the assistance of added water vapor, respectively. The bioaerosol collection and viability tests were performed with comparison to the commercially-available BioSampler, and the results show that the collection efficiency of the SAS is 97% at the designed flow rate, while the higher flow of the new system yields more than 13 times of the collection rate compared to the BioSampler. The high collection efficiency and observed viability preservation of the SAS make it an attractive alternative for high time resolution bioaerosol sampling for atmospheric, occupational and indoor air quality monitoring.
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Affiliation(s)
| | - Xiaoying Lu
- School of Energy and Environment, City University of Hong Kong
| | - Patrick K H Lee
- School of Energy and Environment, City University of Hong Kong
| | - Zhi Ning
- School of Energy and Environment, City University of Hong Kong
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Schelkopf A, Nerem J, Cowles B, Amodie D, Swalla R, Dee S. Reproductive, productivity, and mortality outcomes in late-gestation gilts and their litters following simulation of inadvertent exposure to a modified-live vaccine strain of porcine reproductive and respiratory syndrome (PRRS) virus. Vaccine 2014; 32:4639-43. [DOI: 10.1016/j.vaccine.2014.06.073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Revised: 06/06/2014] [Accepted: 06/13/2014] [Indexed: 10/25/2022]
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Alonso C, Otake S, Davies P, Dee S. An evaluation of interventions for reducing the risk of PRRSV introduction to filtered farms via retrograde air movement through idle fans. Vet Microbiol 2012; 157:304-10. [DOI: 10.1016/j.vetmic.2012.01.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2011] [Revised: 12/22/2011] [Accepted: 01/10/2012] [Indexed: 11/30/2022]
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Dee S, Otake S, Deen J. Use of a production region model to assess the efficacy of various air filtration systems for preventing airborne transmission of porcine reproductive and respiratory syndrome virus and Mycoplasma hyopneumoniae: results from a 2-year study. Virus Res 2010; 154:177-84. [PMID: 20667494 DOI: 10.1016/j.virusres.2010.07.022] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2010] [Revised: 06/23/2010] [Accepted: 07/19/2010] [Indexed: 11/20/2022]
Abstract
Porcine reproductive and respiratory syndrome virus (PRRSV) and Mycoplasma hyopneumoniae (M hyo) are economically significant pathogens of pigs that can be spread between herds via the airborne route. As area/regional control and eradication programs for these pathogens move forward, it becomes critical to understand conditions associated with airborne transport and to develop strategies to reduce this risk. While MERV 16-based air filtration is a potential intervention, it is costly and has only been evaluated against PRRSV. Therefore, it is important to test current and alternative filtration strategies against multiple pathogens to enhance their application in the field. To address this issue, we used a production region model to evaluate meteorological risk factors associated with the presence of each pathogen in air as well as the ability of mechanical and antimicrobial filters to protect susceptible populations against PRRSV and M hyo. In summary, conditions common to both pathogens included cool temperatures, the presence of PRRSV or M hyo in source population air and wind direction. PRRSV-positive air days were also characterized by low sunlight levels, winds of low velocity in conjunction with gusts and rising humidity and pressure. In regards to filter efficacy, while all types tested successfully prevented airborne transmission of PRRSV and M hyo, differences were observed in their ability to prevent airborne transport. These data provide a better understanding of the aerobiology of two important diseases of pigs and validate several air filtration technologies for protecting susceptible populations against the airborne challenge of PRRSV and M hyo.
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Affiliation(s)
- Scott Dee
- Department of Veterinary Population Medicine, University of Minnesota College of Veterinary Medicine, St. Paul, MN 55108, USA.
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Otake S, Dee S, Corzo C, Oliveira S, Deen J. Long-distance airborne transport of infectious PRRSV and Mycoplasma hyopneumoniae from a swine population infected with multiple viral variants. Vet Microbiol 2010; 145:198-208. [PMID: 20418029 DOI: 10.1016/j.vetmic.2010.03.028] [Citation(s) in RCA: 129] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2010] [Revised: 03/20/2010] [Accepted: 03/24/2010] [Indexed: 11/17/2022]
Abstract
Airborne transport of porcine reproductive and respiratory syndrome virus (PRRSV) and Mycoplasma hyopneumoniae (M hyo) has been reported out to 4.7 km. This study attempted to determine whether this event could occur over longer distances and across multiple viral variants. To accomplish this goal, a mixed infection of 3 PRRSV variants (1-8-4, 1-18-2 and 1-26-2) and M hyo 232 was established in a source population of growing pigs. Over 21-day period, air samples were collected from the source population and at designated distances from the herd. Samples were tested for PRRSV RNA and M hyo DNA by PCR and if positive, further characterized. In exhaust air from the source population, PRRSV and M hyo were detected in 21 of 21 and 8 of 21 air samples, respectively. Five of 114 (4.4%) long-distance air samples were positive for PRRSV and 6 of 114 (5.2%) were positive for M hyo. The 5 PRRSV-positive samples were collected at 2.3, 4.6, 6.6 and 9.1 km from the herd. All contained infectious virus and were >99.2% homologous to PRRSV 1-8-4. No evidence of PRRSV 1-18-2 or 1-26-2 was detected in long-distance samples. All 6 M hyo-positive samples were 99.9% homologous to M hyo 232 and 3 samples (collected at 3.5, 6.8 and 9.2km from the herd) were infectious. These results indicate that airborne transport of PRRSV 1-8-4 and M hyo 232 occurs over longer distances than previously reported and that both pathogens remained infectious.
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Affiliation(s)
- Satoshi Otake
- Swine Disease Eradication Center, University of Minnesota, College of Veterinary Medicine, 1988 Fitch Avenue, St. Paul, MN 55108, USA
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Dee S, Otake S, Oliveira S, Deen J. Evidence of long distance airborne transport of porcine reproductive and respiratory syndrome virus and Mycoplasma hyopneumoniae. Vet Res 2009; 40:39. [PMID: 19379664 PMCID: PMC2701181 DOI: 10.1051/vetres/2009022] [Citation(s) in RCA: 105] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2009] [Accepted: 04/17/2009] [Indexed: 11/17/2022] Open
Abstract
The ability of porcine reproductive and respiratory syndrome virus (PRRSV) and Mycoplasma hyopneumoniae to be transported over long distances via the airborne route was evaluated. A source population of 300 grow-finish pigs was experimentally inoculated with PRRSV MN-184 and M. hyopneumoniae 232 and over a 50-day period, air samples were collected at designated distances from the source herd using a liquid cyclonic collector. Samples were tested for the presence of PRRSV RNA and M. hyopneumoniae DNA by PCR and if positive, further characterized. Of the 306 samples collected, 4 (1.3%) were positive for PRRSV RNA and 6 (1.9%) were positive for M. hyopneumoniae DNA. The PRRSV-positive samples were recovered 4.7 km to the northwest (NW) of the source population. Four of the M. hyopneumoniae-positive samples were obtained at the NW sampling point; 2 samples at approximately 2.3 km and the other 2 samples approximately 4.7 km from the source population. Of the remaining 2 samples, one sample was obtained at the southeast sampling point and the other at the southwest sampling point, with both locations being approximately 4.7 km from the source. The four PRRSV-positive samples contained infectious virus and were ≥ 98.8% homologous to the MN-184 isolate used to inoculate the source population. All 6 of the M. hyopneumoniae-positive samples were 99.9% homologous to M. hyopneumoniae 232. These results support the hypothesis that long distance airborne transport of these important swine pathogens can occur.
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Affiliation(s)
- Scott Dee
- Swine Disease Eradication Center, University of Minnesota College of Veterinary Medicine, St. Paul, MN 55108, USA.
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Dee S, Pitkin A, Deen J. Evaluation of alternative strategies to MERV 16-based air filtration systems for reduction of the risk of airborne spread of porcine reproductive and respiratory syndrome virus. Vet Microbiol 2009; 138:106-13. [PMID: 19345522 DOI: 10.1016/j.vetmic.2009.03.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2008] [Revised: 02/27/2009] [Accepted: 03/06/2009] [Indexed: 10/21/2022]
Abstract
Porcine reproductive and respiratory syndrome (PRRS) is a re-emerging disease of pigs and a growing threat to the global swine industry. For sustainable disease control it is critical to prevent the airborne spread of the etiologic agent, PRRS virus, between pig populations. The application of MERV 16-based air filtration systems to swine facilities in an effort to reduce this risk has been proposed; however, due to the cost and air flow restrictions of such systems the need for alternative strategies has arisen. Therefore, the objective of this study was to evaluate 3 groups of alternative biosecurity strategies for reducing the risk of the airborne spread of PRRSV. Strategies evaluated included mechanical filters, antimicrobial filters and a disinfectant-EVAP (evaporative cooling) system. Results from this study indicate that while alternatives to MERV 16-based biosecurity protocols for protecting farms from the airborne spread of PRRSV are available, further information on their efficacy in the field is needed before conclusions can be drawn.
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Affiliation(s)
- Scott Dee
- Department of Veterinary Population Medicine, University of Minnesota College of Veterinary Medicine, St. Paul, MN 55108, USA.
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Use of a production region model to assess the airborne spread of porcine reproductive and respiratory syndrome virus. Vet Microbiol 2008; 136:1-7. [PMID: 19046835 DOI: 10.1016/j.vetmic.2008.10.013] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2008] [Revised: 10/09/2008] [Accepted: 10/13/2008] [Indexed: 01/10/2023]
Abstract
Porcine reproductive and respiratory syndrome (PRRS) is an emerging and re-emerging disease of pigs and a growing threat to the global swine industry. For sustainable disease control, it is critical to prevent the spread of the etiologic agent, PRRS virus, between pig populations. Therefore, a clear understanding of the role of aerosol transmission in the spread of PRRS virus is needed as well as information on how to reduce this risk. To enhance the knowledge of PRRS aerobiology we used a production region model to quantify infectious virus in bioaerosols, document airborne spread of the virus out to 120m, identify climactic conditions associated with the presence of virus in bioaerosols, and demonstrate the ability to protect at-risk populations using a system of air filtration. These findings confirm the importance of the airborne spread of PRRS virus, provide new information regarding its aerobiology and describe for the first time an effective means of disease control that can protect healthy, vulnerable populations of pigs.
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Bernstein IL, Li JT, Bernstein DI, Hamilton R, Spector SL, Tan R, Sicherer S, Golden DBK, Khan DA, Nicklas RA, Portnoy JM, Blessing-Moore J, Cox L, Lang DM, Oppenheimer J, Randolph CC, Schuller DE, Tilles SA, Wallace DV, Levetin E, Weber R. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol 2008; 100:S1-148. [PMID: 18431959 DOI: 10.1016/s1081-1206(10)60305-5] [Citation(s) in RCA: 291] [Impact Index Per Article: 18.2] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Hermann JR, Hoff SJ, Yoon KJ, Burkhardt AC, Evans RB, Zimmerman JJ. Optimization of a sampling system for recovery and detection of airborne porcine reproductive and respiratory syndrome virus and swine influenza virus. Appl Environ Microbiol 2006; 72:4811-8. [PMID: 16820475 PMCID: PMC1489351 DOI: 10.1128/aem.00472-06] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2006] [Accepted: 05/08/2006] [Indexed: 11/20/2022] Open
Abstract
The objective of this research was to optimize sampling parameters for increased recovery and detection of airborne porcine reproductive and respiratory syndrome virus (PRRSV) and swine influenza virus (SIV). Collection media containing antifoams, activated carbons, protectants, and ethylene glycol were evaluated for direct effects on factors impacting the detection of PRRSV and SIV, including virus infectivity, viability of continuous cell lines used for the isolation of these viruses, and performance of reverse transcriptase PCR assays. The results showed that specific compounds influenced the likelihood of detecting PRRSV and SIV in collection medium. A subsequent study evaluated the effects of collection medium, impinger model, and sampling time on the recovery of aerosolized PRRSV using a method for making direct comparisons of up to six treatments simultaneously. The results demonstrated that various components in air-sampling systems, including collection medium, impinger model, and sampling time, independently influenced the recovery and detection of PRRSV and/or SIV. Interestingly, it was demonstrated that a 20% solution of ethylene glycol collected the greatest quantity of aerosolized PRRSV, which suggests the possibility of sampling at temperatures below freezing. Based on the results of these experiments, it is recommended that air-sampling systems be optimized for the target pathogen(s) and that recovery/detection results should be interpreted in the context of the actual performance of the system.
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Affiliation(s)
- J R Hermann
- Department of Veterinary Diagnostic and Production Animal Medicine, College of Veterinary Medicine, Iowa State University, Ames, IA 50011-1250, USA
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Brasel TL, Martin JM, Carriker CG, Wilson SC, Straus DC. Detection of airborne Stachybotrys chartarum macrocyclic trichothecene mycotoxins in the indoor environment. Appl Environ Microbiol 2005; 71:7376-88. [PMID: 16269780 PMCID: PMC1287651 DOI: 10.1128/aem.71.11.7376-7388.2005] [Citation(s) in RCA: 93] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The existence of airborne mycotoxins in mold-contaminated buildings has long been hypothesized to be a potential occupant health risk. However, little work has been done to demonstrate the presence of these compounds in such environments. The presence of airborne macrocyclic trichothecene mycotoxins in indoor environments with known Stachybotrys chartarum contamination was therefore investigated. In seven buildings, air was collected using a high-volume liquid impaction bioaerosol sampler (SpinCon PAS 450-10) under static or disturbed conditions. An additional building was sampled using an Andersen GPS-1 PUF sampler modified to separate and collect particulates smaller than conidia. Four control buildings (i.e., no detectable S. chartarum growth or history of water damage) and outdoor air were also tested. Samples were analyzed using a macrocyclic trichothecene-specific enzyme-linked immunosorbent assay (ELISA). ELISA specificity was tested using phosphate-buffered saline extracts of the fungal genera Aspergillus, Chaetomium, Cladosporium, Fusarium, Memnoniella, Penicillium, Rhizopus, and Trichoderma, five Stachybotrys strains, and the indoor air allergens Can f 1, Der p 1, and Fel d 1. For test buildings, the results showed that detectable toxin concentrations increased with the sampling time and short periods of air disturbance. Trichothecene values ranged from <10 to >1,300 pg/m3 of sampled air. The control environments demonstrated statistically significantly (P < 0.001) lower levels of airborne trichothecenes. ELISA specificity experiments demonstrated a high specificity for the trichothecene-producing strain of S. chartarum. Our data indicate that airborne macrocyclic trichothecenes can exist in Stachybotrys-contaminated buildings, and this should be taken into consideration in future indoor air quality investigations.
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Affiliation(s)
- T L Brasel
- Department of Microbiology and Immunology, TTUHSC, Lubbock, TX 79430, USA
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Petrenko VA, Sorokulova IB. Detection of biological threats. A challenge for directed molecular evolution. J Microbiol Methods 2004; 58:147-68. [PMID: 15234514 DOI: 10.1016/j.mimet.2004.04.004] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2004] [Revised: 04/03/2004] [Accepted: 04/06/2004] [Indexed: 11/30/2022]
Abstract
The probe technique originated from early attempts of Anton van Leeuwenhoek to contrast microorganisms under the microscope using plant juices, successful staining of tubercle bacilli with synthetic dyes by Paul Ehrlich and discovery of a stain for differentiation of gram-positive and gram-negative bacteria by Hans Christian Gram. The technique relies on the principle that pathogens have unique structural features, which can be recognized by specifically labeled organic molecules. A hundred years of extensive screening efforts led to discovery of a limited assortment of organic probes that are used for identification and differentiation of bacteria. A new challenge--continuous monitoring of biological threats--requires long lasting molecular probes capable of tight specific binding of pathogens in unfavorable conditions. To respond to the challenge, probe technology is being revolutionized by utilizing methods of combinatorial chemistry, phage display and directed molecular evolution. This review describes how molecular evolution methods are applied for development of peptide, antibody and phage probes, and summarizes the author's own data on development of landscape phage probes against Salmonella typhimurium. The performance of the probes in detection of Salmonella is illustrated by a precipitation test, enzyme-linked immunosorbent assay (ELISA), fluorescence-activated cell sorting (FACS) and fluorescent, optical and electron microscopy.
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Affiliation(s)
- Valery A Petrenko
- Department of Pathobiology, College of Veterinary Medicine, Auburn University, 253 Greene Hall, Auburn, AL 36849, USA.
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Abstract
Many people with allergies monitor daily pollen and spore counts with the belief that they can act on that information to improve their health. Because many factors can affect personal exposure, the value of community-wide counts for an individual is questionable. These factors include the presence of local pollen and spore sources, diurnal variations, weather effects, air pollution, and a particle-free bioaerosol. To take advantage of bioparticulate counts, the public needs to be informed about their meaning and factors that can influence personal exposure.
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Affiliation(s)
- Jay Portnoy
- Section of Allergy, Asthma and Immunology, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.
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Bouza E, Peláez T, Pérez-Molina J, Marín M, Alcalá L, Padilla B, Muñoz P, Adán P, Bové B, Bueno MJ, Grande F, Puente D, Rodríguez MP, Rodríguez-Créixems M, Vigil D, Cuevas O. Demolition of a hospital building by controlled explosion: the impact on filamentous fungal load in internal and external air. J Hosp Infect 2002; 52:234-42. [PMID: 12473466 DOI: 10.1053/jhin.2002.1316] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The demolition of a maternity building at our institution provided us with the opportunity to study the load of filamentous fungi in the air. External (nearby streets) and internal (within the hospital buildings) air was sampled with an automatic volumetric machine (MAS-100 Air Samplair) at least daily during the week before the demolition, at 10, 30, 60, 90,120, 180, 240, 420, 540 and 660 min post-demolition, daily during the week after the demolition and weekly during weeks 2, 3 and 4 after demolition. Samples were duplicated to analyse reproducibility. Three hundred and forty samples were obtained: 115 external air, 69 'non-protected' internal air and 156 protected internal air [high efficiency particulate air (HEPA) filtered air under positive pressure]. A significant increase in the colony count of filamentous fungi occurred after the demolition. Median colony counts of external air on demolition day were significantly higher than from internal air (70.2 cfu/m(3) vs 35.8 cfu/m(3)) (P < 0.001). Mechanical demolition on day +4 also produced a significant difference between external and internal air (74.5 cfu/m(3) vs 41.7 cfu/m(3)). The counts returned to baseline levels on day +11. Most areas with a protected air supply yielded no colonies before demolition day and remained negative on demolition day. The reproducibility of the count method was good (intra-assay variance: 2.4 cfu/m(3)). No episodes of invasive filamentous mycosis were detected during the three months following the demolition. Demolition work was associated with a significant increase in the fungal colony counts of hospital external and non-protected internal air. Effective protective measures may be taken to avoid the emergence of clinical infections.
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Affiliation(s)
- E Bouza
- Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, University of Madrid, Madrid, Spain.
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Barnes C, Pacheco F, Landuyt J, Hu F, Portnoy J. Hourly variation of airborne ragweed pollen in Kansas City. Ann Allergy Asthma Immunol 2001; 86:166-71. [PMID: 11258685 DOI: 10.1016/s1081-1206(10)62686-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Ragweed pollen is one of the major causes of allergic rhinitis in the midwest United States. Previous studies have demonstrated that ragweed pollen production begins after sunrise and airborne pollen levels peak several hours later. Variations in this pattern that may be of clinical importance within a small region and the effect of weather on these variations have not been investigated. METHODS Volumetric pollen collectors were stationed at four sites around the metropolitan area. Ten-minute grab samples were taken at each location every 2 hours for continuous 24-hour periods during the 1997 ragweed season. The downtown location had a weather station that logged meteorological conditions at hourly intervals during this time. Ragweed pollen grains were counted microscopically at 400 x. Uninterrupted data covering at least 20 days during the season were evaluated for each collection site. RESULTS The lowest ragweed pollen counts occur at 6:00 AM and the highest occur at noon for both suburban and urban sites. Rainfall was seen to be the most influential weather-related factor. Significant rainfall events effectively removed pollen grains from the air. CONCLUSIONS Though ragweed pollen emission begins at 6:00 AM, peak pollen exposure occurs at midday. This observation is in agreement with many other studies. The myth that highest ragweed exposure occurs in the early morning hours is not supported by this or previous studies.
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Affiliation(s)
- C Barnes
- Section of Allergy/Immunology, The Children's Mercy Hospital, Kansas City, MO 64108, USA.
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Abstract
The standard index of microbial air contamination (IMA) for the measurement of microbial air contamination in environments at risk is described. The method quantifies the microbial flow directly related to the contamination of surfaces coming from microbes that reach critical points by falling on to them. The index of microbial air contamination is based on the count of the microbial fallout on to Petri dishes left open to the air according to the 1/1/1 scheme (for 1h, 1m from the floor, at least 1m away from walls or any obstacle). Classes of contamination and maximum acceptable levels have been established. The index of microbial air contamination has been tested in many different places: in hospitals, in food industries, in art galleries, aboard the MIR space station and also in the open air. It has proved to be a reliable and useful tool for monitoring the microbial surface contamination settling from the air in any environment.
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Affiliation(s)
- C Pasquarella
- Department of Hygiene, University of Perugia, Via del Gochetto, 06100 Perugia, Italy.
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Portnoy J, Landuyt J, Pacheco F, Flappan S, Simon S, Barnes C. Comparison of the Burkard and Allergenco MK-3 volumetric collectors. Ann Allergy Asthma Immunol 2000; 84:19-24. [PMID: 10674560 DOI: 10.1016/s1081-1206(10)62735-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND The Burkard sampler is a widely used volumetric pollen and spore collector, in part, because it is wind-oriented, it has consistent flow characteristics, and it permits time-discrimination of collected particles. Its main disadvantages are that it is heavy, expensive, and visual counting is very time-consuming. A less-expensive volumetric collector with time discrimination capabilities could permit more widespread particle counting which would enhance our understanding of aerobiology. OBJECTIVE The objective of this study is to compare the collection recoveries of the Burkard sampler with a less-expensive non-wind oriented collector, the Allergenco MK-3, under various wind speeds. METHODS Pollen and spore counts were compared on 20 sampling days during the spring pollen season using a Burkard and Allergenco MK-3 located next to each other on the roof of a 5-story hospital building. A weather station was placed nearby and wind velocity was concurrently measured. RESULTS The median wind velocity was 6 miles/hour with a maximum of 35 miles/hour. The Burkard and Allergenco MK-3 collectors displayed similar collection characteristics at all wind velocities for both pollen and spores. The Burkard gave lower counts than the Allergenco when absolute particle counts were low and similar values at higher absolute counts. CONCLUSIONS Given our data, we conclude that ambient wind speed has no significant effect on collection efficiency at velocities commonly found on the roof of our hospital and that the collection characteristics of the Burkard and Allergenco MK-3 are comparable.
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Affiliation(s)
- J Portnoy
- The Children's Mercy Hospital, Kansas City, Missouri 64108, USA
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Abstract
BACKGROUND Allergenic diseases triggered by aeroallergens extract a health cost in quality of life and in economic impact. People generally spend 90% to 95% of their time indoors, so understanding the environmental factors that affect the presence of aeroallergens indoors are important in understanding health impact and potential intervention methods. OBJECTIVE Describe the relationship of indoor airborne pollen and fungal spores in occupied mobile homes with outdoor concentrations and other environmental factors within geographically diverse areas of Texas. METHODS Airborne pollen and fungal spores were collected during the daytime with RotoRod samplers indoor and outdoor of mobile homes in Houston and El Paso, Texas. Samples were counted simultaneously with a dual eyepiece microscope and identified morphologically and through staining techniques. RESULTS Geometric mean concentrations (counts/m3) indoors and outdoors for pollen, respectively, were Houston 7.1 and 196.4; and El Paso 17.5 and 71.5. Geometric mean concentrations (counts/m3) indoors and outdoors for spore, respectively, were Houston 98.5 and 196.4; and El Paso 36.9 and 71.5. Indoor to outdoor ratios (I/O) for pollen and fungal spores were found to be higher on average than has been previously reported. Modeling of predictive factors in Houston demonstrate that 62% and 41% of indoor levels of pollen and fungal spores, respectively, can be explained by their corresponding outdoor levels. These data suggest that the many factors associated with individual exposure to airborne pollen and fungal spores indoors are under the control of the occupant, and may additionally be influenced by the physical characteristics of mobile homes, in particular the high surface area to volume ratio and restricted flow patterns.
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Affiliation(s)
- D A Sterling
- Saint Louis University Health Sciences Center, School of Public Health, Department of Community Health, Missouri, USA
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