Contamination fongique et bacterienne de 30 salles de consultation de cabinets medicaux en Franche-Comte

摘要

Objective. - To evaluate the level of microbial contamination of general pratice environment. Methods. — Ten points, including air, water and surfaces were sampled in general practitioner's consultation room of 30 general practices in Franche-Comte region (eastern France). For each sample, a global microbial count was assessed as well as the presence of potential pathogen microorganisms: Aspergillus fumigatus, Staphylococcus aureus, Pseudomonas aeruginosa, and Enterobacteriaceae. Results. - We note that 66.3% of the samples (n = 202) were on the target level (< 51 mufc/25cm~2, < 101 ufc/m~3, <100ufc/mL in total bacteria, without pathogenic species and without A. fumigatus respectively on surfaces, air and water, without isolation of coliforme bacteria or P. aeruginosa for 100 mL of water). A. fumigatus, S. aureus, P. aeruginosa and Enterobacteriaceae were recovered in 8.0%, 2.1%, 0.7%, 0% respectively. However, 66.7% of air sampling were positive to A. fumigatus with 2 to 12 cfu/m~3. Conclusion. - This study shows a low level of bacterial contamination of general practitioner's consultation room. A. fumigatus frequency in air samples seems equivalent to that found in housing without air treatment.