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MONITORING OF PARTICLE ENVIRONMENTAL POLLUTION AND FUNGAL ISOLATIONS DURING HOSPITAL BUILDING-WORK ACTIVITIES IN A HEMATOLOGY WARD.

机译:血液学病房医院建筑工作中粒子环境污染与真菌分离的监测。

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摘要

Building-work activities could cause dust contamination and dissemination of fungal spores. Significant relationship was found between building-work activities and the incidence of invasive aspergillosis, in highly immunocompromised patients.Renovation-works activities were carried out by four building sites of the hematology ward in a Teaching Hospital without the interruption of clinical activities. These sites were monitored by environmental sampling to determine the particles and fungi count. Clinical surveillance were made using galactomannan antigen test as a proxy for invasive aspergillosis diagnosis.The galactomannan antigen test showed no significant difference between presence (3,85%) or absence (5,76%)  of renovation work activities (p=0,497).The particle counts showed higher values of small and big-diameter particles before the renovation works if compared to the end of the activities. It was probably due to the containment measures implemented during and immediately after the final phases of the building site. The Fungi counts showed no particular differences between the phase before and after of the renovation activities.Our finding show that is possible to perform renovation work, during clinical activities, by increasing the clinical and the environmental surveillance.
机译:建筑工作可能会导致真菌孢子的粉尘污染和传播。建筑工作活动与侵袭性曲霉病发生率之间发现了重要的关系,在高度免疫激性患者中。改造工程活动由四个建筑工地在教学医院中的血液学病房的四个建筑工地进行,而不会中断临床活动。通过环境采样监测这些位点以确定粒子和真菌计数。使用Galactomannan抗原试验作为侵袭性曲霉病诊断的代理进行临床监测。半乳甘露染蜥抗原试验显示出存在(3,85%)或不存在(5,76%)的改造工作活动(P = 0.497)之间没有显着差异。如果与活​​动结束相比,颗粒计数在装修工作之前显示出更高的小直径粒子的值。这可能是由于建筑工地最终阶段后和立即实施的遏制措施。真菌计数在翻新活动前后的阶段没有特别差异。我们的发现表明,通过增加临床和环境监测,可以在临床活动中进行改造工作。

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