TY  - JOUR
T1  - Survey on Bioaerosols Type and Density and Ach Index Impact on Bioaersols
Density in Heart Surgery Rooms and Cardiac Surgery Intensive
Care Unit in a Teaching Hospital in Ghazvin
AU - Karimi, Fatemeh AU - Karimi, Zainab AU - Rajabi, Zahra AU - Eslami, Akbar 
JO  - Research Journal of Medical Sciences
VL  - 9
IS  - 3
SP  - 109
EP  - 113
PY  - 2015
DA  - 2001/08/19
SN  - 1815-9346
DO  - rjmsci.2015.109.113
UR  - https://makhillpublications.co/view-article.php?doi=rjmsci.2015.109.113
KW  - surgery
KW  -ventilation
KW  -hospital
KW  -bioaerosol
KW  -ACH
AB  - The existence of biological aerosols in the operating room and surgical intensive care units is not
only considered as a threat for patients undergoing the surgery, but also it is an occupational hazard for
personnel in the referred units. Ventilation systems of operating rooms have high potential to control the
postoperation infections. Therefore, the proper design and use of these systems is of particular importance.
This cross-sectional study was conducted in heart surgery and cardiac surgery intensive care unit in spring
of 2015. In order to evaluate the microbial contamination of air, above than 93 samples were selected using an
inactive method and they were incubated, then the number of colonies per plate was counted and was recorded
as cfu/plate/h. In order to identify and examine the colonies, the gram stain and differential tests were used.
Along with the sampling, data of temperature, humidity and pressure were assessed and the value of ACH (Air
Change per hour) was calculated and recorded. According to the results, the numbers of colony forming units
of bacteria and fungus in the cardiac surgery intensive care unit were higher than other units. The number of
colony forming units in samples taken from the operating room was less than the guide rate of 25 cfu/plate/h
and it was more than this amount in 2.4% of the samples in the cardiac surgery intensive care unit. Most of the
obtained bacteria were <I>Staphylococcus epidermidis</I> and <I>Staphylococcus saprophyticus</I> and most abundant
fungi belonged to Penicillium species, Curillophyllum and Cladspurium cladspuriudis. ACH rate in the operating
rooms was &lt;20ACH which is the guide rate for operating room and it was &gt;6 ACH, the guide rate for the cardiac
surgery intensive care unit. Most of bacterial and fungal colonies were recorded in the cardiac surgery intensive
care unit. It seems that one of the reasons was the large number of people (patients and staff) in this unit.
Additionally, despite the suggested ACH rate had been supplied in this unit, however the density of the
bioaerosols in this unit was higher than the guide rate that the entry and exit of air and location of the input and
output doors have played important roles to this increased levels of bioaerosols. Therefore, to meet the ACH
guide rate cannot ensure the risk reduction of bioaerosols necessarily and this issue and the other factors
should be well considered in the design and control of ventilation systems for the different units of the
hospitals particularly the surgical ward.
ER  -