A scoping review on bio-aerosols in healthcare and the dental environment
Identifieur interne : 000991 ( Pmc/Curation ); précédent : 000990; suivant : 000992A scoping review on bio-aerosols in healthcare and the dental environment
Auteurs : Charifa Zemouri ; Hans De Soet ; Wim Crielaard ; Alexa LaheijSource :
- PLoS ONE [ 1932-6203 ] ; 2017.
Abstract
Bio-aerosols originate from different sources and their potentially pathogenic nature may form a hazard to healthcare workers and patients. So far no extensive review on existing evidence regarding bio-aerosols is available.
This study aimed to review evidence on bio-aerosols in healthcare and the dental setting. The objectives were 1) What are the sources that generate bio-aerosols?; 2) What is the microbial load and composition of bio-aerosols and how were they measured?; and 3) What is the hazard posed by pathogenic micro-organisms transported via the aerosol route of transmission?
Systematic scoping review design. Searched in PubMed and EMBASE from inception to 09-03-2016. References were screened and selected based on abstract and full text according to eligibility criteria. Full text articles were assessed for inclusion and summarized. The results are presented in three separate objectives and summarized for an overview of evidence.
The search yielded 5,823 studies, of which 62 were included. Dental hand pieces were found to generate aerosols in the dental settings. Another 30 sources from human activities, interventions and daily cleaning performances in the hospital also generate aerosols. Fifty-five bacterial species, 45 fungi genera and ten viruses were identified in a hospital setting and 16 bacterial and 23 fungal species in the dental environment. Patients with certain risk factors had a higher chance to acquire
Bio-aerosols are generated via multiple sources such as different interventions, instruments and human activity. Bio-aerosols compositions reported are heterogeneous in their microbiological composition dependent on the setting and methodology.
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DOI: 10.1371/journal.pone.0178007
PubMed: 28531183
PubMed Central: 5439730
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A scoping review on bio-aerosols in healthcare and the dental environment</title><author><name sortKey="Zemouri, Charifa" sort="Zemouri, Charifa" uniqKey="Zemouri C" first="Charifa" last="Zemouri">Charifa Zemouri</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="De Soet, Hans" sort="De Soet, Hans" uniqKey="De Soet H" first="Hans" last="De Soet">Hans De Soet</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crielaard, Wim" sort="Crielaard, Wim" uniqKey="Crielaard W" first="Wim" last="Crielaard">Wim Crielaard</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Laheij, Alexa" sort="Laheij, Alexa" uniqKey="Laheij A" first="Alexa" last="Laheij">Alexa Laheij</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28531183</idno><idno type="pmc">5439730</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439730</idno><idno type="RBID">PMC:5439730</idno><idno type="doi">10.1371/journal.pone.0178007</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000991</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000991</idno><idno type="wicri:Area/Pmc/Curation">000991</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000991</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A scoping review on bio-aerosols in healthcare and the dental environment</title><author><name sortKey="Zemouri, Charifa" sort="Zemouri, Charifa" uniqKey="Zemouri C" first="Charifa" last="Zemouri">Charifa Zemouri</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="De Soet, Hans" sort="De Soet, Hans" uniqKey="De Soet H" first="Hans" last="De Soet">Hans De Soet</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Crielaard, Wim" sort="Crielaard, Wim" uniqKey="Crielaard W" first="Wim" last="Crielaard">Wim Crielaard</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author><author><name sortKey="Laheij, Alexa" sort="Laheij, Alexa" uniqKey="Laheij A" first="Alexa" last="Laheij">Alexa Laheij</name><affiliation><nlm:aff id="aff001"></nlm:aff></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Bio-aerosols originate from different sources and their potentially pathogenic nature may form a hazard to healthcare workers and patients. So far no extensive review on existing evidence regarding bio-aerosols is available.</p></sec><sec id="sec002"><title>Objectives</title><p>This study aimed to review evidence on bio-aerosols in healthcare and the dental setting. The objectives were 1) What are the sources that generate bio-aerosols?; 2) What is the microbial load and composition of bio-aerosols and how were they measured?; and 3) What is the hazard posed by pathogenic micro-organisms transported via the aerosol route of transmission?</p></sec><sec id="sec003"><title>Methods</title><p>Systematic scoping review design. Searched in PubMed and EMBASE from inception to 09-03-2016. References were screened and selected based on abstract and full text according to eligibility criteria. Full text articles were assessed for inclusion and summarized. The results are presented in three separate objectives and summarized for an overview of evidence.</p></sec><sec id="sec004"><title>Results</title><p>The search yielded 5,823 studies, of which 62 were included. Dental hand pieces were found to generate aerosols in the dental settings. Another 30 sources from human activities, interventions and daily cleaning performances in the hospital also generate aerosols. Fifty-five bacterial species, 45 fungi genera and ten viruses were identified in a hospital setting and 16 bacterial and 23 fungal species in the dental environment. Patients with certain risk factors had a higher chance to acquire <italic>Legionella</italic> in hospitals. Such infections can lead to irreversible septic shock and death. Only a few studies found that bio-aerosol generating procedures resulted in transmission of infectious diseases or allergic reactions.</p></sec><sec id="sec005"><title>Conclusion</title><p>Bio-aerosols are generated via multiple sources such as different interventions, instruments and human activity. Bio-aerosols compositions reported are heterogeneous in their microbiological composition dependent on the setting and methodology. <italic>Legionella</italic> species were found to be a bio-aerosol dependent hazard to elderly and patients with respiratory complaints. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, CA USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28531183</article-id><article-id pub-id-type="pmc">5439730</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0178007</article-id><article-id pub-id-type="publisher-id">PONE-D-16-48011</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Bacteria</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Epidermidis</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Epidermidis</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pathology and Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Epidermidis</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Fungi</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Physical Sciences</subject><subj-group><subject>Materials Science</subject><subj-group><subject>Materials by Structure</subject><subj-group><subject>Mixtures</subject><subj-group><subject>Aerosols</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Infectious Diseases</subject><subj-group><subject>Nosocomial 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Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Haemolyticus</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pulmonology</subject><subj-group><subject>Respiratory Infections</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Bacteria</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Saprophyticus</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Saprophyticus</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pathology and Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject><subj-group><subject>Staphylococcus Saprophyticus</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Bacteria</subject><subj-group><subject>Staphylococcus</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3"><subject>Medicine and Health Sciences</subject><subj-group><subject>Pathology and Laboratory Medicine</subject><subj-group><subject>Pathogens</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Bacterial Pathogens</subject><subj-group><subject>Staphylococcus</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></article-categories><title-group><article-title>A scoping review on bio-aerosols in healthcare and the dental environment</article-title><alt-title alt-title-type="running-head">A scoping review on bio-aerosols in healthcare and the dental environment</alt-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id authenticated="true" contrib-id-type="orcid">http://orcid.org/0000-0002-9211-3744</contrib-id><name><surname>Zemouri</surname><given-names>Charifa</given-names></name><xref ref-type="corresp" rid="cor001">*</xref><xref ref-type="aff" rid="aff001"></xref></contrib><contrib contrib-type="author"><name><surname>de Soet</surname><given-names>Hans</given-names></name><xref ref-type="aff" rid="aff001"></xref></contrib><contrib contrib-type="author"><name><surname>Crielaard</surname><given-names>Wim</given-names></name><xref ref-type="aff" rid="aff001"></xref></contrib><contrib contrib-type="author"><name><surname>Laheij</surname><given-names>Alexa</given-names></name><xref ref-type="aff" rid="aff001"></xref></contrib></contrib-group><aff id="aff001"><addr-line>Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam & Vrije Universiteit Amsterdam, Amsterdam, The Netherlands</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Zhou</surname><given-names>Dongsheng</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Beijing Institute of Microbiology and Epidemiology, CHINA</addr-line></aff><author-notes><fn fn-type="COI-statement" id="coi001"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p><list list-type="simple"><list-item><p><bold>Conceptualization:</bold> CZ HdS WC AL.</p></list-item><list-item><p><bold>Data curation:</bold> CZ.</p></list-item><list-item><p><bold>Formal analysis:</bold> CZ.</p></list-item><list-item><p><bold>Investigation:</bold> CZ HdS AL.</p></list-item><list-item><p><bold>Methodology:</bold> CZ.</p></list-item><list-item><p><bold>Project administration:</bold> CZ.</p></list-item><list-item><p><bold>Resources:</bold> CZ.</p></list-item><list-item><p><bold>Software:</bold> CZ.</p></list-item><list-item><p><bold>Supervision:</bold> HdS AL WC.</p></list-item><list-item><p><bold>Validation:</bold> HdS AL.</p></list-item><list-item><p><bold>Visualization:</bold> CZ.</p></list-item><list-item><p><bold>Writing – original draft:</bold> CZ.</p></list-item><list-item><p><bold>Writing – review & editing:</bold> HdS AL WC.</p></list-item></list></p></fn><corresp id="cor001">* E-mail: <email>c.zemouri@acta.nl</email></corresp></author-notes><pub-date pub-type="epub"><day>22</day><month>5</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>12</volume><issue>5</issue><elocation-id>e0178007</elocation-id><history><date date-type="received"><day>5</day><month>12</month><year>2016</year></date><date date-type="accepted"><day>6</day><month>5</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 Zemouri et al</copyright-statement><copyright-year>2017</copyright-year><copyright-holder>Zemouri et al</copyright-holder><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="pone.0178007.pdf"></self-uri><abstract><sec id="sec001"><title>Background</title><p>Bio-aerosols originate from different sources and their potentially pathogenic nature may form a hazard to healthcare workers and patients. So far no extensive review on existing evidence regarding bio-aerosols is available.</p></sec><sec id="sec002"><title>Objectives</title><p>This study aimed to review evidence on bio-aerosols in healthcare and the dental setting. The objectives were 1) What are the sources that generate bio-aerosols?; 2) What is the microbial load and composition of bio-aerosols and how were they measured?; and 3) What is the hazard posed by pathogenic micro-organisms transported via the aerosol route of transmission?</p></sec><sec id="sec003"><title>Methods</title><p>Systematic scoping review design. Searched in PubMed and EMBASE from inception to 09-03-2016. References were screened and selected based on abstract and full text according to eligibility criteria. Full text articles were assessed for inclusion and summarized. The results are presented in three separate objectives and summarized for an overview of evidence.</p></sec><sec id="sec004"><title>Results</title><p>The search yielded 5,823 studies, of which 62 were included. Dental hand pieces were found to generate aerosols in the dental settings. Another 30 sources from human activities, interventions and daily cleaning performances in the hospital also generate aerosols. Fifty-five bacterial species, 45 fungi genera and ten viruses were identified in a hospital setting and 16 bacterial and 23 fungal species in the dental environment. Patients with certain risk factors had a higher chance to acquire <italic>Legionella</italic> in hospitals. Such infections can lead to irreversible septic shock and death. Only a few studies found that bio-aerosol generating procedures resulted in transmission of infectious diseases or allergic reactions.</p></sec><sec id="sec005"><title>Conclusion</title><p>Bio-aerosols are generated via multiple sources such as different interventions, instruments and human activity. Bio-aerosols compositions reported are heterogeneous in their microbiological composition dependent on the setting and methodology. <italic>Legionella</italic> species were found to be a bio-aerosol dependent hazard to elderly and patients with respiratory complaints. But all aerosols can be can be hazardous to both patients and healthcare workers.</p></sec></abstract><funding-group><funding-statement>The author(s) received no specific funding for this work.</funding-statement></funding-group><counts><fig-count count="5"></fig-count><table-count count="5"></table-count><page-count count="25"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>All relevant data are within the paper and its Supporting Information files.</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>All relevant data are within the paper and its Supporting Information files.</p></notes></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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