Cited by 15Indoor Air Quality and Microbial ExposureInfection Control in HealthcareInfection Control and Ventilation

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Indoor air bacterial load and antibiotic susceptibility pattern of isolates at Adare General Hospital in Hawassa, Ethiopia

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Abstract

Background: Air is the agent of pathogenic microbes that cause significant problems in the hospital environment. Multidrug resistance poses a major therapeutic challenge to these airborne microorganisms in hospital indoor environments. Method and materials: This study was conducted at Adare General Hospital in Hawassa City, Sidama, Ethiopia. A cross-sectional study was conducted. The proportional allocation method was used to select the sampled 50 rooms from the total available rooms in each category of wards and staff offices. A total of 100 indoor air samples were collected using settle plates in all units twice a day, morning (9:00–4:00 a.m.) and afternoon (3:00–4:00 p.m.). The types and number of colonies were determined in the laboratory, and the pathogenic bacteria were isolated by appropriate bacteriological techniques. Antimicrobial susceptibility testing was performed on Mueller-Hinton agar for each potentially pathogenic bacterium isolated. For each bacterium, a total of 12 antibiotics were tested using the Kirby-Bauer disk diffusion method. The test organism was adjusted to McFarland turbidity standards of 0.5. Data were entered and analyzed using the SPSS version 25 window. Descriptive analysis and one-way analysis of variance were performed. Results: The indoor air bacterial load of Adare General Hospital was found in the range between 210 and 3,224 CFU/m 3 . The highest indoor air bacterial load was identified from the gynecology ward with a mean of 2,542.5CFU/m 3 at p < 0.05. From 100 indoor air samples, a total of 116 bacterial pathogen isolates were obtained. Gram-positive isolates predominated at 72.4%, of which 37.1% were Staphylococcus aureus , 26.7% were coagulase-negative Staphylococci , and the rest 8.6% were Streptococcus pyogenes . The isolation of pathogenic bacteria Staphylococcus aureus and coagulase-negative Staphylococci showed a high level of resistance to ampicillin. Conclusion: A high bacterial load was found in the study area as compared to different indoor air biological standards. Staphylococcus aureus and coagulase-negative Staphylococci were the isolated predominant bacteria. Attention should be given to preventing and minimizing those environmental factors that favor the multiplication of bacteria in the indoor environment of a hospital for the safe health of patients, visitors, and staff.

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Crossref · 10.3389/fpubh.2023.1194850

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Figure 1 The mean indoor air bacterial load at different departments with different period of sample collection at AGH in Hawassa City, 2021.
Figure 1 The mean indoor air bacterial load at different departments with different period of sample collection at AGH in Hawassa City, 2021.CC BY · PubMed Central
Figure 2 Dominant types of bacterial isolates at Adare General Hospital in Hawassa City, 2021.
Figure 2 Dominant types of bacterial isolates at Adare General Hospital in Hawassa City, 2021.CC BY · PubMed Central

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Metadata

Authors
Atalay, Y. A., Mengistie, E., Tolcha, A., Birhan, B., Asmare, G., Gebeyehu, N. A., & Gelaw, K. A.
Affiliations
  • Wolaita Sodo University (ET)
  • Hawassa University (ET)
Corresponding author
Atalay, Yibeltal Assefa
Venue
Frontiers in Public Health
Published
2023-11-02
Volume
11
Pages
1194850-1194850
ISSN
2296-2565 (ISSN-L)
OpenAlex
W4388328201
Cited by
15
References
1
Citations by year
2026: 6 · 2025: 4 · 2024: 5
FWCI
1.72
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
  • Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Infection Control and Ventilation
Keywords
indoor air quality, airborne bacteria, hospital indoor environment, bacterial load, antibiotic susceptibility, multidrug resistance, Staphylococcus aureus, coagulase-negative staphylococci, Streptococcus pyogenes, ampicillin resistance, hospital wards, nosocomial infections, settle plates, Gram-positive bacteria
MeSH terms
Anti-Bacterial Agents, Bacteria, Coagulase, Cross-Sectional Studies, Ethiopia, Hospitals, General, Humans, Staphylococcal Infections, Air Pollution, Indoor, Bacterial Load

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