ارزیابی بیوآیروسل‌ها در یکی از بیمارستان‌های شهر تهران

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ارزیابی بیوآیروسل‌ها در یکی از بیمارستان‌های شهر تهران
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Ƶŵƺŝçîé/éì – æççë/íí CFU/m ƞƿŵŹŹŵƶƘƫŚƐƯŵŹƺƯƱŚŤſŹŚưǀŝŹŵŚƷƽźŤĩŚŝƮĩřźţƲǀĮƳŚǀƯŶƷŵƾƯƱŚƄƳƾŝŚƿŻŹřŪƿŚŤƳŚƷ‌ƶŤƟŚƿ
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Ʈĩřźţ ŵŹƺƯ Źŵ ŵƹŹ źţřźƟ êåå CFU/m3 Żř ŶƿŚŞƳ ƽźŤĩŚŝ
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ƽŚƷ‌ƮƀǀƳŚĭŹřƹźĪǀƯ ƕřƺƳř Żř ë Ţſř ŶŞĩ ƱŚƏźſ ŵŚŬƿř ƶŝ
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ŶƴƳŚƯ ŚƷ‌ŽƺƬƿĥźĜſō ƕřƺƳř ƶŝ Ʊřƺţ ƾƯ ŶƴŝŚƿ ƾƯ ƩŚƤŤƳř řƺƷ
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ƽŚƷ ŢƳƺƠƗ ƕƺǀƃ ƪƿLJŵ Żř ƾĪƿ ƶĩ žǀƯŹŶǀěř ƹ ŽƺŗŹƹř
Źŵ ŵƺūƺƯ ƪƴſźě ƢƿźƏ Żř ƹ ŶƴƃŚŝ ƾƯ ƾůřźū ƽŚƷ‌ƂŴŝ
źŝƺţƭƺƿźŤĩŚŝƺĪƿŚƯî-ææŶƴŝŚƿƾƯƩŚƤŤƳřŹŚưǀŝƶŝƂŴŝ
ƖŞƴƯŵƺưƳƵŹŚƃřŚƷƽźŤĩŚŝƵƹźĭŹŵæçƹæèžƿŻƺƬĩ
ƹ ƾƳŚƯŹŵ º ƾŤƃřŶƸŝ żĩřźƯ Źŵ ŚƷ ƮƀǀƳŚĭŹřƹźĪǀƯ Ʋƿř ŵŚŬƿř
ƵŶƴĩřźěƹŵŚŬƿřƪƯřƺƗƩŚŨƯƱřƺƴƗƶŝŢſřƕƺƴŤƯŚƷƱŚŤſŹŚưǀŝ
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ŚƷ‌ƁƹŹƹŵřƺƯ
ƾƳƺƠƗŶƋƽŹřŵźŝƶƳƺưƳƵŚĮŤſŵƽŹřŵźŝƶƳƺưƳƪůřźƯƾƯŚưţ
ŹŵƽŹřŵźŝ‌ƶƳƺưƳŻřžěŢƄĩƎǀŰƯƽƹŚůƽŚƷŢǀƬěŶƿŵźĭ
ŹŵġŹŚƣŵŹƺƯŹŵƹèå 0CƽŚƯŵŹŵŹƺţŚŝƺĪƳřŹŵƽźŤĩŚŝŵŹƺƯ
ƁŹŚưƃžĜſŶƳŶƃƵŵřŵŹřźƣçé hšŶƯƶŝƵŚĮƄƿŚƯŻōƽŚƯŵ
.( çƹæƪĪƃŶƿŵźĭƭŚŬƳřŚƷƪſƹźƿōƺǀŝ
ŶƿŵźĭƭŚŬƳřźƿŻƪůřźƯƪƯŚƃƶƬůźƯèŹŵƶƘƫŚƐƯƲƿř.....
ƾſŹźŝŵŹƺƯƽŚƷ‌ƂŴŝśŚŴŤƳřƩƹřƶƬůźƯ
ƱŚŤſŹŚưǀŝƽŚƷƂŴŝśŚŴŤƳřƂƷƹĦěƽřźūřŻřƶƬůźƯƲǀƫƹř
ƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷ‌ƂŴŝƶƬůźƯƲƿřŹŵŢſřƾŝŚƿŻŹřŢƸū
ŵřźƟřŵřŶƘţŚƿƹƾƳŚƯŹŵŶƳƹŹƂŴŝŹŵŵƺūƺƯƎƿřźƃƑŚŰƫƶŝ
ŹŵƹŶƳŶƃƾſŹźŝƪƴſźěŢǀƫŚƘƟƵƺŰƳƹƂŴŝŹŵŵƺūƺƯ
ŢƸū ŚƷ ƪſƹźƿōƺǀŝ ƾŝŚƿŻŹř ŹƺƔƴƯ ƶŝ ƶĩ ƾƿŚƷ‌ƂŴŝ ŢƿŚƸƳ
ƽŚƷ ŢŞƣřźƯ ƂŴŝ ICU ƪƯŚƃ ŶƳŶƿŵźĭ śŚŴŤƳř ƶƘƫŚƐƯ
(CSRƹƽŹƹŚĪƿŹƪưƗơŚţřƽĥƺƫƺţŚěƵŚĮƄƿŚƯŻōƵĦƿƹ
ŢſřƵŵƺŝCorporate Social Responsibility
ƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƕƺƳƆǀŴƄţƹƾƿŚſŚƴƃƭƺſƶƬůźƯ
ƝŶƷƶĩƶŤƠƸƳŶƃŹƵŹƹŵƾƏŻřŢƀţŹŚŞƗƶƿżŬţġŹŚƣƹ
ƽźǀĭ ƵŻřŶƳř ƪŝŚƣ ƹ ƾƿŚſŚƴƃ ƪŝŚƣ ƽŚƷ ƾƴƬĩ ŶƃŹ Ʊō Żř
ƱŚƯŻ šŶƯ Ţſř źĩŷ ƶŝ ƭŻLJ Ţſř ŚƷ‌ƮƀǀƳŚĭŹřƹźĪǀƯ Żř
ƖưūƮƀǀƳŚĭŹřƕƺƳŽŚſřźŝŹƺƳƹŢŝƺƏŹŚƯŵƱƺǀſŚŝƺĪƳř
śŚŴŤƳř ƶƿżŬţ ƽřźŝ ƶĩ ƾƿŚƷ‌ƮƀǀƳŚĭŹř ƕƺƳ ƹ ƵŶƃ ƽŹƹō
ŚƷ ƪſƹźƿōƺǀŝ Ʈĩřźţ ƾƬĩ ƁŹŚưƃ ƹ ƂŬƴſ ƭƹŵ ƶƬůźƯ
ƵŹƹŵ ƾƏ Żř žě ŢƄĩ ƽŚƷ Ƃƿŵ ŵƺƃ‌ƾƯ ƮǀƔƴţ ŶƳř ƵŶƃ
ƽŚƷ‌ƮƀǀƳŚĭŹřƹźĪǀƯ ƾƴƬĩ ƲŤƟŚƿ ŹƺƔƴƯ ƶŝ ŶƃŹ ƵŶƃ ƶǀƇƺţ
ŹƺƔƴƯ ƶŝ ŶƳƺƃ ƾƯ ƾſŹźŝ ƁŹŚưƃ ƪŝŚƣ ƹ ƾƿŚſŚƴƃ ƪŝŚƣ
ƶĩƾƴƬĩźĭ‌ƁŹŚưƃźƿŻřŹŚƷ‌ƂƿŵƱřƺţƾƯźƯřƲƿřƪǀƸƀţ
ƽřźŝŵřŵŹřźƣŢſřƾƿŚưƳ‌īŹżŝƾſŶƗƹƽŹƺƳƶĪŞƃƽřŹřŵ
ŵƺūƺƯƹƵŶƃƽŹƹōƖưūƽŚƷƮƀǀƳŚĭŹřƶƳƺĭƹƕƺƳƾƿŚſŚƴƃ
ƽżǀƯōĬƳŹƶƿƺƳŚŧŢƄĩŶƴƳŚƯƾƿŚƷƁƹŹŻřƱřƺţƾƯƾƴƬĩŹŵ
ŵźĩƵŵŚƠŤſřƹęƺĪſƹźĪǀƯŻřƵŵŚƠŤſřƹ
řƺƷŹŵġŹŚƣƹƽźŤĩŚŝ
ġŹŚƣƹƽźŤĩŚŝŻřƮƗřŚƷƪſƹźƿōƺǀŝƮĩřźţƂŬƴſŹƺƔƴƯƶŝ
ƁƹŹ Ʋƿř ƝŶƷ Ŷƃ ƵŵŚƠŤſř NIOSH 0800 ƁƹŹ Żř
ġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƾƬĩƮĩřźţƲǀǀƘţƽŹřŵźŝ ƶƳƺưƳ
ġŹŚƣƹƽźŤĩŚŝƕƺƳŚƷƪſƹźƿōƺǀŝƾƠǀĩƲǀǀƘţƲǀƴĤưƷƹ
ŢſřƵŵƺŝ
ƆųŚƃƱřƺƴƗƶŝƂŴŝźƷŹŵƱŚĪƯèƪƣřŶůƶƬůźƯƲƿřŹŵ
ƵŚĮŤſŵ Ǝſƺţ žĜſ ƹ ƶŤƄĭ śŚŴŤƳř ƽźǀĭ ƵŻřŶƳř ŢƸū
ƾƇŚƈŤųřŢƄĩƽŚƷƎǀŰƯƹźƬĜưſƩŚƿźŤĩŚŝŹřŵźŝ‌ƶƳƺưƳ
ƽřźŝçí/è L/minƾŝŵŚŝƹTSAƽźŤĩŚŝƹƹŹƺŝŚſġŹŚƣƽřźŝ
ŹŵŢſřźĩŷƶŝƭŻLJŢƟźĭƭŚŬƳřƽŹřŵźŝƶƳƺưƳæå minšŶƯ
ƲƄâŝƺâĪƳřŻřžěçé hįźŤĩŚŝįƹŚůŢâƬěçƪƨƃ
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ƽŹřŵźŝƶƳƺưƳŻřŻƹŹèŢƃŸĭŻřžěġŹŚƣƽƹŚůŢǀƬěçƪĪƃ
ŚƷ‌ƶŤƟŚƿ
ƽźŤĩŚŝƞƫř
ƾƿŚƷ‌ƁƹŹŻřƶŤƟŚƿŢƄĩƽŚƷƽźŤĩŚŝƕƺƳƾƿŚſŚƴƃŹƺƔƴƯƶŝ
ġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƾƬĩƮĩřźţƲǀǀƘţƞƫř
Ʈĩřźţ ƾŝŚƿŻŹř ƹ ƂŬƴſ ŹƺƔƴƯ ƶŝ źƋŚů ƶƘƫŚƐƯ.....
ƽŚƷ‌ƂŴŝŹŵƵŶƃŢƄĩƽř‌ƶƳƺĭƕƺƳƾƿŚſŚƴƃƹŚƷ‌ƪſƹźƿōƺǀŝ
ƹ ƶƳŚų‌ƽƺƄŤųŹ  ICU ¡ CSR ƽŹƹŚĪƿŹ ƪưƗ ơŚţř
ƶŝƾŝŚǀƃŻŹřƲƿřŪƿŚŤƳƶĩŶƿŵźĭƭŚŬƳřƽĥƺƫƺţŚěƵŚĮƄƿŚƯŻō
ŢſřźƿŻŭźƃ
ƲǀĮƳŚǀƯŚŝCSR ƂŴŝŹŵƽźŤĩŚŝƪſƹźƿōƺǀŝƮĩřźţƲǀĮƳŚǀƯ
ŚƷ‌ƂŴŝ ƶưƷ Żř SD=1194.09 ) æççë/íí CFU/m3
ƢƬƘŤƯ ƆųŚƃ Ʋƿř ŹřŶƤƯ ƲƿźŤưĩ ƶĩ ƾƫŚů Źŵ Ţſř źţLJŚŝ
(SD=48.38 ) çîé/éì CFU/m3 ƲǀĮƳŚǀƯŚŝƪưƗơŚţřƶŝ
å CFU/m3 źŝřźŝġŹŚƣƪſƹźƿōƺǀŝƮĩřźţƪƣřŶůŢſř
ƶŝƍƺŝźƯçåîë CFU/mźŝřźŝżǀƳƮĩřźţźŨĩřŶůƹCSRŹŵ
ŹŵƆųŚƃƲƿřƲǀĮƳŚǀƯƝLjŤųřƾſŹźŝŢƸūŢſřICU
ƹŶƃƵŵŚƠŤſřƶƟźƏĨƿžƳŚƿŹřƹżǀƫŚƳōŻřƞƬŤŴƯƽŚƷ‌ƂŴŝ
ƾƴƘƿŢſřŹřŵƾƴƘƯƝLjŤųřƲƿřƶĩŶƷŵƾƯƱŚƄƳƱōƶŬǀŤƳ
ƱŚŤſŹŚưǀŝ ƞƬŤŴƯ ƽŚƷ‌ƂŴŝ Źŵ ƽźŤĩŚŝ ƪſƹźƿōƺǀŝ Ʈĩřźţ
Ʋƿř ƾſŹźŝ ŢƸū ƲưƋ Źŵ P< å/åååæ Ţſř šƹŚƠŤƯ
ƽźŤĩŚŝƪſƹźƿōƺǀŝƮĩřźţźƔƳŻřŚƷƂŴŝŻřĨƿƭřŶĩƶĩ
ScheffeƶƳŚĭŶƴģƶƀƿŚƤƯŻřŶƴƃŚŝŹřŵƾƴƘƯƝLjŤųřƽřŹřŵ
ŚŝICU ƲǀĮƳŚǀƯƝLjŤųřƶĩŶƷŵƾƯƱŚƄƳŪƿŚŤƳƹŶƃƵŵŚƠŤſř
ƾƴƘƯP=å/åèê )ƶƳŚų‌ƽƺƄŤųŹƹP< å/åååæƪưƗơŚţř
ƹƽŹƹŚĪƿŹŚŝƪưƗơŚţřƲǀĮƳŚǀƯƝLjŤųřƲǀƴĤưƷŢſřŹřŵ
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ŢƀţŻLJŚţŚĩŢƀţƲǀſřźŤǀſŚŝƽŚƷ‌ĨƀƿŵƽżǀƯōĬƳŹźǀƔƳ
ƆŴƄƯ ŢƸū ŚƷ Ţƀţ Ʋƿř Ŷƿŵźĭ ƵŵŚƠŤſř ƹ ŻLJƺĭřƺĩ
ƭźĭƱŵźĩƆŴƄƯƾƴƬĩŢƫŚůƹĬƳŹƪĪƃƵŻřŶƳřƱŵƺưƳ
ƲǀǀƘţŚƷŽƺĩƺĩŻřŚƷŽƺĩƺĩƹźĪǀƯƽŻŚſřŶūŚƷ‌ƽźŤĩŚŝ
ŶƿŵźĭƭŚŬƳřƹŚƷŽƺĩƺĩƺƬǀƟŚŤſřƕƺƳ
ġŹŚƣś
ƽżǀƯōĬƳŹƁƹŹŻřƶŤƟŚƿŢƄĩġŹŚƣƕƺƳƾƿŚſŚƴƃŹƺƔƴƯƶŝ
ƭLJĨƿřŶŤŝřƶĩŜǀţźţƲƿřƶŝŶƃƵŵŚƠŤſřƺƬŝƲţŚĩºƪƴƟƺŤĩLJ
ƺƬŝƲţŚĩºƪƴƟƺŤĩLJƩƺƬŰƯŻřƵźƐƣĨƿžĜſƶŤƃřŵźŝżǀưţ
ƶƬƘƃƎſƺţƶĩžƳōħƺƳŚŝŶƘŝŵƺƃƾƯƶŤŴƿŹƱōƽƹŹřŹ
ƾĮƳŹƩƺƬŰƯŹŵƹƶŤƃřŵźŝřŹƾƴƬĩŻřƽŹřŶƤƯƶŤƄĭƪƿźŤſř
ƶŝźƋŶƴģƹŵźǀĭƾƯŹřźƣƱōƽƹŹƪƯLJŵŶƗĨƿƹƵŵŹřŸĭ
ũŹŚųƱōźƿŻŻřřƺƷƽŚƷ‌śŚŞůŚţŵƺƃƾƯƵŵŻƱōƶŝƶŤƀƷō
ęƺĪſƹźĪǀƯ éå ƹ æå ƾƿŚưƳ‌īŹżŝ Śŝ ŢƿŚƸƳ Źŵ ƹ ŶƳƺƃ
ġŹŚƣƶŝƶŤƄƛōƶĩžƳōħƺƳƁƹŹƲƿřŹŵŵŵźĭ‌ƾƯƵŶƷŚƄƯ
řźƿŻŵřŵŹřźƣƾĮƳŹƩƺƬŰƯŹŵƾƯřŹōƶŝŢƀƿŚŝƾƯřŹŢſř
ġŹŚƣ ƱŚưŤųŚſ ƱŶƃ ƾƃLjŤƯ ŜūƺƯ šŹƺƇ Ʋƿř źǀƛ Źŵ
ŢǀƟŚƠƃ ŹƺƔƴƯ ƶŝ ƽżǀƯō ĬƳŹ Ţſř źĩŷ ƶŝ ƭŻLJ ŵŵźĭ‌ƾƯ
ŢſřġŹŚƣƱŚưŤųŚſźŤƸŝƵŶƷŚƄƯƹźŤƄǀŝ
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ACGIH ƵŶƃƶâƇƺţŵŹřŶƳŚŤſřŶůŚŝƱŚŤſŹŚưâŝƞƬŤŴƯįŚƷ‌ƂŴŝŹŵįźŤĩŚŝƪſƹźƿōƺâŝƮƧřźţƶƀâŚƤƯéƪƨƃ
.(P= å/ååèŢſřŹřŵ‌ƾƴƘƯ
ŚƷ‌ƂŴŝƾƯŚưţŹŵřƺƷŹŵƽźŤĩŚŝƮĩřźţƲǀĮƳŚǀƯèƪƨƃƢŝŚƐƯ
ACGIH ƵŶƃ ƶǀƇƺţ Ŷů Żř źŤƄǀŝ ƪưƗ ơŚţř ƽŚƴŨŤſř ƶŝ
Ţſřêåå CFU/m3)
ƲǀĮƳŚǀƯ Śŝ ICU ƂŴŝ Źŵ ġŹŚƣ ƪſƹźƿōƺǀŝ Ʈĩřźţ ƲǀĮƳŚǀƯ
ŢſřźţLJŚŝŚƷ‌ƂŴŝƶưƷŻřSD=75.05 ) ëç/éç CFU/m3
ŚŝƪưƗơŚţřƶŝƢƬƘŤƯƆųŚƃƲƿřŹřŶƤƯƲƿźŤưĩƶĩƾƫŚůŹŵ
.(éƪƨƃŢſřSD=7.44 ) í/çé CFU/m3ƲǀĮƳŚǀƯ
Źŵ å CFU/m3 źŝřźŝ ġŹŚƣ ƪſƹźƿōƺǀŝ Ʈĩřźţ ƪƣřŶů
żǀƳ Ʈĩřźţ źŨĩřŶů ƹ CSR ƽŹƹŚĪƿŹ ƪưƗ ơŚţř ƽŚƷ‌ƂŴŝ
ƾſŹźŝŢƸūŢſřICU ƶŝƍƺŝźƯæíí/éê CFU/mźŝřźŝ
żǀƫŚƳōŻřƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵƆųŚƃƲƿřƲǀĮƳŚǀƯƝLjŤųř
ƶĩŶƷŵƾƯƱŚƄƳżǀƫŚƳōƶŬǀŤƳŶƃƵŵŚƠŤſřƶƟźƏĨƿžƳŚƿŹřƹ
ŢſřŹřŵƾƴƘƯƝLjŤųřƲƿř
ACGIHƵŶƃƶâƇƺţŵŹřŶƳŚŤſřŶůŚŝƱŚŤſŹŚưâŝƞƬŤŴƯįŚƷ‌ƂŴŝŹŵġŹŚƣƪſƹźƿōƺâŝƮƧřźţƶƀâŚƤƯêƪƨƃ
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ƽŹƹŚĪƿŹƹICU ƱōŻřžěƹæççë/íí CFU/m3ŹřŶƤƯŚŝ
ƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵġŹŚƣƪſƹźƿōƺǀŝƮĩřźţƾƴƘƿ
ƪưƗơŚţřƶŝƍƺŝźƯƮĩřźţƲƿźŤưĩƹæååç/ëê (CFU/m ƹ
ġŹŚƣ ƪſƹźƿōƺǀŝ Ʈĩřźţ źƔƳ Żř ŚƷ ƂŴŝ ç Żř Ĩƿ ƭřŶĩ
æææë/éí(CFU/m3źƿŵŚƤƯŚŝŜǀţźţƶŝƮĩřźţƲƿźŤƄǀŝƽřŹřŵ
ƶĩ Ʋƿř ƾſŹźŝ ŢƸū ƲǀƴĤưƷ P=å/ååê Ţſř šƹŚƠŤƯ
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źţLJŚŝŚƷ‌ƂŴŝźƿŚſŹŵƶĩŢſřçîé/éì (CFU/m3) ŹřŶƤƯŚŝ
ƹŶƃƵŵŚƠŤſřScheffe ƶƳŚĭŶƴģƶƀƿŚƤƯŻřŢſřŹřŵƾƴƘƯ
ŹŵƪưƗơŚţřŹŵƎƤƟƹƵŵƺŝNIOSH ƵŶƃƶǀƇƺţŶůŻř
ƪưƗơŚţř ŚŝICU ƲǀĮƳŚǀƯƝLjŤųř ƶĩŶƷŵ‌ƾƯƱŚƄƳ ŪƿŚŤƳ
ƽŚƷ‌ƱŚŤſŹŚưǀŝŻřƾĪƿŹŵçååçƩŚſŹŵŢſřƵŵƺŝŻŚŬƯŶů
ƪſƹźƿōƺǀŝƮĩřźţƲǀĮƳŚǀƯơƺƟŹřŵƺưƳŢſřŹřŵƾƴƘƯP= å/åéì)
ƹ Ŷƿŵźĭ ƭŚŬƳř ƂƷƹĦě Ʋƿř ƶŝŚƄƯ ƾƤǀƤŰţ ŹƺěŚĮƴſ źƸƃ
ACGIH ƵŶƃ ƶǀƇƺţŶůŚŝřŹƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵ ġŹŚƣ
šřŹŷƮĩřźţƱřżǀƯƶĩŵřŵƱŚƄƳżǀƳƾŝŚƿŻŹřŻřƪƇŚůŪƿŚŤƳ
ƾƯŚưţ Źŵ ƶĩƽŹƺƏƶŝŶƿŚưƳ ƾƯ ƶƀƿŚƤƯ æåå CFU/m3)
( êåå CFU/ m3ƵŶƃƶǀƇƺţŶůŻřƂǀŝƽźŤĩŚŝŵźŝřƺƷ
ŢſřźŤưĩŻŚŬƯŶůŻřƵŶƃƂŬƴſźƿŵŚƤƯŚƷ‌ƂŴŝ
ICUƹƶƳŚųƹŹřŵƾŝLJƢǀƤŰţƱōŹŵƽŹřŵźŝƶƳƺưƳƪŰƯŵƺŝ
ƱřżǀƯŚƷ‌ƂŴŝƾƯŚưţŹŵƶĩŵƺŝƱŚŤſŹŚưǀŝƾůřźūƂŴŝƹ
ġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƕƺƳƲǀǀƘţś
ƵźŤƀĭ Ţſř ƵŶƃ ƁŹřżĭ ƵŶƃ ƶǀƇƺţ Ŷů Żř źţLJŚŝ Ʈĩřźţ
ƽŚƷ‌ƂŴŝ Źŵ ƵŶƃ ƾƿŚſŚƴƃ ƽŚƷ ƽźŤĩŚŝ ƕřƺƳř ƾƳřƹřźƟ
ŢſřICU ŹŵźŨĩřŶůƹCSR ŹŵƮĩřźţƪƣřŶůƶĩƽŹƺƏ
ŽƺĩƺĩƺƬǀƟŚŤſř ħƺĩƹźĪǀƯžǀƯŹŶǀěř ŽƺĩƺĩƺƬǀƟŚŤſř
ƶŝ Ţſř å-çåîë CFU/m3Żř ƽźŤĩŚŝ ƪſƹźƿōƺǀŝ Ʈĩřźţ
ŢŞŨƯ ƭźĭ ƪǀſŚŝ šŹƺƇ ƶŝ ƱŚŤſŹŚưǀŝ ƞƬŤŴƯ
ơŚţř ƹ CSR Źŵ ŹřŶƤƯ ƪƣřŶů Śŝ å-æíí Żř ġŹŚƣ Ʈĩřźţ ƹ
ŶǀŗƹźǀŤƠƿŵ ŚƷ žĩƺĩƺƬǀƟŚŤſř źƿŚſ ŽƺŗŹƹř
ƾƤǀƤŰţŹŵƲǀƴĤưƷæì ) ICU ŹŵŹřŶƤƯźŨĩřŶůƹƪưƗ
ƲƿźŤƄǀŝ ƲƿřźŝŚƴŝ ƶĩ Ţſř ŽƺĩƺŤǀƟƹźěŚſ ŽƺĩƺĩƺƬǀƟŚŤſř
ŚƷ‌ƱŚŤſŹŚưǀŝŻřƾĪƿŹŵŚƷ‌ƪſƹźƿōƺǀŝƱřżǀƯƱřƺƿŚţŹƺƄĩŹŵ
ƶŝƍƺŝźƯƕƺƳƲƿźŤưĩƹŢŞŨƯƭźĭƽŚƷ‌ƪǀſŚŝƶŝƍƺŝźƯƕƺƳ
CFU/m3 Żř ŚƷ ƽźŤĩŚŝ Ʈĩřźţ ƹ ŢƟźĭ Źřźƣ ƂŬƴſ ŵŹƺƯ
ƲƿźŤƳřƹřźƟ ƲǀƴĤưƷ Ţſř ŽƺĩƺŤǀƟƹźěŚſ ŽƺĩƺĩƺƬǀƟŚŤſř
ŶƿŵźĭŹřŶƤƯƲǀǀƘţå-èç CFU/m ġŹŚƣƽřźŝƹå-èæî
Źŵ ŢŞŨƯ ƭźĭ ƪǀſŚŝ ƶŝ ƍƺŝźƯ îê CFU ŹřŶƤƯ Śŝ ƽźŤĩŚŝ
3
æí
ƶŝƍƺŝźƯå/í CFUŹřŶƤƯŚŝƕƺƳƲƿźŤưĩƹƽŹƹŚĪƿŹƂŴŝ
ƪƯŚƃƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵƵŶƃƾƿŚſŚƴƃƽŚƷƽźŤĩŚŝƕřƺƳř
ƕřƺƳřƾƳřƹřźƟƲǀƴĤưƷŢſřICU ƂŴŝŹŵŽƺĩƺŤǀƟƹźěŚſ
ƹ ŽƺŗŹƹř ŽƺĩƺŤǀƟƹźěŚſ žǀƯŹŶǀěř ŚƷ ŽƺĩƺĩƺƬǀƟŚŤſř
ƱŚŤſŹŚưǀŝ ƞƬŤŴƯ ƽŚƷ‌ƂŴŝ Źŵ ƵŶƃ ƾƿŚſŚƴƃ ƽŚƷ ġŹŚƣ
ŶƳŵƺŝŢŞŨƯƭźĭƽŚƷƪǀſŚŝƹŶǀŗƹźǀŤƠƿŵħƺĩƹźĪǀƯ
ŽƺƬƿĥźĜſōƭƺǀƬǀƀǀƴěŽƹƹLjƟŽƺƬƿĥźĜſōšŹƺƇƶŝ
ƽŚƷ‌ƪǀſŚŝŵƺŝšƹŚƠŤƯƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵŚƸƳōŵřŶƘţƶĩ
ƲƿźŤƄǀŝƲƿřźŝŚƴŝƹŢſřźŬƿŚƳŽƺƬƿĥźĜſōŽƺţŚĮǀƯƺƟ
ƶǀƬĩŹŵƵŶƃƾƿŚſŚƴƃƽŚƷƽźŤĩŚŝƕƺƳƲƿźŤƄǀŝŢŞŨƯƭźĭ
ƶŝƍƺŝźƯƕƺƳƲƿźŤưĩƹŽƹƹLjƟŽƺƬƿĥźĜſōƶŝƍƺŝźƯƕƺƳ
ŚƸƳōŶƴŝŚƿƾƯƩŚƤŤƳřřƺƷƢƿźƏŻřŚƷƽźŤĩŚŝƲƿřŶƳŵƺŝŚƷ‌ƂŴŝ
ŹřŶƤƯŚŝġŹŚƣƲƿźţ‌ƱřƹřźƟƲǀƴĤưƷŢſřźŬƿŚƳŽƺƬƿĥźĜſō
ŶƃŹżǀƳƩƺŞƣƪŝŚƣźŤưĩšŚǀƇƺƈųŚŝƾƿŚƷƎǀŰƯŹŵŶƳŹŵŚƣ
ICUƂŴŝŹŵŽƺţŚĮǀƯƺƟŽƺƬƿĥźĜſōƶŝƍƺŝźƯçè CFU
Žƺŗźſ ŽƺƬǀſŚŝ ƶŝ ŢŞŨƯ ƭźĭ ƽŚƷ ƽźŤĩŚŝ ƕƺǀƃ ŶƴƿŚưƳ
Ţſř
ŢŞƣřźƯƾƈǀŴƄţƱŚưƿřŻƽŚƷŶůřƹŹŵBacillus cereus)
ƾƤǀƤŰţŹŵŶƳƺƃƾƯƵŵřŵŢŞƀƳƾěƺĪſƺĪƳƹźŝƹƵĦƿƹƽŚƷ
ŦŰŝ
ƽźŤĩŚŝƕřƺƳřŶƃƭŚŬƳřŹƺěŚĮƴſƽŚƷ‌ƱŚŤſŹŚưǀŝŻřƾĪƿŹŵƶĩ
ƾƿŚſŚƴƃƽŚƷ‌ƽźŤĩŚŝŶƳŶƃƾƿŚſŚƴƃżǀƳƵŶƃƁŹŚưƃƽŚƷ
ƞƬŤŴƯ ƽŚƷ‌ƂŴŝ Źŵ ƽźŤĩŚŝ ŚƷ ƪſƹźƿōƺǀŝ ƂŬƴſ.....
ƮƷ ƹ ŶƳŵƺŝ žƠƴţ ƹ Ţſƺě ƾƘǀŞƏ ŹƺƬƟ ƪƯŚƃ ƮƷ ƵŶƃ
CSR ŹŵƽźŤĩŚŝŵźŝřƺƷšřŹŷƲǀĮƳŚǀƯƲƿźŤƄǀŝƶĩŵřŵƱŚƄƳ
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řŹƵƹźĭìƵŶƃƾƿŚſŚƴƃƽŚƷƮƀǀƳŚĭŹřƹźĪǀƯƽŚƷƶƳƺĭçë
ŹŵřŹźŤĩŚŝƺƴǀŤſřƹźŤĩŚŝƹLjƟƱƺģƾŞƬƏŢƇźƟƽŚƷƽźŤĩŚŝ
ƾưĩƑŚŰƫƶŝŚƷƽźŤĩŚŝŶƃŹƱřżǀƯƲǀƴĤưƷŵƺŝŽƺƬƿĥźĜſō
žĩƺĩƺƬǀƟŚŤſřƶŝƍƺŝźƯƕƺƳƲƿźŤưĩƹŢŞŨƯƭźĭƽŚƷƪǀſŚŝ
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ġŹŚƣƲƿźţ‌ƵŶưƗƶĩŶƳŶƃƪƯŚƃŚƷƽźŤĩŚŝřŹƶǀƤŝƹŚƷġŹŚƣ
ƶŝƍƺŝźƯƽźŤĩŚŝƕƺƳƲƿźŤƄǀŝźƋŚůƢǀƤŰţŹŵŶƴŤƟźĭ‌ƾƯźŝ
šźƿŚƜƯŚƿƹŢƷŚŞƃæîŶƃƁŹřżĭŚƷġŹŚƣŻřźŤƄǀŝŹŚǀƀŝ
ƩŚſ Źŵ ƶŝŚƄƯ ƾƤǀƤŰţ Źŵ ƲǀƴĤưƷ Ţſř ŽƺĩƺŤǀƟƹźěŚſ
ƶƳƺĭƹŵřŶƘţŚŝƍŚŞţŹřŹŵƶƘƫŚƐƯƲƿřŹŵƵŶƯōŢſŵƶŝŪƿŚŤƳ
ƾƿŚſŚƴƃƽŚƷ‌ƽźŤĩŚŝƕƺƳƲƿźŤƄǀŝKim KY Ǝſƺţçåæå
ƞƬŤŴƯ ƽŚƷ‌ƂŴŝ Źŵ ƵŶƃ ƾƿŚſŚƴƃ ƽŚƷ ƪſƹźƿōƺǀŝ ƽŚƷ
ŽƺĩƺĩƹźĪǀƯ ×êå ŚƷ‌Ž ƺĩƺĩƺƬǀƟŚŤſř ƶŝ ƍƺŝźƯ ƵŶƃ
ŚƷŹƺƄĩźƿŚſŹŵƵŶƃƭŚŬƳřšŚƤǀƤŰţŚŝƶƀƿŚƤƯŹŵƱŚŤſŹŚưǀŝ
×ê-æêŽƺƬǀſŚŝƹ×ê-çåźŤĩŚŝƶƴƿŹƺĩ×æê-çå)
ƎƿřźƃƂŴŝƽƺūƎƿřźƃƂƷƹĦěƪŰƯƾƿŚǀƟřźƜūƱŚĪƯƶŝ
ŚƷ‌ġŹŚƣŵźŝřƺƷšřŹŷƂŬƴſŚŝƍŚŞţŹřŹŵæîŢſřƵŵƺŝ
ƾŤƃřŶƸŝ ƩƺƇř ŢƿŚƗŹ ƱřżǀƯ ŢƿŚƸƳ Źŵ ƹ ƂŴŝ ƽŹŚŤųŚſ
ICUƂŴŝŹŵŚƷ‌ġŹŚƣƮĩřźţƲƿźŤƄǀŝƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵ
ŢſřƎŞţźƯƱŚĭŶƴƴĩšŵŚǀƗƹƪƴſźěƎſƺţ
Śŝ ƪưƗ ơŚţř Źŵ Ʈĩřźţ ƲƿźŤưĩ ƹ ëç/éç CFU/m3ŹřŶƤƯŚŝ
ŚŝƶƀƿŚƤƯŹŵŹřŶƤƯƲƿřŢſřƵŵƺŝí/çé CFU/m3 ŹřŶƤƯ
Ţſř Ƶŵƺŝ ŻŚŬƯ Ŷů Żř źŤưĩ ACGIH ƵŶƃ ƶǀƇƺţ ŹřŶƤƯ
ƽźǀĭ‌ƶŬǀŤƳ
ơŚţř ƽŶƴŝ‌ƶƤŞƏ ŹƺƔƴƯ ƶŝ çååç ƩŚſ Źŵ ƶŝŚƄƯ ƾƤǀƤŰţ Źŵ
ƶŝƹƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵŚƷ‌ƪſƹźƿōƺǀŝƂƿŚě.....
ŶůřƹƹICU ƹƾŝLJŹŵġŹŚƣŵźŝřƺƷšřŹŷŵřŶƘţħŚěƽŚƷ
ŵƺūƺƯšŚƯřŶƣřƲƿźţ‌ƮƸƯŻřƾĪƿHigh RiskƽŚƷ‌ƱŚĪƯƵĦƿƹ
Żř ƪƇŚů źƿŵŚƤƯ ƹ Ŷƿŵźĭ ƭŚŬƳř ƱŚŤſŹŚưǀŝ Ĩƿ ƾůřźū
ƲƿřŪƿŚŤƳŢſřŚƷƪſƹźƿōƺǀŝźƔƳŻřřƺƷŢǀƠǀĩƾŝŚƿŻŹřŹŵ
ƶĩŢſřƵŵƺŝå-èç CFU/m3 ƵŵƹŶŰƯŚŝƮĩřźţƂŬƴſ
ƹƱĥƺţŚěŻřƮƗřƾĪƿĥƺƫƺǀŝƪƯřƺƗŵřŶƘţƹƕƺƳźĭ‌ƱŚǀŝƾŝŚƿŻŹř
ŶůŻřƵŶƃźĩŷƽŚƷ‌ƂŴŝŹŵġŹŚƣƮĩřźţƱřżǀƯŶƷŵƾƯƱŚƄƳ
Ʊřƺţ‌ƾƯƱōĨưĩƶŝƹƵŵƺŝƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵƱĥƺţŚěźǀƛ
ƾƿŚſŚƴƃƽŚƷ‌ġŹŚƣƕřƺƳřæíŢſřƵŵƺŝźŤưĩƵŶƃƶǀƇƺţ
ŢƟźĭƂǀěŹŵřŹŚƷƪſƹźƿōƺǀŝƂƷŚĩŢƸūƭŻLJšŚƯřŶƣř
ŚƷ‌ŽƺƬƿĥźĜſō ƪƯŚƃ ƱŚŤſŹŚưǀŝ ƞƬŤŴƯ ƽŚƷ‌ƂŴŝ Źŵ ƵŶƃ
ƞƬŤŴƯƽŚƷ‌ƂŴŝŹŵƶĩƾƿŚƷ‌ŽƺƬƿĥźĜſōƕřƺƳřƶƳƺưƳƱřƺƴƗƶŝ
Ţſř Ƶŵƺŝ ƭƺǀƬǀƀǀƴě ƹ ŽƺţŚĮǀƯƺƟ ƹ ŽƹƹLjƟ źŬƿŚƳ
ŚŝƲƿřźŝŚƴŝƹŢſřħŚųƖŞƴƯƽřŹřŵŶƿŵźĭƵŶƷŚƄƯƱŚŤſŹŚưǀŝ
Źŵ ŽƺţŚĮǀƯƺƟ ƹ ŽƹƹLjƟ ŽƺƬƿĥźĜſō ġŹŚƣ ƕƺƳ ƲƿźŤƄǀŝ
ŵƹŹƹŻřƽźǀĭƺƬūƹŜſŚƴƯƾƿřŹŚĩŚŝƶƿƺƸţƮŤƀǀſŻřƵŵŚƠŤſř
ƾƤǀƤŰţ Źŵ Ţſř Ƶŵƺŝ ƶƳŚų‌ƽƺƄŤųŹ ƹ ICU ƽŚƷ‌ƂŴŝ
ƶŝ Ʊřƺţ ƾƯ ƂŴŝ ƪųřŵ ƶŝ řƺƷ ƽŚƷ ƽŵƹŹƹ ƢƿźƏ Żř ŚƸƳō
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‫ است كه با حمايت دانشگاه علوم‬4579 ‫ با كد‬1391 ‫در سال‬
.‫پزشكي و خدمات بهداشتي تهران انجام شده است‬
30
1392 ‫ بهار‬،‫ شماره اول‬،‫دوره ششم‬
‫فریده گلبابایی و همكاران‬
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1392 ‫ بهار‬،‫ شماره اول‬،‫دوره ششم‬
31
Iran. J. Health & Environ., 2013, Vol.6 , No.1
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Evaluation of Bioaerosol in a Hospital in Tehran
Negar Darvishzadeh, *Farideh Golbabaee, Mohammad Reza Pourmand, Farideh Zeini, Abbas Rahimi
Foroushani
Department of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Received; 19 November 2011
Accepted; 11 February 2012
Abstract
Background and Objectives: Microorganisms are the agents that can cause disruption in the biochemical and
physiological reactions through mechanisms such as infection, allergy or toxic properties in the case of entering
human body and if the body’s immune system be unable to destroy and eliminate biological agents, illness and
even death will occur. This study evaluates air pollution(aerosol and bioaerosol) in different parts of a hospital in
Tehran.
Materials and Methods: We assessed and evaluated bioaerosols by applying 0800 NIOSH method using Bacterial sampler and specific cultures for bacteria and fungi separately in ICU (intensive care unit), Pathology laboratory, Operating room, Recovery, and CSR (Central Service Room) of ahospital.
Results: The assessment showed that the average density of bacteria in the hospital studied was in the range of
1226.88 - 294.47 CFU/m3; the highest density was observed in the CSR and the lowest density measured was in
the operating room. The bacteria identified included gram-positive bacillus (50.6%), Staphylococcus epidermis
(20.29%), Staphylococcus Saprophyticus (2.6%), Staphylococcus aureus (7.03%), other Staphylococcus (5.9%)
and Micrococcus (13.43%). Moreover, it was found that the average density of fungi was in the range of 0-188.45
CFU/m3; the maximum density in ICU and the minimum density in operating room and recovery room. The fungi
identified included Aspergillus flavus (31.65%), Aspergillus fomigatus (25.17%), Aspergillus niger (15.82%),and
penicilliom (27.33%) .
Conclusion: Comparison of bacteria density in different parts of the hospital with the recommended limits of
ACGIH (500 CFU/m3) showed that density exceeded the limits in all units except in operating room whereas,
density of fungi was less than the recommended limits of ACGIH (100CFU/m3) in all units of hospital.
Keywords: Bioaerosol density, Hospital, Fungi
Corresponding Author: [email protected]
Tel: +98 21 88951390 Fax: +98 21 88954781595
*