ارزیابی بیوآیروسلها در یکی از بیمارستانهای شهر تهران
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ارزیابی بیوآیروسلها در یکی از بیمارستانهای شهر تهران
ƾƄƷƹĦěƾưƬƗƽ ƶƯŚƴƬƈƟƎǀŰƯƹŢƯLjſƶƬŬƯ ƱřźƿřƎǀŰƯŢƃřŶƸŝƾưƬƗƲưŬƳř Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 èç ŚţçèšŚŰƠƇæèî珌ƸŝƩƹřƵŹŚưƃƮƄƃƵŹƹŵ ƱřźƸţźƸƃƽŚƷƱŚŤſŹŚưǀŝŻřƾĪƿŹŵŚƷƪſƹźƿōƺǀŝƾŝŚƿŻŹř ê ƾƳŚƃƹźƟƾưǀůŹŽŚŞƗéƾƴƿŻƵŶƿźƟèŶƴƯŹƺěŚƋŹŶưŰƯçƾƿŚŝŚŞƬĭ ƵŶƿźƟ ،æƵŵřŻƂƿƹŹŵŹŚĮƳ îå/ææ/çêƁźƿŸě îå/åí/çîŢƟŚƿŹŵ ƵŶǀĪģ ŵŚŬƿřŜŞſƾưſƅřƺųŚƿƽĥźƫōŢƳƺƠƗƱƺģƾƿŚƷŹŚĩƹŻŚſŚŝƱŚƀƳřƱŶŝƶŝŵƹŹƹšŹƺƇŹŵƶĩŶƴŤƀƷƾƬƯřƺƗŚƷƮƀǀƳŚĭŹřƹźĪǀƯƝŶƷƹƶƴǀƯŻ ƪƯřƺƗƱŵźŝƲǀŝŻřƹƱŵźĩŵƺŝŚƳƶŝŹŵŚƣƾƴưƿřƮŤƀǀſƶƧƾţŹƺƇŹŵƹŶƳƺƃƾƯƱŚƀƳřƱŶŝƾĪƿĥƺƫƺƿżǀƟƹƾƿŚǀưǀƃƺǀŝƽŚƷƂƴĩřƹŹŵƩLjŤųř ƽŚƷƂŴŝŹŵřŹġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƱřżǀƯƶƘƫŚƐƯƲƿřŵƺƃīźƯƾŤůƹƽŹŚưǀŝŜŞſŶƳřƺţƾƯƵŶƃŵŚŬƿřƩLjŤųřŶƃŚŞƳƾĪƿĥƺƫƺǀŝ ŶƷŵƾƯŹřźƣƾſŹźŝŵŹƺƯƱŚŤſŹŚưǀŝĨƿƞƬŤŴƯ ƽŚƷƎǀŰƯƹźƬĜưſƩŚƿźŤĩŚŝƵŚĮŤſŵŻřƵŵŚƠŤſřŚŝNIOSH 0800ƁƹŹƢŝŚƐƯġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƱřżǀƯƶƘƫŚƐƯƲƿřŹŵƾſŹźŝƁƹŹ ƽŹƹŚĪƿŹƪưƗơŚţřƽĥƺƫƺţŚěƵŚĮƄƿŚƯŻōƵĦƿƹƽŚƷŢŞƣřźƯƂŴŝ ICU ƽŚƷƂŴŝŹŵƶƳŚĭřŶūŹƺƏƶŝġŹŚƣƹƽźŤĩŚŝƽřźŝƾƇŚƈŤųřŢƄĩ ŢƟźĭŹřźƣƾŝŚƿŻŹřƹƂŬƴſŵŹƺƯƱŚŤſŹŚưǀŝĨƿ CSR ƹ 3 Ƶŵƺŝçîé/éì – æççë/íí CFU/m ƞƿŵŹŹŵƶƘƫŚƐƯŵŹƺƯƱŚŤſŹŚưǀŝŹŵŚƷƽźŤĩŚŝƮĩřźţƲǀĮƳŚǀƯŶƷŵƾƯƱŚƄƳƾŝŚƿŻŹřŪƿŚŤƳŚƷƶŤƟŚƿ ƽŚƷƪǀſŚŝƪƯŚƃƵŶƃƾƿŚſŚƴƃƽŚƷƽźŤĩŚŝƕƺƳŢſřƪưƗơŚţřƶŝƍƺŝźƯƱōƮĩřźţƲƿźŤưĩƹ CSR ƂŴŝƶŝƍƺŝźƯƮĩřźţƲƿźŤƄǀŝƶĩŢſř źƿŚſ×ì/åèŽƺŗŹƹřŽƺĩƺĩƺƬǀƟŚŤſř×ç/ëŽƺĩƺŤǀƟƹźěŚſŽƺĩƺĩƺƬǀƟŚŤſř×çå/çîžǀƯŹŶǀěřŽƺĩƺĩƺƬǀƟŚŤſř×êå/ëŢŞŨƯƭźĭ ƱŚŤſŹŚưǀŝŹŵŚƷġŹŚƣƮĩřźţƲǀĮƳŚǀƯƶĩŶƷŵƾƯƱŚƄƳŚƷġŹŚƣƂŬƴſŪƿŚŤƳƲǀƴĤưƷŢſř×æè/éèħƺĩƹźĪǀƯƹ×ê/îŚƷŽƺĩƺĩƺƬǀƟŚŤſř ƪưƗơŚţřƹƽŹƹŚĪƿŹƶŝƍƺŝźƯƮĩřźţƪƣřŶůƹICU ƶŝƍƺŝźƯƮĩřźţźŨĩřŶůƶĩŢſřƵŵƺŝå -æíí/éê CFU/m3 ƵźŤƀĭŹŵƶƘƫŚƐƯŵŹƺƯ ×æê/íçźŬƿŚƳŽƺƬƿĥźĜſō×çê/æìŽƺţŚĮǀƯƺƟŽƺƬƿĥźĜſō×èæ/ëêŽƹƹLjƟŽƺƬƿĥźĜſōƪƯŚƃƵŶƃƾƿŚſŚƴƃƽŚƷġŹŚƣƕƺƳŢſř ŢſřƵŵƺŝ×çì/èèƭƺǀƬǀƀǀƴěƹ ƮĩřźţŵřŵƱŚƄƳŢſř êåå CFU/m3 ƶĩ ACGIH ƵŶƃƶǀƇƺţŶůŚŝƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷƂŴŝŹŵŚƷƽźŤĩŚŝƮĩřźţƶƀƿŚƤƯƽźǀĭƶŬǀŤƳ ƞƬŤŴƯƽŚƷƂŴŝŹŵŚƷġŹŚƣƮĩřźţƶƀƿŚƤƯƲǀƴĤưƷŢſřƵŵƺŝźŤƄǀŝƵŶƃƶǀƇƺţŶůŻřƪưƗơŚţřżūƶŝŚƷƂŴŝƶưƷŹŵƽźŤĩŚŝƪſƹźƿōƺǀŝ Ƶŵƺŝ ƵŶƃƶǀƇƺţŶůŻřźŤưĩŚƷƂŴŝƶưƷŹŵġŹŚƣƪſƹźƿōƺǀŝƮĩřźţŵřŵƱŚƄƳŢſřæåå CFU/m3 ƶĩ ACGIH ƵŶƃƶǀƇƺţŶůŚŝƱŚŤſŹŚưǀŝ Ţſř ƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷƂŴŝƪſƹźƿōƺǀŝƕƺƳƪſƹźƿōƺǀŝƮĩřźţƽŶǀƬĩƱŚĭĥřƹ [email protected] ƱřźƸţƾĪƃżěƭƺƬƗƵŚĮƄƳřŵŢƃřŶƸŝƵŶĪƄƳřŵįřƶƟźůŢƃřŶƸŝŶƃŹřƾſŚƴƃŹŚƧƶŤųƺƯōƂƳřŵæ ƱřźƸţƾĪƃżěƭƺƬƗƵŚĮƄƳřŵŢƃřŶƸŝƵŶĪƄƳřŵŵŚŤſřƽřƶƟźůŢƃřŶƸŝƽřźŤƧŵ(ƩƺŘƀƯ ƵŶƴƀƿƺƳ) -ç ƱřźƸţƾĪƃżěƭƺƬƗƵŚĮƄƳřŵŢƃřŶƸŝƵŶĪƄƳřŵŹŚǀƄƳřŵƾƫƺƨƫƺƯƾſŚƴƃŢƀƿŻƽřźŤƧŵè ƱřźƸţƾĪƃżěƭƺƬƗƵŚĮƄƳřŵŢƃřŶƸŝƵŶĪƄƳřŵŵŚŤſřƾƨƃżěƾſŚƴƃġŹŚƣƽřźŤƧŵé ƱřźƸţƾĪƃżěƭƺƬƗƵŚĮƄƳřŵŢƃřŶƸŝƵŶĪƄƳřŵŵŚŤſřƾŤƀƿŻŹŚƯōƽřźŤƧŵê Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 ƶƯŶƤƯ ƽŚƷźŤƬǀƟ ƾƿřŹŚĩ ƶƿƺƸţ ƮŤƀǀſ ŵźĪƬưƗ ƾĮƳƺĮģ ŚƷƵźŬƴě ŹŵƹơŚţřŹŵŵƺūƺƯƽŚƷ ƢƿŚƗƶƿƺƸţƮŤƀǀſŹŵŵƺūƺƯ ŚƷŢǀƫŚƘƟƵĦƿƹƶŝƹƂŴŝŹŵŵƺūƺƯŵřźƟřŵřŶƘţŚƷƽźŤĩŚŝŵŹƺƯ ƶƟźſƱŵźĩƶƀƐƗƱŵźĩŢŞŰƇźǀƔƳŵřźƟřŵźĪƬưƗƵƺŰƳƹ ŹŵæéŢſřƹƽŵźƟŢƃřŶƸŝƩƺƇřŢƿŚƗŹƱřżǀƯƱŵźĩ ŵƹŶůŻřƾƬųřŵƽřƺƷŹŵŚƷƮƀǀƳŚĭŹřƹźĪǀƯƮĩřźţƶƧƾţŹƺƇ źƔƳŹŵƵŵƺƫōƎǀŰƯƱřƺƴƗƶŝƎǀŰƯƱōŵƹŹźţřźƟƵŶƃƶǀƇƺţ ŢƸūƾƤƬƐƯŵŹřŶƳŚŤſřźƋŚůƩŚůŹŵæê) ŵƺƃƾƯƶŤƟźĭ ŢƀǀƳŵƺūƺƯŚƷƪſƹźƿōƺǀŝƮĩřźţŻŚŬƯƱřżǀƯŵŹƺƯŹŵŦŰŝ ŚƷƪſƹźƿōƺǀŝƾŝŚƿŻŹřŪƿŚŤƳƶƀƿŚƤƯŹƺƔƴƯƶŝƶĩƶĤƳōƲƿřźŝŚƴŝƹ ŵƺƃƾƯƕŚūŹřƱōƶŝšŚƘƫŚƐƯƹŚƷ ƾſŹźŝŹŵŻŚŬƯŵƹŶůŚŝ ƞƬŤŴƯ ƽŚƷ ƶƀſƺƯ ƹ ŚƷ ƲưŬƳř ƵŶƃ ƶǀƇƺţ ƽŚƷŚưƴƷřŹ ŵŵźĭƾƯơLjƏřƾĪƿĥƺƫƺǀŝŵźŝřƺƷšřŹŷƶŝƪſƹźƿōƺǀŝƵĥřƹ..... Śŝ ŵźŝřƺƷ šřŹŷ ƾƯŚưţ ƪƯŚƃ ŚƷ ƪſƹźƿōƺǀŝ Śŝ ƶƸūřƺƯ æ) ġŹŚƣƽźŤĩŚŝƶŝƱřƺţƾƯƶƬưūƱōŻřƹŢſřƾĪƿĥƺƫƺǀŝŚƄƴƯ ŶƳřƺţ ƾƯ ŚƸƳō Śŝ ƶƸūřƺƯ ƶĩ ŵƺưƳ ƵŹŚƃř ƹ Žƹźƿƹ ĨĜĩ ƾŤǀſŚƀůŵŚƿŵŻřƽŚƷƾƳƺƯƺƴě ƾƀƠƴţšLJLjŤųřƕřƺƳřƶŝźŬƴƯ ƵŵźŤƀĭšŹƺƇƶŝƕƺƋƺƯƲƿřçŵŵźĭƾưſƽŚƷƂƴĩřƹƹ ƶĩƽřƶƳƺĭƶŝŢſř IAQ ƽŚƷƲưŬƳřƲǀƤƤŰƯƩƺŞƣŵŹƺƯ ŶƴƳřƺţƾƯŚƷƪſƹźƿōƺǀŝƾųźŝƶĩŶƳŹřŵƾƯƱŚƗŷřƲǀƤƤŰƯƲƿř ŢƳƺƠƗƹƾưſĨƿĥźƫōƽŚƷŲſŚěƶƬưūŻřƾƠƬŤŴƯƽŚƷŲſŚě ƶƸūřƺƯƽŚƷƶƳŚƄƳéƹèŶƴƿŚưƳŵŚŬƿřƶŤƟŚƿƶƸūřƺƯŵźƟŹŵ ƁżƿźŝōƶƿŹžųžųƶƟźſƪƯŚƃŚƷƪſƹźƿōƺǀŝŚŝŵřźƟř ŵŚŬƿřƩŚƸſřƾŤſƺěƽŚƷƁřŹƺƬĭŚƿŚƷƮƄģƁŹŚųƾƴǀŝ ƱřżǀƯ NIOSH ƶƳƺưƳ ƱřƺƴƗ ƶŝ Ţſř ƾưƬƗ ƹ ƾƷŚĮƄƳřŵ řŹ ƪſƹźƿōƺǀŝ šřŹŷ ƪĩ ƽřźŝ ƮưƿżĩŚƯ ƵŶƃ ƶǀƇƺţ ŵƹŶů ƱŚǀŝ ACGIH ƲǀƴĤưƷ ŶƿŚưƳ ƾƯ ŵŚƸƴƄǀě æååå CFU/m3 ÊŵźŝřƺƷšřŹŷƪĩƽřźŝƮưƿżĩŚƯƵŶƃƶǀƇƺţŶůƶĩŵŹřŵƾƯ Ʈĩřźţ ŵŹƺƯ Źŵ ŵƹŹ źţřźƟ êåå CFU/m3 Żř ŶƿŚŞƳ ƽźŤĩŚŝ ŵƺūƺƯƾƬưƘƫřŹƺŤſŵŚƿƱƺƳŚƣŶĩƶƳƺĭĢǀƷżǀƳřƺƷŹŵġŹŚƣ ƱŚĪƯƶŝƶūƺţŚŝƞƬŤŴƯƽŚƷƶƀſƺƯƹżĩřźƯƶĪƬŝŢƀǀƳ ƵŵřŵŵŚƸƴƄǀěřŹƾƿŚƷŵƺưƴƷŹġŹŚƣÊŵźŝřƺƷšřŹŷƽźǀĭƵŻřŶƳř ŻřźŤưĩƮĩřźţƶĩŵƺưƳƶǀƇƺţACGIH ¡æîíîƩŚſŹŵŶƳř çååè ƩŚſ Źŵ ŵƺƃ ƾưƳ ƾƳřźĮƳ ƶŝ źŬƴƯ æåå CFU/m3 ƶŝřŹçååCFU/m3 ŚĪƿźƯřƾƯƺưƗŢƃřŶƸŝšŚƯŶųƶƀſƺƯ (æëŵŹřŵƾƯƭLjƗřřƺƷŹŵġŹŚƣšřŹŷƵŶƃƶǀƇƺţŶůƱřƺƴƗ ġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƱřżǀƯƾŝŚƿŻŹřźƋŚůƶƘƫŚƐƯ ƾưĩƹƾƠǀĩƑŚŰƫƶŝƶĩŢſřƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷƂŴŝŹŵ ŵźǀĭƾƯŹřźƣƾŝŚƿŻŹřŵŹƺƯ ƾĪƿĥƺƫƺƳƺưƿř ƽŚƷƂƴĩřƹ Ţſř ŵŹŵźſ ƹ Ʈſō ŶƿŶƄţ Śƿ ƹ ƾŤǀſŚƀůŵŚƿŵŻřƾƳƺƯƺƴěƹĨƿĥźƫōŢǀƴƿŹƮſōƪƯŚƃŶƳřƺţ ƾƯ ŻřƾųźŝƾƿřŻƱŚƏźſšŚƤǀƤŰţŻřƾƌƘŝƾŤůéƹèŶƃŚŝ ƱřƺƴƗƶŝřŹŚƸƳōƹƵŵřŵŹřźƣƾſŹźŝŵŹƺƯřŹŚƷƮƀǀƳŚĭŹřƹźĪǀƯ ƶŝêŶƴƿŚưƳƾƯƾƟźƘƯƾƬƜƃƽřŻƱŚƏźſƾĪƿĥƺƫƺǀŝƪƯřƺƗ ŹŵŚƣŽƹƹLjƟŽƺƬƿĥźĜſōŻřƾƃŚƳƲǀƀĩƺţLjƟōƶƳƺưƳƱřƺƴƗ ƽŚƷƮƀǀƳŚĭŹřƹźĪǀƯ ƕřƺƳř Żř ë Ţſř ŶŞĩ ƱŚƏźſ ŵŚŬƿř ƶŝ ƢƿźƏŻřƶĩŚƷƱŚŤſŹŚưǀŝŚŝƎŞţźƯƹƵŶƃƶŤųŚƴƃƽřŻƽŹŚưǀŝ ŶƴƳŚƯ ŚƷŽƺƬƿĥźĜſō ƕřƺƳř ƶŝ Ʊřƺţ ƾƯ ŶƴŝŚƿ ƾƯ ƩŚƤŤƳř řƺƷ ŹŵŶƃŹƶŝŹŵŚƣƶĩĨǀƬǀƟƺƯźţġŹŚƣŽƺţŚĮǀƯƺƟŽƺƬƿĥźĜſō ŢƇźƟƽŚƷġŹŚƣźƿŚſìŢſřæç- êè 0CƾƿŚƯŵƵźŤƀĭ ƹƵŵƺŝŵźŝřƺƷƽŚƷƱĥƺţŚěƶĩƭƺǀƬǀƀǀƴěƹƭƺƿŹřŻƺƟŶƴƳŚƯŜƬƏ ƹíŶƴŝŚƿźǀŨĪţƹŶƃŹśƺƏźƯƽŚƷƎǀŰƯŹŵŶƴƳřƺţƾƯ žĩƺĩƺƬǀƟŚŤſřŶƴƳŚƯŢŞŨƯƭźĭƽŚƷƾƀĩƺĩƕřƺƳřƵƹźĭŹŵ ƽŚƷ ŢƳƺƠƗ ƕƺǀƃ ƪƿLJŵ Żř ƾĪƿ ƶĩ žǀƯŹŶǀěř ƹ ŽƺŗŹƹř Źŵ ŵƺūƺƯ ƪƴſźě ƢƿźƏ Żř ƹ ŶƴƃŚŝ ƾƯ ƾůřźū ƽŚƷƂŴŝ źŝƺţƭƺƿźŤĩŚŝƺĪƿŚƯî-ææŶƴŝŚƿƾƯƩŚƤŤƳřŹŚưǀŝƶŝƂŴŝ ƖŞƴƯŵƺưƳƵŹŚƃřŚƷƽźŤĩŚŝƵƹźĭŹŵæçƹæèžƿŻƺƬĩ ƹ ƾƳŚƯŹŵ º ƾŤƃřŶƸŝ żĩřźƯ Źŵ ŚƷ ƮƀǀƳŚĭŹřƹźĪǀƯ Ʋƿř ŵŚŬƿř ƵŶƴĩřźěƹŵŚŬƿřƪƯřƺƗƩŚŨƯƱřƺƴƗƶŝŢſřƕƺƴŤƯŚƷƱŚŤſŹŚưǀŝ ŢǀƫŚƘƟŚţŶưƗŚƷŽƺƬƿĥźĜſōŵŹƺƯŹŵŚƇƺƈŴƯŚƷġŹŚƣƱŶƃ ƾĮƳƺĮģƑŚŰƫƶŝơŚţřƎƿřźƃŚƿƹƽŻŚſƱŚưŤųŚſźǀƔƳƾƿŚƷ çé Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 ŚƷƁƹŹƹŵřƺƯ ƾƳƺƠƗŶƋƽŹřŵźŝƶƳƺưƳƵŚĮŤſŵƽŹřŵźŝƶƳƺưƳƪůřźƯƾƯŚưţ ŹŵƽŹřŵźŝƶƳƺưƳŻřžěŢƄĩƎǀŰƯƽƹŚůƽŚƷŢǀƬěŶƿŵźĭ ŹŵġŹŚƣŵŹƺƯŹŵƹèå 0CƽŚƯŵŹŵŹƺţŚŝƺĪƳřŹŵƽźŤĩŚŝŵŹƺƯ ƁŹŚưƃžĜſŶƳŶƃƵŵřŵŹřźƣçé hšŶƯƶŝƵŚĮƄƿŚƯŻōƽŚƯŵ .( çƹæƪĪƃŶƿŵźĭƭŚŬƳřŚƷƪſƹźƿōƺǀŝ ŶƿŵźĭƭŚŬƳřźƿŻƪůřźƯƪƯŚƃƶƬůźƯèŹŵƶƘƫŚƐƯƲƿř..... ƾſŹźŝŵŹƺƯƽŚƷƂŴŝśŚŴŤƳřƩƹřƶƬůźƯ ƱŚŤſŹŚưǀŝƽŚƷƂŴŝśŚŴŤƳřƂƷƹĦěƽřźūřŻřƶƬůźƯƲǀƫƹř ƱŚŤſŹŚưǀŝƞƬŤŴƯƽŚƷƂŴŝƶƬůźƯƲƿřŹŵŢſřƾŝŚƿŻŹřŢƸū ŵřźƟřŵřŶƘţŚƿƹƾƳŚƯŹŵŶƳƹŹƂŴŝŹŵŵƺūƺƯƎƿřźƃƑŚŰƫƶŝ ŹŵƹŶƳŶƃƾſŹźŝƪƴſźěŢǀƫŚƘƟƵƺŰƳƹƂŴŝŹŵŵƺūƺƯ ŢƸū ŚƷ ƪſƹźƿōƺǀŝ ƾŝŚƿŻŹř ŹƺƔƴƯ ƶŝ ƶĩ ƾƿŚƷƂŴŝ ŢƿŚƸƳ ƽŚƷ ŢŞƣřźƯ ƂŴŝ ICU ƪƯŚƃ ŶƳŶƿŵźĭ śŚŴŤƳř ƶƘƫŚƐƯ (CSRƹƽŹƹŚĪƿŹƪưƗơŚţřƽĥƺƫƺţŚěƵŚĮƄƿŚƯŻōƵĦƿƹ ŢſřƵŵƺŝCorporate Social Responsibility ƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƕƺƳƆǀŴƄţƹƾƿŚſŚƴƃƭƺſƶƬůźƯ ƝŶƷƶĩƶŤƠƸƳŶƃŹƵŹƹŵƾƏŻřŢƀţŹŚŞƗƶƿżŬţġŹŚƣƹ ƽźǀĭ ƵŻřŶƳř ƪŝŚƣ ƹ ƾƿŚſŚƴƃ ƪŝŚƣ ƽŚƷ ƾƴƬĩ ŶƃŹ Ʊō Żř ƱŚƯŻ šŶƯ Ţſř źĩŷ ƶŝ ƭŻLJ Ţſř ŚƷƮƀǀƳŚĭŹřƹźĪǀƯ Żř ƖưūƮƀǀƳŚĭŹřƕƺƳŽŚſřźŝŹƺƳƹŢŝƺƏŹŚƯŵƱƺǀſŚŝƺĪƳř 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 ƽżǀƯōĬƳŹƶƿƺƳŚŧŢƄĩŶƴƳŚƯƾƿŚƷƁƹŹŻřƱřƺţƾƯƾƴƬĩŹŵ ŵźĩƵŵŚƠŤſřƹęƺĪſƹźĪǀƯŻřƵŵŚƠŤſřƹ řƺƷŹŵġŹŚƣƹƽźŤĩŚŝ ġŹŚƣƹƽźŤĩŚŝŻřƮƗřŚƷƪſƹźƿōƺǀŝƮĩřźţƂŬƴſŹƺƔƴƯƶŝ ƁƹŹ Ʋƿř ƝŶƷ Ŷƃ ƵŵŚƠŤſř NIOSH 0800 ƁƹŹ Żř ġŹŚƣƹƽźŤĩŚŝŚƷƪſƹźƿōƺǀŝƾƬĩƮĩřźţƲǀǀƘţƽŹřŵźŝ ƶƳƺưƳ ġŹŚƣƹƽźŤĩŚŝƕƺƳŚƷƪſƹźƿōƺǀŝƾƠǀĩƲǀǀƘţƲǀƴĤưƷƹ ŢſřƵŵƺŝ ƆųŚƃƱřƺƴƗƶŝƂŴŝźƷŹŵƱŚĪƯèƪƣřŶůƶƬůźƯƲƿřŹŵ ƵŚĮŤſŵ Ǝſƺţ žĜſ ƹ ƶŤƄĭ śŚŴŤƳř ƽźǀĭ ƵŻřŶƳř ŢƸū ƾƇŚƈŤųřŢƄĩƽŚƷƎǀŰƯƹźƬĜưſƩŚƿźŤĩŚŝŹřŵźŝƶƳƺưƳ ƽřźŝçí/è L/minƾŝŵŚŝƹTSAƽźŤĩŚŝƹƹŹƺŝŚſġŹŚƣƽřźŝ ŹŵŢſřźĩŷƶŝƭŻLJŢƟźĭƭŚŬƳřƽŹřŵźŝƶƳƺưƳæå minšŶƯ ƲƄâŝƺâĪƳřŻřžěçé hįźŤĩŚŝįƹŚůŢâƬěçƪƨƃ çê Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 ƽŹřŵźŝƶƳƺưƳŻřŻƹŹèŢƃŸĭŻřžěġŹŚƣƽƹŚůŢǀƬěçƪĪƃ ŚƷƶŤƟŚƿ ƽźŤĩŚŝƞƫř ƾƿŚƷƁƹŹŻřƶŤƟŚƿŢƄĩƽŚƷƽźŤĩŚŝƕƺƳƾƿŚſŚƴƃŹƺƔƴƯƶŝ 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 ƶƳŚųƽƺƃŢųŹƹƽĥƺƫƺţŚěŚŝCSR ƹP<å/åååæ) CSR ŢƀţŻLJŚţŚĩŢƀţƲǀſřźŤǀſŚŝƽŚƷĨƀƿŵƽżǀƯōĬƳŹźǀƔƳ ƆŴƄƯ ŢƸū ŚƷ Ţƀţ Ʋƿř Ŷƿŵźĭ ƵŵŚƠŤſř ƹ ŻLJƺĭřƺĩ ƭźĭƱŵźĩƆŴƄƯƾƴƬĩŢƫŚůƹĬƳŹƪĪƃƵŻřŶƳřƱŵƺưƳ ƲǀǀƘţŚƷŽƺĩƺĩŻřŚƷŽƺĩƺĩƹźĪǀƯƽŻŚſřŶūŚƷƽźŤĩŚŝ ŶƿŵźĭƭŚŬƳřƹŚƷŽƺĩƺĩƺƬǀƟŚŤſřƕƺƳ ġŹŚƣś ƽżǀƯōĬƳŹƁƹŹŻřƶŤƟŚƿŢƄĩġŹŚƣƕƺƳƾƿŚſŚƴƃŹƺƔƴƯƶŝ ƭLJĨƿřŶŤŝřƶĩŜǀţźţƲƿřƶŝŶƃƵŵŚƠŤſřƺƬŝƲţŚĩºƪƴƟƺŤĩLJ ƺƬŝƲţŚĩºƪƴƟƺŤĩLJƩƺƬŰƯŻřƵźƐƣĨƿžĜſƶŤƃřŵźŝżǀưţ ƶƬƘƃƎſƺţƶĩžƳōħƺƳŚŝŶƘŝŵƺƃƾƯƶŤŴƿŹƱōƽƹŹřŹ 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 çë Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 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 çì 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 Downloaded from 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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 ŶƳŵƺŝŢŞŨƯƭźĭƽŚƷƪǀſŚŝƹŶǀŗƹźǀŤƠƿŵħƺĩƹźĪǀƯ ŽƺƬƿĥźĜſōƭƺǀƬǀƀǀƴěŽƹƹLjƟŽƺƬƿĥźĜſōšŹƺƇƶŝ ƽŚƷƪǀſŚŝŵƺŝšƹŚƠŤƯƞƬŤŴƯƽŚƷƂŴŝŹŵŚƸƳōŵřŶƘţƶĩ ƲƿźŤƄǀŝƲƿřźŝŚƴŝƹŢſřźŬƿŚƳŽƺƬƿĥźĜſōŽƺţŚĮǀƯƺƟ ƶǀƬĩŹŵƵŶƃƾƿŚſŚƴƃƽŚƷƽźŤĩŚŝƕƺƳƲƿźŤƄǀŝŢŞŨƯƭźĭ ƶŝƍƺŝźƯƕƺƳƲƿźŤưĩƹŽƹƹLjƟŽƺƬƿĥźĜſōƶŝƍƺŝźƯƕƺƳ ŚƸƳōŶƴŝŚƿƾƯƩŚƤŤƳřřƺƷƢƿźƏŻřŚƷƽźŤĩŚŝƲƿřŶƳŵƺŝŚƷƂŴŝ ŹřŶƤƯŚŝġŹŚƣƲƿźţƱřƹřźƟƲǀƴĤưƷŢſřźŬƿŚƳŽƺƬƿĥźĜſō ŶƃŹżǀƳƩƺŞƣƪŝŚƣźŤưĩšŚǀƇƺƈųŚŝƾƿŚƷƎǀŰƯŹŵŶƳŹŵŚƣ ICUƂŴŝŹŵŽƺţŚĮǀƯƺƟŽƺƬƿĥźĜſōƶŝƍƺŝźƯçè CFU Žƺŗźſ ŽƺƬǀſŚŝ ƶŝ ŢŞŨƯ ƭźĭ ƽŚƷ ƽźŤĩŚŝ ƕƺǀƃ ŶƴƿŚưƳ Ţſř ŢŞƣřźƯƾƈǀŴƄţƱŚưƿřŻƽŚƷŶůřƹŹŵBacillus 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 çí řŹƵƹźĭìƵŶƃƾƿŚſŚƴƃƽŚƷƮƀǀƳŚĭŹřƹźĪǀƯƽŚƷƶƳƺĭçë ŹŵřŹźŤĩŚŝƺƴǀŤſřƹźŤĩŚŝƹLjƟƱƺģƾŞƬƏŢƇźƟƽŚƷƽźŤĩŚŝ ƾưĩƑŚŰƫƶŝŚƷƽźŤĩŚŝŶƃŹƱřżǀƯƲǀƴĤưƷŵƺŝŽƺƬƿĥźĜſō žĩƺĩƺƬǀƟŚŤſřƶŝƍƺŝźƯƕƺƳƲƿźŤưĩƹŢŞŨƯƭźĭƽŚƷƪǀſŚŝ Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 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) ƎƿřźƃƂŴŝƽƺūƎƿřźƃƂƷƹĦěƪŰƯƾƿŚǀƟřźƜūƱŚĪƯƶŝ ŚƷġŹŚƣŵźŝřƺƷšřŹŷƂŬƴſŚŝƍŚŞţŹřŹŵæîŢſřƵŵƺŝ ƾŤƃřŶƸŝ ƩƺƇř ŢƿŚƗŹ ƱřżǀƯ ŢƿŚƸƳ Źŵ ƹ ƂŴŝ ƽŹŚŤųŚſ ICUƂŴŝŹŵŚƷġŹŚƣƮĩřźţƲƿźŤƄǀŝƞƬŤŴƯƽŚƷƂŴŝŹŵ 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 ƭŚŬƳřƵźĩƽŚƷƱŚŤſŹŚưǀŝŻřƾĪƿŹŵçåæåƩŚſŹŵƶĩƶŝŚƄƯ ƵŶƷŚƄƯƽŚƷƽźŤĩŚŝŚŝƍŚŞţŹřŹŵŚƿƹŵřŵƂƷŚĩƽŵŚƿŻŹřŶƤƯ ƵŶƃƽŹřŵźŝƶƳƺưƳƽŚƷġŹŚƣƾƿŚſŚƴƃŻřƪƇŚůŪƿŚŤƳŶƿŵźĭ ƽŵźƟ ŢƃřŶƸŝ ƩƺƇř ŢƿŚƗŹ ƞƬŤŴƯ ƽŚƷƂŴŝ Źŵ ƵŶƃ ×çå-çê ƭƺǀƬǀƀǀƴě ×èå ƭƺƿŹƺĜſƹŵLjĩ ƪƯŚƃ řƺƷ Żř ŚƸƳōƱřżǀƯƱŶƳŚſŹƪƣřŶůƶŝŹŵřŹƾƿřżƀŝƂƤƳƪƛŚƃƪƴſźě . ( æîŵƺŝ×æå-çåŚƿŹŚƳźŤƫōƹ×æê-çåŽƺƬƿĥźĜſō ŶƿŚưƳƾƯŚƠƿř ŢŞƀƳŚƷƽźŤĩŚŝƮĩřźţƶĩŵřŵƱŚƄƳźƋŚůƢǀƤŰţƲǀƴĤưƷ ŹřŵŹƺųźŝ ƽźţLJŚŝ ŹŚǀƀŝ ƱřżǀƯ Żř řƺƷ Źŵ ŚƷ ġŹŚƣ Ʈĩřźţ ƶŝ ŽƺƬƿĥźĜſōƶŝƍƺŝźƯƵŶƃƾƿŚſŚƴƃġŹŚƣƕƺƳƪƣřŶůŢſř ƾƳřŵŹŶƣƹźƨƄţ ŽƺƬƿĥźĜſōƶŝƍƺŝźƯźŨĩřŶůƹ å CFU/m3ŹřŶƤƯŚŝźŬƿŚƳ İĭŵƺƫōİŝŚƿŻŹřƱřƺƴƗŚŝƽřƶƯŚƳƱŚƿŚěŻřƪƇŚůƶƫŚƤƯƲƿř..... ŹŵƶĩƾƤǀƤŰţŹŵŢſřçè CFU/m3ŹřŶƤƯŚŝŽƺţŚĮǀƯƺƟ ƞƬŤŴƯ ƽŚƷƂŴŝ Źŵ ŚƷ ƪſ ƹźƿōƺǀŝ ƹ ŚƷ ƪſƹźƿō řƺƷ ƾƬųřŵ ƎǀŰƯ Źŵ ŚƷƪſƹźƿōƺǀŝ ƾŝŚƿŻŹř ƱřƺƴƗ Śŝ çåæå ƩŚſ ŶƃŹřİſŚƴƃŹŚĩƖƐƤƯŹŵƱřźƸţźƸƃ ƽŚƷƱŚŤſŹŚưǀŝŻřİĪ ƿ Żř ƶĩ ŵƺŝ ƶŤĪƳ Ʋƿř źĭƱŚƿŚưƳ ŪƿŚŤƳ Ŷƿŵźĭ ƭŚŬƳř ƾūŹŚų ƹ çî .....įŚƷƱŚŤſŹŚưǀŝŻřİĪǀŝŹŵŚƷƪſƹźƿōƺǀŝİŝŚƿŻŹř Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 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 Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 منابع 14. Maeir RM, Pepper IL, Charles Gerba CP. Environmental Microbiology. Canada: Academic Press; 2002. 15. Banerjee D. Study of precipitation chemistry over an industrial city. International Journal of Environment Science and Technology. 2008;5(3):331-38. 16. Ammann HM. Why ACGIH Bioaerosol Committee does not recommend TLVs for bioaerosols. Third International Conference on Bioaerosols, Fungi and Mycotoxins: Health Effects, Assessment, Prevention and Control; 1998 September 23-25; Saratoga. New York: Springs; 1998. 17. Karen H. Bartlett, Ph.D. Assistant Professor School of Occupational and Environmental Hygiene University of British Columbia and et al Evaluating Indoor Air Quality: Test Standards for Bioaerosols. 18.Yassin MF, Almouqatea S. Assessment of airborne bacteria and fungi in an indoor and outdoor environment. International Journal of Environment Science and Technology. 2010;7(3):535-44. 19.Kim KY, Kim YS, Kim D.Distribution characteristics of airborne bacteria and fungi in the general hospitals of Korea.Ind Health. 2010;48(2):236-43. 1. Nevalainen A, Pastuszka J, Liebhaber F, Willeke K. Performance of bioaerosol samplers: collection characteristics and sampler design considerations. Atmospheric Environment. 1992;26(4):531-40. 2. Cox CS, Wathes CM. Bioaerosols Handbook. New York: Lewis Publishers; 1995. 3. Levetin E, Burge H. Fungi Bioaerosols , Boca Raton: CRC Press; 1995. 4. Husman T. Health effects of indoor-air microorganisms. Scandinavian Journal of Work, Environment & Health. 1996;22(1):5-13. 5. Douwes J, Thorne P, Pearce N, Heederik D. Bioaerosol health effects and exposure assessment: progress and prospects. The Annals of Occupational Hygiene. 2003;47(3):187-200. 6. Hayes RB, Van Nieuwenhuize JP, Raatgever JW, Ten Kate FJW. Aflatoxin exposures in the industrial setting: an epidemiological study of mortality. Food and Chemical Toxicology. 1984;22(1):39-43. 7. Siegler L, Kennedy MJ. Aspergillus, Fusarium, and other opportunistic moniliaceous fungi. In: Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH, editors. Manual of clinical microbiology. 7th ed. Washington DC: American Society for Microbiology Press; 1999. 8. Overberger PA, Wadowsky RM, Schaper MM. Evaluation of airborne particulates and fungi during hospital renovation. American Industrial Hygiene Association Journal. 1995;56(7):706–12. 9. Overberger PA, Wadowsky RM, Schaper MM. Evaluation of airborne particulates and fungi during hospital renovation. American Industrial Hygeine Association Journal. 1995;56:706–12. 10. Stamm WE, Feeley JC, Facklam RR. Wound infections due to group A Streptococcus traced to a vaginal carrier. Journal of Infectious Diseases. 1978;138(3):287–92. 11. Berkelman RL, Martin D, Graham DR, Mowry J, Freisem R, Weber JA, et al. Streptococcal wound infections caused by a vaginal carrier. Journal of the American Medical Association. 1982;247(19):2680– 82. 12. Berkelman RL, Martin D, Graham DR. Streptococcal wound infection caused by a vaginal carrier. The Journal of the American Medical Association. 1982;247:2680– 82 13. Centers for Disease Control and Prevention. Screening for Tuberculosis and Tuberculosis infection in high-risk populations: Recommendations of the advisory council for elimination of Tuberculosis. Georgia: Centers for Disease Control and Prevention; 1995. Report No.: RR-11:18–34. 1392 بهار، شماره اول،دوره ششم 31 Iran. J. Health & Environ., 2013, Vol.6 , No.1 Downloaded from ijhe.tums.ac.ir at 13:18 IRST on Wednesday March 8th 2017 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 *