Browsing by Author "Dias, Marta"
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- Are in vitro cytotoxicity assessments of environmental samples useful for characterizing the risk of exposure to multiple contaminants at the workplace? A systematic reviewPublication . Viegas, Carla; Pena, Pedro; Gomes, Bianca; Dias, Marta; Caetano, Liliana Aranha; Viegas, SusanaIn some occupational environments, risk characterization is challenging or impossible to achieve due to the presence of multiple pollutants and contaminants. Thus, in vitro testing using the most relevant cell lines will provide information concerning health effects due to the co-exposure to multiple stressors. The aim of this review article is to identify studies where the cytotoxicity assessment was performed in environmental samples, as well as to describe the main outputs and challenges regarding risk characterization and management. This study is based on a study of the available information/data on cytotoxicity assessment performed on environmental samples following the PRISMA methodology. Different cell lines were used depending on the environment assessed and exposure routes implicated. The A549 alveolar epithelial cell line was applied in four studies for occupational exposure in the waste sorting industry and for outdoor environments; lymphocytes were used in two studies for occupational and outdoor environments; swine kidney cells were used in three studies performed in the waste industry and hepatocellular/Hep G2 in one study in the waste industry. Cytotoxicity assessments in environmental samples should have a more prominent role due to their contribution to identifying and better understanding the associations between co-exposure to environmental contaminants and adverse human health effects as a prioritization for risk management.
- Are we neglecting the importance of azole resistance screening in indoor air quality assessments?Publication . Viegas, Carla; Almeida, Beatriz; Gomes, Bianca; Dias, Marta; Cervantes, Renata; Caetano, Liliana AranhaIntroduction: The microbial exposure, as well as their metabolic products, has been frequently reported as a high risk of respiratory effects and general health hazards. Regarding the Portuguese legislation for IAQ, the microbial assessment covers only air sampling and culture-based methods (malt extract agar as only culture media to be applied). Fungal legal criteria consist of a fungal load ratio between indoor and outdoor, which should be lower than 1 (I/O<1). Purpose: Analyze the importance of including the characterization of the azole resistance profile in indoor air quality assessments.
- Are workers from waste sorting industry really protected by wearing filtering respiratory protective devices? The gap between the myth and realityPublication . Viegas, Carla; Dias, Marta; Almeida, Beatriz; Aranha Caetano, Liliana; Carolino, Elisabete; Gomes, Anita Quintal; Twarużek, Magdalena; Kosicki, Robert; Grajewski, Jan; Marchand, Geneviève; Viegas, SusanaOne of the solutions for decreasing the workers' exposure to bioburden is the use of Filtering Respiratory Protective Devices (FRPD). As such it is important to determine whether these devices are fulfilling their protective role. This is the basis of the current study, aimed at characterizing bioburden retained by 120 FRPD (both in interior layers and in exhalation valves) through culture based-methods and molecular tools and also via analysis of antifungal resistance and mycotoxins profile. Our results show that Gram–Bacteria are present at a higher prevalence than total bacteria in both matrixes. Regarding fungal identification, Chrysonilia sitophila presented the highest prevalence on interior layers (55.1% on malt extract agar (MEA) supplemented with chloramphenicol (0.05%); 59.6% on dichloran-glycerol agar (DG18)), whereas on exhalation valves Aspergillus sp. presented the highest prevalence on MEA (6.8%) and C. sitophila on DG18 (36.3%). Among Aspergillus genera, section Fumigati was the one with the highest prevalence in both matrices. Aspergillus sp. was the most prevalent on exhalation valves (75.0% ITRA) in the screening of azole resistance. Fumigati section was the most abundant Aspergillus sp. detected on the interior layers (33.33%, 40 samples out of 120) and on the exhalation valves (1.66%, 2 samples out of 120). The interior layers and exhalation valves from workers with more waste contact showed an increased exposure to bioburden. This study showed that FRPD can have high levels of bioburden, toxigenic fungal strains and Aspergillus sections with reduced susceptibility to the tested azoles and can be used as a passive sampling method since it mimics the results obtained by active methods in previous studies. The gathered information will be useful to prioritize multiple interventions on workers’ education or even on FRPD replacement frequency.
- Aspergillus distribution on waste collection trucksPublication . Dias, Marta; Pena, Pedro; Cervantes, Renata; Gomes, Bianca; Caetano, Liliana Aranha; Viegas, CarlaIntroduction: While better waste management is viewed as a critical contributor to reducing health outcomes and harmful environmental impacts, microbiological occupational exposure in the waste management industry is often overlooked, resulting in detrimental health effects on employees. Some waste workers, such as garbage collectors and truck drivers transporting the residential waste, spend part of their shift in a truck cabin and part of it in a workplace where organic materials are processed. The aim of this study was to investigate the Aspergillus spp. contamination present in 32 waste collection trucks (WCT).
- Aspergillus section Fumigati in firefighter headquartersPublication . Viegas, Carla; Gomes, Bianca; Dias, Marta; Carolino, Elisabete; Caetano, Liliana AranhaBackground: Aspergillus section Fumigati is one of the Aspergillus sections more frequently related to respiratory symptoms and by other health outcomes. This study aimed to characterize Aspergillus section Fumigati distribution in eleven firefighter headquarters (FFHs) to obtain an accurate occupational exposure assessment. Methods: A sampling approach protocol was performed using active (impaction method) and passive sampling methods (floor surfaces swabs, electrostatic dust collectors (EDCs), and settled dust). All samples were analyzed by culture-based methods and passive sampling was used for molecular detection of Aspergillus section Fumigati. Results: Of all the matrices, the highest counts of Aspergillus sp. were obtained on settled dust filters (3.37% malt extract agar—MEA, 19.09% dichloran glycerol—DG18) followed by cleaning cloths (1.67% MEA; 7.07% DG18). Among the Aspergillus genus, the Fumigati section was predominant in Millipore and EDC samples in MEA (79.77% and 28.57%, respectively), and in swabs and settled dust filters in DG18 (44.76% and 30%, respectively). The Fumigati section was detected more frequently in DG18 (33.01%) compared to MEA (0.33%). The Fumigati section was observed in azole supplemented media (itraconazole and voriconazole) in several passive sampling methods employed and detected by qPCR in almost all passive samples, with EDCs being the matrix with the highest prevalence (n = 61; 67.8%). Conclusion: This study confirms that Aspergillus sp. is widespread and the Fumigati section is present in all FFHs. The presence of fungi potentially resistant to azoles in the FFHs was also observed. Further studies are needed to identify the best corrective and preventive measures to avoid this section contamination in this specific occupational environment.
- Aspergillus spp. and azole-resistance characterization on mechanic protection gloves from waste sorting industryPublication . Viegas, Carla; Dias, Marta; Almeida, Beatriz; Caetano, Liliana AranhaAspergillus spp. species are filamentous fungi commonly found in different environmental compartments, where they thrive as saprophytes. Some species among the Aspergillus genera can be occasionally harmful to humans. Only a few species are considered as significant opportunistic pathogens in humans. Aspergillus section Fumigati is an opportunistic pathogen of immunocompromised hosts and one of several Aspergillus species that cause a wide range of respiratory disorders. Increased occurrence of opportunistic Aspergillus infections in immunocompromised patients, and the emergence of antifungal resistance, either in the clinical or in the environment had been reported.
- Aspergillus spp. burden on filtering respiratory protective devices: is there an occupational health concern?Publication . Viegas, Carla; Dias, Marta; Almeida, Beatriz; Carolino, Elisabete; Gomes, Anita Quintal; Viegas, SusanaThere is scientific evidence that associates occupational exposure to fungi in the waste industry with health outcomes, being Aspergillus genera reported as the most prevalent. During Filtering Respiratory Protective Devices (FFR) use, humidity and temperature conditions provide favorable conditions for Aspergillus growth. The aim of this study was to characterize the Aspergillus burden retained by the FFR interior layer and exhalation valve. The sample consisted of 120 FFR and the correspondent interior layer and exhalation valves collected from different workstations from one waste sorting industry. The fungal content of exhalation valve and from the interior layer of the each FFR was extracted and inoculated on malt extract agar (MEA) supplemented with chloramphenicol (0.05%) and dichloran-glycerol agar (DG18). FFR extracts were also used for the molecular detection of Aspergillus sections Flavi and Fumigati. Valves presented Aspergillus spp. as the most prevalent genera on MEA media (44.4%), unlike what was observed in the FFR interior layer, where Aspergillus spp. was not the most prevalent genera (6.84% MEA; 5.2% DG18). Among the Aspergillus genera, section Fumigati was the one with the highest prevalence, both in exhalation valves (76.57% MEA; 87.24% DG18) and interior layer (75.81% MEA; 51.22% DG18). qPCR analysis successfully amplified DNA from the Aspergillus sections Flavi and Fumigati. Interior layers presented statistically significant differences showing a higher number of FFR contaminated with higher levels of Aspergillus in the workstations where workers contact directly with waste. This work, revealing strong fungal contamination of FFR used by workers at the waste industry, clearly indicates that future trials to test FFR protective efficacy and establishment of times for FFR replacement should be performed.
- Aspergillus spp. presence on mechanical protection gloves from the waste sorting industryPublication . Viegas, Carla; Dias, Marta; Almeida, Beatriz; Carolino, Elisabete; Viegas, SusanaThe organic material present on waste sorting units serve as a substrate for different microorganisms, increasing workers' exposure to Aspergillus spp. This study intends to assess the Aspergillus spp. contamination on Mechanical Protection Gloves (MPG) from different workstations and understand the role of MPG in workers' exposure to these genera. Sixty-seven used MPG were collected from different workstations and extracts were seeded on malt extract agar (MEA) supplemented with chloramphenicol (0.05%) and dichloran glycerol (DG18). The same extracts were used for the molecular detection of fungal species/strains, with reported toxigenic potential, namely Aspergillus sections (Circumdati, Flavi, Fumigati, and Nidulantes). Among Aspergillus spp., the sections with the highest prevalence on MEA were Nigri (88.29%) and Fumigati (8.63%), whereas on DG18 were Nigri (31.79%) and Circumdati (30.77%). Aspergillus section Circumdati was detected in 22 MPG samples by RT-PCR (32.84%), Fumigati in 59 samples (88.06%), Nidulantes in 61 samples (91.05%), and Flavi in 6 samples (8.96%). It was shown that, even with daily replacement, MPG presented Aspergillus spp. contamination. Thus, a more regular replacement of MPG and the adoption of complementary hygienic procedures by workers are critical to guarantee workers' protection in this occupational environment.
- Aspergillus spp. prevalence in one Portuguese hospital: a reason to be worried?Publication . Viegas, Carla; Dias, Marta; Almeida, Beatriz; Paciência, Inês; Rufo, João Cavaleiro; Teixeira, João Paulo; Pereira, CristianaAspergillus genus is responsible for over 80% of pulmonary invasive fungal infections in humans. Invasive aspergillosis, caused by Aspergillus fumigatus in 80% of the cases, is the most common invasive fungal infection. The aim of this study was to assess the prevalence of Aspergillus genus in a Portuguese hospital, using a wide sampling approach combining active and passive methods. A total of 15 sampling sites were defined, distributed by the different hospital areas - emergency room, day hospital, internment ward, operating room, and outpatient area. Active (air impaction) and passive (surfaces swabs, settled the dust, filters from heating, ventilation and air conditioning (HVAC) systems and electrostatic dust collectors (EDC) sampling methods were applied. Samples were impacted/washed and seeded on malt extract agar (MEA) supplemented with chloramphenicol (0.05%) and dichloran-glycerol agar (DG18).
- Assessing microbial contamination and particulate matter exposure in Portuguese poultry facilitiesPublication . Gomes, Bianca; Dias, Marta; Cervantes, Renata; Pena, Pedro; Viegas, CarlaIntroduction: In poultry farms, the combination of feathers, feces, and bedding material appears to be critical to the development of pathogens enhancing the risks associated with zoonosis and its dissemination throughout the food chain. Currently, the prevalent airborne microorganisms in animal production facilities are poorly described in terms of quantity, composition, and risk category Identification and quantification on the other hand, would be useful for determining the causative agents and performing risk assessments. Aim of the study: This study intends to characterize microbial contamination in poultry pavilions through a multi-approach protocol for sampling and analyses.