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Bioburden contamination and Staphylococcus aureus colonization associated with firefighter's ambulances

2021-06Journal article Restricted access
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dc.contributor.authorViegas, Carla
dc.contributor.authorSousa, Pedro
dc.contributor.authorDias, Marta
dc.contributor.authorCaetano, Liliana Aranha
dc.contributor.authorRibeiro, Edna
dc.contributor.authorCarolino, Elisabete
dc.contributor.authorTwarużek, Magdalena
dc.contributor.authorKosicki, Robert
dc.contributor.authorViegas, Susana
dc.date.accessioned2021-04-26T19:17:26Z
dc.date.available2024-04-26T00:30:18Z
dc.date.issued2021-06
dc.descriptionProject "Occupational exposure of ambulance drivers to bioburden” (IPL/2020/BIO-AmbuDrivers_ESTeSL)pt_PT
dc.descriptionProject FCT_UIDB/05608/2020pt_PT
dc.descriptionProject FCT_UIDP/05608/2020pt_PT
dc.description.abstractAmbulance vehicles are an essential part of emergency clinical services. Bioburden control in ambulances, thorough cleaning and disinfection, is crucial to minimize hospital-acquired infections, cross contamination and exposure of patients and ambulances‘ crew. In Portugal, firefighter crews are responsible, besides fire extinction, for first aid and urgent pre-hospital treatment. This study assessed the bioburden in Portuguese firefighters’ ambulances with a multi-approach protocol using active and passive sampling methods. Fungal resistance profile and mycotoxins detection in ambulances' ambient, and S. aureus (SA) prevalence and resistance profile in ambulances' ambient and colonization in workers were also investigated. Toxigenic fungi with clinical relevance, namely Aspergillus section Fumigati, were found on ambulance's air in the hazardous dimension range. Interestingly, surface contamination was higher after cleaning in several sampling sites. Prevalence of S. aureus was 3% in environmental samples, of which 2% were methicillin-sensitive (MSSA) and 1% methicillin-resistant (MRSA). About 2.07 fungal species were able to grow in at least one azole, ranging from one (44% samples) to five (6% samples) species in each azole. Mycotoxins were detected in mops and electrostatic dust cloths. Colonization by S. aureus in the firefighter crew was observed with a high associated prevalence, namely 48%, with a 24% prevalence of MSSA (8/33) and 21% of MRSA (7/33). Additional studies are needed to determine the potential risk of infection transmission between different vehicle fleets and under varying conditions of use. This will strengthen the paramedic sector's mission to save lives without putting their own health and safety at risk.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationViegas C, Sousa P, Dias M, Caetano LA, Ribeiro E, Carolino E, Viegas S, et al. Bioburden contamination and Staphylococcus aureus colonization associated with firefighter's ambulances. Environ Res. 2021;197:111125.pt_PT
dc.identifier.doi10.1016/j.envres.2021.111125pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13228
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationProject "Occupational exposure of ambulance drivers to bioburden” (IPL/2020/BIO-AmbuDrivers_ESTeSL)pt_PT
dc.relationProject FCT_UIDB/05608/2020pt_PT
dc.relationProject FCT_UIDP/05608/2020pt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S0013935121004199pt_PT
dc.subjectMulti-approach sampling protocolpt_PT
dc.subjectBioburdenpt_PT
dc.subjectBioburden resistance profilept_PT
dc.subjectMycotoxinspt_PT
dc.subjectStaphylococcus aureus colonizationpt_PT
dc.subjectAmbulance vehiclespt_PT
dc.subjectPortugalpt_PT
dc.subjectIPL/2020/BIO-AmbuDrivers_ESTeSLpt_PT
dc.subjectProject FCT_UIDB/05608/2020pt_PT
dc.subjectProject FCT_UIDP/05608/2020pt_PT
dc.titleBioburden contamination and Staphylococcus aureus colonization associated with firefighter's ambulancespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage111125pt_PT
oaire.citation.titleEnvironmental Researchpt_PT
oaire.citation.volume197pt_PT
person.familyNameViegas
person.familyNameAranha Caetano
person.familyNameRibeiro
person.familyNameCarolino
person.familyNameViegas
person.givenNameCarla
person.givenNameLiliana
person.givenNameEdna
person.givenNameElisabete
person.givenNameSusana
person.identifier248817
person.identifier.ciencia-idEE1E-C639-D70F
person.identifier.ciencia-id9716-9DAC-532A
person.identifier.ciencia-idC414-CDF2-D35A
person.identifier.ciencia-id1216-EFA3-1E0F
person.identifier.ciencia-idA919-7318-63DC
person.identifier.orcid0000-0002-1545-6479
person.identifier.orcid0000-0003-1496-2609
person.identifier.orcid0000-0003-1316-7750
person.identifier.orcid0000-0003-4165-7052
person.identifier.orcid0000-0003-1015-8760
person.identifier.ridB-7217-2013
person.identifier.ridF-1012-2015
person.identifier.ridI-4053-2012
person.identifier.scopus-author-id55443609700
person.identifier.scopus-author-id25821697000
person.identifier.scopus-author-id35270591500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery6517c656-f913-4f54-8682-77c2856c9e4c

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