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Medical Studies/Studia Medyczne
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Artykuł oryginalny

Stan mikrobiologiczny powietrza miejskiego w miejscach publicznych w okresie jesienno-zimowym

Wioletta Adamus-Białek
1
,
Aneta Filipiak
1
,
Monika Wawszczak
1
,
Aleksandra Woźniak
1
,
Stanisław Głuszek
1

1.
Department of Surgery and Surgical Nursery with Laboratory of Genetics, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
Medical Studies/Studia Medyczne 2019; 35 (3): 203-209
Data publikacji online: 2019/09/30
Plik artykułu:
- The microbiological.pdf  [0.24 MB]
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Introduction

Natural air pollutants such as fungi, bacteria, and viruses are ubiquitous in the environment. The contamination of air depends on many various factors, for example the density of population, industrialisation of a given area, and fertilisation of surrounding soils. The presence of microorganisms in the air also depends on climatic conditions, such as temperature, humidity, precipitation, and wind. Due to the unstable and abiotic parameters, the air is only a transmission path for microorganisms [1–4]. They can be spread by natural air movements, winds, rainfall, animal’s and human’s activities [1, 5–7]. Bacteria adapted to air spreading have specific properties such as an optimal shape and size of the cells, the ability to form spores, metabolic properties, the ability to form biofilm, and pigment production [8]. Bioaerosols are the primary pathway of microorganisms spread in the environment. Bioaerosols are defined as airborne particles of biological origin such as bacteria, viruses, fungi, and their fragments like DNA or metabolites (endotoxin and mycotoxin). It is obvious that microparticles contained in bioaerosols may cause serious diseases like allergy, toxic reactions, and infections [9]. Most bioaerosols are non-pathogenic and only cause infections or illness in people with impaired or susceptible immune systems [10]. Microorganisms are ubiquitous in the atmosphere, and their concentrations typically range from 104 to 106 cells/m3. The amount of bacteria in the air may be far higher in proximity to point sources like wastewater treatment plants, fertilised fields, and farms [11]. Within bioaerosols the most common microorganisms are saprophytic bacteria: Micrococcus spp., Achromobacter spp., and Bacillus spp. However, pathogenic bacteria like Klebsiella pneumoniae, Pseudomonas aeruginosa, Mycobacterium tuberculosis, Legionella pnaumophila, Pseudomonas putida, and Proteus vulgaris may occur in bioaerosols [12–16]. Micromolecules of bioaerosol can be easily inhaled to the respiratory tract and cause a number of health complications; therefore, air contamination monitoring should be under the scope of epidemiological studies and public health [17].

Aim of the research

The aim of this study was to estimate the microbiological quality of air in the city during autumn and winter. The analysis included various outdoor and indoor public places located in Kielce, the capital of Świętokrzyskie voivodeship.

Material and methods

Sampling

Air samples were collected in five different places in Kielce in the Świętokrzyskie Voivodeship: two busy streets, a city park, a pharmacy, and a cinema. Two measurement points were placed on 50 cm and 150 cm from the ground next to busy streets in the centre of the city – Solidarności Av. and Ogrodowa St. The next place was located by an alley in Stanislaw Staszic City Park. In the pharmacy, four measurement points were located opposite each other, two from the clients’ side and two from the seller’s side. Additionally, the air in the cinema was analysed at five measurement points – the auditorium, two entrance gates, the projector shelf, and an anteroom. The analyses were carried out in the autumn and winter in the years 2010–2012. The sampling was repeated on two plates in two independent experiments on each measurement point.

Microbiological analysis

The total number of aerobic bacteria was calculated by Koch sedimentation method. Open Petri dishes with agar were distributed at the processing areas and exposed for 10 min. The Petri dishes were closed and incubated at 37°C for 24–48 h. The mesophilic bacteria were cultured on enriched agar medium (Biocorp), and the mannitol-positive Staphylococcus sp. were cultured on Mannitol salt agar (Biocorp). The degree of contamination was determined based on the total number of CFUs (colony forming units) in one cubic metre of air according to the standardised formula in Polish standard PN-89-Z-04111/02: A = (a × 104)/(p × r2 × 0.2 × t), where: A – number of bacteria /microscopic fungi in 1 m3 of atmospheric air, a – medium number of colonies on the Petri dishes, p × r2 – the surface of the Petri dish (cm2), t – exposure time (min), 0.2 – conversion factor of the exposure time.
Additionally, the grown bacterial colonies were analysed by macroscopic (visual assessment) and microscopic (Gram staining) observations. Bacteria were classified into Gram-positive or Gram-negative strains, with specific cell shapes.

Statistical analysis

The obtained results were presented on the figures as arithmetic means and standard deviations prepared by Graph Pad Prism version 6 Software (San Diego, CA, USA). The nonparametric T-test or Mann-Whitney un-paired two-tailed tests were used for statistical analysis. Differences with a p-value of < 0.05 were considered significant.

Results

The obtained results were distinguished into two different agents: outdoor and indoor public places. These are the areas used most by people during autumn and winter. Outdoor analysis included two busy streets and a city park, indoor analysis included a pharmacy and a cinema. The microbiological analysis considered the presence of mesophilic aerobic bacteria in atmospheric air. The number of fallen, grown colonies were compared to the number of bacteria in 1 m3 in the air in the study places according to the formula standardised in the Polish norm. In the case of the outdoor sampling the air was highly contaminated only once, and in 15.7% of samples the results revealed medium contamination of air. This pollution concerned only the measurement points located next to the road. In the case of indoor sampling, the air reached the level of medium microbiological pollution only once: in the cinema hall in the autumn. The number of bacteria in the winter was lower in comparison to the autumn in all study places, but the differences were not statistically significant, with the exception of cinema samples. The medium total number of bacteria in 1 m3 of air samples during autumn and winter period are presented in Figure 1. This observation revealed a statistically significant lower number of bacteria in the city park compared to the streets. The indoor places included the presence of people during the analysis in the pharmacy and cinema. A lower number of bacteria were detected in the pharmacy, but the difference was not significant. Additionally, the influence of air temperature (Figure 2) and presence of people (Figure 3) on the number of bacteria in the air has been proven. A statistically significant increase in the number of bacteria was recorded at a temperature of 12°C, and this value was on average five times higher than at temperatures in the range –8 to +8°C. There was no difference in the number of bacteria in the range –8 to +8°C of air temperature. Likewise, a statistically significant increase in the number of bacteria was recorded in the cinema auditorium during the screening of a film, where a lot of people were present in comparison to the measurement points where almost no people were present at all. Furthermore, we observed also that the glass on the sales counter, which separates the customers from the sellers, did not have any influence on the number of bacteria identified in the air around the people. An average, 11 customers and two sellers were present during the sampling. The was no significant difference between the total number of bacteria in the air either side of the measurement points (Figure 4).
Furthermore, we performed Gram staining of isolated, representative, diverse bacterial colonies. Generally, the Gram-negative strains were present more often outdoors and Gram-positive strains were present more often indoors (Figure 5). Among the identified bacteria, the round-shaped and bacilli Gram-positive and rod-shaped Gram-negative cells were most often observed. These bacteria grew as coloured colonies (red, orange, yellow) or milk-white colonies. The last examination concerned the analysis of mannitol-positive Staphylococcus sp. strains. These bacteria were analysed in the case of Ogrodowa St., the city park, and the pharmacy. In all cases, the mannitol-positive Staphylococcus sp. strains were not identified, the grown bacteria did not change the agar from red to yellow.

Discussion

Air is well known as a vehicle for the spread of a wide diversity microorganisms, among which human pathogens may also be present. Microorganism transmission via air plays an important role in the effortless and rapid spread of viral, bacterial, and fungal infections [9, 18]. Bacterial cells and their fragments, fungal spores, and products of microbial metabolism present as organic compounds in each of the three states of matter may be components of bioaerosols [19]. Bioaerosols are complex, highly variable, ubiquitous, natural, or manufactured by people [20]. The biological effects of these bioaerosols depend on their size, concentration, and physio-chemical properties. Because of the micro to nano scale size, these pollutants can easily enter and deposit in many parts of the body via the lungs and circulatory system. Once inhaled, bioaerosols are associated with a wide range of negative health effects (e.g. allergies, infectious diseases, asthma, cancer, and acute toxicity). People permanently interact with the surrounding environmental microbiome through inhalation, dermal contact, or ingestion. Despite the large numbers of microorganisms likely to be present in the environment in highly populated public places, significant harm from this exposure is rare. The epidemiological studies of microbial contaminants in the air are rarely carried out [20–25].
The aim of the study was to analyse the microbial air pollution in public places in the city during the autumn-winter period. The studies focused on different indoor and outdoor places in Kielce such as a city park, busy streets, a cinema, and a pharmacy. The city is located in central-eastern Poland, located in the Świętokrzyskie Mountains, on the river Silnica. According to data of the Central Statistical Office from 2017, the city has 196,804 inhabitants. It can be concluded that a medium-sized city will reflect a microbial state similar to most Polish cities. The basic analysis included the total number of microbes at the measurement sites according to the Polish standard. In the case of the outdoor locations, only one measurement detected highly contaminated air, and in 15.7% of samples the results revealed a medium level of air contamination. The most polluted places were located near the most frequented streets in the city. The sources of air pollution are varied and may originate from people, animals, gastronomy, or industry. It is worth noting that in many big cities around the world, street food has become very popular. This type of fast food is extremely heterogeneous, including drinks, meals, and snacks and is sold and consumed on the street. Madueke et al. conducted a study involving microbiological analysis of street food. They showed that all the food samples were contaminated with different bacteria and fungi species, i.e. S. aureus, Streptococcus sp., Flavobacterium sp., B. cereus, K. pnuemoniae, S. dysenteriae, Micrococcus sp., Pseudomonas sp., Enterobacter sp., E. coli, A. flavus, A. niger, Penicillium sp., Fusarium sp., R. stolonifera, and Mucor sp.[26]. Therefore, it is worth considering that potentially pathogenic microorganisms present in polluted air near streets may pass directly to food, also causing various intestinal diseases.
A comparison of the total number of microorganisms in the park and on the busy streets was carried out. The results show a lower number of microorganisms in the city park than on the streets. This may suggest that urban parks with a large number of plants, called by many people the lungs of the city, are the optimal place to rest in relatively fresh air [27]. The obtained results are very interesting because plants are recognized as an important source of airborne microorganisms. It is estimated that leaf surfaces comprise the largest biological surface type on the planet – over a billion square kilometres – and may host up to 108 bacteria per cm2. These leaf-inhabiting microorganisms become airborne during plant processes, i.e. evapotranspiration, as well as by meteorological processes such as rain splash, wind gusts, and thermal plumes. Furthermore, the presence of animals and a large amount of organic matter in the park should increase the amount of microorganisms in the air [24]. However, as results indicate, the microbiological air state in the city park was better than on the streets. The greater number of microorganisms on busy streets may be caused by air circulation due to the agitation of dust particles by driving cars. The raised bioaerosol particles can easily spread in the air, and the absorbed microorganisms have the ability to colonise distant niches. A similar observation in a railway station was described by Patel et al. (2018). They proved the seasonal trends of bacterial numbers, which increased from spring through to winter, while fungal numbers peaked in autumn. The complex influence of factors (passenger numbers, station layout, dust) on contamination levels were suggested [25].
The next aim of the study was to check the correlation between the number of microorganisms and the air temperature in the tested places. During the experiments it was found that the number of bacteria in winter was lower than in autumn in all examined places. Thais observation confirmed that a lower temperature contributes to inhibition of the growth of some microorganisms, especially mesophilic bacteria, which were included in the study [28]. A statistically significant increase of the total number of bacteria was detected on the Ogrodowa St. at a temperature of 12°C, and this value was approximately five times higher than at temperatures in the range –8°C to +8°C (Figure 2). Similar results were obtained by M. F. Yassin and S. Almouqatea. They examined four different outdoor and indoor locations. During their experiments 26 groups of bacteria and fungi, either of human or environmental origin, were detected. The indoor and outdoor bioaerosol concentrations measured during spring were significantly higher compared to the measurements during winter [22]. This outcome proves that higher temperatures give the chance for better development of microorganisms. It would be interesting to conduct research in the same places during the summer. Based on the results obtained so far, probably the number of bacteria at this time of year would be higher.
As a reference point and an important element of air quality for public health, the air inside the buildings of public interest was investigated. The microbiome of indoor air depends on several factors, including the household crowding, hygienic standards and mechanical movement within the enclosed space [22]. For the indoor sampling, a medium level of microbiological pollution was revealed in the cinema auditorium in autumn, and the total number of bacteria was statistically significantly higher in comparison to other places where people were absent (Figure 3). This pollution level can be determined by the presence of a large number of people in the cinema auditorium and their contact with the seats. People also bring their overclothes, which may contribute to the increased amount and diversity of microorganisms in this part of the cinema. A similar observation was provided by Kawasaki et al. (2013). They detected a high number of airborne bacteria in a railway station and it was especially high in summer. They concluded that the number of railway customers, not humidity, was the main factor affecting the concentrations of bacteria [29]. The next exanimed building of public interest was a pharmacy. It can be assumed that the pharmacy is usually frequented by sick people who are a potential source of pathogens. Conducted research shows that the presence of dividing glass between the customers and sellers did not have any influence on the total number of bacteria, and there were no significant differences between the number of bacteria in the air on either side (Figure 4). The results suggest that the use of protective glass in pharmacies does not fully protect the sellers against pathogens that can be spread by customers. Therefore, a special focus must be placed on microbial air surveillance in places with special importance. Not only the protection of staff but also care of the materials and medicines prepared in the pharmacy is important. For this reason, public places should have environmental control procedures that can help to reduce the spread of microorganisms, especially pathogens [30]. Similarly, the importance of the microbiological analysis of the air in places with special requirements was presented by Luksamijarulkul and Pipitsangjan (2015). They revealed high microbial contamination (bacterial and fungal) in the air in ambulances during services as well as on medical instrument surfaces [31]. Microbiological analysis of the air in various public places has been conducted by other authors. Also, air conditioners and hand dryers in washrooms can be a source of microbial pathogens in buildings [32, 33].
Finally, the analysis took into account the presence of Gram-positive and Gram-negative bacteria in the studied places. The results suggest that Gram-positive bacteria were present more often in indoor places such as the pharmacy or cinema, which is probably indicative of human-borne contamination. On the other hand, the rod-shaped Gram-negative bacteria were more often identified outside – on the streets and in the park, which may suggested faecal contamination from animals, and some of these bacteria could be dangerous for human health [26]. Among the identified Gram-positive bacteria there were many round-shaped cells, which could suggest the occurrence of Staphylococcus sp., commonly present on the skin surface and upper respiratory tract in humans. Staphylococci are indicators of sanitary air pollution, and their appearance may indicate the presence of pathogenic bacteria. These bacteria may spread in the air with the calloused epidermis and can survive in the air for up to several days. They pose a threat both to immunocompetent persons as well as to those whose immune system is impaired. Especially dangerous strains can be strains resistant to antibiotics, such as methicillin-resistant Staphylococcus aureus (MRSA) [23, 34]. The presence of these bacteria were analysed in the case of the city park, a street (Ogrodowa St.), and the pharmacy. In all cases no mannitol-positive staphylococci were observed, which are important from a clinical point of view. However, it should be mentioned that the identified mannitol-negative colonies are potentially pathogenic to humans. These bacteria may have other abilities, e.g. resistance to antibiotics, which contributes to the increased pathogenicity of these microorganisms. For this reason, contact with such pathogens in the air can lead to various infections. Similar studies have been published by Kubera et al. They examined microbiological air quality in two different kindergartens and found high levels of air pollution with mannitol-positive staphylococci. The levels of these microorganisms significantly exceeded the acceptable standards. Moreover, the antibiotic resistance of isolated strains was analysed. The results showed that all tested strains were resistant to penicillin and gentamycin. The high percentage of antibiotic-resistant staphylococci proves that systematic microbiological examinations of indoor air and further research are needed to help identify biological factors that can affect the health of people in public spaces [35].
It is well known that air pollution monitoring is an extremely important aspect for epidemiology. Many sources of literature present extensive air analysis of diverse environments like for example dust, which is a component of bioaerosols [36], landfills [37], hospitals, and the Earth’s stratosphere and troposphere [38]. However, studies of the sanitary conditions of city air are less common. Controlling the microbiological composition of the air, as well as taking care to preserve its purity, can contribute to improving the quality of people’s lives. An important aspect is also to pay attention to the air purity inside buildings, where the low air flow can cause accumulation of pathogens.

Conclusions

It has been shown that the number of bacteria in public city places may be influenced by climatic conditions, such as temperature and the presence of people and traffic. Most of the air samples did not exhibit contamination, although the detected cases of significant pollution pose a microbiological threat to public health. The sanitary condition of the air in the pharmacy should be further investigated.

Acknowledgments

We would like to thank students Albert Adamczyk, Michałek Michał, Iwona Wojtasik and Szczepan Duralski for assistance during experimental works.
This work was supported under the program of the Minister of Science and Higher Education under the name “Regional Excellence Initiative in 2019-2022 project number: 024/RID/2018/19, financing amount: 11.999.000,00 PLN.

Conflict of interest

The authors declare no conflict of interest.

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Address for correspondence:

Wioletta Adamus-Białek
Department of Surgery and Surgical Nursery with Laboratory of Genetics
Faculty of Medicine and Health Sciences
Jan Kochanowski University
al. IX Wieków Kielc 19 A, 25-317 Kielce, Poland
E-mail: aloiv2002@wp.pl
Copyright: © 2019 Jan Kochanowski University in Kielce This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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