Evaluation of airborne particulates and fungi during hospital renovation

Abstract

This study was conducted over 30 weeks on a hospital floor undergoing partial renovation. Some patients housed on the floor were immunosuppressed, including bone marrow transplant recipients. The construction zone was placed under negative pressure and was separated from patient rooms by existing hospital walls and via erection of a temporary barrier. Other control measures minimized patient exposure to airborne materials. Air sampling was done for 3 weeks prior to construction, 24 weeks during construction, and 3 weeks after renovation was completed. Airborne particulate concentrations, total spore counts, particle size, and fungal species were assessed. At the beginning of the renovation there were increases in airborne particulates (from 0.2 to 2.0 mg/m3) and fungal spores (from 3.5 to 350 colony forming units (CFU/m3), but only in the construction zone. Throughout the remainder of the renovation, particulate and fungal spore levels fluctuated inside the construction zone but remained close to baseline values in the patient area. When renovation was completed, particulates and spore counts inside the construction zone decreased to preconstruction levels. The primary fungus isolated from air samples was Penicillium. This study demonstrated that control measures were effective in reducing exposures of hospitalized patients to airborne particulates and spores and in reducing the increased risk of aspergillosis and other fungal infections associated with hospital construction projects. The data from this study may be useful in establishing exposure guidelines for other health care settings.