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Published on: May 11, 2019
Detection of airborne viruses in a pediatrics department measured using real-time qPCR coupled to an air-sampling
Chun-Chieh Tseng1, Luan-Yin Chang, Chih-Shan Li
1Department and Graduate Institute of Public Health, Tzu Chi University, Hualien, Taiwan, ROC. tsengcc@mail.tcu.edu.tw
Insights
Airborne viruses like influenza A virus and human adenovirus were detected in pediatric hospital aerosols. This study highlights the risk of viral transmission in healthcare settings and the effectiveness of air monitoring.
Area of Science:
- Environmental microbiology
- Pediatric infectious diseases
- Molecular diagnostics
Background:
- Children are particularly susceptible to viral infections.
- Understanding viral transmission routes in pediatric healthcare settings is crucial for infection control.
- Aerosol transmission poses a significant risk in environments with vulnerable populations.
Purpose of the Study:
- To investigate the presence and types of airborne viruses in a pediatric emergency room.
- To evaluate the efficacy of filtration and real-time quantitative polymerase chain reaction (qPCR) for detecting viral aerosols.
- To assess the potential for aerosol transmission of common pediatric respiratory viruses.
Main Methods:
- Collection of viral aerosols using a filtration method from the pediatric emergency room.
- Detection and quantification of influenza A virus (INFAV), human adenovirus (HAdV), and enterovirus using real-time qPCR.
- Analysis of 33 aerosol samples for viral presence and load.
Main Results:
- Influenza A virus (INFAV) was detected in 24% of samples, human adenovirus (HAdV) in 36%, and enterovirus in 15%.
- Human adenovirus (HAdV) was the most frequently detected virus in aerosols.
- Enteroviruses exhibited the highest viral titer among the detected viruses.
Conclusions:
- The filter/real-time qPCR assay is effective for measuring viral aerosols in occupational settings.
- Environmental monitoring of airborne viruses can serve as an early warning system for potential hospital-acquired infections.
- Findings underscore the importance of controlling airborne viral transmission in pediatric healthcare environments.
Abstract:
Children are vulnerable to viral infections. The study discussed in this article investigates the possibility of aerosol transmission of viruses in children under age 18 in the pediatrics department of a medical center in Taipei, Taiwan. After first using the filtration method to collect viral aerosols, the authors combined it with real-time quantitative polymerase chain reaction (qPCR) to detect influenza A virus (INFAV), human adenovirus (HAdV), and enterovirus. Of 33 aerosol samples collected from the emergency room of the pediatrics department, 8 (24%) were positive for INFAV, 12 (36%) for HAdV, and 5 (15%) for enterovirus. HAdV was detected from the aerosol of 26 samples, but INFAV and enteroviruses were not. The filter and real-time qPCR can be used to detect and quantify the viral load in aerosols, in which enteroviruses had the highest viral titer. In summary, a well-established filter/real-time qPCR assay was successfully applied to measure viral aerosols in the occupational environment. Environmental monitoring of airborne viruses could provide an early indicator of dangerous viruses in the air of hospitals.
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