Aspergillus species from hospital air and from patients

H J Schmitt1, A Blevins, K Sobeck

  • 1Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, N.Y.

Mycoses
|November 1, 1990
PubMed

Insights

Different Aspergillus species show varied colonization abilities in hospitals. Aspergillus niger dominates air samples, while Aspergillus fumigatus is more prevalent in immunocompromised patients.

Area of Science:

  • Medical Mycology
  • Hospital Epidemiology
  • Infectious Diseases

Background:

  • Hospital-acquired infections pose significant risks to patients, particularly those who are immunocompromised.
  • Airborne fungal contaminants, such as Aspergillus species, are common in healthcare environments.
  • Understanding the prevalence and sources of Aspergillus in hospitals is crucial for infection control.

Purpose of the Study:

  • To investigate the distribution and prevalence of Aspergillus species in hospital air and among patients.
  • To compare the isolation rates of Aspergillus niger and Aspergillus fumigatus from environmental air and clinical samples.
  • To determine if different Aspergillus species exhibit varying colonization potentials in immunocompromised individuals.

Main Methods:

  • Prospective study conducted over a seven-month period.
  • Isolation and identification of mold species from hospital air samples.
  • Collection and analysis of mold isolates from patient samples.
  • Quantitative analysis of Aspergillus niger and Aspergillus fumigatus prevalence in both settings.

Main Results:

  • A total of 367 mold isolates were obtained from hospital air and 23 from patients.
  • Aspergillus niger was the predominant species in air samples (56%).
  • Aspergillus fumigatus was rare in air (0.3%) but was the dominant isolate from patients (44%).

Conclusions:

  • Aspergillus niger and Aspergillus fumigatus exhibit distinct distribution patterns in hospital environments.
  • Aspergillus fumigatus demonstrates a higher propensity for colonizing immunocompromised patients compared to Aspergillus niger.
  • These findings suggest species-specific colonization aptitudes of Aspergillus in vulnerable patient populations.

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