Molecular characterization of Aspergillus infections in an Iranian educational hospital using RAPD-PCR method

Kambiz Diba1, Khadijeh Makhdoomi2, Hossein Mirhendi3

  • 1Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Abstract

Insights

Hospital-acquired Aspergillus infections were traced to environmental sources like air conditioners and walls. Random amplified polymorphic DNA-PCR (RAPD-PCR) helped identify these Aspergillus species, linking clinical cases to specific hospital locations.

Area of Science:

  • Medical Mycology
  • Hospital Epidemiology
  • Molecular Biology

Background:

  • Nosocomial infections caused by Aspergillus species are a significant concern in healthcare settings, often linked to construction and increased dust.
  • Identifying the environmental reservoirs of Aspergillus is crucial for preventing hospital-acquired infections.

Purpose of the Study:

  • To determine the environmental sources of Aspergillus species responsible for hospital-acquired infections.
  • To investigate the relationship between clinical Aspergillus isolates and potential environmental origins within a hospital.

Main Methods:

  • Clinical and environmental samples were collected over 18 months.
  • Aspergillus species were identified using morphological diagnosis, PCR-RFLP, and Random Amplified Polymorphic DNA-PCR (RAPD-PCR).
  • RAPD-PCR was employed to compare clinical isolates with environmental sources.

Main Results:

  • RAPD-PCR revealed distinct patterns, enabling the matching of some clinical Aspergillus isolates with environmental sources.
  • Matched pairs identified Aspergillus niger and Aspergillus flavus from clinical samples (bronchoalveolar lavage, sinus discharge) originating from air conditioners and wall surfaces, respectively.
  • Unmatched isolates also indicated potential environmental dissemination pathways.

Conclusions:

  • Air conditioning units and walls were identified as significant hospital sources for clinical Aspergillus isolates.
  • RAPD-PCR analysis proved valuable in tracing the environmental origins of Aspergillus causing hospital infections.