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Abbasi F, Jalili M, Samaei M R, Mokhtari A M, Azizi E. The Monitoring of Fungal Contamination in Indoor Air of Two Hospitals in Shiraz . J Environ Health Sustain Dev 2019; 4 (4) :879-884
URL: http://jehsd.ssu.ac.ir/article-1-214-en.html

Introduction: Hospitals, as one of the important elements in the health system, play an important role in patient’s health. Fungi are one of the effective parameters on indoor air quality. This study aimed to compare of fungal contamination of two hospitals in Shiraz City.
Materials and Methods: Sampling was conducted based on NIOSH 0800 standard (1.5 meters above the ground level with one stage Anderson and Sabaroud dextrose agar enriched chloramphenicol as the growth media) in January-September 2017. The investigated wards included pathological laboratory, emergency rooms, neonatal specialist care, radiology, operating room, and maternity ward. The results showed that the variation and concentration of fungi were higher in hospital X than hospital Y, which was located in an agricultural area far from the city center.
Results: The predominant fungi were Monillia, Aspergillus, and Penicillium in hospital Y, while they were Aspergillus and Penicillium in hospital X. The highest concentrations were found in emergency and laboratory wards. With regard to higher fungal contamination of hospital X and its different location, it can be concluded that the geographical properties and outdoor air are effective factors on indoor air contamination at hospitals.  
Conclusion: Appropriate management of patients' admission and visiting time can be effective on indoor air contamination at hospitals. Furthermore, efficient ventilation using high-efficiency particulate air and appropriate devices for elimination of fungi level are recommended to this end. Moreover, these parameters can provide physical and psychometric health problems for patients’ careers and other health workers.