Evaluation of disinfectants in order to eliminate fungal contamination in computer keyboards of an integrated health center in Piauí, Brazil.

This quantitative and qualitative study aimed to evaluate the level of fungal contamination in computer keyboards from an Integrated Health Center (IHC) at Piauí, Brazil, and to evaluate the efficacy of 50% sodium bicarbonate and 50% alcoholic vinegar solutions to eliminate these microorganisms. Ten keyboards from six sectors of the IHC were chosen randomly, and the collection was performed in three situations: (i) before of disinfection, (ii) after disinfection with solution of sodium bicarbonate, and (iii) after disinfection with solution of alcoholic vinegar. Samples were inoculated in Petri dishes with dextrose agar potato plus chloramphenicol and incubated at room temperature for 72 h. All keyboards were contaminated with opportunistic fungi, with Cladosporium cladosporioides (29.4%) being the most frequent species, followed by Curvularia lunata (17.6%) and Aspergillus niger, Alternaria alternata, and Curvularia clavata with 11.8% each. The two solutions were proven to be efficient in eliminating fungal contamination; however, the sodium bicarbonate solution caused esthetic damages in keyboards. In addition, this study is the first report of the antifungal activity of alcoholic vinegar in filamentous fungi. Based on our findings, we suggest a daily disinfection of keyboards with a 50% vinegar solution plus adequate hygiene from the hands of professionals before and after the use of the computer and its annexes, as key actions to reduce nosocomial infections, particularly in economically disadvantaged countries.

Analysis of fungi in aerosols dispersed by high speed pens in dental clinics from Teresina, Piaui, Brazil.

This quantitative and qualitative study aimed to evaluate the level of fungal contamination in aerosols dispersed by high rotation pens in dental clinics from Teresina, Piaui, Brazil. The data were collected during the attendance at two dental clinics. Petri dishes containing Sabouraud agar with chloramphenicol were opened for 15 min in the following places: in front of the chair, on the partitions to the right and left of the chair, and in the neighboring workbench. The plates were incubated at room temperature to allow the fungal growth and subsequent species identification. Colonies were formed in 100% of the plaques, accounting for 49 isolates belonging to 19 species, where the most frequent were: Curvularia clavata, Aspergillus niger, Phialemonium obovatum, Curvularia geniculata, and Scopulariopsis koningii. All identified species are pathogenic, and may develop allergic respiratory tract infections and even systemic infections in the patient and the dental surgeon. Our results indicate that the minimum safety distance between the dental chairs defended by the National Sanitary Surveillance Agency is insufficient and that the boxes are an efficient variable to minimize the dispersion of fungal aerosols in the dental environment. Based on these findings, we recommend the adoption of a minimum safety distance of more than 2 m and the use of boxes between the dental chairs, as well as a biweekly cleaning of the air-conditioned system and water lines as viable and efficient measures for reduction of the formation and dispersion of fungal aerosols in these environments.

Antifungal Susceptibility of Candida Species Isolated from Horticulturists with Onychomycosis in Piauí, Brazil.

BACKGROUND: We aimed to assess susceptibility pattern of Candida species isolated from horticulturists with onychomycosis to four antifungal drugs and to compare the effectiveness of conventional identification methods with matrix-assisted laser desorption/ionization mass spectrometry (MALDI-TOF MS). METHODS: This study was conducted in a community garden located in Teresina, State of Piauí, Brazil, in the year 2014. The samples were identified through phenotypic methods and per MALDI-TOF MS, being used PCR as definitive identification test. The susceptibility pattern to four antifungal drugs was determined according to Clinical and Laboratory Standards Institute (CLSI). RESULTS: Fourteen clinical isolates from seven different species were identified by the phenotypic method and by MALDI-TOF MS, with an observed concordance of 71.4% between the two methods. C. albicans (28.6%), C. parapsilosis (21.4%), C. guilliermondii and C. metapsilosis (both with 14.3%) were the most frequent species. With the exception of C. krusei, all species were sensitive to the tested antifungal. CONCLUSION: This is the first study of antifungal susceptibility of Candida in Piauí, Brazil. With the exception of C. krusei, no species showed resistance to the antifungal drugs used. This study suggests constants updates from the public databases used in MALDI-TOF MS to provide a rapid and accurate mycological diagnosis.

Gas Chromatography-Triple Quadrupole Mass Spectrometry Analysis and Vasorelaxant Effect of Essential Oil from Protium heptaphyllum (Aubl.) March.

The Protium heptaphyllum species, also known as Almécega, produces an oily resin, used in folk medicine as an analgesic and anti-inflammatory agent, in healing, and as an expectorant, which is rich in pentacyclic triterpenes and essential oils. In this study, the essential oil obtained by hydrodistillation of Almécega's resin was analyzed by gas chromatography-triple quadrupole mass spectrometry and evaluated for chemical composition and vasorelaxant activity in rat superior mesenteric artery. The main constituents determined by gas chromatography-triple quadrupole mass spectrometry were limonene, p-cineole, and o-cymene. In intact rings precontracted with phenylephrine (Phe 1 µM), EOPh (3-750 µg/mL) induced relaxation, and the essential oil had a concentration-dependent vasorelaxant effect, without involvement of endothelial mediators.

Evaluation of disinfectants for elimination of fungal contamination of patient beds in a reference hospital in Piauí, Brazil.

This quantitative and qualitative study aimed to identify fungi isolated from patient beds at a reference hospital in Teresina, Piauí, Brazil, and evaluate the efficacy of 70 % ethanol and 1 % hypochlorite for removing the contamination. Thirty-eight beds were chosen at random and the collection was carried out in three situations: before and after disinfection with 70 % alcohol or hypochlorite 1 %. Each sample was inoculated onto Sabouraud dextrose agar containing chloramphenicol and incubated at room temperature to allow fungal growth. We identified 13 species belonging to the genera Aspergillus, Cladosporium, Alternaria, Rhizopus, Penicillium, and Candida. All of these species are pathogenic and can worsen the clinical condition of patients. The 1 % hypochlorite solution proved to be an efficient disinfectant against the fungi, but the same was not observed using 70 % ethanol. Based on these findings, we recommended that the use of 1 % hypochlorite during bed disinfection be added to the hospital biosafety protocol to reduce cross contamination and contribute to patient recovery.

Fungal contamination and disinfection of dental chairs, Teresina, Piaui, Brazil.

The aim of this study was to analyze fungal contamination on dental chairs at the clinic of a Higher Education Institution in TeresinaPI, Brazil, and to evaluate the effectiveness of different disinfectants: 70% alcohol and 1% sodium hypochlorite. We selected the five sites with most contact between patient and chair: headrest, backrest, armrests, seat and foot rest. Samples were collected from these sites on 14 chairs and inoculated in agar Sabouraud culture medium containing chloramphenicol. Pathogenic fungi were isolated from all sampling sites on the chairs. Highest frequencies were found on footrest, followed in decreasing order by seat, backrest, armrests and headrest. Fourteen species of filamentous fungi were identified, belonging to the genera Alternaria, Aspergillus, Cladosporium, Curvularia, Drechslera, Fusarium, Penicillium and Paecillomyces. After sampling, seven chairs were disinfected with 70% alcohol and seven with 1% sodium hypochlorite, and samples were taken again using the same procedure. No fungal growth was detected following disinfection with sodium hypochlorite, which was clearly more effective than alcohol, after which there was still fungal growth. This study highlights the need for the biosafety protocol to include cleaning and disinfection of dental chairs with 1% sodium hypochlorite after each attendance in order to prevent crossinfection.

O objetivo deste estudo foi analisar contaminação fúngica em cadeiras odontológicas na clínica de uma Instituição de Educação Superior em Teresina PI, Brasil, e avaliar a efetividade de diferentes desinfetantes: álcool 70% e hipoclorito de sódio 1%. Nós selecionamos os cinco locais com maior contato entre o paciente e a cadeira: encosto da cabeça, das costas, dos braços, assento e encosto dos pés. As amostras foram coletadas destes locais das 14 cadeiras e inoculadas em meio de cultura agarSabouraud contendo cloranfenicol. Fungos patogênicos foram isolados de todos os locais de amostragem das cadeiras. As frequências mais altas foram encontradas no encosto dos pés, seguido em ordem decrescente pelo assento, encosto das costas, dos braços e encosto da cabeça. Quatorze espécies de fungos filamentoso foram identificados, pertencente aos gêneros Alternaria, Aspergillus, Cladosporium, Curvularia, Drechslera, Fusarium, Penicillium e Paecillomyces. Após a coleta, sete cadeiras foram desinfetadas com álcool 70% e sete com hipoclorito de sódio 1%, e as amostras foram colhidas novamente usando o mesmo procedimento. Não foi detectado crescimento fúngico após desinfecção com hipoclorito de sódio, que foi claramente mais efetivo que o álcool, do qual ainda houve crescimento fúngico. Este estudo destaca a necessidade da inclusão no protocolo de biossegurança a limpeza e desinfecção das cadeiras odontológicas com o hipoclorito 1% após cada atendimento, a fim de prevenir infecções cruzadas.

Fungal contamination and disinfection of dental chairs, Teresina, Piauí, Brazil / Contaminação de fungos e desinfecção em cadeiras odontologicas, Teresina, Piauí, Brasil

The aim of this study was to analyze fungal contamination on dental chairs at the clinic of a Higher Education Institution in TeresinaPI, Brazil, and to evaluate the effectiveness of different disinfectants: 70% alcohol and 1% sodium hypochlorite. We selected the five sites with most contact between patient and chair: headrest, backrest, armrests, seat and foot rest. Samples were collected from these sites on 14 chairs and inoculated in agar Sabouraud culture medium containing chloramphenicol. Pathogenic fungi were isolated from all sampling sites on the chairs. Highest frequencies were found on footrest, followed in decreasing order by seat, backrest, armrests and headrest. Fourteen species of filamentous fungi were identified, belonging to the genera Alternaria, Aspergillus, Cladosporium, Curvularia, Drechslera, Fusarium, Penicillium and Paecillomyces. After sampling, seven chairs were disinfected with 70% alcohol and seven with 1% sodium hypochlorite, and samples were taken again using the same procedure. No fungal growth was detected following disinfection with sodium hypochlorite, which was clearly more effective than alcohol, after which there was still fungal growth. This study highlights the need for the biosafety protocol to include cleaning and disinfection of dental chairs with 1% sodium hypochlorite after each attendance in order to prevent crossinfection.

O objetivo deste estudo foi analisar contaminação fúngica em cadeiras odontológicas na clínica de uma Instituição de Educação Superior em TeresinaPI, Brasil, e avaliar a efetividade de diferentes desinfetantes: álcool 70% e hipoclorito de sódio 1%. Nós selecionamos os cinco locais com maior contato entre o paciente e a cadeira: encosto da cabeça, das costas, dos braços, assento e encosto dos pés. As amostras foram coletadas destes locais das 14 cadeiras e inoculadas em meio de cultura agarSabouraud contendo cloranfenicol. Fungos patogênicos foram isolados de todos os locais de amostragem das cadeiras. As frequências mais altas foram encontradas no encosto dos pés, seguido em ordem decrescente pelo assento, encosto das costas, dos braços e encosto da cabeça. Quatorze espécies de fungos filamentoso foram identificados, pertencente aos gêneros Alternaria, Aspergillus, Cladosporium, Curvularia, Drechslera, Fusarium, Penicillium e Paecillomyces. Após a coleta, sete cadeiras foram desinfe tadas com álcool 70% e sete com hipoclorito de sódio 1%, e as amostras foram colhidas novamente usando o mesmo procedimento. Não foi detectado crescimento fúngico após desinfecção com hipoclorito de sódio, que foi claramente mais efetivo que o álcool, do qual ainda houve crescimento fúngico.Este estudo destaca a necessidade da inclusão no protocolo de biossegurança a limpeza e desinfecção das cadeiras odontológicas com o hipoclorito 1% após cada atendimento, a fim de prevenir infecções cruzadas.

Chemical constituents and evaluation of cytotoxic and antifungal activity of Lantana camara essential oils

The essential oil (EO) of aerial parts of Lantana camara L., Verbenaceae, from Simões, Piaui, Northeast of Brazil, were obtained by hydrodistillation and analyzed by GC-FID and GC-MS techniques. In total, 68 compounds were identified. The most representative compounds of the oil were mono and sesquiterpenes. The main compounds found in the oil of the leaves in different months were β-caryophyllene (10.5%, in June of 2009), sabinene (7.98%, in September of 2008), limonene (7.68%, in September of 2008), spathulenol (11.64%, in September of 2008). The oil from stems of L. camara was characterized by a largest amount of sesquiterpenoids, with spatulenol (15.9%) and caryophyllene oxide (17.1% in June of 2009), as main components. β-Gurjunene (32.7%, in September of 2008) was the most prominent compound in the stems oils, which was absent or at very low relative abundance in leaves. L. camara essential oils from leaves were cytotoxic to V79 mammalian cells and also to Artemia salina, showing 50% lethal concentration (LC50) values from 0.23 µg/mL. The in vitro data obtained in this study suggested that EO may also be effective treating yeast infection in patients infected with fluconazole and terbinafine resistant isolates, but its toxicity must be monitored carefully.

Contaminação fúngica em condimentos de feiras livres e supermercados / Fungal contamination in spices sold in street markets and supermarkets

Quatro tipos de condimentos, Bixa orellana L.(urucum), Cuminum cyminum L. (cominho), Curcumalonga L. (açafrão) e Piper nigrum L. (pimenta-do-reino), provenientes de feiras livres e de supermercados da cidade de Teresina-PI, Brasil, foram avaliados quanto à contaminação por fungos. Das 36 amostras analisadas, 28 (77,77%) apresentaram resultado positivo e 12 espécies fúngicas foram identificadas. Os valores das unidades formadoras de colônias por grama de produto (UFC/g) detectado nas amostras de condimentos comercializados nas feiras livres e industrializados foram maiores do que os do padrão federal de referência, variando de 8,6 × 103 a 1,3 × 105. Não houve diferença significativa entre esses valores. Aspergillus foi o gênero predominante, com seis espécies identificadas, seguido do gênero Penicillium (três espécies). Das amostras de corante, cominho e açafrão, provenientes das feiras livres, nos condimentos foram detectados os maiores valores de UFC/g, respectivamente, para as espécies Exserohilum mcginnisii, Absidia corymbifera e Aspergillus nidulans. Os condimentos analisados neste estudo mostraram a contaminação por fungos potencialmente patogênicos e produtores de micotoxinas, os quais podem constituir um risco para a saúde dos consumidores.

The presence of fungi on contact electrical stimulation electrodes and ultrasound transducers in physiotherapy clinics.

OBJECTIVES: To evaluate the presence of fungi on contact electrodes and ultrasound transducers from physiotherapy clinics. DESIGN: Quantitative study conducted at the Laboratory of Microbiology and Immunology, Faculty of Health Sciences and Technology of Piauí - NOVAFAPI, Teresina, Brazil. SETTING: Sample collection was performed in 10 clinics (20 ultrasound transducers and 20 contact electrodes). MAIN OUTCOME MEASURES: Swabs were soaked with saline solution, inoculated in culture and incubated for filamentous fungi and yeast growth. RESULTS: Fourteen taxons were identified: Acremomium hyalinulum (Sacc.), Aspergillus terreus, Candida albicans, Cladosporium cladosporioides, Cladosporium elatum, Cladosporium oxysporum, Cladosporium sphaerospermum, Cladosphialophora bantiana, Curvularia clavata, Curvularia senegalensis, Fusarium oxysporum, Penicillium decumbens, Scopulariopsis candida and Sporothrix schenckii. Aspergillus terreus, Cladosporium oxysporum, Sporothrix shenckii and Candida albicans were found most often on contact electrodes, and Penicillium decumbens and Cladosporium cladosporioides were found most often on ultrasound transducers. CONCLUSION: Fungi were found on all of the contact electrodes and ultrasound transducers. Physiotherapy professionals need to improve the disinfection procedures for this equipment.

Analysis of fungal contamination and disinfection of toothbrushes.

The aim of this study is to determine the fungal species in the toothbrushes of residents of a neighborhood on the east side of Teresina - PI, and to assess the efficiency of a disinfection method based on 2% sodium hypochlorite. Fifty toothbrushes were divided into two groups: group A comprised 30 toothbrushes used by the residents and group B (control group) 20 new toothbrushes. Fungal evaluation was conducted in Sabouraud culture medium containing chloramphenicol and CHROMagar Candida. Later group A was divided into two subgroups (A1 and A2), which were submitted to disinfection by immersion in 2% sodium hypochlorite and once again screened for the presence of fungi. Seventeen fungal species were identified in group A before the disinfection. Fungal growth was not observed in subgroups A1 and A2, or group B after disinfection. All fungal species isolated from the toothbrushes were considered opportunistic and may cause health problems mainly in immunocompromised patients. The species most frequently found were: Candida albicans, Aspergillus niger, Penicillium citrinum, Geotrichum candidum, Aspergillus fumigatus and Cladosporium oxysporum. Fungal growth did not occur after toothbrush disinfection with 2% sodium hypochlorite, suggesting this is an efficient, low-cost method that can therefore be used by low income populations.

Isolamento de fungos de equipamentos radiográficos odontológicos / Isolation of fungi from dental radiographic equipment

Objetivo: Isolar os fungos dos equipamentos radiográficos dos consultórios odontológicos de Teresina, Piauí, Brasil. Métodos: Foram analisados oito aparelhos de Raios X intrabucal e dois aparelhos de Raios X extrabucal. As coletas foram realizadas nas superfícies dos equipamentos, após procedimentos rotineiros de atendimento a pacientes nos consultórios, por meio de swabs esterilizados, embebidos em salina e friccionados sobre a superfície de cada aparelho. Em seguida, as amostras foram inoculadas em placas de Petri contendo meios Sabourand dextrose agar acrescido de cloranfenicol, incubados à temperatura ambiente e BBLTM CHROMagarTM Candida (BD-Difco, New Jersey, USA), incubados a 37ºC, para o crescimento de fungos filamentosos e leveduras, respectivamente. Resultados: Foram identificadas 17 espécies de fungos e as espécies mais frequentes foram Candida albicans, Aspergillus niger, Cladosporium cladosporioides e Cladosporium oxysporum. Houve predominância, significativa, de fungos na superfície dos componentes do aparelho de Raios X intrabucal quando comparado aos componentes do aparelho de Raios X extrabucal. Conclusão: As espécies fúngicas isoladas das superfícies dos aparelhos radiográficos odontológicos são potencialmente patogênicas e esses equipamentos podem servir de reservatórios ou vetores de fungos representando um risco de aquisição de infecção cruzada para os pacientes, assim como para a equipe odontológica. É necessário que os profissionais da área sejam alertados quanto ao risco inerente ao seu trabalho, treinados e estimulados a aplicarem os princípios de biossegurança para reduzir ou eliminar esses micro-organismos.

Objective: To isolate fungi from radiographic equipment in dentist?s offices in Teresina, Piaui, Brazil. Methods: Eight intraoral and two panoramic X-ray instruments were analyzed. Samples were taken after routine clinical procedures with sterilized swabs followed by inoculation on Petri dishes containing either Sabourand dextrose agar supplemented with chloramphenicol, or BBLTM CHROMagarTM Candida (BD-Difco, New Jersey, USA). The samples were incubated at room temperature, or 37oC, so that filamentous fungi and yeasts, respectively, could develop.Results: Seventeen species of fungi were detected. The most frequent species were Candida albicans, Aspergillus niger, Cladosporium cladosporioides and Cladosporium oxysporum. Additionally, there was significant prevalence of fungi on the surface of intraoral X-ray components as compared to extraoral X-ray components. Conclusion: The species of fungi isolated from the surfaces of dental radiographic equipment in dentist?s offices in Teresina, PI, are potentially pathogenic. These instruments may play a critical role as reservoirs or vectors for fungi. Moreover, they pose a risk of cross-infection to patients and dental staff. Consequently, it is critical to alert professionals in the dentistry area about the inherent risk in their activities and to establish training courses to encourage them to adopt biosafety procedures in order to reduce or eliminate these microorganisms.

Microbiota fúngica dos condicionadores de ar nas unidades de terapia intensiva de Teresina, PI / Fungus microbiota in air conditioners in intensive care units in Teresina, Piauí

Com intuito de identificar a microbiota fúngica em condicionadores de ar nas unidades de terapia intensiva de hospitais públicos e particulares de Teresina-PI, coletou-se material sólido de dez UTIs, isolando 33 espécies pertencentes às Moniliaceae e Dematiaceae, sendo primeira referência para o Piauí. Registrou-se elevada freqüência de Aspergillus niger Van Tieghem (60 por cento); Aspergillus fumigatus Fres (50 por cento); Trichoderma koningii Oudem (50 por cento), Aspergillus flavus Link: Fr (40 por cento). A validade da limpeza dos condicionadores de ar ultrapassou em todas as UTIs, a quantidade de unidades formadoras de colônia estava além do permitido pela Portaria 176/00 do Ministério da Saúde. É importante que os profissionais estejam munidos de equipamento de proteção individual, além de adotar medidas de controle de infecção hospitalar, sensibilizar para a existência de infecções fúngicas, melhorar ventilação de ar, possibilitando arejamento do ambiente e limpar periodicamente os condicionadores de ar, conscientizando os profissionais de saúde da importância destes fungos no ambiente hospitalar.

With the aim of identifying the fungus microbiota in air conditioners in intensive care units (ICUs) within public and private hospitals in Teresina, Piauí, solid material was collected from ten different ICUs. Thirty-three species of Moniliaceae and Dematiaceae were isolated, which was the first report of these in Piauí. High frequencies of Aspergillus niger Van Tieghem (60 percent), Aspergillus fumigatus Fres (50 percent), Trichoderma koningii Oudem (50 percent) and Aspergillus flavus Link: Fr. (40 percent) were recorded. The air conditioner cleanliness validity had expired in all the ICUs, and the quantity of colony-forming units exceeded the levels permitted by Law 176/00 from the Ministry of Health. It is important to provide individual protection equipment for professionals, adopt hospital infection control measures, raise the awareness of the presence of fungus infection, improve air circulation around the environment, periodically clean the air conditioners, and make health professionals alert to the importance of these fungi in the hospital environment.

[Fungus microbiota in air conditioners in intensive care units in Teresina, Piauí]. / Microbiota fúngica dos condicionadores de ar nas unidades de terapia intensiva de Teresina, PI.

With the aim of identifying the fungus microbiota in air conditioners in intensive care units (ICUs) within public and private hospitals in Teresina, Piauí, solid material was collected from ten different ICUs. Thirty-three species of Moniliaceae and Dematiaceae were isolated, which was the first report of these in Piauí. High frequencies of Aspergillus niger Van Tieghem (60%), Aspergillus fumigatus Fres (50%), Trichoderma koningii Oudem (50%) and Aspergillus flavus Link: Fr. (40%) were recorded. The air conditioner cleanliness validity had expired in all the ICUs, and the quantity of colony-forming units exceeded the levels permitted by Law 176/00 from the Ministry of Health. It is important to provide individual protection equipment for professionals, adopt hospital infection control measures, raise the awareness of the presence of fungus infection, improve air circulation around the environment, periodically clean the air conditioners, and make health professionals alert to the importance of these fungi in the hospital environment.