Risk Influence of Some Environmental and Behavioral Factors on Air Contamination in the Operating Room: An Experimental Study.

Air contamination in operating rooms (ORs) depends on the conditions of the room and on activities therein performed. Methodologies of air quality assessment in ORs are often inadequately described in the scientific literature, and the time required for a change in status in air quality is never taken into account. The purpose of this study was to determine the influence of the state and the presence of human operators on air quality by implementing a precise measurement protocol that also took into account the time required for changes in the room to affect air pollution. As the main indicators of air pollution, bacterial load and concentration of airborne dust were measured. The results showed that: the use of surgical masks by operators in the OR did not significantly affect bacterial load within a distance of 2 m; keeping OR doors open did not induce a significant increase in bacterial load and of 5 µm particles while 10 µm particles concentration was positively affected; and air pollution measured with open doors was not significantly different from that due to the presence of two staff members, whether or not they were wearing masks. The results clarified the role of some factors on air pollution in ORs.

Multipathway polycyclic aromatic hydrocarbon and pyrene exposure among children living in Campania (Italy).

Multipathway exposure to polycyclic aromatic hydrocarbons (PAHs) and Pyrene (Py) was studied among children ages 7-9 living in two areas of the Campania Region (South-Italy) classified as urban and rural. During five consecutive days PAHs and Py were detected in air samples from outdoors, indoors (school and home), individuals at inhalatory levels, and in food and beverages (defined as food) consumed daily by each child. 1-hydroxypyrene (1-OHP) was detected in children's urine. Gender, weight and height of each subject were recorded, and the personal Body Mass Index (BMI) calculated. The type of home heating, the presence of smokers and the number of cigarettes smoked at home was determined. Total PAH and Py median concentrations in outdoor air from urban areas were 1.70 ng m(-3) and 0.19 ng m(-3), respectively while in rural areas they were 1.10 ng m(-3) and 0.14 ng m(-3). Indoor air total PAH and Py median concentrations were 2.50 ng m(-3) and 0.15 ng m(-3), respectively for urban areas, and 4.10 ng m(-3) and 0.15 ng m(-3) for rural areas. In food the total PAH and Py median levels were 10.44 and 0.81 microg kg(-1) in urban areas and 18.90 and 0.90 microg kg(-1) in rural areas. The median urinary levels of 1-OHP for urban and rural children were 0.07 and 0.06 micromol/mol creat., respectively. From these data, food appears to be the most relevant source of exposure to PAHs and Py. The Py intake from single (food or air) or total (food and air) pathways did not significantly correlate with the urinary 1-OHP excreted daily for each child during all 5 days of observation.