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Exposure to bioaerosols causes infection, over-sensitivity, respiratory, and lung diseases. This study was conducted at Sanandaj wastewater treatment plant in three seasons of winter, spring and summer to investigate the type and density of bio-aerosols. Sampling was performed using a sampling pump with a discharge rate of 28.3 L/min at a height of 1.5 m above the ground; the samples were taken from five stations: treatment plant entrance, aeration tank, grit chamber, drying sludge bed and laboratory. At each sampling point, time, temperature, relative humidity (Soleimani et al.), wind speed and particulate matter were recorded. In order to identify the bacteria, polymerase chain reaction (PCR) and culture-based methods were applied. It was also found that there was not a significant relationship between bacterial count and RH, wind direction, wind speed and temperature. Regarding fungi, the results showed that RH and wind direction and wind has a significant relationship with the concentration of fungi. The most predominant bacteria and fungi were as follows: Staphylococcus, Enterobacteriaceae, Bacillus, Acinetobacter, Micrococcus, Enterococcus, Neisseria, Listeria, and Pseudomonas and Penicillium, Aspergillus flavus. The concentration of bacteria in the air was significantly correlated with < 4, < 5, < 7 and < 10 μm suspended particles. However, there was a correlation between particle number of 10 μm and fungi concentration in the air. [ABSTRACT FROM AUTHOR]

Exposure to bioaerosols in the air of hospitals is associated with a wide range of adverse health effects due to the presence of airborne microorganisms. Intensity and type of health effects depend on many factors such as the type, density, and diversity of bioaerosols in hospital environments. Therefore, identifying and determining their distribution in hospital environment contribute to reduce their adverse effects and maintain the physical health of patients and staff, as well as find the source of infections and possible allergies due to the presence of bioaerosols. Therefore, the present study was conducted to determine the type and concentration of the bacterial and fungal bioaerosols, and their distribution in the indoor and outdoor air of a teaching hospital to establish a reference for future studies or measures. The air samples were collected with a one-stage Anderson sampler and particle mass counter for a period of four months in the fall and winter of 2019. In total, 262 bacterial and fungal samples were collected from the air of the wards of Tohid Hospital, Sanandaj, Iran. Antibiotic resistance test, bacterial identification by PCR method, and modeling the dispersion of concentrations of bio-aerosols were also conducted. In order to identify bacteria and fungi, some biochemical and molecular tests and microscopic and macroscopic characteristic methods were applied, respectively. The results showed that the highest and lowest densities of the bioaerosols were observed in lung and operating wards (336.67 and 15.25 CFU/m3). Moreover, the highest and least concentrations of particles were seen in the emergency and operating wards, respectively. The most common fungi isolated from the hospital air were Penicillium (24.7%), Cladosporium (23. 4%), Aspergillus niger (13.3%), and Aspergillus Flavus (11.4%). Furthermore, the highest concentration of the isolated bacterium was Staphylococcus hemolyticus (31.84%). Most bacteria showed the highest resistance to gentamicin. The overall average hospital air pollution to bioaerosols was slightly higher than the standards proposed by international organizations. Due to the high concentration of bioaerosols and particles in the studied hospital, providing suitable conditions such as temperature, humidity, proper ventilation, and intelligent air conditioning system using efficient ventilation systems, and restricting the entrance of wards can reduce airborne particles in hospital environment. [ABSTRACT FROM AUTHOR]