International interests in biological air pollutants have increased rapidly to broaden the pool of knowledge on their identification and health impacts (e.g., infectious, respiratory diseases and allergies). Antibiotic resistance and its wider implications present us with a growing healthcare crisis, and an increased understanding of antibiotic-resistant bacteria populations should enable better interpretation of bioaerosol exposure found in the air. Waste sorting plant (WSP) activities are a source of occupational bacterial exposures that are associated with many health disorders. The objectives of this study were (a) to assess bacterial air quality (BAQ) in two cabins of a WSP: preliminary manual sorting cabin (PSP) and purification manual sorting cabin (quality control) (QCSP), (b) determine the particle size distribution (PSD) of bacterial aerosol (BA) in PSP, QCSP, and in the outdoor air (OUT), and (c) determine the antibiotic resistance of isolated strains of bacteria. Bacterial strains were identified on a Biolog GEN III (Biolog, Hayward, CA, USA), and disc diffusion method for antimicrobial susceptibility testing was carried out according to the Kirby–Bauer Disk Diffusion Susceptibility Test Protocol. A large share of fecal bacteria, Enterococcus faecalis and Alcaligenes faecalis spp. feacalis, was found in the tested indoor air, which is a potential health hazard to the workers of the monitored WSP. Our results demonstrate the necessity to take into account fecal air pollution levels to avoid making erroneous assumptions regarding the environmental selection of antibiotic resistance. Total elimination of many anthropogenic sources is not possible, but important findings of this study can be used to develop realistic management policies methods to improve BAQ.
Many studies have shown an association between working in waste sorting plants (SP) and occupational health problems, such as skin irritation or pulmonary diseases. These symptoms have been related to biological aerosol exposure. The main goal of this work was to assess the levels of concentration and the characteristics of bacterial aerosols in waste sorting plants, based on measurements taken in a plant located in the mountain region of Southern Poland, around which there are numerous rural areas. The average concentrations of culturable bacterial aerosol (CCBA) collected in the unloading hall of the waste sorting plant (UHSP) and the outdoor air of the sorting plant (OSP) were 2687 CFU/m3 and 1138 CFU/m3, respectively. Sampling was undertaken in the plant using an Andersen six-stage impactor (with aerodynamic cut-off diameters of 7.0, 4.7, 3.3, 2.1, 1.1, and 0.65 μm), during the spring of 2019. Size distributions were unimodal, with a peak in particle bacterial aerodynamic diameters at less than 3.3 µm, increasing the potentially adverse health effects of their inhalation. An analysis was conducted to determine the antibiotic resistance of isolated strains of bacteria. During the study, it was found that isolates belonging to the genus Bacillus were most frequently detected in the waste sorting plant. Isolates with the highest resistance to antibiotics belonged to the genus Neisseria. This test indicates that the use of personal protective equipment is necessary.
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