Endotoxin exposure occurs in homes and occupational environments and is known to cause adverse health effects. In order to compare results from different studies and establish standards, airborne endotoxin exposures should be assessed using standardized methods. Although the European Committee for Standardization (CEN) developed guidelines for endotoxin exposure assessment, these leave room for individual interpretation. The influence of methods of sampling, extraction, and analysis has never been investigated in a full experimental design. Thus, we sought to fully elucidate the importance of all facets of endotoxin assessment. Inhalable dust samples collected simultaneously were used to investigate the effects on and interactions with airborne endotoxin concentration in two working environments of filter type (glass fiber or Endotoxins are constituents of the outer membrane of gramnegative bacteria and occur as contaminants in organic dusts or aerosols. Endotoxin is a well-known toxin with a high proinflammatory potency. Airborne exposure has been associated with several symptoms in the respiratory tract and reductions in pulmonary function in various agricultural and industrial environments (7,16,30). On the other hand, it is also suggested that environmental and occupational endotoxin exposure has a possible protective effect on the risk of atopic sensitization in childhood and possibly also in an adult working population with high endotoxin exposures (18,26,37).The European Committee for Standardization (CEN) developed guidelines for the assessment of workplace exposure to airborne bacterial endotoxins, using the knowledge available at that time (9, 10). These guidelines provide methods for sampling, transportation and storage of samples, and determination of endotoxins. However, the NEN-EN 14031 protocol "Workplace atmosphere-determination of airborne endotoxin" fails to clearly delineate aspects that might affect the outcome, for example, what extraction solution or storage conditions to use. There are few empirical data to support some of the assumptions in the protocol. This leaves room for individual interpretation and nonuniform methodology.Differences exist in laboratory methods for collection of samples (filter type), transport conditions and storage of samples, processing and analysis of samples (extraction medium, rocking, sonication, temperature, type of assay, and control standards), and reporting of results (units) (29). Previous investigations of interlaboratory differences in endotoxin analyses showed that results could differ by a factor of 10 to 1,000 between the minimum and maximum concentrations of cotton dust samples, a factor which was reduced to a 5-to 12-fold difference when the extraction protocol and assay were standardized (3). Another study showed that when further restrictions were applied (e.g., same assay supplier, same dilutions, and inclusion of results with valid spike results only), interlaboratory differences could become even smaller (two-to threefold), suggesting that int...