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Currently, one of the main tasks of the state and society is to preserve and strengthen the health of the able-bodied population. Employees of medical organizations are exposed to the combined effects of a significant number of harmful occupational factors. In particular, factors of the production environment include biological, chemical and physical, factors of the labor process — tension and severity. Therefore, the study of working conditions of medical personnel is a priority in occupational hygiene. The purpose of the study is to identify the priority production-related and occupational pathology in a medical organization. The object of the study was 1443 maps of special assessment of working conditions, the results of laboratory and instrumental studies of microclimate parameters, lighting (5398 measurements in 60 rooms), air samples for the content of microorganisms (727 samples). According to studies of the conditions and nature of work at the workplaces of medical workers in the studied medical organizations, according to the results of a special assessment of working conditions and their own research, they corresponded to the harmful class 1–3 and for cancer hospital workers of the 4th degree. The level of maximum microbial load in the resident and nursing rooms increased by the middle of the work shift and remained high until the end of the working day. Since the air velocity in the studied rooms was at a very low level, this criterion may be a risk factor for aggravating the course of general somatic pathologies and, as a consequence, the development of production-related morbidity among medical workers. It can also be noted that in 100 % of cases, fungi were detected, with this number decreasing by the end of the working shift, representatives of the genus Staphylococcus, on the contrary, tended to increase from the beginning of the worker to its end. The conditions and nature of the work of medical workers in the studied medical organizations, according to the results of a special assessment of working conditions, corresponded to a harmful class of 1–4 degrees. The 4th degree of the 3rd class of working conditions was due to the work of staff with cytostatic drugs. The microclimatic parameters corresponded to hygienic standards (at low air speeds). In 100 % of cases, fungi and representatives of the genus Staphylococcus were found in all air samples. A detailed study of the species identification of micromycetes in the indoor air showed that the number of micromycetes of the genus Penicillium and Aspergillus significantly exceeded the number of other species.
Currently, one of the main tasks of the state and society is to preserve and strengthen the health of the able-bodied population. Employees of medical organizations are exposed to the combined effects of a significant number of harmful occupational factors. In particular, factors of the production environment include biological, chemical and physical, factors of the labor process — tension and severity. Therefore, the study of working conditions of medical personnel is a priority in occupational hygiene. The purpose of the study is to identify the priority production-related and occupational pathology in a medical organization. The object of the study was 1443 maps of special assessment of working conditions, the results of laboratory and instrumental studies of microclimate parameters, lighting (5398 measurements in 60 rooms), air samples for the content of microorganisms (727 samples). According to studies of the conditions and nature of work at the workplaces of medical workers in the studied medical organizations, according to the results of a special assessment of working conditions and their own research, they corresponded to the harmful class 1–3 and for cancer hospital workers of the 4th degree. The level of maximum microbial load in the resident and nursing rooms increased by the middle of the work shift and remained high until the end of the working day. Since the air velocity in the studied rooms was at a very low level, this criterion may be a risk factor for aggravating the course of general somatic pathologies and, as a consequence, the development of production-related morbidity among medical workers. It can also be noted that in 100 % of cases, fungi were detected, with this number decreasing by the end of the working shift, representatives of the genus Staphylococcus, on the contrary, tended to increase from the beginning of the worker to its end. The conditions and nature of the work of medical workers in the studied medical organizations, according to the results of a special assessment of working conditions, corresponded to a harmful class of 1–4 degrees. The 4th degree of the 3rd class of working conditions was due to the work of staff with cytostatic drugs. The microclimatic parameters corresponded to hygienic standards (at low air speeds). In 100 % of cases, fungi and representatives of the genus Staphylococcus were found in all air samples. A detailed study of the species identification of micromycetes in the indoor air showed that the number of micromycetes of the genus Penicillium and Aspergillus significantly exceeded the number of other species.
At present, one of the main tasks of the state and society is preservation and strengthening of the health of the able-bodied population. Employees of medical organizations are exposed to the combined effects of a significant number of harmful production and professional factors. In particular, the factors of the working environment include biological, chemical, and physical factors, while those of the labor process involve tension and severity. Therefore, the study of working conditions of medical personnel is a priority in occupational health. The purpose of the study is to analyze the working conditions of employees of medical organizations and iden tify priority production-related and occupational pathologies arising from the impact of unfavorable production and occupational factors in order to develop preventive measures. Materials and methods. The object of the study was 1,443 reports of the special assessment of working conditions. We carried out our own studies of the parameters of the microclimate and lighting in the premises: the number of measurements was 5,398, measurements were carried out in 60 premises of medical organizations, and 727 air samples were taken to determine the microbial load. Results. According to the studies of the conditions and nature of work at the workplaces of medical workers in the examined medical organizations and according to the results of a special assessment of working conditions and our own research, the conditions corresponded to a harmful class of 1–3 degrees and of the 4th degree for workers of the oncological hospital. The level of maximum microbial load in the doctors' lounges and nursing rooms increased by the middle of the work shift and remained high until the end of the working day. Since the air movement speed in the studied rooms was very low, this criterion may be a risk factor for aggravation of the course of general somatic pathologies and, as a result, the development of work-related morbidity in medical workers. It can also be noted that fungi were found in 100 % of samples, with their number decreasing by the end of the work shift, while the number of the genus Staphylococcus representatives, on the contrary, tended to increase by the end of the working day. Conclusion. According to the results of the special assessment of working conditions, the conditions and nature of the labor of medical workers in the studied medical organizations corresponded to the harmful class of 1–4 degrees. The 4th degree of the 3rd class of working conditions was due to the personnel’s work with cytostatic drugs. Microclimatic parameters corresponded to hygienic standards (at low air speeds). Fungi and representatives of the genus Staphylococcus were found in 100 % of air samples. A detailed study of the species identification of micromycetes in the indoor air showed that the number of Penicillium and Aspergillus micromycetes significantly exceeded the number of other species.
Introduction. Today, micromycetes are the most common pathogens found in residential and industrial premises and in the hospital environment. At the same time, mold fungi are the cause not only of allergic diseases but also of mycoses of various localization. Mold fungi are hazardous for patients in hospitals on long-term treatment and exposed to immunosuppression factors. Medical personnel who spent a long time in rooms with high contamination by micromycetes in the air can develop mycogenic sensitization. The aim of this work was to show the quantitative and qualitative composition of fungi surrounding the patient and the doctor in multidisciplinary hospitals. Materials and methods. With the help of a microbiological aspirator, air samples were taken in the premises of class B of surgical and therapeutic departments, followed by sowing on Saburo agar. The identified fungi were identified using classical methods and MALDI-ToF mass spectrometry using Microflex LT (Bruker). Results. In the course of the study, the assessment of fungal contamination of class B premises in treatment and prophylactic institutions was carried out to assess the qualitative and quantitative composition. Also, comparing the composition and number of micromycetes between the premises of departments of different profiles was carried out. A high level of contamination of micromycetes in medical premises of class B - 100% of cases was revealed in studies of objects of the hospital environment. The structure of the identified fungi was very diverse. In all air samples were isolated fungi genera Aspergillus, Penicillium, Mucor, Alternaria, and Ulcoladium. Spores of these fungi belonging to opportunistic or saprophytes are found in the air everywhere. Still, a significant increase in microbial load due to micromycetes can cause such typical allergic diseases as bronchial asthma, allergic skin dermatoses, and allergies of other locations. Conclusion. The study results revealed increased fungal contamination in healthcare facilities that require a more careful approach to compliance with the microclimate parameters.
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