Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis

Objective: Nebulizer contamination has potential harmful effects on the respiratory system. The aim was to investigate the contamination profile of the nebulizers in cystic fibrosis patients and evaluate the relationship between hygiene practices and microbial contamination. Materials and Methods...

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Main Authors: Cansu Yilmaz Yegit, Pinar Ergenekon, Nurcan Duman, Hakan Mursaloglu, Muruvvet Cenk, Burcu Suzer Uzunoglu, Gamze Tastan, Yasemin Gokdemir, Ela Erdem Eralp, Aysegul Karahasan Yagci, Fazilet Karakoc, Bulent Karadag
Format: Article
Language:English
Published: AVES Yayincilik 2025-01-01
Series:Turkish Archives of Pediatrics
Online Access:https://www.turkarchpediatr.org/en/microbial-contamination-of-nebulizers-in-patients-with-cystic-fibrosis-131723
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author Cansu Yilmaz Yegit
Pinar Ergenekon
Nurcan Duman
Hakan Mursaloglu
Muruvvet Cenk
Burcu Suzer Uzunoglu
Gamze Tastan
Yasemin Gokdemir
Ela Erdem Eralp
Aysegul Karahasan Yagci
Fazilet Karakoc
Bulent Karadag
author_facet Cansu Yilmaz Yegit
Pinar Ergenekon
Nurcan Duman
Hakan Mursaloglu
Muruvvet Cenk
Burcu Suzer Uzunoglu
Gamze Tastan
Yasemin Gokdemir
Ela Erdem Eralp
Aysegul Karahasan Yagci
Fazilet Karakoc
Bulent Karadag
author_sort Cansu Yilmaz Yegit
collection DOAJ
description Objective: Nebulizer contamination has potential harmful effects on the respiratory system. The aim was to investigate the contamination profile of the nebulizers in cystic fibrosis patients and evaluate the relationship between hygiene practices and microbial contamination. Materials and Methods: Microbiological swab samples were taken from 3 different locations of the nebulizers of 102 patients. A questionnaire regarding nebulizer hygiene practices was applied to participants. Results: Contamination rate was 40.2%, while chambers were the most contaminated area. The bacterial contamination rate was 37.3%, with gram-negative bacterial growth being predominant. The organisms identified were mostly environmental or floral. Only 3 of the patients were performing the whole steps correctly. This number was not sufficient to assess the relationship between nebulizer cleaning and disinfection practices and microbial growth from nebulizers. When the relationship between nebulizer cleaning/disinfection frequencies, methods, and storage locations was evaluated separately with microbial growth from nebulizers, no statistically significant relationship was found for all (P > .05 for all). Conclusion: The nebulizer contamination rate with pathogenic microorganisms is low in the present study. Regular educational interventions regarding nebulizer hygiene practices should be implemented in all Cystic Fibrosis Centers.
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institution Kabale University
issn 2757-6256
language English
publishDate 2025-01-01
publisher AVES Yayincilik
record_format Article
series Turkish Archives of Pediatrics
spelling doaj-art-ec1d6c30a2bf43ce9ab8acfd4c8500232025-01-10T14:50:46ZengAVES YayincilikTurkish Archives of Pediatrics2757-62562025-01-01601222810.5152/TurkArchPediatr.2025.24003Microbial Contamination of Nebulizers in Patients With Cystic FibrosisCansu Yilmaz Yegit0Pinar Ergenekon1 Nurcan Duman2Hakan Mursaloglu3Muruvvet Cenk4 Burcu Suzer Uzunoglu5Gamze Tastan6Yasemin Gokdemir7Ela Erdem Eralp8Aysegul Karahasan Yagci9Fazilet Karakoc10Bulent Karadag11Department of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Microbiology, Marmara University School of Medicine, İstanbul, TürkiyeSelim Çöremen Cystic Fibrosis Center, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeSelim Çöremen Cystic Fibrosis Center, Marmara University School of Medicine, İstanbul, TürkiyeSelim Çöremen Cystic Fibrosis Center, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Microbiology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeDepartment of Pediatric Pulmonology, Marmara University School of Medicine, İstanbul, TürkiyeObjective: Nebulizer contamination has potential harmful effects on the respiratory system. The aim was to investigate the contamination profile of the nebulizers in cystic fibrosis patients and evaluate the relationship between hygiene practices and microbial contamination. Materials and Methods: Microbiological swab samples were taken from 3 different locations of the nebulizers of 102 patients. A questionnaire regarding nebulizer hygiene practices was applied to participants. Results: Contamination rate was 40.2%, while chambers were the most contaminated area. The bacterial contamination rate was 37.3%, with gram-negative bacterial growth being predominant. The organisms identified were mostly environmental or floral. Only 3 of the patients were performing the whole steps correctly. This number was not sufficient to assess the relationship between nebulizer cleaning and disinfection practices and microbial growth from nebulizers. When the relationship between nebulizer cleaning/disinfection frequencies, methods, and storage locations was evaluated separately with microbial growth from nebulizers, no statistically significant relationship was found for all (P > .05 for all). Conclusion: The nebulizer contamination rate with pathogenic microorganisms is low in the present study. Regular educational interventions regarding nebulizer hygiene practices should be implemented in all Cystic Fibrosis Centers.https://www.turkarchpediatr.org/en/microbial-contamination-of-nebulizers-in-patients-with-cystic-fibrosis-131723
spellingShingle Cansu Yilmaz Yegit
Pinar Ergenekon
Nurcan Duman
Hakan Mursaloglu
Muruvvet Cenk
Burcu Suzer Uzunoglu
Gamze Tastan
Yasemin Gokdemir
Ela Erdem Eralp
Aysegul Karahasan Yagci
Fazilet Karakoc
Bulent Karadag
Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
Turkish Archives of Pediatrics
title Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
title_full Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
title_fullStr Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
title_full_unstemmed Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
title_short Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis
title_sort microbial contamination of nebulizers in patients with cystic fibrosis
url https://www.turkarchpediatr.org/en/microbial-contamination-of-nebulizers-in-patients-with-cystic-fibrosis-131723
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