PubMed · 13278180
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E MAYER, I RAPPAPORT, G W SCHEPERS. 1956-01-21. Emphysema.. https://doi.org/10.1001/jama.1956.02960380078022
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Kindergarten environments combine high microbial exposure with increased immunological vulnerability, yet antibiotic resistance genes (ARGs) in kindergarten dust remain poorly characterized. This systematic review synthesized evidence on the occurrence and potential health relevance of ARGs in kindergarten dust. Following PRISMA 2020 guidelines, PubMed, Scopus, and Web of Science were searched. Four studies from China, Hong Kong, and Norway (2018-2024) met the inclusion criteria. ARGs were detected in all kindergarten dust samples, indicating that dust is a consistent reservoir of antibiotic resistance determinants. A consensus resistome (classes detected in ≥2 studies) encompassed sulfonamide, macrolide-lincosamide-streptogramin B (MLSB), tetracycline, beta-lactam, aminoglycoside, and multidrug resistance genes; beta-lactam resistance genes were the only class reported in all four studies. Clinically important ARGs associated with last-resort antibiotics, including mecA, vanA, blaNDM, and mcr-5, were reported in three studies. Class 1 integron-integrase genes (intI1) frequently co-occurred with ARGs, suggesting potential horizontal gene transfer. Limited evidence indicated higher ARG abundance in urban and winter samples. One study reported antibiotic-resistant bacteria carrying resistance markers concordant with those in kindergarten dust in the urine of children attending the same facilities; however, this cross-sectional, single-site evidence is consistent with, but not sufficient to establish, a dust-to-child exposure pathway. The available evidence supports the plausibility that kindergarten dust may contribute to children's exposure to ARGs and ARG-carrying bacteria, but current studies do not establish causal transmission from dust to child colonization or infection. Standardized monitoring and longitudinal studies are needed to assess health risks and guide mitigation strategies in early childhood educational settings.
Inadvertent soil ingestion, especially by young children, can be an important route of exposure for many environmental contaminants. The introduction of exterior soil into the interior environment is a significant element of the exposure pathway. The unintentional collection of outside soil on footwear followed by subsequent deposition indoors is a principal route of soil ingress. Here we have investigated likely rates of dry and wet soil deposition on indoor hard surface flooring as a result of mass transfer from soiled footwear. In this pilot study, testing involved both single track-in events (with deposition resulting from a single progression of transfer steps) and multiple tracking actions (with deposition and dispersion resulting from repeated transfer steps). Based on soil mass recovery from the floor surface it was found that any contamination introduced by one-time track-in events was of limited spatial extent. In contrast, under repeated tracking conditions, with multiple soil incursions, widespread floor surface contamination was possible. Soil mass recovery was accomplished by brushing, by vacuum cleaner removal and by wet wiping. All the clean-up methods operated imperfectly and failed to remove all initially deposited soil. The level of floor surface soiling that resulted from the track-in tests, and the incomplete clean-up strongly suggest that under unrestricted transfer conditions rapid accumulation and dispersal of soil on indoor flooring is likely.
The use of polybrominated diphenyl ethers (PBDEs) as flame retardants in Singapore is not strictly regulated; therefore these compounds can be readily found in furniture, electronic devices, and building materials. This study was the first of its kind to be conducted in Singapore to measure concentrations of PBDEs in house dust. Samples were collected from 31 homes in various locations across the island-state of Singapore, and a total eight PBDEs congeners were measured. PBDEs were detected in all 31 dust samples and the number of BDE congener detected per home ranged between 3 and 8. The most abundant BDE congeners found were BDE 47, 99 and 209, with a median value of 20 ng g(-1) dust, 24 ng g(-1) dust and 1000 ng g(-1) dust, respectively. BDE 209 contributed 88% to the median of all the congeners, and BDE 47 and 99 contributed 1.8% and 3.5%, respectively. Different congener profiles were observed between this and studies conducted elsewhere, which is consistent with the use of different commercial PBDE around the world. No significant correlations between PBDE dust levels and residential characteristics (number of TVs and computers, floor area or flooring material) were observed. The daily intake of PBDEs via the inhalation pathway was estimated. House dust may be regarded as the most important exposure route of PBDEs for children.