PubMed · 5776848
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L H Schoenbach, P C Reist. Improved visualization of electron microscope specimens.. https://doi.org/10.1080/00028896909343107
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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.
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Exposure to dust mixture containing at the same time respirable mineral fibres and free crystalline silica may occur in Poland in mines and in the Lower Silesia plants processing mineral raw materials as well as in all plants which use asbestos products and MMMF. Workposts where thermal insulation is exchange with possible phase transformations during operations under conditions of high temperature, expose particularly complex problems. In the work environment of this kind, dust concentration of free crystalline silica becomes important but not sufficient criterion for evaluating working conditions and it may be misleading. A range of studies indispensable for the proper evaluation of exposure to dust, covering together with measurement of dust and SiO2 concentrations, determination of the mineral composition of dust, was developed. It was also found that the acceptable level of risk for neoplastic disease, namely 10(-3) can be attained in the work environment only if the concentration ranges from 0.05 to 0.1 f/cm3, that is equal to 20% of MAC value which is now binding in Poland. Cancer risk (lung cancer and mesothelioma jointly) during a 20-year exposure to concentrations equal to present MAC values should be estimated as about 10(-2) what indicates that risk is too high and it is necessary to diminish MAC values for asbestos dust.