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Magnitude and distribution of canine fecal contamination and helminth eggs in two areas of different urban structure, Greater Buenos Aires, Argentina.

The canine fecal contamination and the potential transmission of parasites to human and canine populations represent a public health problem of cosmopolitan importance. The objectives of this work were to evaluate the magnitude of fecal and parasite contamination in two suburban areas of different characteristics, and to investigate their distribution in various urban microenvironments such as yards, green spaces and sidewalks. The areas were referred to as middle-income neighbourhood (MIN) and low-income neighbourhood (LIN). To evaluate fecal contamination and its distribution, feces were counted and areas surveyed were calculated. The parasite contamination was evaluated from the prevalence of helminthosis found in a randomly selected fecal sample of the canine population in each of the study areas. The respective median fecal densities in MIN and LIN were 0.11 and 0.12 feces/m2 for green spaces, 0.10 and 0.19 feces/m2 for sidewalks (Mann-Whitney test, p<0.05), and 0.04 and 0.07 feces/m2 for households. In all the surveyed environments, dogs were free-ranging animals and preferred to defecate on grass surfaces rather than on bare soil, tile or sand. In MIN and LIN the respective prevalences were 40% and 70% for helminths in general (Chi square=15.17, p<0.01), 14 and 53% for Ancylostoma (Chi square=23.99, p<0.01), 9 and 17% for Toxocara (p>0.05), and 26 and 38% for Trichuris (p>0.05). Sidewalks were the most contaminated environments in LIN. The level of infected feces in sidewalks and yards was higher in LIN than in MIN (Mann-Whitney test, p<0.05). This study includes a discussion of the influence of variables such as canine population density, sidewalk structure and amount of available green spaces on the distribution of fecal contamination, and results obtained are compared with those previously recorded for Buenos Aires City. An increasing gradient of contamination by canine feces and parasites was observed as socioeconomic status decreased, the canine population increased and the sanitation condition decrease.

Animals↗

Disgust sensitivity and contamination fears in spider and blood-injection-injury phobias.

Disgust has been implicated in the onset and maintenance of blood-injection-injury (BII) and animal phobias. Research suggests that people with these phobias are characterized by an elevated sensitivity to disgust-evoking stimuli separate from their phobic concerns. The disgust response has been described as the rejection of potential contaminants. Disgust-motivated avoidance of phobic stimuli may therefore be related to fears of contamination or infection. The present study compared BII phobics, spider phobics and nonphobics on two measures of disgust sensitivity and two measures of contamination fears. Positive correlations were found between disgust sensitivity and contamination fear. Specific phobics scored higher than nonphobics on all scales and BII phobics scored higher than spider phobics on contamination fear measures. Furthermore, the contamination fear scales were correlated with the blood phobia measure, but not correlated with the spider phobia measure. The results suggest that while both phobias are characterized by elevated disgust sensitivity, contamination fear is more prominent in BII than spider phobia.

Adolescent↗

Gulfwatch: monitoring spatial and temporal patterns of trace metal and organic contaminants in the Gulf of Maine (1991-1997) with the blue mussel, Mytilus edulis L.

Gulfwatch, established in 1991, is an international contaminant monitoring program in which the blue mussel, Mytilus edulis, is used as an indicator of the level and extent of contamination in the Gulf of Maine. Since 1991, trace metals, PAHs, PCBs, and OC pesticides have been measured in mussel tissues at 56 sites. The distribution of most metals was relatively uniform throughout the Gulf with the exception of Ag, Pb and Cr. However, the concentration of organic contaminants increased in a north-to-south direction. High concentrations of contaminants were correlated with large human population density and proximity to large rivers. Temporal analysis of five sites revealed that the majority of contaminant concentrations were either unchanged or decreasing. The concentrations of most contaminants were lower than the median of the National Status and Trends (NS & T) Mussel Watch with the exceptions of Cr, Hg, Pb and sigma PCB24. Hg concentrations at > 80% of the Gulfwatch sites exceeded the NS & T median +1 SD. Gulfwatch continues as a primary contaminant monitoring program in the Gulf of Maine.

Animals↗

Relative importance of dissolved and food pathways for lead contamination in shrimp.

The relative importance of dissolved and food pathways and the influence of food type in the bioaccumulation and retention of lead in the shrimp Palaemonetes varians were examined using a radiotracer method. Shrimp were exposed to 210Pb-labelled seawater or fed two types of 210Pb-labelled food, viz. mussels or worms. The amount of radiotracer accumulated by shrimp was examined over a 7-day period, followed by a 1-month and a 7-day depuration period for the dissolved and food source, respectively. Steady state in the uptake was reached after 2 days exposure to dissolved lead, with a resultant estimated concentration factor of 98+/-3. Transfer factors following ingestion of contaminated mussels and worms were lower than unity for both food types, with lead transfer from worms being significantly higher than that from mussels. Accumulation of dissolved Pb by shrimp was found to occur mainly through adsorption on the exoskeleton with a minor accumulation in the internal tissues probably resulting from the intake of seawater for osmoregulation. In contrast, lead taken up from contaminated food was readily absorbed and bound in the internal tissues of P. varians. Although the transfer of lead to P. varians through the ingestion of contaminated food was low (TF<1%), it still represented 4 to 8% of the lead content in the prey which is a significant additional contribution of lead to the shrimp body burden. Independent of food type, following ingestion of contaminated food, approximately 23-27% of total lead accumulated in shrimp was located in the edible parts (e.g. muscle). Therefore, the food pathway is suggested to be a significant contributor to the lead transfer to humans through ingestion of contaminated shrimp. After exposure to contaminated food, lead loss kinetics were described by a two-component model, whereas Pb loss following direct uptake from seawater was best described by a three-component model. The additional compartment representing 64% of total Pb retained and characterized by a turnover<10 min, corresponded to lead weakly adsorbed on the exoskeleton and incorporated in the hepatopancreas. Nevertheless, a significant fraction of lead accumulated from the dissolved (2%) and food (52-57%) pathways remained irreversibly retained in the tissues, suggesting that this organism could also serve as an effective long-term bioindicator of lead contamination in marine waters.

Adsorption↗

Bacterial contamination of platelet concentrates: incidence, significance, and prevention.

Severe transfusion reactions associated with bacteria and/or their products, during or following a blood transfusion, were one of the earliest recognized complications of allogeneic blood transfusions. Bacterial contamination of blood products has thus been a problem for many decades and at present is likely the most common microbiological cause of transfusion-associated morbidity and mortality. Transfusion-associated sepsis due to contaminated platelet concentrates appears to be much more common than that due to contaminated red blood cells. The overall incidence of contaminated cellular blood products is approximately 1 in 3,000. However, transfusion to a recipient of a contaminated platelet unit may not necessarily be associated with clinically apparent morbidity, because the majority of contaminated platelet units contain relatively few organisms. In a minority of instances, contaminated units contain large numbers of potentially virulent bacteria, as well as endotoxins, and their transfusion is often associated with significant recipient morbidity and mortality. The incidence of severe septic episodes has not been clearly established, but is probably of the order of 1 per 50,000 platelet units transfused. With heightened awareness in recent years of the possibility that platelet transfusion-associated septic episodes can occur, a variety of measures have been proposed, and in some cases implemented, to try to prevent and control this transfusion risk.

Blood Platelets↗

Monitoring of bacterial and parasitological contamination during various treatment of sludge.

Wastewater treatment results in the production of large quantities of sludge. Agricultural use is an interesting alternative provided that the health risks are taken into account. In France, a decree (1998) defines "sanitized" sludge as sludge that has been treated so that pathogens (Salmonella, enteroviruses, viable nematode eggs) are no longer detectable. The aim of this study was to determine the impact of various sludge treatments on 2 types of pathogens (Salmonella and nematode eggs). We also assessed the levels of micro-organisms that indicate faecal contamination (E. coli, Enterococci, sulfite-reducing anaerobes spores). Various treatment processes were analyzed: 4 biological, 3 chemical, 1 heat, 2 storage and 4 sampling campaigns were carried out. Concerning the parasitological contamination of sludge at the entrance of all sites, concentrations of total nematode eggs and viable nematode eggs were highly heterogeneous (respectively, from 2 to 53 eggs/10 g DM and from 2 to 45 eggs/10 g DM) with viable eggs present in all samples. The total concentration of nematode eggs in the sludge was not greatly affected by treatment or storage, and was in the range < 1-66 eggs/10 g DM. However, the situation was different for mean viable egg counts. For four treatments, no viable eggs were detected. Mesophilic processes are inefficient at eliminating viable nematode eggs. Salmonella were systematically detected in all sludge samples at the entry to the station, except for limed sludge intended for storage. At the end of four treatments Salmonella had been totally eliminated. For the fecal contamination indicators, the largest decrease in E. coli contamination was observed following liming and after thermophilic treatment. The mesophilic treatments resulted in very small decreases in contamination. A similar pattern was observed with Enterococci. For the spores of sulfite-reducing anaerobe bacteria, with the exception of heat treatment, which reduced contamination by 3.2 log units, the maximum decrease in contamination was 1.7 log. For storage of sludge, E. coli and Enterococci levels had decreased at first but then increased between 6 and 8 months of storage.

Animals↗

Faecal contamination of source-separated human urine based on the content of faecal sterols.

Transmissible pathogens in source-separated human urine, intended for reuse in agriculture, mainly originate from faeces that cross-contaminate the urine. The health risks associated with the enteric pathogens will largely be dependent on their initial concentration and their inactivation during storage in the urine. Faecal sterols have proven stable in urine and can, rather than indicator bacteria, be used to quantify the faecal cross-contamination. In this study, urine collection tanks were sampled and ratios between various faecal sterols were used to determine if the urine was contaminated by faeces. Twenty-two percent of samples from the upper part of the tanks and 37% of samples from the bottom sludge were found to be contaminated. Coprostanol concentrations in the contaminated urine samples corresponded to a mean faecal contamination of 9.1+/-5.6 mg l(-1) urine. E. coli was absent in a majority of the samples. Faecal streptococci and clostridia were enumerated but not found to correlate with coprostanol concentrations in contaminated samples.

Agriculture↗

Cytochrome p450 induction and gonadal status alteration in common carp (Cyprinus carpio) associated with the discharge of dioxin contaminated effluent to the Hikiji River, Kanagawa Prefecture, Japan.

Accumulations of polychlorinated dibenzo-p-dioxins, dibenzofurans and coplanar polychlorinated biphenyls were analyzed in common carp (Cyprinus carpio) collected in the Hikiji River, Kanagawa Prefecture, Japan in which dioxin contaminated effluent was released during the period starting from November 1992 to March 2000. Higher levels of 2,3,7,8-tetrachlorinated dibenzo-p-dioxin toxic equivalents were observed in carps collected downstream to the dioxin release site (contaminated site) than the reference site. Modulations of cytochrome p450 (CYP) enzyme in liver, serum estrogen concentration and gonadal somatic index (GSI) were also measured as biomarkers for the contaminants. Total CYP content in livers was markedly higher in male and female carps from the contaminated site relative to the reference site fish. The expression level of the cytochrome p450 1A and Ethoxyresorufin O-deethylase activity were significantly higher in female carps from the contaminated site than from the reference site. A lower level of plasma estrogen was observed in carps from the contaminated site. The GSI in female carps from the contaminated site was smaller than that recorded at the reference site. The present study indicates that dioxins released to the Hikiji River might induce the CYP enzyme and inhibit the reproductive functions in common carps dwelling downstream from the release site.

Animals↗

Spatial and temporal trends and effects of contaminants in the Canadian Arctic marine ecosystem: a review.

Recent studies have added substantially to our knowledge of spatial and temporal trends of persistent organic pollutants and heavy metals in the Canadian Arctic marine ecosystem. This paper reviews the current state of knowledge of contaminants in marine biota in the Canadian Arctic and where possible, discusses biological effects. The geographic coverage of information on contaminants such as persistent organochlorines (OCs) (PCBs, DDT- and chlordane-related compounds, hexachlorocyclohexanes, toxaphene) and heavy metals (mercury, selenium, cadmium, lead) in tissues of marine mammal and sea birds is relatively complete. All major beluga, ringed seal and polar bear stocks along with several major sea bird colonies have been sampled and analysed for OC and heavy metal contaminants. Studies on contaminants in walrus are limited to Foxe Basin and northern Québec stocks, while migratory harp seals have only been studied recently at one location. Contaminant measurements in bearded seal, harbour seal, bowhead whale and killer whale tissues from the Canadian Arctic are very limited or non-existent. Many of the temporal trend data for contaminants in Canadian Arctic biota are confounded by changes in analytical methodology, as well as by variability due to age/size, or to dietary and population shifts. Despite this, studies of OCs in ringed seal blubber at Holman Island and in sea birds at Prince Leopold Island in Lancaster Sound show declining concentrations of PCBs and DDT-related compounds from the 1970s to 1980s then a levelling off during the 1980s and early 1990s. For other OCs, such as chlordane, HCH and toxaphene, limited data for the 1980s to early 1990s suggests few significant declines in concentrations in marine mammals or sea birds. Temporal trend studies of heavy metals in ringed seals and beluga found higher mean concentrations of mercury in more recent (1993/1994) samples than in earlier collections (1981-1984 in eastern Arctic, 1972-1973 in western Arctic) for both species. Rates of accumulation of mercury are also higher in present day animals than 10-20 years ago. Cadmium concentrations in the same animals (eastern Arctic only) showed no change over a 10-year period. No temporal trend data are available for metals in sea birds or polar bears. There have been major advances in knowledge of specific biomarkers in Canadian Arctic biota over the past few years. The species with the most significant risk of exposure to PCBs and OC pesticides may be the polar bear which, based on comparison with EROD activity in other marine mammals (beluga, ringed seal), appears to have elevated CYP1A-mediated activity. The MFO enzyme data for polar bear, beluga and seals suggest that even the relatively low levels of contaminants present in Arctic animals may not be without biological effects, especially during years of poor feeding.

Animals↗

Prediction of the impact of the Aznalcóllar toxic spill on the trace element contamination of agricultural soils.

The interaction of several trace elements (Cd, Zn, Cu, Pb, As, Bi, and Tl) was studied by leaching experiments in agricultural soils affected by the Aznalcóllar toxic spill. The spill led to contamination by acid waste waters and sludge deposition. The levels of contamination recorded after the sludge was removed from soils showed that highly contaminated areas remained. A comparison of soils directly affected by sludge deposition and acid waste waters with soils contaminated only by acid waste waters demonstrated that Zn/As and Cd/As ratios were good indicators of the two contributions to the contamination. Soil samples were characterised and grouped according to their texture and carbonate content. The response of elements to single extractions with CaCl2 0.01 mol l-1, CaCl2 1 mol l-1, CH3COOH 0.43 mol l-1, and EDTA 0.05 mol l-1 enabled us to estimate their mobility in the soils. Cd and Zn were found to be the most mobile elements. Cu showed an intermediate mobility, especially in an acidic medium. Pb, As, Bi and Tl were found to be non-mobile elements. A comparison of referent, low and highly contaminated samples showed that the presence of sludge had an effect on desorption yields, in part due to the short-term after the contamination. Calculations of a relative scale of long-term mobility, between soils and trace elements, provided further conclusions derived from the use of single extractions.

Accidents, Occupational↗

Measurement of stress effects (scope for growth) and contaminant levels in mussels (Mytilus edulis) collected from the Irish Sea.

The objective of this research was to quantify the impact of pollution along the coastlines of the Irish Sea. Pollution assessment was based on the combined measurement of scope for growth (SFG), and chemical contaminants in the tissues of mussels (Mytilus edulis) collected from 38 coastal sites around the Irish Sea during June-July in 1996 and 1997. On the UK mainland coast, the SFG showed a general trend with a significant decline in water quality in the Liverpool and Morecambe Bay region. High water quality was recorded along the west coast of Wales, as well as southwest England and northwest Scotland (clean reference sites outside the Irish Sea). Along the coast of Ireland there was a similar trend with reduced SFG within the Irish Sea region. SFG was generally low north of Duncannon and then improved north of Belfast. The poor water quality on both sides of the Irish Sea is consistent with the prevailing hydrodynamics and the spatial distribution of contaminants associated with urban/ industrial development. The decline in SFG of mussels on both sides of the Irish Sea was associated with a general increase in contaminant levels in the mussels. Certain contaminants, including PAHs, TBT, sigmaDDT, Dieldrin, gamma-HCH, PCBs, and a few of the metals (Cd, Se, Ag, Pb), showed elevated concentrations. Many of these contaminants were particularly elevated in the coastal margins of Liverpool Bay, Morecambe Bay and Dublin Bay. A quantitative toxicological interpretation (QTI) of the combined tissue residue chemistry and SFG measurements indicated that at the majority of coastal sites, c. 50 to > 80% of the observed decline in SFG was due to PAHs as a result of fossil fuel combustion and oil spills. TBT levels were highest at major ports and harbours, but these concentrations only made a minor contribution to the overall reduction in SFG. At no sites were individual metals accumulated to concentrations that could cause a significant effect on SFG. The study identified many sites where the observed reduction in SFG was far greater than predicted from the limited number of chemical contaminants analysed, thus indicating the presence of additional 'unknown toxicants'. Sewage (containing domestic, agricultural and industrial components) appears to be an important contributor to reduced SFG and linear alkylbenzenes (LABs) and As may provide suitable 'sewage markers'. There was a highly significant positive correlation between SFG and As (P < 0.001). This relationship may be due to reduced As uptake by algal food material and mussels at sites with elevated P04 concentrations (e.g. at sites with sewage inputs). Phosphate is a known competitive inhibitor of As accumulation, at least in algae. The results highlight that further research is required on 'sewage markers' in mussels. The SFG approach therefore provides a rapid, cost-effective and quantitative measure of pollution impact, as well as a means of identifying the causes through a QTI of tissue contaminants levels. It also serves to identify the presence of unidentified toxicants and areas that require further study.

Animals↗

Factors affecting the distribution of benthic macrofauna in estuaries contaminated by urban runoff.

Contaminants derived from urban runoff have been shown to accumulate in estuarine sediments, reaching concentrations potentially capable of causing biological effects. Demonstration of effects, however, is difficult due to strong natural environmental gradients and the effects of past or present point-sources of contamination. We used multivariate methods to test two hypotheses relating to the effects of urban-derived contaminants on estuarine benthic communities. First, that patterns of distribution and abundance of benthic invertebrates in two urbanised estuaries would be different from those in two non-urbanised estuaries. Second, that the distributions of benthic invertebrates within and among the four estuaries would be related to those of urban-derived contaminants. Concentrations of contaminants were larger in estuaries with urbanised catchments and concentrations of Cu, Pb, Zn and DDT in some samples exceeded those at which biological effects may be expected to appear. Tests of differences in composition of benthic communities among estuaries showed that the two urban estuaries were not significantly different, but that they differed from both rural estuaries, which also differed from each other. Distributions of benthic invertebrates were significantly related to those of environmental variables, and were ordinated along axes that correlated with both natural environmental variables (nature of the sediment, position in estuary) and contaminants. Differences in faunas between the urban and non-urban estuaries were not, however, clear-cut and nor were relationships between faunal assemblages and environmental variables (including contaminants) consistent between two times of sampling.

Animals↗

Organic contaminant distributions in sediments, polychaetes (Nereis virens) and American lobster (Homarus americanus) from a laboratory food chain experiment.

A laboratory experiment was conducted to investigate the transfer of organic contaminants from an environmentally contaminated marine sediment through a simple marine food chain. The infaunal polychaete, Nereis virens, was exposed to contaminated sediment collected from the Passaic River, NJ, USA, for 70 days. These polychaetes were then fed to the American lobster, Homarus americanus, for up to 112 days. Polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), 2,4,6,8-tetrachlorodibenzothiophene (TCDT), polychlorinated biphenyls (PCBs), and several chlorinated pesticides were accumulated by polychaetes following exposure to the contaminated sediment. Some of these contaminants were also accumulated by lobsters which were exposed to the contaminated sediment and/or fed contaminated polychaetes. Only the lesser chlorinated PCDDs and PCDFs (mostly tetra- and pentachlorinated congeners) and 2,4,6,8-TCDT were detected in the polychaetes and lobster. Significant alterations were noted in the PCB patterns found in both species, particularly the lobster. The non-ortho-substituted PCBs (such as congeners 77 and 126) became enriched in the PCB mixtures of the polychaetes and especially the lobsters relative to the sediment, probably because these congeners were not metabolized. These congeners and the 2,3,7,8-tetrachlorodibenzo-p-dioxin toxicity equivalents of the PCB mixtures were enriched by a factor of about six in the lobsters relative to the sediment. Elimination of PCB congeners containing vicinal hydrogens in the meta-para region is consistent with cytochrome P450IIB-type metabolism. Based on the concentration trends for some PCB congeners and chlorinated pesticide ratios measured in the lobsters during this experiment, it appears that this metabolic system is inducible in the American lobster.

Animals↗

Histopathology of the fish Corydoras paleatus contaminated with sublethal levels of organophosphorus in water and food.

The effects of contamination, through water or food, of a sublethal dose of the organophosphate methyl parathion were analyzed in tissues that are responsible for absorption (gills, intestine) and metabolism (liver), in the freshwater fish Corydoras paleatus. In gill respiratory lamellae, epithelial hyperplasia, edema, and detachment occurred, diminishing sooner after contamination by food than after contamination through water. In the intestine, lipoid vacuolization of enterocytes, apical cytoplasm, and an increase in goblet cell activity occurred mainly after ingestion of contaminated food. The liver exhibited cloudy swelling, bile stagnation, focal necrosis, atrophy, and vacuolization after contamination through both absorption routes, the highest degeneration being between T(8) and T(24). Metabolic processes that depend on liver function were equally impaired by the two routes of contamination, but secondary effects vary with gill and intestine pathologies as a consequence of water and food contamination, respectively. Therefore, a "safe" sublethal dose of methyl parathion causes serious health problems in C. paleatus.

Absorption↗

Microbial activity and phospholipid fatty acid pattern in long-term tannery waste-contaminated soil.

We investigated the phospholipid fatty acid (PLFA) pattern and dehydrogenase activity (DHA) in soil samples from three sites (designated as low, medium, and high based on the level of chromium) in a long-term (25 years after last waste input) tannery waste-contaminated area rich in Cr. Soil samples, collected from different soil depths (0-100 cm), at each site were used in this study. In general, soil samples from all three contaminated sites had elevated pH, electrical conductivity, organic carbon (OC), total Cr, and hexavalent Cr [Cr(VI)]. The maximum total Cr concentration in surface soils (0-10 cm) at the highly contaminated site was 102 gkg(-1), with 4.6 mgkg(-1) present as the bioavailable water-soluble Cr. More than 50% of soluble Cr was in the form of Cr(VI) (2.7 mgkg(-1)). DHA (normalized to OC) was inhibited to a greater extent in soil samples from the highly contaminated site than in low- and medium-contaminated soil samples. PLFA analyses of surface soils indicated that there was a shift in PLFA patterns. PLFAs specific for bacteria (i15:0, a15:0, 15:0, i16:0, a17:0, and cy17:0) decreased significantly (P<0.01) with an increase in Cr contamination. Among the bacterial PLFAs, 15:0, i16:0 and a17:0 had a significant negative correlation with contamination including bioavailable Cr(VI) in soil solution. To our knowledge, this is the first report of alterations in the PLFA profile in soils due to long-term tannery waste pollution.

Chromium↗

Phytomonitoring the unique colonization of oil-contaminated saline environment by Limoniastrum monopetalum (L.) Boiss in Egypt.

A site that covers over 20 acres of coastal saline depression in the western Mediterranean coastal desert of Egypt (El-Hammra station, the main crude oil pipeline terminal in Al-Alamein) is contaminated with crude oil spill as a result of activities from refineries, oilfield blowouts, tanker and pipeline break-ups. This area, prior to contamination, was dominated by different common halophytes. However, Limoniastrum monopetalum is now the only species found growing in the oil-contaminated soil. A specific question addressed in the present study was: what are the biochemical changes occurring in a desert plant growing in oil-contaminated soils? Major metabolites such as proline, betaine, free amino acids, fatty acid esters and mineral elements were studied. The plant samples were collected from the oil-contaminated, as well as noncontaminated, sites. The higher concentration in the selected organic metabolites in the plants growing in the contaminated site compared to those in noncontaminated site may be due to differences in a number of receptors. The sensitivity of such receptors for the environmental signal that cause differences in genetic expression leads to differences in physiological processes. The change in the landscape of the contaminated area and the elimination of the natural vegetation, except L. monopetalum, may explain the competitive balance toward the oil-resistant species.

Amino Acids↗

Bacterial contamination of autologous bone marrow during processing.

As part of an audit of the processing of autologous bone marrow, we found that marrow was often contaminated with organisms potentially pathogenic to neutropenic recipients. One of 14 marrows studied was found to be contaminated before the processing stage and five others became contaminated during processing. The organisms isolated at these stages were Propionibacterium sp., coagulase-negative staphylococci, Staphylococcus aureus and coryneforms, suggesting that the skin was the likely source of contamination. Five out of the 11 marrows returned to patients were found to be contaminated after thawing. Two of these were marrows previously shown to be contaminated with coagulase-negative staphylococci before freezing, and from these coagulase-negative staphylococci were isolated again, in one case the strains were indistinguishable. New organisms isolated after thawing included Bacillus sp. and Corynebacterium sporogenes suggesting contamination from the environment. No infections attributable to these organisms were demonstrated in any of the patients studied.

Bacterial Infections↗

Squamous cells as predictors of bacterial contamination in urine samples.

STUDY OBJECTIVE: To determine whether squamous cells in urine indicate bacterial contamination. METHODS: We prospectively studied 105 consecutive women who presented to the emergency department with symptoms suggestive of a urinary tract infection. Two urine samples were collected from each woman, a midstream clean-catch (MSCC) sample and a catheterized (CATH) sample. Microscopic urinalyses to assess for squamous cells and urine cultures to assess for bacterial contamination were performed on all samples. Bacterial contamination was defined as growth of fewer than 10,000 colonies of a single species per milliliter or growth of three or more species of commensal bacteria (mixed flora) in a urine sample. RESULTS: Squamous cells were found in 99 of 105 CATH samples (94%); however, no CATH samples had bacterial contamination. Squamous cells were found in 101 of 105 MSCC samples (96%); however, only 22 MSCC samples (21%) had bacterial contamination. CONCLUSION: The presence of squamous cells in CATH urine samples obtained from women is not indicative of bacterial contamination. The presence of squamous cells in MSCC urine samples obtained from women also is not a good indicator, with an overall predictive value for bacterial contamination of 21%.

Adolescent↗