PubMed · 4494754
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G Myers. 1974. Defective curtaining.. https://pubmed.ncbi.nlm.nih.gov/4494754/
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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.
Assessment of exposure to occupational dusts is a first step in reducing exposures to harmful dust concentrations. A new type of respirable dust sampler was developed and compared side-by-side to personal gravimetric samplers in the laboratory. The new sampler correlates filter back pressure with mass accumulation to provide mid-shift- and end-of-shift determinations of cumulative exposure. The sampler uses a small low flow rate pump to draw dust through a small detector tube that contains a porous urethane foam respirable classification section and glass fiber filter that collects respirable dust. Six different coal dusts were aerosolized in a laboratory dust chamber and a total of 119 triplicate observations were obtained. For individual coal types, the correlation coefficients were between 0.87 and 0.97. The precision of the two methods was similar, with the percent relative standard deviation of the personal samplers of 12 percent and the new detector method of 14 percent. For all coal types tested th data were best described by a power function where delta P = 1.43 mass (0.85), with a correlation coefficient of 0.73. The method becomes more accurate at higher dust loadings such that all laboratory data with mass loadings greater than an equivalent concentration of 2 mg/m3 fall within +/- 25 percent of the power function. Assessment of the method under field conditions is in progress.