Laboratory-acquired infection

A laboratory-acquired infection or LAI is an infection that is acquired in a laboratory, usually as part of a medical research facility or hospital.[1][2][3]

Causes

There are various microbes, viruses, fungi, and parasites that can infect a host via several routes of transmission.[4]

Types of infectious agents
Agent Description
Microorganisms Microorganisms, or microbes are extremely diverse microscopic organisms, including archaea and bacteria, which are commonly grown and studied in laboratories and can infect laboratory animals and laboratory workers.
Viruses Viruses infect all types of life forms, from animals and plants to microorganisms, including bacteria and archaea, and are commonly passaged and studied in laboratories, which can directly or indirectly cause zoonotic infection of laboratory animals and laboratory workers.
Parasites Parasites may include various types of protozoa, worms and ectoparasites which are studied in laboratories and which can cause the infection of laboratory workers and animals.
Routes of transmission
Route Description
Mucous membranes This occurs when microbes, viruses and/or parasites are transmitted through direct contact with laboratory workers, or contaminated surfaces, or items such as vials, devices, and/or equipment, to the host's mucous membranes.
Respiratory tract This occurs with the dissemination of either airborne droplet nuclei of evaporated droplets containing microorganisms or viruses, or dust particles containing the infectious agent, are transmitted via the host's respiratory tract. Microorganisms carried in this manner can be dispersed widely by air currents and may become inhaled by the infected host within the same room or over a longer distance from the source host, depending on environmental factors.
Gastrointestinal tract This occurs with the oral intake of an infectious agent through a pipette, smoking or eating, infecting the host through their gastrointestinal tract.
Percutaneous inoculation This occurs with a vector, such as mosquitoes, flies, rats, and other vermin transmit microbes, viruses and/or parasites to a host through a bite or scratch; or the transmission of an agent carrying an infectious pathogen through a needle or syringe.

Prevention

Laboratory facilities handling microbes, viruses and/or parasites adhere to various biosecurity measures in order to prevent biosecurity accidents and incidents.[5][6]

OECD Best Practice Guidelines for Biological Resource Centres

In 2001, experts from OECD countries created a consensus report called, calling upon "national governments to undertake actions to bring the BRC concept into being in concert with the international scientific community". The report details "Biological Resource Centres" (BRCs) as "repositories and providers of high-quality biological materials and information".[7]

History

The first laboratory-acquired infection was reported at the time of Pasteur and Koch in 1890.[3]

Prior to 1950, few reports were made on laboratory-acquired infections, due to the lower level of awareness concerning the problem. In 1951, a paper from Sulkin and Pike presented data on viral infections contracted in laboratories, which advised caution on handling viruses in laboratory environments and brought public awareness to the issue. Soon after, the American Public Health Association formed a standing committee on Laboratory Infections and Accidents and created a file to document cases of laboratory-acquired infections reported by the public and through private communications.[8]

Epidemiology

See also

Reference section

  1. ↑ Sewell, David L. (January 2006). "Laboratory-acquired infections: Are microbiologists at risk?". Clinical Microbiology Newsletter. 28 (1): 1–6. doi:10.1016/j.clinmicnews.2005.12.004. PMC 7115333. PMID 32287677.
  2. ↑ https://www.cdc.gov/cliac/docs/addenda/cliac0908/Addendum-E.pdf
  3. 1 2 Coelho, Ana Cláudia; García Díez, Juan (28 April 2015). "Biological Risks and Laboratory-Acquired Infections: A Reality That Cannot be Ignored in Health Biotechnology". Frontiers in Bioengineering and Biotechnology. 3: 56. doi:10.3389/fbioe.2015.00056. PMC 4412124. PMID 25973418.
  4. ↑ Collins, C. H. (1984). "Safety in Microbiology: A Review". Biotechnology and Genetic Engineering Reviews. 1: 141–166. doi:10.1080/02648725.1984.10647784. PMID 6400191.
  5. ↑ Noble, Michael A. (2015). "Prevention of Laboratory-Acquired Infections". Manual of Clinical Microbiology. pp. 169–182. doi:10.1128/9781555817381.ch12. ISBN 978-1-68367-280-7.
  6. ↑ Singh, Kamaljit (July 2009). "Laboratory‐Acquired Infections". Clinical Infectious Diseases. 49 (1): 142–147. doi:10.1086/599104. PMC 7107998. PMID 19480580.
  7. ↑ "OECD Best Practice Guidelines for Biological Resource Centres". OECD. Retrieved 23 May 2020. pdf
  8. ↑ Hanson, R. P.; Sulkin, S. E.; Buescher, E. L.; Hammon, W. McD.; McKinney, R. W.; Work, T. H. (1967). "Arbovirus Infections of Laboratory Workers". Science. 158 (3806): 1283–1286. Bibcode:1967Sci...158.1283H. doi:10.1126/science.158.3806.1283. JSTOR 1722721. PMID 6058003.
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