Scientific Journal Of King Faisal University: Basic and Applied Sciences
Scientific Journal of King Faisal University: Basic and Applied Science
Prevalence of Pathogenic Bacteria on Face Masks from Wet Markets in Makkah during the COVID-19 Pandemic
(Mohammad Melebari, Tariq Alpakistany, Taher M. Taha1, Abdullah S. Alsalman)Abstract
The Coronavirus disease 2019 (COVID-19) pandemic compelled people worldwide to use face masks to limit the spread of the disease. Improper use of masks may increase the transmission of pathogenic bacteria, causing co-infection that may result in an increase in complications of COVID-19 and a rise in the death rate. This study aims to determine the presence of pathogenic bacteria on the surfaces of masks worn by workers while working at several markets (meat, fish, fruit, and vegetable markets) in Makkah, Saudi Arabia, during the COVID-19 pandemic. The pathogenic bacteria on the masks of some workers in different markets in Makkah were identified and confirmed by growth media and an automated system. Pathogenic bacteria were detected in 99% of the studied samples. The most commonly detected bacteria on masks were E. coli, followed by Staphylococcus epidermidis, and Staphylococcus aureus. A few samples included additional bacterial species, such as Klebsiella pneumoniae. To the best of our knowledge, this is the first study to investigate harmful bacteria on the masks of a random group of non-healthcare workers. Improper mask use by various populations might result in significant cross-contamination with pathobionts.
KEYWORDS
COVID-19, face masks, bacterial contamination, infection, hygiene, wet market
PDF
References
Abbasi, S.A., Khalil, A.B. and Arslan, M. (2020). Extensive use of face masks during COVID-19 pandemic: (micro-) plastic pollution and potential health concerns in the Arabian Peninsula. Saudi Journal of Biological Sciences, 27(12), 3181–6.
Afifi, R.Y. and El-Hindawi, A.A. (2008). Acute necrotizing fasciitis in Egyptian patients: a case series. International Journal of Surgery, 6(1), 7–14.
Alimohamadi, Y., Sepandi, M., Taghdir, M. and Hosamirudsari, H. (2020). Determine the most common clinical symptoms in COVID-19 patients: A systematic review and meta-analysis. Journal of Preventive Medicine and Hygiene, 61(3), E304.
Aljamali, N.M., Jawd, S.M. and Hussein, H.A. (2021). Review on Preventive Instructions for Controlling Infectious Diseases. International Journal of Industrial Biotechnology and Biomaterials, 7(1), 22–8.
Anderson, E.L., Turnham, P., Griffin, J.R. and Clarke, C.C. (2020). Consideration of the aerosol transmission for COVID‐19 and public health. Risk Analysis, 40(5), 902–7.
Azuma, K., Nojiri, T., Kawashima, M., Hanai, A., Ayaki, M., Tsubota, K. and TRF-Japan Study Group. (2021). Possible favorable lifestyle changes owing to the coronavirus disease 2019 (COVID-19) pandemic among middle-aged Japanese women: An ancillary survey of the TRF-Japan study using the original “Taberhythm” smartphone app. Plos one, 16(3), e0248935.
Bannon, J., Melebari, M., Jordao Jr, C., Leon-Velarde, C.G. and Warriner, K. (2016). Incidence of top 6 Shiga toxigenic Escherichia coli within two Ontario beef processing facilities: challenges in screening and confirmation testing. Aims Microbiol, 2(3), 278–91.
Bjerre, R.D., Bandier, J., Skov, L., Engstrand, L. and Johansen, J. D. (2017). The role of the skin microbiome in atopic dermatitis: a systematic review. British Journal of Dermatology, 177(5), 1272–8.
Brzozowski, D. and Ross, D. C. (1997). Upper limb Escherichia coli cellulitis in the immunocompromised. Journal of Hand Surgery, 22(5), 679–80.
Byrd, A. L., Deming, C., Cassidy, S.K.B., Harrison, O.J., Ng, W.I. and Conlan, S. (2018). Staphylococcus aureus and Staphylococcus epidermidis strain diversity underlying pediatric atopic dermatitis. A study using metagenomic shotgun sequencing to identify strain-level differences in S. aureus and S. epidermidis colonization in pediatric AD patients. Sci Transl Med., 9(397), eaal4651.
Chan Y.H. (2003a). Biostatistics 102: quantitative data--parametric & non-parametric tests. Singapore Medical Journal, 44(8), 391–6.
Chan Y.H. (2003b). Biostatistics 103: qualitative data - tests of independence. Singapore Medical Journal, 44(10), 498–503.
Chen T, Dai Z, Mo P, Li X, Ma Z, Song S, Chen X, Luo M, Liang K, Gao S, Zhang Y, Deng L, Xiong Y. (2020). Clinical Characteristics and Outcomes of Older Patients with Coronavirus Disease 2019 (COVID-19) in Wuhan, China: A Single-Centered, Retrospective Study. J. Gerontol A Biol. Sci. Med. Sci., 16(9), 1788–95. DOI: 10.1093/gerona/glaa089
Chughtai, A.A., Stelzer-Braid, S., Rawlinson, W., Pontivivo, G., Wang, Q., Pan, Y. and MacIntyre, C.R. (2019). Contamination by respiratory viruses on outer surface of medical masks used by hospital healthcare workers. BMC Infectious Diseases, 19(1), 1–8.
Corredoira, J.M., Ariza, J., Pallares, R., Carratala, J., Viladrich, P.F., Rufi, G. and Gudiol, F. (1994). Gram-negative bacillary cellulitis in patients with hepatic cirrhosis. European Journal of Clinical Microbiology and Infectious Diseases, 13(1), 19–24.
Dehaghi, B.F., Ghodrati-Torbati, A., Teimori, G., Ghavamabadi, L.I. and Jamshidnezhad, A. (2020). Face masks vs. COVID-19: a systematic review. Investigacion Y Educacion En Enfermeria, 38(2), n/a.
Dehgani-Mobaraki, P., Zaidi, A.K. and Levy, J.M. (2020). Face masks are an essential tool to mitigate the ongoing SARS-CoV-2 pandemic: a call to action. Rhinology Online, 3, 157–9.
Delanghe, L., Cauwenberghs, E., Spacova, I., De Boeck, I., Van Beeck, W., Pepermans, K. and Lebeer, S. (2021). Cotton and surgical face masks in community settings: Bacterial contamination and face mask hygiene. Frontiers in Medicine, 8(n/a),1477.
Doron, S. and Gorbach, S.L. (2008). Bacterial infections: Overview. International Encyclopedia of Public Health, 273(n/a),n/a.
Feng, S., Shen, C., Xia, N., Song, W., Fan, M. and Cowling, B.J. (2020). Rational use of face masks in the COVID-19 pandemic. The Lancet Respiratory Medicine, 8(5), 434–6.
Findley, K. and Grice, E.A. (2014). The skin microbiome: a focus on pathogens and their association with skin disease. Plos pathogens, 10(11), e1004436.
Flores-Mireles, A.L., Walker, J.N., Caparon, M. and Hultgren, S.J. (2015). Urinary tract infections: Epidemiology, mechanisms of infection and treatment options. Nature reviews microbiology, 13(5), 269–84.
Fraser, N., Davies, B.W. and Cusack, J. (2006). Neonatal omphalitis: a review of its serious complications. Acta Paediatrica, 95(5), 519–22.
Giuntella, O., Hyde, K., Saccardo, S. and Sadoff, S. (2021). Lifestyle and mental health disruptions during COVID-19. Proceedings of the National Academy of Sciences, 118(9).
Greenhalgh, T., Schmid, M.B., Czypionka, T., Bassler, D. and Gruer, L. (2020). Face masks for the public during the covid-19 crisis. Bmj, 369(n/a)n/a.
Gupta, R.K., George, R. and Nguyen-Van-Tam, J.S. (2008). Bacterial pneumonia and pandemic influenza planning. Emerging Infectious Diseases, 14(8), 1187.
Janda, J. M. and Abbott, S. L. (2006). The Genera Klebsiella and Raoultella. The Enterobacteria, 2(n/a), 115–29.
Krebs, V.L.J., Koga, K. M., Diniz, E.M.D.A., Ceccon, M.E.J. and Vaz, F.A.C. (2001). Necrotizing fasciitis in a newborn infant: a case report. Revista do Hospital das Clínicas, 56(n/a), 59–62.
Kutter, J. S., Spronken, M. I., Fraaij, P.L., Fouchier, R.A. and Herfst, S. (2018).
Kwok, Y. L.A., Gralton, J. and McLaws, M.L. (2015). Face touching: un hábito frecuente que tiene implicaciones para la higiene de las manos. Am. J. Infectar, 43(n/a), 112–4.
Li, D.M., De Lun, L. and Chen, X.R. (2006). Necrotising fasciitis with Escherichia coli. The Lancet Infectious Diseases, 6(7), 456.
Liang, M., Gao, L., Cheng, C., Zhou, Q., Uy, J.P., Heiner, K. and Sun, C. (2020). Efficacy of face mask in preventing respiratory virus transmission: A systematic review and meta-analysis. Travel medicine and infectious disease, 36(n/a), 101751.
MacIntyre, C.R. and Chughtai, A.A. (2015). Facemasks for the prevention of infection in healthcare and community settings. Bmj, 350(n/a),n/a.
Mitchell, A., Spencer, M. and Edmiston Jr, C. (2015). Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature. Journal of Hospital Infection, 90(4), 285–92.
Morris, D.E., Cleary, D.W. and Clarke, S.C. (2017). Secondary bacterial infections associated with influenza pandemics. Frontiers in microbiology, 8(n/a), 1041.
Mukhtar, S. (2020). Psychological health during the coronavirus disease 2019 pandemic outbreak. International Journal of Social Psychiatry, 66(5), 512–6.
Nasir, N., Rehman, F. and Omair, S.F. (2021). Risk factors for bacterial infections in patients with moderate to severe COVID‐19: A case‐control study. Journal of medical virology, 93(7), 4564–9.
Osei Sekyere, J., Sephofane, A.K. and Mbelle, N.M. (2020). Comparative evaluation of CHROMagar COL-APSE, MicroScan Walkaway, ComASP Colistin, and Colistin MAC Test in detecting colistin-resistant Gram-negative bacteria. Scientific Reports, 10(1), 1–13.
Patel, K. P., Vunnam, S.R., Patel, P.A., Krill, K.L., Korbitz, P.M., Gallagher, J. P., Suh, J. E. and Vunnam, R. R. (2020). Transmission of SARS-CoV-2: an update of current literature. European Journal of Clinical Microbiology & Infectious Diseases: Official Publication of the European Society of Clinical Microbiology, 39(11), 2005–2011.
Phelan, A.L., Katz, R. and Gostin, L.O. (2020). The novel coronavirus originating in Wuhan, China: Challenges for global health governance. Jama, 323(8), 709–10.
Pittet, D., Allegranzi, B., Sax, H., Dharan, S., Pessoa-Silva, C.L., Donaldson, L. and Boyce, J.M. (2006). Evidence-based model for hand transmission during patient care and the role of improved practices. The Lancet Infectious Diseases, 6(10), 641–52.
Rodgers, G. L., Mortensen, J., Fisher, M. C., Lo, A., Cresswell, A. and Long, S. S. (2000). Predictors of infectious complications after burn injuries in children. The Pediatric Infectious Disease Journal, 19(10), 990–5.
Saijonkari, M., Booth, N., Isojärvi, J., Finnilä, J. and Mäkelä, M. (2020). Face masks for preventing respiratory infections in the community: A systematic review. Medrxiv, n/a(n/a), n/a
Saikia, P. and Joshi, S.R. (2014). A study on the occurrence of non-O157 Shiga toxin producing Escherichia coli isolates in retail chicken meats marketed in North-East India. Proceedings of the National Academy of Sciences, India Section B: Biological Sciences, 84(2), 337–42.
Setti, L., Passarini, F., De Gennaro, G., Barbieri, P., Perrone, M.G., Borelli, M., ... and Miani, A. (2020). Airborne transmission route of COVID-19: Why 2 meters/6 feet of inter-personal distance could not be enough. International Journal of Environmental Research and Public Health, 17(8), 2932.
Shafran, N., Shafran, I., Ben-Zvi, H., Sofer, S., Sheena, L., Krause, I., ... and Sklan, E.H. (2021). Secondary bacterial infection in COVID-19 patients is a stronger predictor for death compared to influenza patients. Scientific Reports, 11(1), 1–8.
Shen, K.L., Yang, Y.H., Jiang, R.M., Wang, T.Y., Zhao, D.C., Jiang, Y. and Wang, X. F. (2020). Updated diagnosis, treatment and prevention of COVID-19 in children: experts’ consensus statement (condensed version of the second edition). World Journal of Pediatrics, 16(3), 232–9.
Silva, D.L., Lima, C.M., Magalhães, V.C., Baltazar, L.M., Peres, N.T., Caligiorne, R.B. and Santos, D.A. (2021). Fungal and bacterial co-infections increase mortality of severely ill COVID-19 patients. Journal of Hospital Infection, 113(n/a), 145–54.
Simatupang, M. M., Veronika, E. and Sitepu, O. (2021). Potential Self-contamination: Improper Hygiene Procedure of Using Masks. KEMAS: Jurnal Kesehatan Masyarakat, 17(2), n/a.
Singh, V., Upadhyay, P., Reddy, J. and Granger, J. (2021). SARS-CoV-2 respiratory co-infections: Incidence of viral and bacterial co-pathogens. International Journal of Infectious Diseases, 105(n/a), 617–20.
Somsen, G.A., van Rijn, C., Kooij, S., Bem, R.A. and Bonn, D. (2020). Small droplet aerosols in poorly ventilated spaces and SARS-CoV-2 transmission. The Lancet Respiratory Medicine, 8(7), 658–9.
Sudharsan, B., Sundaram, D., Breslin, J.G. and Ali, M.I. (2020). Avoid touching your face: A hand-to-face 3d motion dataset (covid-away) and trained models for smartwatches. In: 10th International Conference on the Internet of Things Companion, Malmo Sweden, 07/10/2020. (pp. 1–9).
Suess, T., Remschmidt, C., Schink, S.B., Schweiger, B., Nitsche, A., Schroeder, K., ... and Buchholz, U. (2012). The role of facemasks and hand hygiene in the prevention of influenza transmission in households: results from a cluster randomised trial; Berlin, Germany, 2009-2011. BMC Infectious Diseases, 12(1), 1–16.
Sze-To, G.N., Yang, Y., Kwan, J.K., Yu, S.C. and Chao, C.Y. (2014). Effects of surface material, ventilation, and human behavior on indirect contact transmission risk of respiratory infection. Risk analysis: an official publication of the Society for Risk Analysis, 34(5), 818–30.
Torres, M. E., Pırez, M.C., Schelotto, F., Varela, G., Parodi, V., Allende, F., ... and Ingold, E. (2001). Etiology of children’s diarrhea in Montevideo, Uruguay: associated pathogens and unusual isolates. Journal of Clinical Microbiology, 39(6), 2134–9.
Tourmousoglou, C.E., Yiannakopoulou, E.C., Kalapothaki, V., Bramis, J. and Papadopoulos, J. S. (2008). Surgical-site infection surveillance in general surgery: a critical issue. Journal of chemotherapy, 20(3), 312–8.
Transmission routes of respiratory viruses among humans. Current opinion in virology, 28(n/a), 142–51.
Tuñón-Molina, A., Takayama, K., Redwan, E.M., Uversky, V.N., Andrés, J. and Serrano-Aroca, Á. (2021). Protective face masks: Current status and future trends. ACS Applied Materials & Interfaces, 13(48), 56725–51.
Westblade, L.F., Simon, M.S. and Satlin, M.J. (2021). Bacterial coinfections in coronavirus disease 2019. Trends in Microbiology, 29(10), 930–41.
WHO.int. (2022). Weekly Epidemiological Update on COVID-19 - February 15 2022. Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---15-february-2022 (accessed on 18/02/2022)
Yoon, T.Y., Jung, S.K. and Chang, S.H. (1998). Cellulitis due to Escherichia coli in three immunocompromised subjects. British Journal of Dermatology, 139(5), 885–8.
Yoosefi Leb, J., Abbas, J., Moradi, F., Salahshoor, M.R., Chaboksavar, F., Irandoost, S.F. and Ziapour, A. (2021). How the COVID-19 pandemic effected economic, social, political, and cultural factors: A lesson from Iran. International Journal of Social Psychiatry, 67(3), 298–300.
Zarocostas, J. (2020). How to fight an infodemic. The Lancet, 395(10225), 676.