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. 2021 Oct 23;809:151137. doi: 10.1016/j.scitotenv.2021.151137

Table 3.

Summary of the methodology used and of the results found in different datasets focused on detecting SARS-CoV-2 genetic material (RNA), with quantification of concentrations in indoor sites in hospitals and healthcare setting in which were present COVID-19 patients.

Reference Sites Sampling Method Results for air samples Notes
Chia et al. (2020)
Singapore
3 AIIRs in the ICU and 27 AIIRS in the wards of a hospital. 6 NIOSH BC251 bioaerosol samplers at 3.5 L min−1. Volume 5.04 m3. RT-PCR targeting E, ORF1ab genes. 4/10 air samples positive, D > 1 μm. Conc. 916–2000 copies m−3. Recovery not reported.
56/245 surface samples positive.
Dumont-Leblond et al. (2020), Canada Acute care hospital rooms in Quebec. Two plastic IOM (SKC) samplers with gelatine or polycarbonate filters at 10 L min−1. SASS 3100 dry sampler at 300 L min−1. Volumes 2.4–10.8 m3. RT-qPCR targeting ORF1b gene. 11/100 air samples positive.
Conc. 10–514 copies m−3.
Recovery not reported.
Feng et al. (2021)
China
Hospital in Zhejiang. NIOSH sampler at 3.5 L min−1 at 0.2 m from the bed of patients (head position). Volume 0.105 m3. RT-qPCR but not clear the gene target. 1/12 air sample positive.
Conc. 1857 copies m−3.
Recovery not reported.
4/202 surface samples positive.
Guo et al. (2020)
China
Hospital: intensive care unit (ICU) and a general COVID-19
Ward in Wuhuan.
Samples collected with SASS 2300 wetted cyclone sampler at 300 L min−1 on viral transport medium. Volume 9 m3. qRT-PCR targeting ORF1ab, N genes. 4/81 positive in ICU.
0/38 positive in general ward.
Conc. 520–3800 copies m−3.
Recovery not reported.
23/161 surface positive in ICU.
2/134 surface positive in general ward.
Habibi et al. (2021)
Kuwait
Three major hospitals in Kuwait dealing with Covid-19 patients. Sampling at 30 L min-1 in wash bottles with TRIzol (APB Bioscience). Volume 3.6 m3. RT-qPCR targeting ORF1ab, N genes. 5/13 air samples positive.
Conc. 12–99 copies m−3.
Recovery not reported.
Hu et al. (2020)
China
Various sites in different health facilities of Wuhan. Centrifugal sampler WA-400 at 400 L min−1 in PBS. Volumes 12 m3. qRT-PCR targeting ORF1ab gene. 9/81 air samples positive.
Conc. 1110–11,200 copies m−3.
Recovery not reported.
Virus cultures were negative.
Lednicky et al. (2020a)
USA
Student health care centre in Florida for Covid-19 patients. VIVAS sampler on PBS at 6.5 L min−1. Volume 0.39 m3. RT-PCR targeting N gene. 1/2 air sample positive.
Conc. 870 copies m−3.
LOD 37.5 copies μL−1.
Recovery not reported.
Virus cultures were negative.
Lednicky et al. (2020b)
USA
A two patient room in a hospital in Florida with 6 air exch. h−1. VIVAS sampler and a BioSpot-VIVAS BSS300P on PBS at 8 L min−1. Volume 1.44 m3. RT-PCR targeting N gene. 4/4 air samples positive.
Conc. 1600–94,000 copies m−3.
LOD 37.5 copies μL−1 (liquid phase). Recovery not reported.
One sample showed positive virus culture.
Liu et al. (2020)
China
Different sites in three hospitals of Wuhuan. TSP sampled on gelatine substrate at 5 L min−1. 3 size-segregated samples. Volumes 1.5–5 m3. dd-PCR targeting Orf1ab and N genes. 16/25 samples positive.
Conc. 1–42 copies m−3.
Recovery not reported.
Moore et al. (2021)
UK
8 hospitals, different locations (11 AIIRS), 11 neutral pressure side rooms, six ICU/HDU, open cohorts and 12 non-ICU sites. Coriolis sampler at 300 L min−1 in PBS and a MD8 sampler in gelatine filters at 50 L min−1. Volumes 0.5–3 m3.
<1 m from patients.
qRT-PCR targeting N gene. 4/55 samples positive with Coriolis sampler.
0/34 samples positive with MD8
Conc. 10–460 copies m−3.
Recovery not reported.
30/336 surface samples positive.
Virus cultures were negative.
Ong et al. (2021)
Singapore
AIIRs and a community isolation facility (CIF). Samples using a BioSpot-VIVAS BSS300-P at 8 L min-1 not clear sampling time. qRT-PCR targeting E, ORF1ab genes. 6/12 positive samples in AIIRs conc. 179–2738 copies m−3.
1/9 positive sample in CIF, conc. 978 copies m−3.
Recovery not reported.
Passos et al. (2021)
Brazil
2 hospitals in the area of Belo Horizonte. Different low and high volume samplers on cellulose, quartz, and PTFE filters. Volumes 0.12–250 m3. RT-PCR targeting N1 and N2 genes. 3/33 samples positive.
Conc. 0.14–0.33 copies m−3.
Recovery ~100%
0/5 surface samples positive.
Santarpia et al. (2020)
USA
Rooms and hallways of quarantine and isolation care areas in Nebraska. MD8 sampler on gelatine filters at 50 L min−1. Volume 0.75 m3. RT-PCR targeting E gene. 12/19 samples in rooms positive.
Conc. 2420–8340 copies m-3.
14/24 hallway samples positive.
Conc. 2080–8690 copies m−3.
LOD 5 copies μL−1 (liquid phase). Recovery not reported.
60/74 surface samples positive.
Cultivation of virus was tried but not confirmed.
Stern et al. (2021a)
USA
Different sites at a hospital in Boston. Cascade impactor, 3 stages (<2.5 μm, 2.5–10 μm, >10 μm) using polyurethane foam and glass fibre filters (for PM2.5) at 5 L min−1, volume 14.4 m3. RT-qPCR targeting N gene. 8/90 air samples positive.
Conc. 5–51 copies m-3.
Recovery not reported.
Positive samples span all size fraction.
Stern et al. (2021b)
Kuwait
A Covid-19 hospital and a temporary quarantine facility (TQF). Cascade impactor, 3 stages (<2.5 μm, 2.5–10 μm, >10 μm) using polyurethane foam and glass fibre filters (for PM2.5) at 5 L min−1, volume 14.4 m3. RT-qPCR targeting N gene. 8/98 air samples positive in hospital. Conc. 8–25 copies m−3.
0/39 air samples positive at TQF.
Recovery not reported.
Positive samples span all size fraction.
Zhou et al. (2020a)
UK
7 clinical areas (Covid-19), a public area of hospital in London. Coriolis sampler in 5 mL DMEM, volume 1 m3. RT-PCR targeting E gene. 2/31 samples positive.
Conc. 404–7048 copies m−3.
Recovery not reported.
23/218 surface samples positive.
Zhou et al. (2021a)
China
4 hospitals with natural ventilation in Wuhan. Air-nCOV-Watch samplers (impingers) at 15 L min-1 and 400 L min-1 on virus sampling liquid. Volumes 0.6–16 m3. RT-PCR targeting ORF1ab, N genes and dd-PCR. 3/44 air samples positive.
Conc. 9–219 copies m−3.
Recovery not reported.
10/318 surface samples positive.