University of Iowa Iowa Research Online Theses and Dissertations Spring 2015 Comparison of bioaerosol collection methods in the detection of airborne influenza virus Laura L. Kienlen University of Iowa Copyright 2015 Laura Lucille Kienlen This thesis is available at Iowa Research Online: https://ir.uiowa.edu/etd/1658 Recommended Citation Kienlen, Laura L.. "Comparison of bioaerosol collection methods in the detection of airborne influenza virus." MS (Master of Science) thesis, University of Iowa, 2015. https://doi.org/10.17077/etd.9pmuoelr. Follow this and additional works at:https://ir.uiowa.edu/etd Part of theOccupational Health and Industrial Hygiene Commons COMPARISON OF BIOAEROSOL COLLECTION METHODS IN THE DETECTION OF AIRBORNE INFLUENZA VIRUS by Laura L. Kienlen A thesis submitted in partial fulfillment of the requirements for the Master of Science degree in Occupational and Environmental Health in the Graduate College of The University of Iowa May 2015 Thesis Supervisor: Assistant Professor Matthew W. Nonnenmann Copyright by LAURA L. KIENLEN 2015 All Rights Reserved Graduate College The University of Iowa Iowa City, Iowa CERTIFICATE OF APPROVAL ____________________________ MASTER’S THESIS _________________ This is to certify that the Master’s thesis of Laura L. Kienlen has been approved by the Examining Committee for the thesis requirement for the Master of Science degree in Occupational and Environmental Health at the May 2015 graduation. Thesis Committee: ____________________________________________ Matthew W. Nonnenmann, Thesis Supervisor ____________________________________________ Thomas Peters ____________________________________________ Travis Henry ACKNOWLEDGEMENTS I would like to thank my advisor, Matt Nonnenmann, for obtaining funding for this project so that I could perform my thesis research in an area of interest to me. Also, for being a mentor throughout my time in this program, and supporting and directing me during both the data collection and writing process. This research would not have been possible without your help. I would also like to thank Dr. Renée Anthony for supplying us with the NGIAS samplers used in this experiment, as well as her guidance throughout my time here at Iowa. To my other thesis committee members, Dr. Tom Peters and Dr. Travis Henry, thank you for your assistance and the knowledge you contributed from your areas of expertise for this project. Dr. Peters, thank you for supplying me with the knowledge base of aerosol science so that I could complete and more importantly understand the various aspects of my project, as well as designing the bioaerosol chamber used in this experiment along with Dr. Jae Hong Park. Dr. Henry, thank you for taking time out of your already busy schedule to teach me the basics of sample analysis, and helping me reach the point where I was comfortable enough to run the analyses on my own. I learned a great deal, and hope future students continue to collaborate with the State Hygienic Lab, as there is so much that can be learned from those that are employed there. I also want to thank my family for always being there for me when I need them and supporting me throughout my entire life. To my parents, thank you for being my rocks and grounding me when all I wanted to do was pull my hair out, and for always encouraging me to follow my dreams and heart wherever it may lead me. You all have helped me more than words can express. ii ABSTRACT Detection of airborne influenza virus is needed in order to determine exposure and prevent and control infections. Few researchers have successfully detected airborne influenza virus in environmental settings with current bioaerosol samplers. Therefore, new sampling strategies should be considered to increase the likelihood of detection. This study compared four bioaerosol samplers in collection of airborne influenza virus – the SKC Biosampler, NIOSH Biosampler, Andersen N6 single-stage impactor containing a liquid media, and the newly developed Next Generation Inhalable Aerosol Sampler (NGIAS). Ten 30-minute laboratory trials were completed by aerosolizing active influenza virus (H1N1) in a bioaerosol chamber to compare the ability of four bioaerosol samplers to collect aerosolized virus. Samples were analyzed using RT- qPCR. The mean total virus particles per liter of sampled air (TVP) recovered with the NGIAS was significantly less than that measured by all other samplers (p < 0.001). The TVP recovered with the SKC Biosampler (111.41) and Andersen N6 sampler (102.36) was substantially larger than that recovered with the NIOSH Biosampler (58.59), however the difference in TVP between these samplers was not statistically significant (SKC – NIOSH p-value = 0.187 ; Andersen – NIOSH p-value = 0.297). Our results demonstrated that liquid based bioaerosol samplers recovered more TVP than dry collection samplers. The high flow rate sampler, the Andersen N6, did not collect more TVP, but had a lower limit of detection than other samplers. Furthermore, the SKC Biosampler collected the most TVP. Therefore, future investigators should iii design a liquid based personal bioaerosol sampler to maximize the likelihood of influenza virus detection. iv PUBLIC ABSTRACT The World Health Organization estimates annual influenza epidemics could generate up to 5 million cases of severe illness and 500,000 deaths worldwide. Few researchers have been successful in determining personal exposures to influenza viruses through the airborne route with samplers that are currently available. Therefore, new sampling strategies should be considered. This study compared four samplers in the collection of airborne influenza virus – the SKC Biosampler, NIOSH Biosampler, Andersen N6 single-stage impactor containing a liquid media, and the newly developed NGIAS sampler. Ten 30-minute trials were completed by aerosolizing influenza virus (H1N1) in a laboratory chamber. Analyses determined the NGIAS recovered significantly less viral particles per liter of sampled air (TVP) than all other samplers (p-value < 0.001). The TVP recovered by both liquid based samplers (SKC and Andersen N6) was substantially larger than that recovered by both dry collection based samplers (NIOSH and NGIAS). The high flow rate sampler, the Andersen N6, did not collect more TVP, but had a lower limit of detection than other samplers. Therefore, the Andersen N6 sampler may be more efficient at detecting influenza viruses in settings where virus concentrations are lower (hospitals, schools, daycares, etc.). Furthermore, the SKC Biosampler collected the most TVP. Future research should consider designing a liquid based personal sampler that operates at a high airflow rate to increase the probability of influenza virus detection. v TABLE OF CONTENTS LIST OF TABLES ............................................................................................................ vii LIST OF FIGURES ......................................................................................................... viii CHAPTER I. LITERATURE REVIEW ............................................................................................1 Impact of Respiratory Virsues on the Human Population ................................1 Transmission and Survival of Respiratory Viruses ..........................................3 Respiratory Viruses in the Healthcare Setting .................................................6 Influenza Virus .................................................................................................9 Current Samplers used for Bioaerosols ..........................................................11 Liquid Impingers .....................................................................................11 Solid Impactors .......................................................................................12 Cyclones ..................................................................................................13 Filter Collection Media ...........................................................................14 Problems with Detection of Airborne Viruses ................................................15 Analysis of Virus Samples ..............................................................................17 Objective .........................................................................................................18 II. COMPARISON OF SAMPLER PERFORMANCE IN THE COLLECTION OF AIRBORNE INFLUENZA VIRUS .........................................................20 Introduction .....................................................................................................20 Methods ..........................................................................................................22 Generation of Influenza Virus Aerosol: Experimental Apparatus ..........22 Virus Aerosol Sampling ..........................................................................25 Virus Extraction and Real Time Detection Methodology ......................27 Total Viral Particle Calculations .............................................................28 Results.............................................................................................................30 Discussion .......................................................................................................35 Limitations ..............................................................................................37 Conclusions.....................................................................................................40 III. CONCLUSION .....................................................................................................42 APPENDIX A: SOP BIOAEROSOL CHAMBER ...........................................................48 APPENDIX B: STANDARD CURVE ..............................................................................58 APPENDIX C: CALCULATIONS ...................................................................................59 APPENDIX D: RAW DATA ............................................................................................63 APPENDIX E: STATISTICAL ANALYSIS ....................................................................70 REFERENCES .................................................................................................................75 vi LIST OF TABLES Table 1. Total influenza viral particles (TVP) per liter of air sampled (Normalized Data)..........................................................................................................................32 D1. Mean cycle threshold values .....................................................................................63 D2. Cycle threshold values to viral copy number............................................................64 D3. Total amount of virus in sample ...............................................................................65 D4. Pre and pose calibration flow rates ...........................................................................66 D5. Sample volume .........................................................................................................67 D6. Total influenza viral particles per liter of sampled air ..............................................68 D7. Particle counter total viral particles per liter of sampled air .....................................69 vii
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