Patterns of Microorganisms Present on Non-Critical Equipment and Environmental Surfaces in Selected Medical Microbiology Laboratory Units of a Tertiary Hospital in North-Central Nigeria

Authors

Keywords:

Environmental surfaces, Healthcare-associated infections, Hospital, Infection prevention and control, Non- critical equipment

Abstract

Laboratory equipment and environmental surfaces can act as reservoirs for pathogenic microorganisms, facilitating cross-contamination and increasing the risk of healthcare-associated infections. This study assessed the diversity of microorganisms persisting on selected non-critical equipment and environmental surfaces in Benue State University Teaching Hospital, Makurdi, Nigeria. A cross-sectional study was conducted using swab samples collected from frequently used laboratory equipment and environmental surfaces. Samples were cultured on appropriate microbiological media, and isolates were identified using standard microbiological techniques based on cultural, morphological, and biochemical characteristics. Total aerobic plate counts (TAPC) were determined to assess the level of microbial contamination on each sampled surface. Study findings showed that a total of eight microbial species were isolated from the sampled equipment and surfaces, namely: Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli, Klebsiella pneumoniae, Salmonella typhi, Pseudomonas aeruginosa, Candida albicans, and Aspergillus niger. Laboratory tables/benches harboured the highest diversity of microbial contaminants. The mean TAPC ranged from 1.3 x 10⁵ to 3.7 x 10⁵ CFU/mL. The highest counts were recorded on tables (3.7 x 10⁵ CFU/mL), sinks (3.5 x 10⁵ CFU/mL), and wire loops (3.2 x 10⁵ CFU/mL), while autoclaves and scissors exhibited the lowest counts (1.3 x 10⁵ CFU/mL each). The isolation of both bacterial and fungal pathogens from frequently touched surfaces and equipment indicates substantial environmental contamination within the laboratory setting. The study demonstrated significant microbial contamination of laboratory equipment and environmental surfaces. Frequently used work surfaces and moist environments exhibited the highest microbial loads and diversity of contaminants. These findings underscore the importance of routine environmental surveillance, effective cleaning and disinfection procedures, proper sterilization of reusable instruments, and strict adherence to infection prevention and control measures to minimize microbial transmission, and promote a safer working environment for healthcare workers and patients.

Author Biographies

  • Shaahu VN, Benue State University

    Department of Epidemiology & Community Health, College of Health Sciences, Rev. Fr. Moses Orshio Adasu
    University, Makurdi, Benue State, Nigeria

  • Akpenpuun KA, Benue State University

    Department of Biological Sciences, Rev. Fr. Moses Orshio Adasu University, Makurdi, Benue State, Nigeria

  • Nyinoh IW, Benue State University

    Department of Biological Sciences, Rev. Fr. Moses Orshio Adasu University, Makurdi, Benue State, Nigeria

  • Bitto TT, Benue State University

    Department of Epidemiology & Community Health, College of Health Sciences, Rev. Fr. Moses Orshio Adasu
    University, Makurdi, Benue State, Nigeria

  • Rimamnunra G, Benue State University

    Department of Epidemiology & Community Health, College of Health Sciences, Rev. Fr. Moses Orshio Adasu
    University, Makurdi, Benue State, Nigeria

  • De-Kaa NLP, Federal University of Health Sciences, Otukpo

    Department of Family Medicine, Federal University of Health Sciences, Otukpo, Benue State, Nigeria

  • Jombo GT, Benue State University

    Department of Medical Microbiology & Parasitology, Rev. Fr. Moses Orshio Adasu University, Makurdi, Benue
    State, Nigeria

References

1. World Health Organization. Report on the burden of endemic health care-associated infection worldwide. A systematic review of the literature. Retrieved on 20 June, 2026. Available at: https://iris.who.int/server/api/core/bitstreams/1a54fd40-1ff6-4a2f-9741-2573daea8061/content

2. Nadi ZB, Raisali F, Jafari N, Bayramzadeh S. The influence of physical environment on health care–associated infections: A literature review. Am J Infect Control. 2024;52(2):229-242. doi: 10.1016/j.ajic.2023.06.010.

3. Otter JA, Yezli S, Salkeld JA, French GL. Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. Am J Infect Control. 2013;41(5 Suppl):S6-11. doi: 10.1016/j.ajic.2012.12.004.

4. Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 2006 Aug 16;6:130. doi: 10.1186/1471-2334-6-130.

5. Rutala WA, Weber DJ; Healthcare Infection Control Practices Advisory Committee. Guideline for disinfection and sterilization in healthcare facilities, 2008. Atlanta (GA): Centers for Disease Control and Prevention; 2024.

6. Dancer SJ. Controlling hospital-acquired infection: focus on the role of the environment and new technologies for decontamination. Clin Microbiol Rev. 2014;27(4):665-90. doi: 10.1128/CMR.00020-14.

7. Browne K, Mitchell BG. Multimodal environmental cleaning strategies to prevent healthcare-associated infections. Antimicrob Resist Infect Control. 2023;12(1):83. doi: 10.1186/s13756-023-01274-4.

8. Odoyo E, Matano D, Tiria F, Georges M, Kyanya C, Wahome S, et al. Environmental contamination across multiple hospital departments with multidrug-resistant bacteria pose an elevated risk of healthcare-associated infections in Kenyan hospitals. Antimicrob Resist Infect Control. 2023;12(1):22. doi: 10.1186/s13756-023-01227-x.

9. Thompson E, Badu AT, Abban E, Eyeson EB, Afutu LL, Amankwaah B, et al. Bacterial contamination on clinical surfaces and oxygen device accessories in the emergency unit of a tertiary health facility in Ghana. BMC Infect Dis. 2024 Jan 3;24(1):14. doi: 10.1186/s12879-023-08894-6.

10. Onwuliri CD, Ezebialu IU, Adebisi A, Eleje GU, Akinola B, Ezebialu CU, et al. Systematic review and meta-analysis of the prevalence and types of health care associated infections in Nigeria. BMC Infect Dis. 2025;25(1):836. doi: 10.1186/s12879-025-11246-1.

11. Saka HK, Akanbi AA II, Obasa TO, Raheem RA, Oshodi AJ, Kalgo ZM. Pathogenic aerobic bacterial contaminants on non-critical hospital surfaces within paediatric ward of a Nigerian hospital. J Med Microbiol Diagn. 2016;5(4):241

12. Akinwande KO, Adebayo AA, Sogbanmu TO. Building conditions and the risk of nosocomial infection from microbial contamination of hospital appliances in a healthcare facility in southwest Nigeria. J Environ Health Res. 2017;27(4):304–315.

13. Buowari DY. Microbial contamination of non-critical medical equipment in the emergency department of a tertiary hospital in Port Harcourt, Nigeria and their antibiotic susceptibility patterns. Afr J Res Med Health Sci. 2025.

14. Olawale KS, Oladele RO, Peters RF, Ekeng BE, Ogunsola FT. Fungal contamination of the water distribution system of a tertiary hospital water supply system in a resource-limited setting. Ther Adv Infect Dis. 2024;11:20499361241265953.

15. Porter L, Sultan O, Mitchell BG, Jenney A, Kiernan M, Brewster DJ, et al. How long do nosocomial pathogens persist on inanimate surfaces? A scoping review. J Hosp Infect. 2024;147:25-31. doi: 10.1016/j.jhin.2024.01.023.

16. Okey-Kalu EU, Okoli I, Nwankwo EO. Bacterial contamination of medical and surgical wards in two tertiary healthcare facilities in Abia State, Nigeria: a cross-sectional study. UMYU J Microbiol Res. 2026;11(1):1-10. doi: 10.47430/ujmr.26111.001

17. Volling C, Ahangari N, Bartoszko JJ, Coleman BL, Garcia-Jeldes F, Mertz D, et al. Are sink drainage systems a reservoir for hospital-acquired Gammaproteobacteria colonization and infection? A systematic review. Open Forum Infect Dis. 2021;8(2):ofaa590. doi:10.1093/ofid/ofaa590.

18. Constantinides B, Chau KK, Quan TP, Rodger G, Andersson MI, Jeffery K, et al. Genomic surveillance of Escherichia coli and Klebsiella spp. in hospital sink drains and patients. Microb Genom. 2020;6(7):mgen000391. doi:10.1099/mgen.0.000391.

19. Russotto V, Cortegiani A, Raineri SM, Giarratano A. Bacterial contamination of inanimate surfaces and equipment in the intensive care unit. J Intensive Care. 2015;3:54. doi:10.1186/s40560-015-0120-5.

20. Oluwagbemiga AO, Akinsete SJ, Ana GR. Building conditions and the risk of nosocomial infection from microbial contamination of hospital appliances in a health care facility. Int J Environ Health Res. 2017. doi: 10.1080/09603123.2017.1332350.

21. Belay MM, Ambelu A, Mekonen S, Karbana G, Yemane B. Investigating microbial contamination of indoor air, environmental surfaces, and medical equipment in a southwestern Ethiopia hospital. Environ Health Insights. 2024;18:1-9. doi: 10.1177/11786302241266052.

Downloads

Published

2026-06-30