People spend more than an average of around 87% of the day indoors (Lee and Chang 2000; Tringe et al. 2008; Ashmore and Dimitroulopoulou 2009; Wichmann et al. 2010). Indoor air quality (IAQ) is an important environmental health matter that needs to be assessed because people inhale 6–10 l of air per minute, which amounts to 15,000 l per day (Wood et al. 2002). According to studies conducted in the last 20 years by the United States Environmental Protection Agency, indoor air is often more polluted than outdoor air, and indoor air pollution has been ranked among the top five risks to public health (Kotzias 2005; Gawrońska and Bakera 2015). The health effects associated with poor air quality contribute to heart and lung diseases (Shin et al. 2015). Moreover, air pollution in 2012 was the cause of 3.7 million premature deaths (Błaszczyk et al. 2017).

Bioaerosol particles are one of the pollutants that can cause a reduction in IAQ in office buildings. They account for 5–34% of indoor air pollution (Gizaw et al. 2016). A bioaerosol is a colloidal suspension formed by liquid droplets and particles of solid matter in the air. These particles suspended in the air may consist of bacteria, fungi, viruses, fragments of any or all of these or their metabolic products (e.g., mycotoxins), endotoxins (part of the outer membrane of the cell wall of Gram-negative bacteria), plant pollen, and fragments of plant tissues. Bioaerosols can become a serious risk to the health of the population, mainly because airborne bacteria and fungi can cause infectious diseases, as well as allergic and toxic effects. Human skin and oral and nasal cavities harbor trillions of microorganisms that may accumulate in offices. Microbes from the soil or from plants can also be vectored by office workers or can be carried on dust particles from the outdoor air (Di Giulio et al. 2010; Hewitt et al. 2012; Nazaroff 2016).

The time-activity studies show that adults spend 18–25% of their time at work (Klepeis et al. 2001; Brasche and Bischof 2005). In fact, an air-conditioning (AC) system is practically the only technical solution used both to improve the air quality and to provide employees with proper working conditions. The outdoor air, which is delivered into the indoor through the AC system, should be free from the pollutants, and the system ensures an ideal temperature and humidity (Gołofit-Szymczak and Górny 2010). AC systems can help remove or dilute more than 80% of air pollutants from atmosphere, but they can also provide favorable breeding grounds for many biological agents (Law et al. 2001). Insufficient maintenance of AC systems can often lead to unintentional pollution of indoor air (Gołofit-Szymczak and Górny 2010).

During the two decades, many studies (Pastuszka et al. 2000; Pastuszka et al. 2005; Bernstein et al. 2008; Aydogdu et al. 2010; Nasir and Colbeck 2010; Pegas et al. 2010; Salleh et al. 2011; Dumała and Dudzińska 2013; Moon et al. 2014; Karottki et al. 2015) carried out in a variety of indoor environments showed a great variation in total concentration of air pollutants. Given the potential of airborne bioaerosols to cause disease, information on the total concentration of bioaerosol particles is insufficient. In practice, information relating to the particle size distribution is critical (Latif et al. 2014). Another important aspect is the dose of inhaled air pollutants. The dose is the amount of the pollutant that actually crosses one of the body’s boundaries and reaches the target tissue. Differences in processes of the ventilation in humans mean that identical exposure may not result in an identical dose. Personal exposure levels and individual susceptibilities are highly variable, and this explains why an inhalation dose has not been established to characterize workers’ real risk from the exposure to bioaerosols resulting from work activities (Watson et al. 1988).

Our initial findings indicated that the role of indoor emission sources in offices was significant and suggested that efficient and regularly maintained air-conditioning systems can ensure a proper hygienic air quality in office buildings. The study includes five aspects. Our primary goal was to evaluate the impact of ventilation design (natural or mechanical) on microbial IAQ. Therefore, we tried to find: (a) the viable-culturable count (VCC) of airborne bacteria in office rooms, (b) the size distributions and mass median aerodynamic diameter (MMAD) of bacterial aerosol, (c) the difference between the bacterial community structures in two types of offices air-conditioned or naturally ventilated. Secondary goals of our study were to calculate the dose of inhaled bacterial aerosol in the office building (OBED) and to test the antibiotic resistance of airborne bacteria (MAR). The results can be used to inform exposure assessment, risk assessment, and risk management activities related to environmental health and to provide data for a better understanding of IAQ in the urban areas of developing countries.

Material and methods

Characteristic of sampling site and office building

The studied area was located in a busy urban region of southern Poland (Silesia) (Fig. 1). Culturable bacterial samples were taken simultaneously in indoor and outdoor areas of Gliwice (50°17′37.1″ N, 18°40′54.9″ E) during the late spring season (from 7 May to 7 June 2017), when the average outdoor air temperature was about 24 °C and the indoor temperature was 21 °C. The air was sampled in a detached office building with seven floors. The usable area of this building is more than 14,000 m2. The offices were occupied by one or two employees per office; there is typical office equipment, computers and printers. Daily cleaning inside the offices occurs in the morning when staff members are not present in the rooms. A short description of the office building and details of its basic environmental parameters are presented in Table 1.

Fig. 1
figure 1

Location of the measurement point in Gliwice (Map data: 2017© Google, ORION-ME)

Table 1 Environmental parameters and basic description of office building

The study was conducted in six offices (three with air-conditioning and three with natural ventilation), each with a volume of 40 m3. In office rooms with AC, the air-conditioning system used refrigerant/Freon R-410A with a multi-split variable refrigerant flow (VRF) system. This system consists of one outdoor unit and 16 indoor units, interconnected by refrigerant pipelines. The multi-split VRF system can be operated in space cooling mode or heating mode by reversing a four-way valve located in the outdoor unit.

Each measurement was conducted between 7:00 a.m. and 8:00 a.m. at the beginning of the working day (to determine the indoor background) and at noon (after 5–6 hours (h) of work). During background sampling in the air-conditioned offices, the AC system was in operation. The air samples were taken in the center of each office room or at a height of about 1.5 m above the ground for the outdoor samples, to simulate aspiration from the human breathing zone.

Downstream analysis was performed as described in “Sampling and analytical methods,” “Microbiological analyses,” “Multi-antibiotic resistance test,” and “Statistical analysis.”

Sampling and analytical methods

Viable-culturable bioaerosol samples were collected using a six-stage Andersen cascade impactor (Thermo Fisher Scientific, Waltham, MA, USA) with aerodynamic diameter cut points of 0.65, 1.1, 2.1, 3.3, 4.7, and > 7.0 μm. The pump ensured a constant flow rate (28.3 L min−1) through the impactor. Collection time was 10 min, calculated following Nevalainen et al. (Nevalainen et al. 1992; Nevalainen et al. 1993).

A Petri dish containing specific nutrient media was placed on all the impactor stages. Impactors were disinfected of spraying 70% ethyl alcohol and wiping. Trypticase soy agar (TSA) was used with actidione for culturing bacteria. The Petri dishes were incubated for 48 h at 36 ± 1 °C. Enumeration of bacteria was conducted according to the Polish standard, and the concentration of bacteria aerosol was measured in CFU (colony forming units)/m−3 of air.

Microbiological analyses

All the strains used in the experiment were screened on a Biolog GEN III (Biolog, Hayward, CA, USA) microtiter plate, containing 71 different carbon sources and 23 chemical sensitivity assays. Strains were grown on TSA plates, and then each pure colony was transferred into inoculating fluid. The bacterial suspension was adjusted to 95% transmittance using a Biolog turbidimeter. Then, 150 μl of the suspension was dispensed into each well of the Biolog GEN III microplate. Inoculated plates were monitored via Biolog’s OmniLog software for 48 h at 37 °C with measurements taken every 15 min.

Multi-antibiotic resistance (MAR) test

Cultivated bacteria, previously identified using the Biolog GEN III technique, were also tested for multi-antibiotic resistance (MAR). In this experiment, isolated strains of the cultivated bacteria were taken. Overnight cultures of the bacterial isolates were diluted to 1 McFarland unit (3 × 108 CFU/ml). Subsequently, 100 μl of bacterial inoculum was spread over the surface of a Mueller-Hinton agar plate (Oxoid, USA). Antimicrobial susceptibility testing discs (Oxoid, USA) were saturated and placed on the inoculated Mueller-Hinton agar plates. The 36 different antibiotics and their concentrations were chosen to include the most common species in the literature on antibiotic resistance. Various groups, e.g., aminocoumarins, carbapenems, cephalosporins, glycopeptides, macrolides, penicillins, quinolones/fluoroquinolones, and tetracyclines, were tested. Each antibiotic test was performed three times. Specific doses of the antibiotics are shown in Table 2.

Table 2 Antibiotics and their doses used in multi-antibiotic resistance test

Petri dishes containing bacteria were incubated at 37 °C for 24 h. After incubation, the zones of inhibited growth were measured and placed on a three-stage scale in order to assess the bacterial resistance to the antibiotics: diameter of growth inhibition < 15 mm—bacterial resistance to antibiotic (R), diameter of growth inhibition between 16 and 25 mm—intermediate bacterial resistance to antibiotic (I), or diameter of growth inhibition > 25 mm—bacterial sensitivity to antibiotic (S).

Laboratory quality control (QC) was practiced during the studies to minimize the risk of error. A detailed description of QC can be found in Brągoszewska et al. 2016a, Brągoszewska et al. 2016b, and Brągoszewska et al. 2018.

Statistical analysis

Statistical analyses were performed using Statistica 12 (StatSoft Inc., Tulsa, USA) software. As the limit criterion of statistical significance assumed p value < 0.05. The concentration values were presented as mean values and standard deviations. Firstly, the distributions of assessed variables were checked with the Shapiro-Wilk test. The data were not normally distributed, and therefore a non-parametric method was employed. The Mann-Whitney U test was applied to assess office differences (AC or natural ventilation).

Results and discussion

Viable-culturable count (VCC) of bacterial aerosol

Exposure to bioaerosols has become a significant public health concern. However, no international standard is available specifying acceptable maximum bioaerosol levels in indoor environments (Mirhoseini et al. 2016). The first observation is that the mean average concentration of the bacterial aerosol in the indoor and outdoor environments differed significantly (Table 3). The level of viable-culturable count (VCC) of bacteria observed in the outdoor (325 CFU m−3) was even four times lower than the level recorded in indoor (from 540 to 1360 CFU m−3). These results indicate that the human activities are usually predominant source of indoor bacteria and agree well with the literature data. The second observation is that the mean average concentration of the bacterial aerosol in the naturally ventilated office rooms was about 1.5 times higher (1360 CFU m−3) than mean concentration of bacteria obtained in air-conditioned office rooms (540 CFU m−3), which indicates that the type of ventilation can be a very important element in shaping of microbiological IAQ. Therefore, in the studied office building, the AC system should be turned on several hours before work and shut down after employees have left.

Table 3 Total and maximum/minimum values of average concentration C (CFU m−3) of viable-culturable count (VCC) of bacteria in the studied outdoor and indoor air

Similar studies were conducted in four office buildings in Warsaw, Poland, and the results showed that the concentration of bacteria in the office rooms air was 500 CFU m−3 (Gołofit-Szymczak and Górny 2010). Results obtained in office buildings in Gliwice are analogous to the data found in studies carried out in air-conditioned office buildings in Hong Kong, where the mean concentration of airborne bacteria was 580 CFU m−3, with a maximum value of 2300 CFU m−3 (Mui et al. 2008). A significantly lower concentration level of bacterial aerosol was found in Turin, Italy, during the summer, where the average concentration of bacterial aerosol was 198 CFU m−3 and the maximum concentration was 368 CFU m−3 (Bonetta et al. 2010).

On the global scale, there is a lack of standards/guidelines for microbiological IAQ. The main reason for this is the limited well-documented dose-response relationships between the exposure to specific biological pollutants and adverse health effects caused by their exact dose. However, in Poland, proposals for regulatory levels of bacterial aerosols in residences and public buildings have been presented by Górny and Dutkiewicz (2002). A broad view of these proposals for public service buildings can be summarized as follows: 5000 CFU m−3 for mesophilic bacteria. The concentration levels of culturable bacteria obtained in our study were below this proposed standard.

The indoor-to-outdoor ratio (I/O) calculated for all indoor and outdoor bacteria concentrations was 2.97 for offices with AC and 4.19 for office with NV (Table 3). Since I/O ratio was greater than 1, it can clearly be concluded that the major sources of bacterial aerosol are internal sources and ventilation plays an important role in improving the IAQ (Srikanth et al. 2008; Bragoszewska et al. 2018). These results agree well with the literature data (Srikanth et al. 2008; Menteşe et al. 2009; Abosede Sarah 2017).

The Mann-Whitney U test confirmed significant differences between bacterial aerosol concentration in offices with natural ventilation and offices with AC, with p values < 0.05.

Particle size distribution and mass median aerodynamic diameter (MMAD) of airborne bacteria

The size distribution of a bacterial aerosol is a powerful tool for understanding how building design, occupancy, and operation affect human exposure to airborne particles (Nazaroff and Cass 1989). Modeling the dynamics of the airborne bacteria depends upon the community structure of bacteria, the age of the spores, and differences in spore aggregation rates, as well as the type of particles they are associated with, such as mist or particulate matter (Brągoszewska et al. 2017).

Figure 2 shows an example of the mean size distribution of bacterial aerosols in the outdoor air during our research (late spring season). Bacterial aerosols in the atmosphere reach a maximum concentration of bacteria in the air at diameters > 3.3 μm. Our previous measurements showed that in the atmospheric air (especially in spring and summer seasons), there is an interplay of two opposing mechanisms, i.e., the rapid growth of bacterial particles and a relatively higher mortality of fine particles, which are normally isolated bacterial cells. This results in the observed seasonal size distribution, characterized by a low share of fine particles (< 3.3 μm) and a relatively large share of coarse particles (> 3.3 μm) (Brągoszewska et al. 2017).

Fig. 2
figure 2

Size distribution of the bacterial aerosol in the outdoor air

Figure 3 shows that small particles, less than 3.3 μm, are more prevalent in indoor air after 5–6 h of work, which means that the bacteria were present in the indoor air mainly as single cells. Results obtained for the indoor background indicate that peak of size distribution was shifted into larger particles, i.e., in the size > 3.3 μm.

Fig. 3
figure 3

Size distribution of the bacterial aerosol in the indoor air of (a) offices with natural ventilation—indoor background, (b) offices with AC—indoor background, (c) offices with natural ventilation—after 5–6 h of work, and (d) offices with AC—after 5–6 h of work

The size distributions of bacterial aerosol in the studied office building may vary depending on the type of ventilation and human occupancy. Obtained results indicate that the air-conditioning was more effective in the elimination of respirable fraction of bacterial aerosol (< 3.3 μm) than natural ventilation. Trying to explain this phenomenon, it should be noted that the coarse fraction of bacteria particles remain airborne only for a short time and are removed from the air by gravity and resuspended again when disturbed mechanically. Therefore, ventilation is not a crucial factor in the removal of these particles. However, the behavior of fine particles is different, e.g., particle with aerodynamic diameter of 1 μm does not settle down during 2 h (Nevalainen et al. 1992).

A population of particles can be defined in terms of the mass carried in each particle size range. A measure called the mass median aerodynamic diameter (MMAD) essentially divides the distribution of the mass in half. Particles ≤ 3 μm are thought to have the highest probability of entering the lower airways of the average adult during oral inhalation (Council NR, 2006; Dolovich and Dhand 2011). The parameters of the mass distribution and mass median aerodynamic diameter (MMAD) are given by the following equation:

$$ \ln \mathrm{MMAD}=\frac{\sum {n}_i\ln\ {d}_i}{\sum {n}_i} $$



is the mass median aerodynamic diameter,

n i :

is the fraction in stage i, and

d i :

is the cutoff diameter of stage i (Hinds 1999).

The maximum value of MMAD (2.8 μm) was found in the outdoor air. The minimum MMAD (2.2 μm) was found in the offices with natural ventilation (NV). Aerodynamic size diameter may vary depending on the ventilation and air velocity in the vicinity of microbial growth in the structures (Meklin et al. 2002) (Table 4).

Table 4 Mass median aerodynamic diameter (MMAD) of bacterial particles

Office building exposure dose

The US EPA (Environmental Protection Agency) encourages researchers to assess the risks of environmental exposure for all susceptible populations. The OBED has been calculated on the basis of the EPA’s Exposure Factors Handbook (U.S. EPA 2011) and other publications (Ott et al. 2006; Johnson-Restrepo and Kannan 2009). Total concentrations were used in the calculations of the inhaled dose of airborne bacteria. Although particles with an aerodynamic diameter of > 10 μm cannot usually be inhaled, their total contribution in suspended particles (< 100 μm) is not significant. The OBED is given by the following equation:

$$ \mathrm{OBED}=\frac{C\cdotp \mathrm{IR}\cdotp \mathrm{IEF}}{\mathrm{BW}} $$



is the office building exposure dose for the indoor environment in CFU kg−1,

C :

is the bacterial aerosol concentration in CFU m−3,


is the indoor exposure fraction—the hours spent per day in the office taking into account diverse activity patterns (on average, 8 h),


is the inhalation rate coefficient characteristic of the selected activity levels, in m3/day (U.S. EPA 2011), and


is the mean body weight in kg.

A staff time-budget survey was used to acquire information about staff members’ activities during the day. A summary of the information obtained from this questionnaire presented in Tables 5 and 6 shows the calculated results of the inhaled doses of culturable airborne bacteria.

Table 5 Characterization of the time budget and exposure dose in the studied populations of the office building
Table 6 OBED of bacterial aerosol inhaled by staff in the office building. NV, natural ventilation; AC, air-conditioning

It can be seen that a higher dose (OBED) of bacterial aerosol is inhaled by staff in offices with natural ventilation. However, the bacterial dose inhaled by staff in the studied office buildings is similar to the dose absorbed by the staff of a nursery school in Gliwice, Poland (70–206 CFU kg−1) (Brągoszewska et al. 2016b). The calculated dose absorbed by the staff of the office building is also comparable to the dose absorbed by adults in homes in Upper Silesia, Poland (175.4 CFU kg−1) (Brągoszewska 2014).

Identification of bacterial aerosol

The most abundant of isolated bacteria in our studies was Gram-positive bacteria. Only in the outdoor air Gram-negative bacteria were detected. In total, 12 species of bacteria were identified, with the most isolated Macrococcus equipercicus, Micrococcus luteus D, Staphylococcus xylosus in the indoor, and Bacillus species in the outdoor air (Table 7). The dominant group of bacteria isolated from atmospheric air is common in soil and water. In addition, microbes of this group can be found among the bacterial flora of the skin and mucous membranes of humans and animals. High variability in the virulence of Gram-positive rods forming endospores is known, as potential opportunistic pathogens can cause disease states only in persons with compromised host resistance (Aydogdu et al. 2010).

Table 7 Bacterial species identified in outdoor (OUT), indoor background (IB), office with natural ventilation (NV), and office with air conditioning (AC) samples

Similarly to the results obtained in previously published papers, our results also indicate the dominance of Gram-positive cocci in the indoor air (Pastuszka et al. 2000; Kim and Kim 2007; Stryjakowska-Sekulska et al. 2007; Menteşe et al. 2009; Dumała and Dudzińska 2013). The qualitative analysis of the microflora of the office building in Gliwice confirmed the results obtained by Gołofit-Szymczak and Górny (2010), where the air was analyzed in offices located in Warsaw. In both cases, the dominant species were Micrococcus luteus, Micrococcus spp., and Staphylococcus. Microorganisms isolated in our research belong to the most common bacteria in urban environments (offices, schools, residential buildings, and underground) that can be detected in the air (Fang et al. 2007). We can conclude that the indoor air of the examined office building does not create exposure to bioaerosol that may cause an immediate threat of acute health effects; however, prolonged inhalation of such doses of airborne bacteria may cause some adverse health effects, especially in sensitive individuals (Daisey et al. 2003). The level of microbial pollution inside the studied office building should be classified as safe, though some action to improve the indoor air quality is needed.

Based on the results presented in Table 7, it can be concluded that some microorganisms in the indoor air do not originate directly from the outdoor air bioaerosol. Observed differences can be explained by assuming that microorganisms were brought into the room by humans. In our research, Gemella haemolysans was found to be this type of microorganism. The results published by Eberhard et al. (2017) and Zhou et al. (2016) indicate that Gemella haemolysans belongs to the group of oral microbiota and could be spread by saliva particles in the room during conversations or other activities (Zhou et al. 2016; Eberhard et al. 2017).

Identification of Corynebacterium tuberculostearicum in a room with air-conditioning indicates the presence of people with sinusitis in this type of room (Copeland et al. 2018). These are diseases with unspecified etiology, often preceded by inflammation of the nasal mucosa. These bacteria may be absorbed as a result of mucus drying in rooms where the air is too dry (Gwaltney et al. 1981). This is often the case in air-conditioned rooms. The results obtained may confirm this assumption.

Multi-antibiotic resistance (MAR) test

Results of the antibiotic resistance testing (Table 8) are presented as the inhibition rate of the growth diameter around antimicrobial susceptibility test discs, with mean values for each antibiotic and tested strain (in mm).

Table 8 Results of antibiotic resistance testing. Expressed in the values of the growth inhibition zone [mm]

The highest antibiotic resistance was for Gram-positive cocci, especially Macrococcus brunensis, isolated from the office with natural ventilation. The most antibiotic-sensitive bacterium was Bacillus cereus, except for the cephalosporins and monobactams. Of the all tested groups of antibiotics, the lowest antimicrobial activity toward the culturable bacteria isolated was observed for monobactams. None of the species were sensitive to these antibiotics. On the other hand, the most effective antibiotic was minocycline, which is a broad-spectrum tetracycline antibiotic commonly used in antibiotic treatment.

The results of antibiotic resistance testing of the isolated strains showed that all strains had resistance to more than 12% of the tested antibiotics. The strains were all resistant to metronidazole, aztreonam, and nalidixic acid. The strains were susceptible to teicoplanin except for Bacillus cereus which was resistant to this antibiotic. Many isolates were also resistant to high levels of nitrofurantoin, neomycin, and ceftazidime (83.3%). We observed multiple antibiotic resistance patterns from eight (Corynebacterium tuberculostearicum) to 35 antibiotics (Bacillus pseudomycoides). Corynebacterium tuberculostearicum is a dust-borne Corynebacterium found in households (Pakarinen et al. 2008) and is reported as one of the main constituents of the skin microbiome (Park et al. 2014). However, the pathogenic potential of C. tuberculostearicum was also found and confirmed (Abreu et al. 2012) as relating to childhood asthma and patients with chronic rhinosinusitis (Ege et al. 2012; Copeland et al. 2018). Bacillus pseudomycoides belongs to the group Bacillus cereus, which consists of six different closely related species (Ankolekar et al. 2009). Organisms in that group are common in samples of food, water, or soil, and some can cause human infections (Bavykin et al. 2008). Bacillus pseudomycoides can be found in dust and is ubiquitous in soil and water (Wilson et al. 2006). In our study, this strain was sensitive only to ciprofloxacin.

The evolution of antibiotic-resistant bacteria is a serious problem in modern medicine. It poses a serious threat to human health. In our studies, we suppose that one of the sources of antibiotic-resistant bacteria may be people residing in an indoor space. Results similar to ours have been reported in a study by Raisi (Raisi et al. 2013), where airborne microbial isolates were characterized by differentiated resistance to various antibiotics.

Summary and conclusions

Viable-culturable count (VCC) of the bacterial aerosol was evaluated in two types of offices air-conditioned (AC) or naturally ventilated (NV) in an office building in Gliwice, Poland. The microbiological IAQ also was made taking into consideration the outdoor concentrations of the bacterial aerosol.

It was found that the VCC of bacterial aerosol in the indoor was four times higher than outdoors and the indoor-to-outdoor ratio (I/O) was 2.97 for offices with AC and 4.19 for office with NV. These results indicate that human activity is a major factor in determining bacterial community structure.

We observed that the mean average concentration of bacterial aerosol in the natural ventilated office rooms was about 1.5 times higher than mean concentration of bacteria obtained in offices equipped with air-conditioning and was below Polish proposals for threshold limit values for bioaerosols in this type of working environment. The obtained results indicate that the type of ventilation is an important element in shaping of IAQ and suggest that efficient and regularly maintained air-conditioning systems can ensure a proper better hygienic air quality in work environment.

The size distribution of bacterial aerosol in NV office rooms is characterized by a larger share of particles less than 3.3 μm compared to results of size distribution obtained in offices with AC. Additionally, the mass median aerodynamic diameter (MMAD) of viable airborne bacteria was lower in natural ventilated offices (2.2 μm) than in offices with AC (2.4 μm).

The office building exposure dose (OBED) of bioaerosols was estimated for the personnel in this building. The highest value of OBED over the study period was obtained for staff working in offices with natural ventilation (141 CFU kg−1) compared to staff working in offices equipped with air conditioning (about 100 CFU kg−1). The problem that is becoming more and more serious is the emergence of multi-antibiotic-resistant bacteria. This issue is most often addressed in the context of nosocomial infections, but office rooms can also be a place where these types of microorganisms begin to appear. Currently, antibiotics are used very often in homes without the need for hospitalization. What is more, adults who use drugs still participate in professional life, so they can also transfer resistant microorganisms to the office environment. Gram-positive cocci were the most frequently occurring bacteria in the indoor, with the most isolated genus: Macrococcus equipercicus, Micrococcus luteus D, and Staphylococcus xylosus. Gram-positive rods were the most frequently isolated bacterial isolates in the outdoor. Multi-antibiotic resistance (MAR) tests showed that among the airborne bacteria isolated, the most antibiotic-resistant features were present in Macrococcus species (especially Macrococcus equipercicus and Macrococcus brunensis).

The results obtained in this study indicate that the studied office exposure to airborne bacteria is generally low and safe. However, it is recommended that providing appropriate indoor air office conditions is an important task in order to ensure high productivity of workers. We believe that the results of the current study point to the need for implementing a strategy to control microbiological IAQ in offices. The development and implementation of guidelines for harmful indoor microbiological air pollutants is also recommended.