Agentes CDC
Agentes CDC
Chapter8
BiosafetyLevels
BIOSAFETYLEVELSFourbiosafetylevels(BSLs)aresummarizedinthetablebelowforproper
handlingofbiohazardousmaterials.BSLsconsistofcombinationsoflaboratorypracticesand
techniques,safetyequipment,andlaboratoryfacilities.Eachcombinationisspecifically
appropriatefortheoperationsperformedthedocumentedorsuspectedroutesoftransmission
oftheinfectiousagents,andforthelaboratoryfunctiontoractivity.
BSL Agents
Practices
SafetyEquipment Facilities
(PrimaryBarriers) (SecondaryBarriers)
Notknowntoconsistently Standard
causediseasesin
microbiological
immunocompetentadult practices
humans
Nonerequired
Openbenchtop,sinkrequired
Associatedwithhuman
disease.Hazard:
percutaneousinjury,
mucousmembrane
exposure,ingestion
BSL1practicesplus:
limitedaccess
biohazardwarning
signs
sharpsprecautions
biosafetymanual
definingwaste
decontaminationor
medicalsurveillance
policies
Primarybarriers:ClassIor
IIbiosafetycabinetsor
otherphysical
containmentdevicesused
forallmanipulationsof
agentsthatcausesplashes
oraerosolsofinfectious
materials;PPE:laboratory
coats,gloves,face
protectionasneeded
BSL1plus:
nonfabricchairsandother
furnitureeasilycleanable
autoclaveavailable
eyewashreadilyavailable
Indigenousorexoticagents
withpotentialforaerosol
transmission;diseasemay
haveseriousorlethal
consequences
BSL2practicesplus:
controlledaccess
decontaminationof
allwastes
decontaminationof
labclothingbefore
laundering
baselineserum
Primarybarriers:ClassIor
IIbiosafetycabinetsor
otherphysical
containmentdevicesused
forallmanipulationsof
agents;PPE:laboratory
coats,gloves,respiratory
protectionasneeded
BSL2plus:
physicalseparationfromaccess
corridors
handsfreehandwashingsink
selfclosingdoubledooraccess
exhaustairnotrecirculated
negativeairflowintolaboratory
eyewashreadilyavailableinlab
Dangerous/exoticagents
whichposehighriskoflife
threateningdisease,
aerosoltransmittedlab
infections;orrelated
agentswithunknownrisk
oftransmission
BSL3practicesplus:
clothingchange
beforeentering
showeronexit
allmaterial
decontaminatedon
exitfromfacility
Primarybarriers:All
BSL3plus:
proceduresconductedin separatebuildingorisolatedzone
ClassIIIbiosafetycabinets dedicatedsupply/exhaust,vacuum
anddeconsystem
orClassIorIIbiosafety
cabinetsincombination
withfullbody,airsupplied
positivepressuresuit
SummarizedfromBiosafetyinMicrobiologicalandBiomedicalLaboratories,5thEdition,2007.
http://www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm
ClassificationofAgentsAccordingtoRisk
Biologicalagentsareassignedtobiosafetylevels(BSL)basedontherisktheyposetohuman
healthandtheenvironment.Suchfactorsasseverityofdiseasecausedbytheagentroutesof
exposure,andvirulenceareusedwhendeterminingthemostappropriateBSL.Thepartiallist
belowisprovidedtoassistlaboratoriesinmakingpreliminarydecisionsontheappropriate
Section1BiologicalSafety
Chapter8
BiosafetyLevels
biosafetylevelforparticularagents.Ultimately,theOccupationalandEnvironmentalSafety
Office(OESO)willmakethefinalBSLassignment.Ifaparticularagentisnotlistedbelow,orif
furtherassistanceisneededininterpretingBSLrequirements,contacttheOESOBiological
SafetyDivisionat6848822.
BiosafetyLevel1(BSL1)
BSL1issuitableforworkinvolvingwellcharacterizedagentsnotknowntoconsistentlycause
diseaseinimmunocompetentadulthumans,andpresentminimalpotentialhazardto
laboratorypersonnelandtheenvironment.Allbacterial,parasitic,fungal,viral,rickettsial,and
chlamydialagentswhichhavebeenassessedforriskbutdonotbelongtoahigherriskgroup
canbesafelyhandledatBSL1.Beawarethatmanyagentsnotordinarilyassociatedwith
diseaseareopportunisticpathogensandmaycauseinfectionintheyoung,theagedand
immunocompromisedindividuals.ExamplesofBSL1agentsinclude:Bacillussubtilis,Eschericia
coliK12,Naegleriagruberi,etc.
BiosafetyLevel2
ViralAgents:
Adenovirus
HTLVtypesIandII
CreutzfeldJacobagent
HumanBlood&BloodProducts
Cytomegalovirus
Kuru
Easternequineencephalitis
Monkeypoxvirus
EpsteinBarrvirus
SIV
HepatitisA,B,C,D,E
Spongiformencephalopathies
Herpessimplexviruses
Vacciniavirus
HIV
VSV(labadaptedstrains)
Bacterial/RickettsialAgents:
Campylocacterfetus,coli,jejuni
Shigellaboydii,dysenteriae,
Chlamydiapsittaci,trachomatis
flexneri,sonnei
Clostridiumbotulinum,tetani
Treponemapallidum
Corynebacteriumdiphtheriae
Vibriocholera
Legionellaspp
(includingElTor)
Neisseriagonorrhoeae
Vibrioparahemolyticus
Neisseriameningitidis
Vibriovulnificus
Pseudomonaspseudomallei
Yersiniapestis
Salmonellaspp
FungalAgents:
Blastomycesdermatitidis
Fonsecaeapedrosoi
Cryptococcusneoformans
Sporothrixschenkii
Microsporumspp
Trichophytonspp
Exophialadermatitidis(wangiella)
Section1BiologicalSafety
Chapter8
BiosafetyLevels
ParasiticAgents:
Entomeoebahistolytia
Strongyloidesspp
Crytosporidiumspp
Taniasolium
Giardiaspp
Toxoplasmaspp
Naegleriafowleri
Trypanosomaspp
Plasmodiumspp
BiosafetyLevel3
ViralAgents:
Valley
VSVexoticstrains(Piry)
RiftValleyFever(Zinga)
Yellowfever(wildtype)
Bacterial/RickettsialAgents:
Mycobacteriumbovis
Bacillusanthracis
Rickettsiarickettsii
Francisellatularensis
Yerseniapestis(resistantstrains)
Mycobacteriumtuberculosis
FungalAgents:
Coccidioidesimmitis
Histoplasmacapsulatum
BiosafetyLevel4
ViralAgents:
HemorrhagicFevers:
Herpessimiae(Bvirus)
(CongoCrimean,Junin,Machupo)
Lassa
Ebola
Marburg