A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy

Geetika Sood, Dhananjay Vaidya, Lisa Dam, Lisa M. Grubb, Jonathan Mark Zenilman, Kelly Krout, Zeina Khouri-Stevens, Richard G Bennett, Renee Blanding, Stefan Riedel, Stephen Milner, Leigh Ann Price, Trish M. Perl

Research output: Contribution to journalArticle

Abstract

Objective: To describe a polymicrobial fungal outbreak after Hurricane Sandy. Design: An observational concurrent outbreak investigation and retrospective descriptive review. Setting: A regional burn intensive care unit that serves the greater Baltimore area, admitting 350-450 burn patients annually. Patients: Patients with burn injuries and significant dermatologic diseases such as toxic epidermal necrolysis who were admitted to the burn intensive care unit. Methods: An outbreak investigation and a retrospective review of all patients with non-candida fungal isolates from 2009-2016 were performed. Results: A polymicrobial fungal outbreak in burn patients was temporally associated with Hurricane Sandy and associated with air and water permeations in the hospital facility. The outbreak abated after changes to facility design. Conclusions: Our results suggest a possible association between severe weather events like hurricanes and nosocomial fungal outbreaks. This report adds to the emerging literature on the effect of severe weather on healthcare-associated infections.

Original languageEnglish (US)
Pages (from-to)1047-1050
Number of pages4
JournalAmerican Journal of Infection Control
Volume46
Issue number9
DOIs
StatePublished - Sep 1 2018

Fingerprint

Cyclonic Storms
Burn Units
Disease Outbreaks
Weather
Intensive Care Units
Facility Design and Construction
Stevens-Johnson Syndrome
Baltimore
Cross Infection
Air
Water
Wounds and Injuries

Keywords

  • Burn unit
  • Fungal infection
  • Fungal outbreak

ASJC Scopus subject areas

  • Epidemiology
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy. / Sood, Geetika; Vaidya, Dhananjay; Dam, Lisa; Grubb, Lisa M.; Zenilman, Jonathan Mark; Krout, Kelly; Khouri-Stevens, Zeina; Bennett, Richard G; Blanding, Renee; Riedel, Stefan; Milner, Stephen; Price, Leigh Ann; Perl, Trish M.

In: American Journal of Infection Control, Vol. 46, No. 9, 01.09.2018, p. 1047-1050.

Research output: Contribution to journalArticle

Sood, Geetika ; Vaidya, Dhananjay ; Dam, Lisa ; Grubb, Lisa M. ; Zenilman, Jonathan Mark ; Krout, Kelly ; Khouri-Stevens, Zeina ; Bennett, Richard G ; Blanding, Renee ; Riedel, Stefan ; Milner, Stephen ; Price, Leigh Ann ; Perl, Trish M. / A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy. In: American Journal of Infection Control. 2018 ; Vol. 46, No. 9. pp. 1047-1050.
@article{a2f8b3afa6f74bb3866543c53188968e,
title = "A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy",
abstract = "Objective: To describe a polymicrobial fungal outbreak after Hurricane Sandy. Design: An observational concurrent outbreak investigation and retrospective descriptive review. Setting: A regional burn intensive care unit that serves the greater Baltimore area, admitting 350-450 burn patients annually. Patients: Patients with burn injuries and significant dermatologic diseases such as toxic epidermal necrolysis who were admitted to the burn intensive care unit. Methods: An outbreak investigation and a retrospective review of all patients with non-candida fungal isolates from 2009-2016 were performed. Results: A polymicrobial fungal outbreak in burn patients was temporally associated with Hurricane Sandy and associated with air and water permeations in the hospital facility. The outbreak abated after changes to facility design. Conclusions: Our results suggest a possible association between severe weather events like hurricanes and nosocomial fungal outbreaks. This report adds to the emerging literature on the effect of severe weather on healthcare-associated infections.",
keywords = "Burn unit, Fungal infection, Fungal outbreak",
author = "Geetika Sood and Dhananjay Vaidya and Lisa Dam and Grubb, {Lisa M.} and Zenilman, {Jonathan Mark} and Kelly Krout and Zeina Khouri-Stevens and Bennett, {Richard G} and Renee Blanding and Stefan Riedel and Stephen Milner and Price, {Leigh Ann} and Perl, {Trish M.}",
year = "2018",
month = "9",
day = "1",
doi = "10.1016/j.ajic.2018.01.011",
language = "English (US)",
volume = "46",
pages = "1047--1050",
journal = "American Journal of Infection Control",
issn = "0196-6553",
publisher = "Mosby Inc.",
number = "9",

}

TY - JOUR

T1 - A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy

AU - Sood, Geetika

AU - Vaidya, Dhananjay

AU - Dam, Lisa

AU - Grubb, Lisa M.

AU - Zenilman, Jonathan Mark

AU - Krout, Kelly

AU - Khouri-Stevens, Zeina

AU - Bennett, Richard G

AU - Blanding, Renee

AU - Riedel, Stefan

AU - Milner, Stephen

AU - Price, Leigh Ann

AU - Perl, Trish M.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Objective: To describe a polymicrobial fungal outbreak after Hurricane Sandy. Design: An observational concurrent outbreak investigation and retrospective descriptive review. Setting: A regional burn intensive care unit that serves the greater Baltimore area, admitting 350-450 burn patients annually. Patients: Patients with burn injuries and significant dermatologic diseases such as toxic epidermal necrolysis who were admitted to the burn intensive care unit. Methods: An outbreak investigation and a retrospective review of all patients with non-candida fungal isolates from 2009-2016 were performed. Results: A polymicrobial fungal outbreak in burn patients was temporally associated with Hurricane Sandy and associated with air and water permeations in the hospital facility. The outbreak abated after changes to facility design. Conclusions: Our results suggest a possible association between severe weather events like hurricanes and nosocomial fungal outbreaks. This report adds to the emerging literature on the effect of severe weather on healthcare-associated infections.

AB - Objective: To describe a polymicrobial fungal outbreak after Hurricane Sandy. Design: An observational concurrent outbreak investigation and retrospective descriptive review. Setting: A regional burn intensive care unit that serves the greater Baltimore area, admitting 350-450 burn patients annually. Patients: Patients with burn injuries and significant dermatologic diseases such as toxic epidermal necrolysis who were admitted to the burn intensive care unit. Methods: An outbreak investigation and a retrospective review of all patients with non-candida fungal isolates from 2009-2016 were performed. Results: A polymicrobial fungal outbreak in burn patients was temporally associated with Hurricane Sandy and associated with air and water permeations in the hospital facility. The outbreak abated after changes to facility design. Conclusions: Our results suggest a possible association between severe weather events like hurricanes and nosocomial fungal outbreaks. This report adds to the emerging literature on the effect of severe weather on healthcare-associated infections.

KW - Burn unit

KW - Fungal infection

KW - Fungal outbreak

UR - http://www.scopus.com/inward/record.url?scp=85051764082&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051764082&partnerID=8YFLogxK

U2 - 10.1016/j.ajic.2018.01.011

DO - 10.1016/j.ajic.2018.01.011

M3 - Article

C2 - 29609856

AN - SCOPUS:85051764082

VL - 46

SP - 1047

EP - 1050

JO - American Journal of Infection Control

JF - American Journal of Infection Control

SN - 0196-6553

IS - 9

ER -