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Published on: February 23, 2014
Airborne outbreak of nosocomial Scedosporium prolificans infection
Abstract:
We describe six inpatients with acute non-lymphocytic leukaemia who developed invasive infection with Scedosporium prolificans resistant to amphotericin B, flucytosine, ketoconazole, fluconazole, and itraconazole. All six patients died. Phenotypic and genotypic assessment of samples from clinical material and ambient air from the isolation rooms where the patients were being treated showed that the epidemic was caused by a single strain. After implementation of aerial control measures, there were no further infections with this organism. We conclude that fatal multidrug-resistant S prolificans epidemics can be aerially transmitted and can be prevented with implementation of appropriate infection-control measures.
Insights
Multidrug-resistant Scedosporium prolificans caused fatal infections in six leukemia patients. Aerial transmission was confirmed, and infection control measures prevented further cases.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Epidemiology
Background:
- Six immunocompromised patients with acute non-lymphocytic leukemia developed invasive infections.
- The infections were caused by Scedosporium prolificans, a fungus resistant to multiple antifungal agents.
Discussion:
- Phenotypic and genotypic analyses identified a single strain responsible for the outbreak.
- The fungus was detected in clinical samples and ambient air within isolation rooms.
Key Insights:
- Invasive Scedosporium prolificans infections can be multidrug-resistant and fatal in leukemia patients.
- Aerial transmission of the fungus was implicated in the outbreak.
- Effective infection control measures, including aerial control, are crucial for prevention.
Outlook:
- Further research into the environmental persistence and transmission of Scedosporium prolificans is warranted.
- Development of novel antifungal therapies may be necessary for treating resistant strains.
- Strengthening hospital infection control protocols can mitigate the risk of similar outbreaks.
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