Expert opinion: what to do when there is Coccidioides exposure in a laboratory

David A Stevens1, Karl V Clemons, Hillel B Levine

  • 1Department of Medicine, Santa Clara Valley Medical Center, San Jose, California 95128-2699, USA. stevens@stanford.edu

Insights

Laboratory staff can contract Coccidioides infections from accidental exposure. This study outlines prevention strategies and a management approach for laboratory accidents involving Coccidioides arthroconidia to minimize infection risk.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Occupational Health

Background:

  • Inadvertent exposure to Coccidioides species poses a risk to laboratory personnel.
  • Coccidioidal infections can occur unexpectedly in non-endemic areas due to unfamiliarity with the pathogen.
  • These infections are often challenging to treat and can have severe outcomes.

Purpose of the Study:

  • To emphasize prevention of Coccidioides exposure in clinical microbiology laboratories.
  • To outline an approach for managing laboratory accidents involving Coccidioides.
  • To minimize risks for laboratory staff and those in adjacent areas.

Main Methods:

  • Review of laboratory safety protocols for Coccidioides handling.
  • Discussion of a conservative management strategy for accidental exposure.
  • Consideration of an artificially large exposure to arthroconidia.

Main Results:

  • Accidental Coccidioides exposure is a recognized occupational hazard.
  • Proactive prevention and a structured response plan are crucial.
  • Early observation and treatment are recommended for exposed individuals.

Conclusions:

  • Implementing robust safety measures is vital for preventing Coccidioidal infections in labs.
  • A defined protocol for laboratory accidents involving Coccidioides can mitigate exposure risks.
  • Close monitoring and prompt medical intervention for exposed staff are essential for better outcomes.

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