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Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
Published on: February 23, 2024
A polymicrobial fungal outbreak in a regional burn center after Hurricane Sandy
Geeta Sood1, Dhananjay Vaidya2, Lisa Dam3
1The Johns Hopkins University, School of Medicine, Department of Internal Medicine, Division of Infectious Diseases, Baltimore, MD.
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.
Insights
A fungal outbreak occurred in burn patients following Hurricane Sandy, linked to hospital environmental contamination. Changes in facility design successfully resolved the nosocomial fungal infections.
Area of Science:
- Infectious Diseases
- Environmental Health
- Hospital Epidemiology
Background:
- Hurricane Sandy caused significant environmental disruptions.
- Severe weather events can impact healthcare facilities and patient safety.
- Nosocomial fungal infections pose a risk to vulnerable patient populations.
Purpose of the Study:
- To describe a polymicrobial fungal outbreak in a burn intensive care unit.
- To investigate the association between Hurricane Sandy and fungal infections.
- To identify factors contributing to the outbreak and its resolution.
Main Methods:
- Conducted an observational outbreak investigation.
- Performed a retrospective descriptive review of non-Candida fungal isolates (2009-2016).
- Analyzed patient data from a regional burn intensive care unit.
Main Results:
- A polymicrobial fungal outbreak was temporally associated with Hurricane Sandy.
- Hospital air and water permeations were linked to the outbreak.
- Modifications to the facility design led to the abatement of the outbreak.
Conclusions:
- Severe weather events, such as hurricanes, may be associated with nosocomial fungal outbreaks.
- Environmental contamination following natural disasters can lead to healthcare-associated infections.
- Facility design and maintenance are critical in preventing fungal outbreaks in healthcare settings.
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