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.

Abstract

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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