Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-19T04:24:33.977Z Has data issue: false hasContentIssue false
  • English
  • Français

Trichosporon asahii among Intensive Care Unit Patients at a Medical Center in Jamaica

Published online by Cambridge University Press:  02 January 2015

Robyn Neblett Fanfair ,
Orville Heslop ,
Kizee Etienne ,
Lois Rainford ,
Monika Roy ,
Lalitha Gade ,
Joyce Peterson ,
Heather O'Connell ,
Judith Noble-Wang  and
S. Arunmozhi Balajee
...Show all authors
Robyn Neblett Fanfair*
Affiliation:
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Orville Heslop
Affiliation:
Department of Microbiology, University of the West Indies, Kingston, Jamaica
Kizee Etienne
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Lois Rainford
Affiliation:
Department of Microbiology, University of the West Indies, Kingston, Jamaica
Monika Roy
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Lalitha Gade
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Joyce Peterson
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Heather O'Connell
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Judith Noble-Wang
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
S. Arunmozhi Balajee
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
Mary E. Brandt
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
John F. Lindo
Affiliation:
Department of Microbiology, University of the West Indies, Kingston, Jamaica
Benjamin J. Park
Affiliation:
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
*
1600 Clifton Road, Atlanta, GA 30333 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We investigated an increase in Trichosporon asahii isolates among inpatients. We identified 63 cases; 4 involved disseminated disease. Trichosporon species was recovered from equipment cleaning rooms, washbasins, and fomites, which suggests transmission through washbasins. Patient washbasins should be single-patient use only; adherence to appropriate hospital disinfection guidelines was recommended.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 6 , June 2013 , pp. 638 - 641
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Chagas-Neto, TC, Chaves, GM, Colombo, AL. Update on the genus Trichosporon. Mycopathologia 2008;166:121–32.CrossRefGoogle ScholarPubMed
2.Vazquez, J. Trichosporon infection. Curr Fungal Infect Rep 2010;4:52–58.CrossRefGoogle Scholar
3.Wolf, DG, Falk, R, Hacham, M, et al.Multidrug-resistant Trichosporon asahii infection of nongranulocytopenic patients in three intensive care units. J Clin Microbiol 2001;39:4420–4425.CrossRefGoogle ScholarPubMed
4.De Pauw, B, Walsh, TJ, Donnelly, JP, et al.Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperative Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group (EORTC/MSG) Consensus Group. Clin Infect Dis 2008;46:1813–1821.CrossRefGoogle Scholar
5.Rodriguez-Tudela, JL, Diaz-Guerra, TM, Mellado, E, et al.Susceptibility patterns and molecular identification of Trichosporon species. Antimicrob Agents Chemother 2005;49:4026–4034.Google Scholar
6.Sugita, T, Nakajima, M, Ikeda, R, Matsushima, T, Shinoda, T. Sequence analysis of the ribosomal DNA intergenic spacer 1 regions of Trichosporon species. J Clin Microbiol 2002;40:1826–1830.Google Scholar
7.Heslop, OD, Nyi Nyi, MP, Abbott, SP, Rainford, LE, Castle, DM, Coard, KC. Disseminated trichosporonosis in a burn patient: meningitis and cerebral abscess due to Trichosporon asahii. J Clin Microbiol 2011;49:4405–4408.CrossRefGoogle Scholar
8.Johnson, D, Lineweaver, L, Maze, LM. Patients' bath basins as potential sources of infection: a multicenter sampling study. Am J Crit Care 2009;18:31–38.CrossRefGoogle ScholarPubMed
9.Lowry, F. “Clean” hospital bath basins contaminated with resistant bugs. 2011. http://www.medbioworld.com. Accessed July 13, 2012.Google Scholar
10.Healthcare Infection Control Practices Advisory Committee (HICPAC). Guidelines for environmental infection control in health care facilities: recommendations of the CDC and HICPAC. MMWR Recomm Rep 2003;52(RR-10):1–42.Google Scholar