Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T05:39:07.505Z Has data issue: false hasContentIssue false

Pseudo-Outbreak of Phaeoacremonium parasiticum from a Hospital Ice Dispenser

Published online by Cambridge University Press:  10 May 2016

Molly Blake*
Affiliation:
Infection Prevention and Control Unit, Health Sciences Centre, Winnipeg, Manitoba, Canada
John M. Embil
Affiliation:
Infection Prevention and Control Unit, Health Sciences Centre, Winnipeg, Manitoba, Canada Department of Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, Manitoba, Canada Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
Elly Trepman
Affiliation:
Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada
Heather Adam
Affiliation:
Department of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada Diagnostic Services Manitoba, Winnipeg, Manitoba, Canada
Renelle Myers
Affiliation:
Department of Medicine, Section of Respirology, University of Manitoba, Winnipeg, Manitoba, Canada
Pam Mutcher
Affiliation:
Infection Prevention and Control Unit, Health Sciences Centre, Winnipeg, Manitoba, Canada
*
Infection Prevention and Control Unit, Health Sciences Centre, MS 673-820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada ([email protected]).

Extract

In 31 patients, Phaeoacremonium parasiticum was recovered from bronchoscopy specimens (biopsies and aspirates). The pseudo-outbreak was caused by contaminated ice used to control hemorrhage during bronchoscopy and was associated with deficiencies in equipment cleaning. The bronchoscopy technique was modified, the ice dispenser was disinfected, bronchoscope reprocessing was improved, and there were no recurrences.

Infect Control Hosp Epidemiol 2014;35(8):1063–1065

Type
Concise Communication
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

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. Ajello, L, Georg, LK, Steigbigel, RT, Wang, CJ. A case of phaeohyphomycosis caused by a new species of Phialophora. Mycologia 1974;66:490498.CrossRefGoogle ScholarPubMed
2. Heath, CH, Lendrum, JL, Wetherall, BL, Wesselingh, SL, Gordon, DL. Phaeoacremonium parasiticum infective endocarditis following liver transplantation. Clin Infect Dis 1997;25:12511252.Google Scholar
3. Jha, V, Krishna, VS, Chakrabarti, A, et al. Subcutaneous phaeohyphomycosis in a renal transplant recipient: a case report and review of the literature. Am J Kidney Dis 1996:28:137139.Google Scholar
4. Laussucq, S, Baltch, AL, Smith, RP, et al. Nosocomial Mycobacterium fortuitum colonization from a contaminated ice machine. Am Rev Respir Dis 1988;138:891894.Google Scholar
5. Panwalker, AP, Fuhse, E. Nosocomial Mycobacterium gordonae pseudoinfection from contaminated ice machines. Infect Control 1986;7:6770.Google Scholar
6. Graman, PS, Quinlan, GA, Rank, JA. Nosocomial legionellosis traced to a contaminated ice machine. Infect Control Hosp Epidemiol 1997;18:637640.CrossRefGoogle ScholarPubMed
7. Stout, JE, Yu, VL, Muraca, P. Isolation of Legionella pneumophila from the cold water of hospital ice machines: implications for origin and transmission of the organism. Infect Control 1985;6:141146.CrossRefGoogle ScholarPubMed
8. Schuetz, AN, Hughes, RL, Howard, RM, et al. Pseudo-outbreak of Legionella pneumophila serogroup 8 infection associated with a contaminated ice machine in a bronchoscopy suite. Infect Control Hosp Epidemiol 2009;30:461466.CrossRefGoogle Scholar
9. Centers for Disease Control and Prevention. Pseudo-outbreak of Legionnaires disease among patients undergoing bronchoscopy: Arizona, 2008. MMWR Morb Mortal Wkly Rep 2009;58:849854.Google Scholar
10. Rutala, WA, Weber, DJ. How to assess risk of disease transmission to patients when there is a failure to follow recommended disinfection and sterilization guidelines. Infect Control Hosp Epidemiol 2007;28:146155.CrossRefGoogle ScholarPubMed