Document Detail


Heavy contamination of operating room air by Penicillium species: identification of the source and attempts at decontamination.
MedLine Citation:
PMID:  2135636     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Increased rates of nosocomial infection caused by filamentous fungi in immunocompromised patients prompted microbiologic surveillance of the central air handling systems in our hospital. During a 4-year period, Penicillium species were isolated from 47 patients, including two with surgical wound infections caused by Penicillium. Counts of Penicillium in operating room air were much higher (195 colony-forming units [CFU]/m3) than in 95% filtered corridor air (14.6 CFU/m3; p less than 0.01). Ventilation ducts and terminal units lined with fiberglass in the operating room air handling system were heavily contaminated by Penicillium; the fiberglass was also contaminated with Aspergillus species. Corrective measures included filter replacement and decontamination of the ventilation system with aerosolized chlorine solution. Although operating room air remained free of filamentous fungi during the next 7 months, contamination eventually recurred and required repeated decontamination. We believe that certification guidelines are highly desirable for hospital ventilation systems, especially if the system serves immunocompromised patients.
Authors:
B C Fox; L Chamberlin; P Kulich; E J Rae; L R Webster
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of infection control     Volume:  18     ISSN:  0196-6553     ISO Abbreviation:  Am J Infect Control     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1991-01-17     Completed Date:  1991-01-17     Revised Date:  2009-08-14    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  300-6     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Ohio State University Hospitals, Columbus 43210-1228.
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MeSH Terms
Descriptor/Qualifier:
Air Microbiology*
Aspergillus / isolation & purification
Candida / isolation & purification
Cladosporium / isolation & purification
Cross Infection / etiology
Decontamination / methods*
Humans
Male
Middle Aged
Mycoses / etiology
Ohio
Operating Rooms / standards*
Penicillium / isolation & purification*
Staphylococcus epidermidis / isolation & purification
Ventilation / standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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