Outbreak investigation of

Candida auris fluconazole resistant infection control outbreak investigation

Journal

Journal of infection prevention
ISSN: 1757-1774
Titre abrégé: J Infect Prev
Pays: England
ID NLM: 101469725

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 04 12 2019
accepted: 09 05 2020
entrez: 16 11 2020
pubmed: 17 11 2020
medline: 17 11 2020
Statut: ppublish

Résumé

From September 2014, a tertiary care hospital in Karachi, Pakistan, started diagnosing 3-5 cases/month of a yeast locally identified as The aim of the outbreak investigation was to determine the risk factors and to inform measures to limit the spread of the organism in the hospital. Medical records, nursing schedules and infection control practices were reviewed. Sixty-two age- and sex-matched hospital controls from the same wards were identified. Thirty cases (17 males) were identified (mean age = 51.6 years, age range = 2-91 years), case fatality was 53%. Multivariate logistic regression showed that a history of surgery within 90 days of diagnosis, admission to the emergency department and history of chronic kidney disease were significantly associated with This is the report of the outbreak investigation that triggered a global exploration of

Sections du résumé

BACKGROUND BACKGROUND
From September 2014, a tertiary care hospital in Karachi, Pakistan, started diagnosing 3-5 cases/month of a yeast locally identified as
OBJECTIVE OBJECTIVE
The aim of the outbreak investigation was to determine the risk factors and to inform measures to limit the spread of the organism in the hospital.
METHODS METHODS
Medical records, nursing schedules and infection control practices were reviewed. Sixty-two age- and sex-matched hospital controls from the same wards were identified.
RESULTS RESULTS
Thirty cases (17 males) were identified (mean age = 51.6 years, age range = 2-91 years), case fatality was 53%. Multivariate logistic regression showed that a history of surgery within 90 days of diagnosis, admission to the emergency department and history of chronic kidney disease were significantly associated with
DISCUSSION CONCLUSIONS
This is the report of the outbreak investigation that triggered a global exploration of

Identifiants

pubmed: 33193821
doi: 10.1177/1757177420935639
pii: 10.1177_1757177420935639
pmc: PMC7607399
doi:

Types de publication

Journal Article

Langues

eng

Pagination

189-195

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

Emerg Infect Dis. 2013 Oct;19(10):1670-3
pubmed: 24048006
Clin Infect Dis. 2017 Jan 15;64(2):134-140
pubmed: 27988485
Antimicrob Resist Infect Control. 2016 Oct 19;5:35
pubmed: 27777756
Microbiol Immunol. 2009 Jan;53(1):41-4
pubmed: 19161556
Emerg Infect Dis. 2014 Jul;20(7):1250-1
pubmed: 24963796
J Antimicrob Chemother. 2017 Jun 1;72(6):1794-1801
pubmed: 28333181
Emerg Infect Dis. 2017 Feb;23(1):
pubmed: 28098529
BMC Infect Dis. 2019 May 6;19(1):384
pubmed: 31060514
J Clin Microbiol. 2015 Jun;53(6):1823-30
pubmed: 25809970
Med Mycol. 2011 Jan;49(1):98-102
pubmed: 20560864
Emerg Infect Dis. 2015 Jun;21(6):1091-2
pubmed: 25989098

Auteurs

Joveria Q Farooqi (JQ)

Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

Asad S Soomro (AS)

Field Epidemiology and Laboratory Training Program, Pakistan.

Mirza A Baig (MA)

Field Epidemiology and Laboratory Training Program, Pakistan.

Shamoona F Sajjad (SF)

Field Epidemiology and Laboratory Training Program, Pakistan.

Kamran Hamid (K)

Field Epidemiology and Laboratory Training Program, Pakistan.

Kauser Jabeen (K)

Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

Mohammed F Naqvi (MF)

Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

Nosheen Nasir (N)

Department of Medicine, Aga Khan University, Karachi, Pakistan.

Rozina Roshan (R)

Department of Quality and Patient Safety, Aga Khan University Hospital, Karachi, Pakistan.

Syed F Mahmood (SF)

Department of Medicine, Aga Khan University, Karachi, Pakistan.

Afia Zafar (A)

Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.

Rana J Asghar (RJ)

Global Health Strategists & Implementers (GHSI), Islamabad, Pakistan.

Classifications MeSH