How Clean Is the Linen at My Hospital? The Mucorales on Unclean Linen Discovery Study of Large United States Transplant and Cancer Centers

Author:

Sundermann Alexander J12,Clancy Cornelius J3,Pasculle A William12,Liu Guojun3,Cumbie Richard B2,Driscoll Eileen3,Ayres Ashley2,Donahue Lisa2,Pergam Steven A4,Abbo Lilian5,Andes David R6,Chandrasekar Pranatharthi7,Galdys Alison L8,Hanson Kimberly E9,Marr Kieren A10,Mayer Jeanmarie11,Mehta Seema10,Morris Michele I12,Perfect John13,Revankar Sanjay G7,Smith Becky13,Swaminathan Sankar14,Thompson George R15,Varghese Merin16,Vazquez Jose17,Whimbey Estella18,Wingard John R19,Nguyen M Hong3

Affiliation:

1. University of Pittsburgh Graduate School of Public Health, Pennsylvania

2. University of Pittsburgh Medical Center, Pennsylvania

3. University of Pittsburgh School of Medicine, Pennsylvania

4. Fred Hutchinson Cancer Research Center and University of Washington, Seattle

5. Jackson Health System, Miami, Florida

6. University of Wisconsin School of Medicine, Madison

7. Wayne State University, Detroit, Michigan

8. University of Minnesota, Minneapolis

9. University of Utah and Associated Regional and University Pathologists Laboratories, Salt Lake City

10. Johns Hopkins University School of Medicine, Baltimore, Maryland

11. University of Utah Health Care Hospitals and Clinics, Salt Lake City

12. University of Miami Hospital and Clinics/Sylvester Cancer Center, Florida

13. Duke University Medical Center, Durham, North Carolina

14. University of Utah School of Medicine, Salt Lake City

15. UC Davis Medical Center, Sacramento, California

16. Augusta University Medical Center

17. Medical College of Georgia at Augusta University

18. University of Washington Medical Center, Seattle

19. University of Florida College of Medicine, Gainesville

Abstract

Abstract Mucormycosis outbreaks have been linked to contaminated linen. We performed fungal cultures on freshly-laundered linens at 15 transplant and cancer hospitals. At 33% of hospitals, the linens were visibly unclean. At 20%, Mucorales were recovered from >10% of linens. Studies are needed to understand the clinical significance of our findings.

Funder

National Institutes of Health

University of Pittsburgh Medical Center

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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