Prevention of Nosocomial Fungal Infection: The French Approach

Invasive aspergillosis: drug-dispensing systems as a source of filamentous fungal contamination in high-risk units?

“…3,4 Thus, in order to prevent hospital-acquired mould infections, high-risk patients such as those with haematological diseases are usually placed in high-efficiency particulate air (HEPA)-filtered rooms supplied with laminar air flow and positive air pressure. 5,6 The maintenance of good-quality air contributes substantially to reducing the incidence of hospital-acquired Aspergillus infections. 7 Other preventive measures, including closing doors and frequent environmental cleaning, have been reported to reduce the level of FF.…”

Emergency Evacuation of Immunocompromised Patients From a Hematology Unit Following Flooding of High-Efficiency Particulate Air (HEPA) Filtration

“…Because the indicator of consumption of hydro-alcoholic solution, ICSHA-2 (indicateur de consommation de solutions hydro-alcooliques number 2) is at its highest in our hospital, we focused our attention on 2 other fomites (ie, like Haun et al): devices and attire. 4 We first studied the bacterial contamination of mobile phones. We obtained 80 samples from 40 phones from 40 people of all healthcare occupations: nurses, doctors, nursing aides and hospital service agents.…”

“…3 The beds are located under laminar airflow and environmental samples (air and surface samples under laminar airflow and from the bathroom) are regularly taken from the patient rooms to detect air fungal contamination. 4 The hematopoietic stem cell transplantation center of Brest University Hospital has been accredited for the quality management system by the Joint Accreditation Committee of the International Society for Cellular Therapy (ISCT) and the European Society for Bone Marrow Transplantation (EBMT) known as JACIE since 2008. 5,6 JACIE is equivalent to its US counterpart, the Foundation for the Accreditation of Cellular Therapy, FACT, which is an ongoing quality management system that pertains to clinical, collection, and processing activities.…”

High risk factors for pulmonary fungous infection in intensive care units of neurosurgery

“…According to current publications, the high death rate caused by deep-seated fungous infection is strongly related to errors in early phase diagnosis [4,6]. It is a warning of fungous infection if any of the following is observed: fever that could not be identified and could not be alleviated by antibiotics; the coma of patients gets slighter for a while but soon turns deeper again; gelatinous, thick and silky sputum is found during aspiration; white coat or ulcer can be found in mouth; urine has white wadding or pieces of precipitator; the patients has diarrhea with watery, bubbled, or white tofu-like excrement; semitransparent candidid can be observed throughout the body; and blocks of shadow can be found through chest X-rays.…”