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Saprochaete clavata Outbreak Infecting Cancer Center through Dishwasher
oleh: Estelle Menu, Alexis Criscuolo, Marie Desnos-Ollivier, Carole Cassagne, Evelyne D’Incan, Sabine Furst, Stéphane Ranque, Pierre Berger, Françoise Dromer
Format: | Article |
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Diterbitkan: | Centers for Disease Control and Prevention 2020-09-01 |
Deskripsi
Saprochaete clavata is a pathogenic yeast responsible for rare outbreaks involving immunocompromised patients, especially those with hematologic malignancies. During February 2016–December 2017, we diagnosed S. clavata infections in 9 patients (8 with fungemia), including 3 within 1 month, at a cancer center in Marseille, France. The patients (median age 58 years), 4 of 9 of whom had acute myeloid leukemia, were hospitalized in 3 different wards. Ten environmental samples, including from 2 dishwashers and 4 pitchers, grew S. clavata, but no contaminated food was discovered. The outbreak ended after contaminated utensils and appliances were discarded. Whole-genome sequencing analysis demonstrated that all clinical and environmental isolates belonged to the same phylogenetic clade, which was unrelated to clades from previous S. clavata outbreaks in France. We identified a dishwasher with a deficient heating system as the vector of contamination.