Latest News from CORHA

Controlling an Emerging Fungal Threat: The Partners for Patient Safety Program (Public Health Insider)

This article describes a new program underway in King County aimed at early identification of multi-drug resistant organisms (MDROs), with the goal of mitigating their spread in healthcare settings including those that serve the most vulnerable. A key project goal is to implement a surveillance system to identify and mitigate the spread of an emerging, often multi-drug resistant fungus called Candida auris or C. auris.
January 17, 2023 Read More

Outbreak of central-line–associated bloodstream infections (CLABSIs) amid the coronavirus disease 2019 (COVID-19) pandemic associated with changes in central-line dressing care accompanying changes in nursing education, nursing documentation, and dressing supply kits (Infection Control & Hospital Epidemiology)

This article describes a cluster of central line-associated bloodstream infections (CLABSI) at a hospital, where after a period of no CLABSIs from April 2019 to November 2020, experienced 7 CLABSIs from November 2020 to March 2021. This report describes the investigation into the outbreak and its principal findings, which included changes in the use of CHG-impregnated dressings as well as deviations in nursing training, documentation, and standard practices in central-line dressing care.
January 4, 2023 Read More

Outbreak of Burkholderia stabilis Infections Associated with Contaminated Nonsterile, Multiuse Ultrasound Gel — 10 States, May–September 2021 (Morbidity and Mortality Weekly Report)

In 2021, a total of 119 BCC infections were associated with multiple lots of nonsterile ultrasound gel contaminated with BCC organisms. Use of this contaminated gel before percutaneous procedures likely contributed to patient infections. This outbreak highlights the importance of appropriate use of ultrasound gel within health care settings to help prevent patient infections, including the use of only sterile, single-use ultrasound gel for ultrasonography when subsequent percutaneous procedures might be performed.
December 28, 2022 Read More

Fungal Endophthalmitis Outbreak after Cataract Surgery, South Korea, 2020 (Emerging Infectious Diseases)

This article describes an unusual increase in fungal endophthalmitis cases in November 2020 after cataract surgery was reported to the Korea Disease Control and Prevention Agency, South Korea. An outbreak investigation was initiated to identify the cause. Most case-patients were exposed during surgery to ocular viscoelastic devices (OVDs) from the same manufacturer (company A). It was determined this fungal endophthalmitis outbreak was caused by a contaminated lot of OVDs and recommended discontinued use of this product. Early recognition of outbreaks and joint responses from related government agencies can reduce risk for fungal endophthalmitis.
December 14, 2022 Read More

Cluster of Norovirus Genogroup IX Outbreaks in Long-Term Care Facilities, Utah, USA, 2021 (Emerging Infectious Diseases)

This article reports 5 clustered acute gastroenteritis outbreaks in long-term care facilities in Utah, USA, that were linked to healthcare employees working at multiple facilities. Four outbreaks were caused by norovirus genotype GIX. We recommend continued norovirus surveillance and genotyping to determine contributions of this genotype to norovirus outbreaks.
December 7, 2022 Read More

Outbreaks of Nontuberculous Mycobacteria Infections Highlight Importance of Maintaining and Monitoring Dental Waterlines (Emergency Preparedness and Response)

The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to emphasize the importance of following existing recommendations for maintaining and monitoring dental waterlines. Multiple outbreaks of nontuberculous Mycobacteria (NTM) infections have occurred in children who received pulpotomies in pediatric dental clinics where the dental treatment water contained high levels of bacteria.
November 30, 2022 Read More

Clean clothes or dirty clothes? Outbreak investigation of carbapenem-resistant Acinetobacter baumannii related to laundry contamination through multilocus sequence typing (MLST) (Infection Control & Hospital Epidemiology)

This article describes an outbreak of carbapenem-resistant Acinetobacter baumannii (CRA) in a general hospital due to contamination of a laundry evaporative cooler and the laundry environment using multilocus sequence typing (MLST). MLST confirmed that contamination of the laundry evaporative cooler and surrounding environment caused a polyclonal CRA hospital outbreak.
November 23, 2022 Read More