Healthcare-associated infections and their prevention after extensive flooding

Anucha Apisarnthanarak, David K. Warren, Clovus Glen Mayhall

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: This review will focus on the epidemiology of healthcare-associated infections (HAIs) after extensive blackwater flooding as well as preventive measures. RECENT FINDINGS: There is evidence suggesting an increased incidence of HAIs and pseudo-outbreaks due to molds after extensive flooding in healthcare facilities. However, there is no strong evidence of an increased incidence of typical nosocomial infections (i.e., ventilator- associated pneumonia, healthcare-associated pneumonia, central line-associated bloodstream infection and catheter-associated urinary tract infections). The prevalence of multidrug-resistant organisms may decrease after extensive flooding, due to repeated and thorough environmental cleaning prior to re-opening hospitals. Contamination of hospital water sources by enteric Gram-negative bacteria (e.g., Aeromonas species), Legionella species and nontuberculous Mycobacterium species in flood-affected hospitals has been reported. Surveillance is an important initial step to detect potential outbreaks/pseudo-outbreaks of HAIs. Hospital preparedness policies before extensive flooding, particularly with environmental cleaning and mold remediation, are key to reducing the risk of flood-related HAIs. These policies are still lacking in most hospitals in countries that have experienced or are at risk for extensive flooding, which argues for nationwide policies to strengthen preparedness planning. SUMMARY: Additional studies are needed to evaluate the epidemiology of flood-related HAIs and the optimal surveillance and control methods following extensive flooding.

Original languageEnglish (US)
Pages (from-to)359-365
Number of pages7
JournalCurrent Opinion in Infectious Diseases
Volume26
Issue number4
DOIs
StatePublished - Aug 2013

Fingerprint

Cross Infection
Disease Outbreaks
Epidemiology
Fungi
Delivery of Health Care
Aeromonas
Ventilator-Associated Pneumonia
Catheter-Related Infections
Nontuberculous Mycobacteria
Legionella
Incidence
Enterobacteriaceae
Gram-Negative Bacteria
Urinary Tract Infections
Pneumonia
Water
Infection

Keywords

  • black water
  • cross infection
  • floods
  • hospital
  • infection control
  • infections

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Healthcare-associated infections and their prevention after extensive flooding. / Apisarnthanarak, Anucha; Warren, David K.; Glen Mayhall, Clovus.

In: Current Opinion in Infectious Diseases, Vol. 26, No. 4, 08.2013, p. 359-365.

Research output: Contribution to journalArticle

Apisarnthanarak, Anucha ; Warren, David K. ; Glen Mayhall, Clovus. / Healthcare-associated infections and their prevention after extensive flooding. In: Current Opinion in Infectious Diseases. 2013 ; Vol. 26, No. 4. pp. 359-365.
@article{37c5cac59e0645cea675dac49e8cc310,
title = "Healthcare-associated infections and their prevention after extensive flooding",
abstract = "PURPOSE OF REVIEW: This review will focus on the epidemiology of healthcare-associated infections (HAIs) after extensive blackwater flooding as well as preventive measures. RECENT FINDINGS: There is evidence suggesting an increased incidence of HAIs and pseudo-outbreaks due to molds after extensive flooding in healthcare facilities. However, there is no strong evidence of an increased incidence of typical nosocomial infections (i.e., ventilator- associated pneumonia, healthcare-associated pneumonia, central line-associated bloodstream infection and catheter-associated urinary tract infections). The prevalence of multidrug-resistant organisms may decrease after extensive flooding, due to repeated and thorough environmental cleaning prior to re-opening hospitals. Contamination of hospital water sources by enteric Gram-negative bacteria (e.g., Aeromonas species), Legionella species and nontuberculous Mycobacterium species in flood-affected hospitals has been reported. Surveillance is an important initial step to detect potential outbreaks/pseudo-outbreaks of HAIs. Hospital preparedness policies before extensive flooding, particularly with environmental cleaning and mold remediation, are key to reducing the risk of flood-related HAIs. These policies are still lacking in most hospitals in countries that have experienced or are at risk for extensive flooding, which argues for nationwide policies to strengthen preparedness planning. SUMMARY: Additional studies are needed to evaluate the epidemiology of flood-related HAIs and the optimal surveillance and control methods following extensive flooding.",
keywords = "black water, cross infection, floods, hospital, infection control, infections",
author = "Anucha Apisarnthanarak and Warren, {David K.} and {Glen Mayhall}, Clovus",
year = "2013",
month = "8",
doi = "10.1097/QCO.0b013e3283630b1d",
language = "English (US)",
volume = "26",
pages = "359--365",
journal = "Current Opinion in Infectious Diseases",
issn = "0951-7375",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Healthcare-associated infections and their prevention after extensive flooding

AU - Apisarnthanarak, Anucha

AU - Warren, David K.

AU - Glen Mayhall, Clovus

PY - 2013/8

Y1 - 2013/8

N2 - PURPOSE OF REVIEW: This review will focus on the epidemiology of healthcare-associated infections (HAIs) after extensive blackwater flooding as well as preventive measures. RECENT FINDINGS: There is evidence suggesting an increased incidence of HAIs and pseudo-outbreaks due to molds after extensive flooding in healthcare facilities. However, there is no strong evidence of an increased incidence of typical nosocomial infections (i.e., ventilator- associated pneumonia, healthcare-associated pneumonia, central line-associated bloodstream infection and catheter-associated urinary tract infections). The prevalence of multidrug-resistant organisms may decrease after extensive flooding, due to repeated and thorough environmental cleaning prior to re-opening hospitals. Contamination of hospital water sources by enteric Gram-negative bacteria (e.g., Aeromonas species), Legionella species and nontuberculous Mycobacterium species in flood-affected hospitals has been reported. Surveillance is an important initial step to detect potential outbreaks/pseudo-outbreaks of HAIs. Hospital preparedness policies before extensive flooding, particularly with environmental cleaning and mold remediation, are key to reducing the risk of flood-related HAIs. These policies are still lacking in most hospitals in countries that have experienced or are at risk for extensive flooding, which argues for nationwide policies to strengthen preparedness planning. SUMMARY: Additional studies are needed to evaluate the epidemiology of flood-related HAIs and the optimal surveillance and control methods following extensive flooding.

AB - PURPOSE OF REVIEW: This review will focus on the epidemiology of healthcare-associated infections (HAIs) after extensive blackwater flooding as well as preventive measures. RECENT FINDINGS: There is evidence suggesting an increased incidence of HAIs and pseudo-outbreaks due to molds after extensive flooding in healthcare facilities. However, there is no strong evidence of an increased incidence of typical nosocomial infections (i.e., ventilator- associated pneumonia, healthcare-associated pneumonia, central line-associated bloodstream infection and catheter-associated urinary tract infections). The prevalence of multidrug-resistant organisms may decrease after extensive flooding, due to repeated and thorough environmental cleaning prior to re-opening hospitals. Contamination of hospital water sources by enteric Gram-negative bacteria (e.g., Aeromonas species), Legionella species and nontuberculous Mycobacterium species in flood-affected hospitals has been reported. Surveillance is an important initial step to detect potential outbreaks/pseudo-outbreaks of HAIs. Hospital preparedness policies before extensive flooding, particularly with environmental cleaning and mold remediation, are key to reducing the risk of flood-related HAIs. These policies are still lacking in most hospitals in countries that have experienced or are at risk for extensive flooding, which argues for nationwide policies to strengthen preparedness planning. SUMMARY: Additional studies are needed to evaluate the epidemiology of flood-related HAIs and the optimal surveillance and control methods following extensive flooding.

KW - black water

KW - cross infection

KW - floods

KW - hospital

KW - infection control

KW - infections

UR - http://www.scopus.com/inward/record.url?scp=84879879747&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879879747&partnerID=8YFLogxK

U2 - 10.1097/QCO.0b013e3283630b1d

DO - 10.1097/QCO.0b013e3283630b1d

M3 - Article

C2 - 23757004

AN - SCOPUS:84879879747

VL - 26

SP - 359

EP - 365

JO - Current Opinion in Infectious Diseases

JF - Current Opinion in Infectious Diseases

SN - 0951-7375

IS - 4

ER -