Academic Journal
Invasive Mold Infections Following Hurricane Harvey—Houston, Texas
| العنوان: | Invasive Mold Infections Following Hurricane Harvey—Houston, Texas |
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| المؤلفون: | Toda, Mitsuru, Williams, Samantha, Jackson, Brendan R, Wurster, Sebastian, Serpa, Jose A, Nigo, Masayuki, Grimes, Carolyn Z, Atmar, Robert L, Chiller, Tom M, Ostrosky-Zeichner, Luis, Kontoyiannis, Dimitrios P |
| المساهمون: | Centers for Disease Control and Prevention |
| المصدر: | Open Forum Infectious Diseases ; volume 10, issue 3 ; ISSN 2328-8957 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2023 |
| الوصف: | Background Characterizing invasive mold infection (IMI) epidemiology in the context of large flooding events is important for public health planning and clinical decision making. Methods We assessed IMI incidence (per 10 000 healthcare encounters) 1 year before and after Hurricane Harvey at 4 hospitals in Houston, Texas. Potential IMI cases were assigned as proven or probable cases using established definitions, and surveillance cases using a novel definition. We used rate ratios to describe IMI incidence and multivariable logistic regression to examine patient characteristics associated with IMI case status. Results IMI incidence was significantly higher posthurricane (3.69 cases) than prehurricane (2.50 cases) (rate ratio, 1.48 [95% confidence interval, 1.10–2.00]), largely driven by surveillance IMI cases. Aspergillus was the most common species cultured (33.5% prehurricane and 39.9% posthurricane). About one-quarter (25.8%) of IMI patients lacked classical IMI risk factors such as hematologic malignancy and transplantations. Overall, 45.1% of IMI patients received intensive care, and in-hospital all-cause mortality was 24.2%. Conclusions IMI incidence likely increased following Hurricane Harvey and outcomes for IMI patients were severe. Patient and clinician education on IMI prevention and identification is warranted, particularly as the frequency of extreme weather events increases due to climate change. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/ofid/ofad093 |
| DOI: | 10.1093/ofid/ofad093/49282247/ofad093.pdf |
| الاتاحة: | http://dx.doi.org/10.1093/ofid/ofad093 https://academic.oup.com/ofid/advance-article-pdf/doi/10.1093/ofid/ofad093/49282247/ofad093.pdf https://academic.oup.com/ofid/article-pdf/10/3/ofad093/49504539/ofad093.pdf |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.FE01DA9C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ofid/ofad093 |
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