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Table 1 Healthcare-associated outbreaks due to four new or uncommon fungal pathogens

From: Healthcare-associated fungal outbreaks: New and uncommon species, New molecular tools for investigation and prevention

Species Year Country N° of cases Infection sites At risk population Source Main preventive measures References
Candida auris Since 2011 Four continents >  500 IFI and colonization Risk of invasive candidiasis Human and environmental surfaces Improve hand hygiene
Contact isolation
Improve environmental desinfection
[3,4,5,6,7,8,9,10,11,12,13,14, 36,37,38,39,40,41,42,43,44,45,46,47,48,49,50]
Saprochaete clavata (formerly Geotrichum clavatum) Sept 2011-Oct 2012
Oct-Dec 2014
France
Italy
30
3
Blood and colonization
Spleen, liver, lung
Hematological malignancies
Hematological malignancies
Unknown
Unknown
Define and identify at risk population
Search for a common source
[15,16,17]
Sarocladium kiliense (formerly Acremonium kiliense) June 2013-Jan 2014
Nov 2013
March-May 2011
Chile (8 hospitals in Santiago)
Colombia
Greece
67
16
3
Blood
Blood
Blood
Chemotherapy
Chemotherapy
Stem cell transplantation
Antinausea ondansetron (company A)
Ondansetron (company A)
CVC
Recall of all ondansetron lots of the company A [21,22,23]
Exserohilum rostratum Sept 2012-Oct 2013 USA (20 states) 751 Paraspinal/spinalMeninges
Peripheral joint
Epidural/paraspinal injection of MPA MPA (compounded drug) Recall of the 3 contaminated lots [24,25,26,27,28, 33,34,35]
  1. CVC Central venous catheter, MPA Methylprednisolone acetate