Mold colonization of fiberglass insulation of the air distribution system: Effects on patients with hematological malignancies

Takahiro Takuma, Kaoru Okada, Akihiro Yamagata, Nobuyuki Shimono, Yoshihito Niki

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We investigated mold colonization of air handling units (AHUs) of heating, ventilating, and air conditioning (HVAC) systems and its effects, including invasive pulmonary mycoses and febrile neutropenia, in patients with hematological malignancies. Sample collection with transparent adhesive tape and culture swabs revealed that AHUs were heavily colonized with molds, including thermotolerant, variously distributed Penicillium spp. Cases of nosocomial invasive pulmonary mycosis were not clustered in specific patient rooms but did occur frequently when the HVAC systems were not in use, prior to intervention (i.e., sealing and disuse of AHUs in private room), and during construction of a new hospital building. Multivariate logistic regression analysis of initial episodes of febrile neutropenia showed that the rate of febrile neutropenia was significantly associated with the duration of neutropenia (odds ratio [OR]: 1.16; 95% confidence interval [CI]: 1.071.27) and with sex (OR: 0.469; CI: 0.2390.902). An evaluation of private rooms showed that female patients also had a lower rate of fever after intervention (OR: 0.0016; 95% CI: 0.0000.209). The reduced rate of febrile neutropenia after intervention suggests that mold colonization of AHUs had adverse effects on patients with hematological malignancies.

Original languageEnglish
Pages (from-to)150-156
Number of pages7
JournalMedical mycology
Volume49
Issue number2
DOIs
Publication statusPublished - Feb 1 2011

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Febrile Neutropenia
Hematologic Neoplasms
Patients' Rooms
Fungi
Air
Air Conditioning
Odds Ratio
Confidence Intervals
Heating
Lung
Penicillium
Sex Ratio
Neutropenia
Adhesives
Fever
Logistic Models
Regression Analysis
fiberglass
Invasive Fungal Infections

All Science Journal Classification (ASJC) codes

  • Infectious Diseases

Cite this

Mold colonization of fiberglass insulation of the air distribution system : Effects on patients with hematological malignancies. / Takuma, Takahiro; Okada, Kaoru; Yamagata, Akihiro; Shimono, Nobuyuki; Niki, Yoshihito.

In: Medical mycology, Vol. 49, No. 2, 01.02.2011, p. 150-156.

Research output: Contribution to journalArticle

Takuma, Takahiro ; Okada, Kaoru ; Yamagata, Akihiro ; Shimono, Nobuyuki ; Niki, Yoshihito. / Mold colonization of fiberglass insulation of the air distribution system : Effects on patients with hematological malignancies. In: Medical mycology. 2011 ; Vol. 49, No. 2. pp. 150-156.
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