This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (105)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Andrew A. Gage, MD; David C. Dean, MD; George Schimert, MD; Nat Minsley, MSPH

AMA Arch Surg. 1970;101(3):384-387.

Abstract
Aspergillus infections in four patients after cardiac surgery led to intensive search of the hospital environment for fungi and to review of contamination control practice. Aspergillus was grown from pigeon excreta on the outside windowsills and from moss growing on the hospital roof. It was recovered occasionally from the operating room and more often from the postoperative recovery room. Defects in the ventilating system of these areas were identified and corrected in order to reduce air contamination. Patient contamination must be related to the turbulent blood-air interface produced by cardiac suckers during operation, but still the manner of control and even the portal of entry of infection remain obscure and are, therefore, a cause for concern in future operations.

Author Affiliations
Buffalo

From the Veterans Administration Hospital and the State University of New York School of Medicine, Buffalo.

Footnotes
Accepted for publication April 23, 1970.

Reprint requests to Veterans Administration Hospital, 3495 Bailey Ave, Buffalo 14215 (Dr. Gage).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia
Am. J. Respir. Crit. Care Med. 2005;171:388-416.
FULL TEXT  

Aspergillus Infection of Implantable Cardioverter-Defibrillator
Cook et al.
Mayo Clin Proc. 2004;79:549-552.
ABSTRACT  

Wound Infections in Patients Undergoing Total Hip Arthroplasty: Ultraviolet Light for the Control of Airborne Bacteria
Moggio et al.
Arch Surg 1979;114:815-823.
ABSTRACT  

Airflow Effects in Surgery: Perspective of an Era
Laufman
Arch Surg 1979;114:826-830.
ABSTRACT  

Postoperative Fungal Endocarditis: Fungemia, Embolism, and Therapy
Harford
Arch Intern Med 1974;134:116-120.
ABSTRACT  

Cure of Aspergillus ustus Endocarditis on: a Prosthetic Valve
Carrizosa et al.
Arch Intern Med 1974;133:486-490.
ABSTRACT  

Surgical Hazard Control: Effect of Architecture and Engineering
Laufman
Arch Surg 1973;107:552-559.
ABSTRACT  

Aspergillus Endocarditis: Therapeutic Failure of Amphotericin B
Meyer and Fox
Arch Intern Med 1973;132:102-106.
ABSTRACT  

Aspergillosis in Four Renal Transplant Recipients: Diagnosis and Effective Treatment with Amphotericin B
BURTON et al.
ANN INTERN MED 1972;77:383-388.
ABSTRACT