title: Consensus guidelines for implementation of quality processes to prevent invasive fungal disease and enhanced surveillance measures during hospital building works, 2014.
abstract: Healthcare-associated fungal outbreaks impose a substantial economic burden on the health system and typically result in high patient morbidity and mortality, particularly in the immunocompromised host. As the population at risk of invasive fungal infection continues to grow due to the increased burden of cancer and related factors, the need for hospitals to employ preventative measures has become increasingly important. These guidelines outline the standard quality processes hospitals need to accommodate into everyday practice and at times of healthcare-associated outbreak, including the role of antifungal stewardship programmes and best practice environmental sampling. Specific recommendations are also provided to help guide the planning and implementation of quality processes and enhanced surveillance before, during and after high-risk activities, such as hospital building works. Areas in which information is still lacking and further research is required are also highlighted.
authors.affiliation: Department of Infectious Diseases, Alfred Health and Monash University, Prahran, Victoria; Centre for Biomedical Research, Burnet Institute, Victoria; Lewin-Cameron Laboratory, The Doherty Institute for Infection and Immunity, Parkville, Victoria.
authors.forename: C C
authors.initials: CC
authors.lastname: Chang
authors.forename: M
authors.initials: M
authors.lastname: Ananda-Rajah
authors.forename: A
authors.initials: A
authors.lastname: Belcastro
authors.forename: B
authors.initials: B
authors.lastname: McMullan
authors.forename: A
authors.initials: A
authors.lastname: Reid
authors.forename: K
authors.initials: K
authors.lastname: Dempsey
authors.forename: E
authors.initials: E
authors.lastname: Athan
authors.forename: A C
authors.initials: AC
authors.lastname: Cheng
authors.forename: M A
authors.initials: MA
authors.lastname: Slavin
mesh_terms: D000391:Air Microbiology; D000935:Antifungal Agents; D001228:Aspergillosis / Q000517:prevention & control* / Q000635:transmission; D001230:Aspergillus / Q000254:growth & development*; D057189:Checklist; D032921:Consensus; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D004780:Environment, Controlled; D004781:Environmental Exposure / Q000517:prevention & control*; D005374:Filtration / Q000295:instrumentation; D017408:Guidelines as Topic; D006749:Hospital Design and Construction / Q000592:standards*; D006801:Humans; D016867:Immunocompromised Host; D017053:Infection Control; D010353:Patient Education as Topic
chemical_list: D000935:Antifungal Agents
keywords: HEPA filtration; antifungal stewardship; environmental sampling; hospital building work; invasive fungal disease