title: Pseudo-outbreak of Penicillium in an outpatient obstetrics and gynecology clinic.
abstract: We report an unusual pseudo-outbreak of Penicillium that occurred in patients seen in an outpatient obstetrics and gynecology clinic. The pseudo-outbreak was detected in late 2012, when the microbiology department reported a series of vaginal cultures positive for Penicillium spp. Our investigation found Penicillium spp in both patient and environmental samples and was potentially associated with the practice of wetting gloves with tap water by a health care worker prior to patient examination.
authors.affiliation: School of Medicine, Department of Medicine, Division of Infectious Diseases, The Johns Hopkins University, Baltimore, MD. Electronic address: Gsood1@jhmi.edu.
authors.forename: Geetika
authors.initials: G
authors.lastname: Sood
authors.affiliation: Johns Hopkins Medicine, Baltimore, MD.
authors.forename: Kerri
authors.initials: K
authors.lastname: Huber
authors.affiliation: Johns Hopkins Medicine, Baltimore, MD.
authors.forename: Lisa
authors.initials: L
authors.lastname: Dam
authors.affiliation: Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; School of Medicine, Department of Pathology, Division of Infectious Diseases, The Johns Hopkins University, Baltimore, MD.
authors.forename: Stefan
authors.initials: S
authors.lastname: Riedel
authors.affiliation: Johns Hopkins Medicine, Baltimore, MD.
authors.forename: Lisa
authors.initials: L
authors.lastname: Grubb
authors.affiliation: School of Medicine, Department of Medicine, Division of Infectious Diseases, The Johns Hopkins University, Baltimore, MD.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Zenilman
authors.affiliation: School of Medicine, Department of Medicine, Division of Infectious Diseases, The Johns Hopkins University, Baltimore, MD; Division of Infectious Diseases, Department of Internal Medicine, University of Texas Southwestern, Dallas, TX.
authors.forename: Trish M
authors.initials: TM
authors.lastname: Perl
authors.affiliation: School of Medicine, Department of Gynecology and Obstetrics, The Johns Hopkins University, Baltimore, MD.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Argani
mesh_terms: D000554:Ambulatory Care Facilities; D004196:Disease Outbreaks; D005260:Female; D005932:Gloves, Surgical / Q000382:microbiology*; D006176:Gynecology; D006801:Humans; D009181:Mycoses / Q000453:epidemiology* / Q000382:microbiology; D009774:Obstetrics; D010045:Outpatients; D010407:Penicillium / Q000302:isolation & purification*; D014621:Vagina / Q000382:microbiology*; D014871:Water Microbiology
keywords: Obstetrics and gynecology; Penicillium; Pseudo-outbreak