Journal of Fungi Review A Guide to Investigating Suspected Outbreaks of Mucormycosis in Healthcare Kathleen P. Hartnett 1,2, Brendan R. Jackson 3, Kiran M. Perkins 1, Janet Glowicz 1, Janna L. Kerins 4, Stephanie R. Black 4, Shawn R. Lockhart 3, Bryan E. Christensen 1 and Karlyn D. Beer 3,* 1 Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA 2 Epidemic Intelligence Service, CDC, Atlanta, GA 30333, USA 3 Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, CDC, Atlanta, GA 30333, USA 4 Chicago Department of Public Health, Chicago, IL 60604, USA * Correspondence:
[email protected] Received: 31 May 2019; Accepted: 17 July 2019; Published: 24 July 2019 Abstract: This report serves as a guide for investigating mucormycosis infections in healthcare. We describe lessons learned from previous outbreaks and offer methods and tools that can aid in these investigations. We also offer suggestions for conducting environmental assessments, implementing infection control measures, and initiating surveillance to ensure that interventions were effective. While not all investigations of mucormycosis infections will identify a single source, all can potentially lead to improvements in infection control. Keywords: mucormycosis; mucormycetes; mold; cluster; outbreak; infections; hospital; healthcare 1. Introduction Mucormycosis is a rare but serious infection that can affect immunocompromised patients in healthcare settings. Investigations of possible mucormycosis outbreaks in healthcare settings have enabled critical insights into the exposures and environmental conditions that can lead to transmission. The purpose of this report is to compile resources and experiences that can serve as a guide for facilities and health departments investigating mucormycosis infections and suspected outbreaks in healthcare settings.