How clean is the linen at my hospital? the mucorales on unclean linen discovery study of large United States transplant and cancer centers

Alexander J. Sundermann, Cornelius J. Clancy, A. William Pasculle, Guojun Liu, Richard B. Cumbie, Eileen Driscoll, Ashley Ayres, Lisa Donahue, Steven A. Pergam, Lilian Abbo, David R. Andes, Pranatharthi Chandrasekar, Alison L. Galdys, Kimberly E. Hanson, Kieren A. Marr, Jeanmarie Mayer, Seema Mehta, Michele I. Morris, John Perfect, Sanjay G. RevankarBecky Smith, Sankar Swaminathan, George R. Thompson, Merin Varghese, Jose Vazquez, Estella Whimbey, John R. Wingard, M. Hong Nguyen

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Mucormycosis outbreaks have been linked to contaminated linen. We performed fungal cultures on freshly-laundered linens at 15 transplant and cancer hospitals. At 33% of hospitals, the linens were visibly unclean. At 20%, Mucorales were recovered from >10% of linens. Studies are needed to understand the clinical significance of our findings.

Original languageEnglish (US)
Pages (from-to)850-853
Number of pages4
JournalClinical Infectious Diseases
Issue number5
StatePublished - Feb 15 2019

Bibliographical note

Funding Information:
Financial support. This work was supported by an unrestricted research grant to M. H. N. from the University of Pittsburgh Medical Center.

Funding Information:
Potential conflicts of interest. J. P. reports grants and personal fees from Astellas; grants, personal fees, and other support from Merck; personal fees and other support from F-2G, Cidara, Scynexis, and Viamet; and grants and other support from Amplyx during the conduct of the study. J. R. W. reports personal fees from Astellas, Merck, Shire, Fate, Pluristem, and Celgene outside the submitted work. S. G. R. reports grants from Gilead, Merck, Astellas, and Cidara; royalties from Elsevier; and travel expenses paid by Wayne State University. L. A. reports personal fees from Merck Sharp & Dohme Brazil, Achaogen, and Pfizer Latin America outside the submitted work. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Publisher Copyright:
© Published by Oxford University Press for the Infectious Diseases Society of America 2018.


  • Mucorales
  • Rhizopus
  • Syncephalastrum
  • healthcare linens
  • microbiologic surveillance


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