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Volume 17, Number 10—October 2011

CME ACTIVITY - Research

Invasive Non-Aspergillus Mold Infections in Transplant Recipients, United States, 2001–2006

Benjamin J. ParkComments to Author , Peter G. Pappas, Kathleen A. Wannemuehler, Barbara D. Alexander, Elias J. Anaissie, David R. Andes, John W. Baddley, Janice M. Brown, Lisa M. Brumble, Alison G. Freifeld, Susan Hadley, Loreen Herwaldt, James I. Ito, Carol A. Kauffman, G. Marshall Lyon, Kieren A. Marr, Vicki A. Morrison, Genovefa Papanicolaou, Thomas F. Patterson, Trish M. Perl, Mindy G. Schuster, Randall Walker, John R. Wingard, Thomas J. Walsh, and Dimitrios P. Kontoyiannis

Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (B.J. Park, K.A. Wannemuehler); University of Alabama at Birmingham Medical Center, Birmingham, Alabama, USA (P.G. Pappas, J.W. Baddley); Duke University Medical Center, Durham, North Carolina, USA (B.D. Alexander); University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA (E.J. Anaissie); University of Wisconsin–Madison, Madison, Wisconsin, USA (D.R. Andes); Stanford University School of Medicine, Stanford, California, USA (J.M. Brown); Mayo Clinic, Jacksonville, Florida, USA (L.M. Brumble); University of Nebraska Medical Center, Omaha, Nebraska, USA (A.G. Freifeld); Tufts Medical Center, Boston, Massachusetts, USA (S. Hadley); University of Iowa Hospital, Iowa City, Iowa, USA (L. Herwaldt); City of Hope National Medical Center, Duarte, California, USA (J.I. Ito); University of Michigan, Ann Arbor, Michigan, USA (C.A. Kauffman); Veterans Affairs Ann Arbor Healthcare System–Medicine, Ann Arbor (C.A. Kauffman); Emory University School of Medicine, Atlanta (G.M. Lyon); Johns Hopkins Medical Institutions, Baltimore, Maryland, USA (K.A. Marr, T.M. Perl); Fred Hutchinson Cancer Research Center, Seattle, Washington, USA (K.A. Marr); University of Minnesota, Minneapolis, Minnesota, USA (V.A. Morrison); Veterans Affairs Medical Center, Minneapolis (V.A. Morrison); Memorial Sloan Kettering Cancer Center, New York, New York, USA (G. Papanicolaou); University of Texas Health Sciences Center, San Antonio, Texas, USA (T.F. Patterson); South Texas Veterans Healthcare System, San Antonio (T.F. Patterson); Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA (M.G. Schuster); Mayo Clinic, Rochester, Minnesota, USA (R. Walker); University of Florida, Gainesville, Florida, USA (J.R. Wingard); National Institutes of Health, Bethesda, Maryland, USA (T.J. Walsh); MD Anderson Cancer Center, Houston, Texas, USA (D.P. Kontoyiannis)

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Table 2

Regional and hospital variability of Mucorales, Fusarium spp., and Scedosporium spp. invasive infections, as reported in TRANSNET, United States, 2001–2006*

US region,† hospital code No. transplant recipients
No. (%) cases
HCT SOT Mucorales, n = 105 Fusarium spp., n = 37 Scedosporium spp., n = 27 Total, N = 169
Northeast 7 (6.7) 3 (8.1) 2 (7.4) 12 (7.1)
A 608 1,532 5 (4.8) 1 (2.7) 1 (3.7) 7 (4.1)
B 245 377 1 (1.0) 2 (5.4) 1 (3.7) 4 (2.4)
C
1,107
NA

1 (1.0)
0
0
1 (0.6)
South 46 (43.8) 23 (62.2) 11 (40.7) 80 (47.3)
D 2,551 NA 18 (17.1) 12 (32.4) 1 (3.7) 31 (18.3)
E 646 549 6 (5.7) 3 (8.1) 6 (22.2) 15 (8.9)
F 363 NA 5 (4.8) 3 (8.1) 1 (3.7) 9 (5.3)
G 523 1,201 4 (3.8) 2 (5.4) 2 (7.4) 8 (4.7)
H 342 1,532 5 (4.8) 1 (2.7) 1 (3.7) 7 (4.1)
I 808 377 4 (3.8) 0 0 4 (2.4)
J 89 728 3 (2.9) 0 0 3 (1.8)
K 2,040 239 1 (1.0) 1 (2.7) 0 2 (1.2)
L 110 1,210 0 1 (2.7) 0 1 (0.6)
M 449 NA 0 0 0 0
N
511
NA

0
0
0
0
Midwest 35 (33.3) 9 (24.3) 7 (25.9) 51 (30.2)
O 970 2,111 8 (7.6) 5 (13.5) 4 (14.8) 17 (10.1)
P 1,028 1,391 8 (7.6) 2 (5.4) 0 10 (5.9)
Q 361 1,210 8 (7.6) 0 0 8 (4.7)
R 315 2,111 5 (4.8) 0 3 (11.1) 8 (4.7)
S
546
755

6 (5.7)
2 (5.4)
0
8 (4.7)
West 17 (16.2) 2 (5.4) 7 (25.9) 26 (15.4)
T 1,512 NA 9 (8.6) 2 (5.4) 4 (14.8) 15 (8.9)
U 854 NA 8 (7.6) 0 3 (11.1) 11 (6.5)
V 1,019 NA 0 0 0 0

*TRANSNET, Transplant-Associated Infection Surveillance Network; HCT, hematopoietic cell transplant; SOT, solid organ transplant; NA, not available because of nonparticipation in surveillance for this transplant type.
†Northeast: Massachusetts, New York, Pennsylvania; South: Alabama, Arkansas, Florida, Georgia, Maryland, North Carolina, Tennessee, Texas; Midwest: Iowa, Michigan, Minnesota, Nebraska, Wisconsin; West: California, Washington.

*TRANSNET, Transplant-Associated Infection Surveillance Network; HCT, hematopoietic cell transplant; SOT, solid organ transplant; NA, not available because of nonparticipation in surveillance for this transplant type.
†Northeast: Massachusetts, New York, Pennsylvania; South: Alabama, Arkansas, Florida, Georgia, Maryland, North Carolina, Tennessee, Texas; Midwest: Iowa, Michigan, Minnesota, Nebraska, Wisconsin; West: California, Washington.

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