Observational studyInfection control and hospital epidemiology2019
Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014-2017.
Observational study in Infection control and hospital epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 63 citations in OpenAlex.
- Long-Term Environmental Surveillance ofPathogens (Basel, Switzerland) · 2026Article
- Adverse Outcomes of Travel-Related Cosmetic Procedures among US Residents, 2014-2024.Emerging infectious diseases · 2026Article
- Containing a PER-1-producingInfection prevention in practice · 2026Article
- Understanding recurrence inJournal of clinical microbiology · 2026Review
- Are hospital environments an underestimated source for Gram-negative infections in critically ill patients? A non-multi-drug-resistantInfection prevention in practice · 2026Article
- Epidemiology of Healthcare Facility-Associated Nontuberculous Mycobacteria From 2012 Through 2020 in a 10-Hospital Network in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026Article
- Impact of Multifaceted Interventions Including Waterless Patient Care on Endemic Occurrence ofPathogens (Basel, Switzerland) · 2025Article
- Microbial risks in drinking water systems: persistence and public health implications of opportunistic premise plumbing pathogens.Frontiers in microbiology · 2025Article
- Burkholderia multivorans Infections Associated with Use of Ice and Water from Ice Machines for Patient Care Activities - Four Hospitals, California and Colorado, 2020-2024.MMWR. Morbidity and mortality weekly report · 2024Article
- Occurrence of chlorine-resistant Pseudomonas aeruginosa in hospital water systems: threat of waterborne infections for patients.Antimicrobial resistance and infection control · 2024Article
- Article
- Identification of carbapenem-resistant organism (CRO) contamination of in-room sinks in intensive care units in a new hospital bed tower.Infection control and hospital epidemiology · 2024Observational
- Review on infection control strategies to minimize outbreaks of the emerging pathogen Elizabethkingia anophelis.Antimicrobial resistance and infection control · 2023Review
- Epidemiology of Pulmonary and Extrapulmonary Nontuberculous Mycobacteria Infections at 4 US Emerging Infections Program Sites: A 6-Month Pilot.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Diagnosis of Monkeypox Disease Using Transfer Learning and Binary Advanced Dipper Throated Optimization Algorithm.Biomimetics (Basel, Switzerland) · 2023Article
- Antimicrobial Resistance in the Global Health Network: Known Unknowns and Challenges for Efficient Responses in the 21st Century.Microorganisms · 2023Review
- Implementing changes to reduce infections in ICU patients. Water services and waste systems.Journal of infection prevention · 2023Article
- Isolation of nontuberculous mycobacteria species from different water sources: a study of six hospitals in Tehran, Iran.BMC microbiology · 2022Article
- Association of Healthcare and Aesthetic Procedures with Infections Caused by Nontuberculous Mycobacteria, France, 2012-2020.Emerging infectious diseases · 2022Article
- Tenets of a holistic approach to drinking water-associated pathogen research, management, and communication.Water research · 2022Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveWater exposures in healthcare settings and during healthcare delivery can place patients at risk for infection with water-related organisms and can potentially lead to outbreaks. We aimed to describe Centers for Disease Control and Prevention (CDC) consultations involving water-related organisms leading to healthcare-associated infections (HAIs).
designRetrospective observational study.
methodsWe reviewed internal CDC records from January 1, 2014, through December 31, 2017, using water-related terms and organisms, excluding Legionella, to identify consultations that involved potential or confirmed transmission of water-related organisms in healthcare. We determined plausible exposure pathways and routes of transmission when possible.
resultsOf 620 consultations during the study period, we identified 134 consultations (21.6%), with 1,380 patients, that involved the investigation of potential water-related HAIs or infection control lapses with the potential for water-related HAIs. Nontuberculous mycobacteria were involved in the greatest number of investigations (n = 40, 29.9%). Most frequently, investigations involved medical products (n = 48, 35.8%), and most of these products were medical devices (n = 40, 83.3%). We identified a variety of plausible water-exposure pathways, including medication preparation near water splash zones and water contamination at the manufacturing sites of medications and medical devices.
conclusionsWater-related investigations represent a substantial proportion of CDC HAI consultations and likely represent only a fraction of all water-related HAI investigations and outbreaks occurring in US healthcare facilities. Water-related HAI investigations should consider all potential pathways of water exposure. Finally, healthcare facilities should develop and implement water management programs to limit the growth and spread of water-related organisms.
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