RESUMEN
We report a case of cat-associated sporotrichosis in an adult female in California. A retrospectively diagnosed cutaneous sporotrichosis infection in the patient's cat and the unusual site of the primary lesion in the patient contributed to delayed diagnosis and treatment. Here, we also review the English literature regarding the epidemiology of Sporothrix schenkii as a cat-associated zoonosis.
Asunto(s)
Enfermedades de los Gatos/transmisión , Esporotricosis/diagnóstico , Esporotricosis/transmisión , Adulto , Animales , Antifúngicos/uso terapéutico , Enfermedades de los Gatos/epidemiología , Gatos , Femenino , Humanos , Itraconazol/uso terapéutico , Sporothrix/efectos de los fármacos , Sporothrix/aislamiento & purificación , Esporotricosis/tratamiento farmacológico , Esporotricosis/epidemiología , Esporotricosis/patología , Resultado del TratamientoRESUMEN
OBJECTIVE: Formulating an effective approach to preventing surgeon-to-patient transmission of blood-borne pathogens has been controversial. The objective of our study was to evaluate current community hospital policies, if any, regarding restrictions on surgeons (general surgeons and obstetricians and gynecologists) infected with blood-borne pathogens operating on patients. DESIGN: A survey on hospital policies regarding surgeons infected with blood-borne pathogens was sent to infection control officers at Northern California community hospitals (n = 113). RESULTS: Forty-five hospitals responded to the survey. Of these, only 6 (13.3%) had a policy. Of the 39 (86.7%) that did not have a policy, only 3 hospitals were planning on implementing one. CONCLUSIONS: Many community hospitals are uninterested in instituting a policy regarding the practice of surgeons infected with blood-borne pathogens. Possible reasons include the lack of concern on the individual level, difficulty in defining exposure-prone procedures, and the nature of the relationship between medical staff and community hospitals.