Seattle Children’s Hospital has closed ten of its operating rooms to install new air filtration systems after linking six patient deaths with mold infections.
“We have been working to make our operating rooms safe to prevent aspergillus infections,” Seattle Children’s CEO Jeff Sperring said during a news conference Monday. “To date, we have not been successful.”
Between 2001 and 2018, 14 patients developed aspergillus surgical site infections. Out of those 14, six patients died.
“At the time, we believed those were isolated incidents,” Sperring said. “We now believe that these infections were likely caused by the air-handling system that serves our operating rooms.”
Sperring apologized to those affected by both the aspergillus infections and the shutdown of the operating rooms.
“This is simply devastating for them and us,” Sperring said. “You are extraordinary kids, courageous families. We let you down, and I am sorry.”
Reports from both state and county health departments indicate that mold was an ongoing problem at Seattle Children’s Hospital. In 2018, a surgeon at the hospital reported that debris had fallen out of an air diffuser during surgery into a patient’s open abdomen.
Improvements in the hospital’s filtration system are expected to completed by the end of January 2020. Other hospitals will handle surgeries originally scheduled at Seattle Children’s Hospital.
“We know this closure will result in the postponement of many surgeries, and we are sorry for the impact this will have on our patients and families,” read a statement from Seattle Children’s Hospital. “We are confident this is the safest option for our patients.”
Aspergillus is a common mold found both indoors and outdoors. People with compromised immune systems or lung diseases have an increased risk of developing aspergillosis, a fungal infection caused by mold.
When present in the lungs, aspergillosis acts much like pneumonia. Exposure to aspergillus mold spores during surgery can lead to infections that present like bacterial infections. Symptoms can include swelling and hotness.
“Ordinarily with current medications that are available, in combination with someone’s immune system helping to fight back, we can clear those infections,” said epidemiologist and professor at the University of Washington’s School of Public Health. “But sometimes they’re too severe to be able to clear.”
Healthy people breathe aspergillus spores every day with no ill effect, Kaufman added.
“Looking back, we should have made the connection sooner,” Sperring added. “Simply put, we failed.”
Two custom-built air handlers will be installed, and in-room HEPA air filtration systems will be employed in all operating rooms. HEPA filtration removes 99.97 percent of all particles from the air that moves through the filter.
“This is the highest level of filtration found in operating rooms today,” Sperring said.