TY - JOUR T1 - Fungal colonisation in lung transplant recipients: A retrospective study from India JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2022.3372 VL - 60 IS - suppl 66 SP - 3372 AU - O Tisekar AU - M M Lalani AU - V Rahulan AU - S K Ravipati AU - U Shah AU - P Dutta AU - S Attawar Y1 - 2022/09/04 UR - http://erj.ersjournals.com/content/60/suppl_66/3372.abstract N2 - Introduction: Lung transplant recipients are at a high risk of acquiring fungal infection compared to other solid organ transplant recipients. The risk of fungal colonisation without invasion is as high as 27% within 3 months post-lung transplant.Objective: The objective of the study is to ascertain whether non-invasive fungal colonisation is related to the hospital environment and to take preventive measures to prevent colonisation and contamination.Method:We conducted a retrospective study of fungal colonisation in the recipients of lung transplants for 6 months. This was combined with a mycological survey of the hospital environment. Air and surface samplings were performed weekly for one-month post-transplant.Results: Out of the 44 transplanted cases, 6 patients had fungal colonisation without the associated manifestations of invasion. Out of these, three patients had candida colonisers (two Candida auris and one Candida tropicalis), two patients had colonisation with mucormycosis and one patient had colonisation with Aspergillus fumigatus. In the hospital environment, the most common fungal species isolated were Aspergillus, Mucormycosis, and Penicillium species. Multivariate analysis failed to show a significant correlation between the fungal colonisation of the respiratory tract and the contamination of the hospital environment. Risk factors included advanced age, length of hospital stay, prolonged weaning, acute kidney injury, and bronchial complications.Conclusion: This study suggests that hospital environmental colonisation with fungal elements may not correlate with colonisation in lung transplant recipients.FootnotesCite this article as Eur Respir J 2022; 60: Suppl. 66, 3372.This article was presented at the 2022 ERS International Congress, in session “-”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -