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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 361 records · Page 20
All sourcesNASA NTRSDOE OSTI
DOE OSTI2026

Toluene adsorption and capacity regeneration using zeolite-based monolith and activated carbon fiber felt

Common adsorbents studied to remove volatile organic compounds (VOCs) from indoor air can release previously adsorbed VOCs back into the indoor space when the adsorbent is saturated or if the VOC concentration fluctuates. A durable adsorbent with a continuous regeneration strategy could prevent this recontamination of the indoor air and reduce adsorbent disposal waste. A deeper understanding of the adsorption and desorption behavior of VOC adsorbents is needed to create an efficient regeneration strategy. This study investigated the adsorption and thermal desorption behavior of toluene on two different adsorbents, (1) a zeolite-based adsorbent and (2) an activated carbon fiber (ACF) felt. Consistent adsorption behavior across a series of toluene concentrations was used to experimentally determine effective adsorption capacity. When the cumulative adsorption between thermal regeneration steps was maintained below the maximum effective capacity with 0% breakthrough, the zeolite-based adsorbent was found to effectively minimize passive desorption. The impact of regeneration feed conditions, such as inert, oxidizing, humidified air, on thermal desorption was examined. These conditions influenced desorption of the zeolite-based adsorbent but had minimal impact on the ACF felt adsorbent, which would lead to different regeneration schedules and methods for applications in buildings' heating, ventilation, and air conditioning (HVAC) systems.

Moses-DeBusk, Melanie [Oak Ridge National Laborato↗
DOE OSTI2021

Robust hierarchical dispatch for residential distribution network management considering home thermal flexibility and model predictive control

In the transactive energy (TE) paradigm, the devices of participative consumers, or prosumers, may be aggregated and employed to drive operational objectives at the network level. Home heating, ventilation and air-conditioning (HVAC) systems in particular are well-suited to modulate their behaviours based on both home thermal flexibility and requests from the utility grid. This paper develops a robust, hierarchical power dispatch scheme in the context of a residential distribution network. The formulation couples a unique, multiphase linear distribution optimal power flow (OPF) at the upper level with model predictive control (MPC)-based HVAC fleet controllers at the lower level. The proposed approach is tested on nearly 2000 homes with a three-phase distribution network in an intraday market setting, where two major applications are explored and analysed.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2026

Measured Indoor Nitrogen Oxides in Homes with a Child with Asthma and Gas or Induction Electric Cooking

The Cooking Energy and Ventilation Impacts on Children's Asthma (CEVICA) study is a randomized control trial investigating the effects of replacing gas with induction electric ranges in the homes of children with asthma in California's San Joaquin Valley. Indoor air quality parameters and respiratory health indicators were measured over 2-week intensive at Baseline and after consecutive 3-month study phases, with half getting electric cooking at the start of Phase 1 and others in Phase 2. Indoor air measurements included time-integrated NO 2 and NO X by passive sampler and time-resolved NO 2 by electrochemical sensors. In the first 40 homes, data were collected during 61 intensives for gas cooking and 55 for induction. Cooking was identified using temperature sensors above the cooktop. Pollutant events were identified from sharp rises in concentrations Time integrated NOX species were lower with electric cooking, with mean differences of 14.2 ppb for NO 2 (95% CI: 9.6, 18.7; p < 0.001), 55.6 ppb for NO X (95% CI: 30.4, 80.9; p < 0.001), and 41.5 ppb for derived NO (95% CI: 19.7, 63.2; p < 0.001). A paired, within home analysis showed larger reductions in Group 2 (gas to induction) than Group 1 that remained electric across Phase 1 and Phase 2 for NO 2 (mean difference in As of 10.5 ppb; 95% CI: 5.6, 15.4; p < 0.001), NO X (32.3 ppb; 95% CI: 10.0, 54.5; p=0.007), and derived NO (21.8 ppb; 95% CI: 3.6, 40.0; p=0.022). Compared to electric cooking, gas had much higher rates of associated NO 2 events, and larger above-baseline NO 2 peaks. These preliminary results are consistent with prior findings that shifting to induction cooking can substantially lower indoor NO 2 compared with gas cooking.

Fang, Yi↗
DOE OSTI2026

Range Hood Use and Effectiveness in Reducing Indoor Air Pollution During Gas and Induction Cooking

The Cooking Energy and Ventilation Impacts on Children's Asthma (CEVICA) study measured cooking frequency, range hood use, indoor air quality and respiratory health indicators of children with asthma living in homes with gas stoves in California's San Joaquin Valley. The study installed electric induction stoves and repeated measurements over three 2-week intensive periods, at baseline and at the end of two consecutive 3-month study phases. Stove replacements occurred at the start of Phase 1 or Phase 2 by random assignment. There were 4184 cooking events identified by automated analysis of time-series data from temperature sensors mounted above the cooktops and 1038 related range hood usage events detected from data recorded by anemometers, smart plugs, or motor loggers. Analysis of 1-minute resolved PM2.5 and NO 2 data identified and quantified 2685 PM 2.5 events and 2606 NO 2 events. Range hood use was characterized as a binary variable (>3 min vs. <3 min use). Range hood use was more common during cooking events associated with particle emissions and longer cooking durations. PM 2.5 concentrations during events with range hood use were comparable to those without use, which could result from limited effectiveness or if range hoods were preferentially used during higher-emission cooking scenarios. In homes with gas cooking, integrated NO 2 concentrations were about 45 percent higher during cooking events with no range hood use compared to those range hood use. The lowest pollutant levels were observed when the range hood operated for more than half of the cooking duration. These findings show that operation of venting range hood during cooking can substantially reduce short-term indoor exposure NO 2 in homes with gas cooking.

Fang, Yi↗
DOE OSTI2025

Scenario Generation for Built Environment Decision Support under Uncertainty: Case Studies of Airflow Modeling and Climate-Resilient Infrastructure System Design

When confronted with unforeseen challenges, practicing informed decision making is crucial for enhancing resilience in the built environment. While scan-to-building information modeling (BIM) is a well-established approach for creating detailed digital representations of physical assets, its application in assessing and improving infrastructure resilience remains underexplored. This study addresses this gap by proposing a novel application of scan-to-BIM, namely, scan-to-BIM-to-digital twin (S-BIM-DT) workflow. By integrating reality capture and digital twin technologies, this workflow creates continuously updated and accurate digital representations of physical assets, enabling the generation of various scenarios. Unlike traditional methods, the S BIM-DT workflow facilitates continuous model refinement, supporting informed resilience strategies. By combining these technologies into a cohesive process, the workflow facilitates decision making under uncertainty, enabling stakeholders to evaluate and respond to various scenarios effectively. We demonstrate the implementation of the S-BIM-DT workflow through two use cases that highlight its capability to enhance resilience at different scales. The first use case involves the Combined Transportation, Emergency, and Communications Center (CTECC) in Austin, Texas. BIM-enriched computational fluid dynamics (CFD) modeling simulates airflow and develops alternative scenarios for optimizing the heating, ventilation, and air conditioning (HVAC) systems. This approach enhances resilience against airborne health threats in a postCOVID context. The second use case focuses on designated areas within Beaumont, Texas, as part of the Southeast Texas Urban Integrated Field Laboratory (SETx-UIFL) research. By developing inundation maps to assess extreme weather events, this modeling aids in preparedness efforts and informs the development of climate-resilient infrastructure in vulnerable neighborhoods. Results indicate that the S-BIM-DT workflow effectively generates scenarios that enhance resilience in the built environment by facilitating informed decision making. Furthermore, this study serves as a bridge between advanced scan-to-BIM methodologies and the practical strategies needed to improve built infrastructure resilience.

Built environment↗
DOE OSTI2021

Carotenoid biomarkers in Namibian shelf sediments: Anoxygenic photosynthesis during sulfide eruptions in the Benguela Upwelling System

Significance Anoxygenic photosynthesis by phototrophic sulfur bacteria is prevalent in microbial mat ecosystems and in restricted, highly stratified aquatic environments. This limited distribution reflects their simultaneous requirements for an anoxic habitat, reduced sulfur to supply electrons for carbon fixation, and an appropriate light regime. Although these conditions were often satisfied in ancient seas, as shown by the distinctive carotenoid and chlorophyll pigments preserved in geological samples going back as far as 1.65 billion y, we can find no record of these organisms growing in today’s generally well-ventilated oceans. An array of carotenoids in sediments from the Namibian shelf suggests that green sulfur bacteria, despite their sensitivity to oxygen, can proliferate during episodic toxic gas eruptions in the Benguela Upwelling System.

Ma, Jian↗
DOE OSTI2022

Temporal Characterization and Filtering of Sensor Data to Support Anomaly Detection

Here, we present an approach for characterizing complex temporal behavior in the sensor measurements of a system in order to support detection of anomalies in that system. We first characterize typical behavior by extending a hidden Markov model-based approach to time series alignment. We then use a trace of that learned behavior to develop a particle filter that enables efficient estimation of the filtering distribution on the state space. This produces filtered residuals that can then be used in an anomaly detection framework. Our motivating example is the daily behavior of a building’s heating, ventilation, and air conditioning (HVAC) system, using sensor measurements that arrive every minute and induce a state space with 15,120 states. We provide an end-to-end demonstration of our approach showing improved performance of anomaly detection after application of alignment and filtering compared to the unaligned data. The proposed model is implemented as a computationally efficient R package alignts (align time series) built with R and Fortran 95 with OpenMP support.

47 OTHER INSTRUMENTATION↗
DOE OSTI2024

Experimental analysis of convective drying of paper and board

Conventional multi-cylinder drying of paper and board involves a mixture of conductive drying from steam-heated dryer cylinders and convective drying by the flow of heated air over the surface of the paper web in the pockets. Pocket ventilation is a critical component in assisting heat and mass transfer during the drying process but is the primary contributor towards removing evaporated water from the web. Air temperature, velocity, and humidity are critical parameters involved in the convective drying process. This paper covers an experimental study involving the design and development of a small lab-scale setup for convective drying of various grades of paper and board, monitoring multiple parameters like paper temperature, moisture content, air humidity, temperature, and velocity measured in situ as the drying proceeds with continuous and accurate sampling capabilities for all parameters in the sample and the system. Instantaneous drying rates, heat, and mass transfer coefficients were also deduced for every time step till the paper completely dried. Furthermore, the coefficients obtained were also reported in the form of dimensionless correlations, and the results were compared against traditional correlations used in the modelling of paper drying. Furthermore, this data will be useful in process development, modelling, design, and the paper drying process simulation.

42 ENGINEERING↗
DOE OSTI2023

Simulating energy performance of buildings: a study using eQUEST and Energy Star ® portfolio manager

Commercial buildings consume significant energy in the United States and exhibit high potential for energy use reduction through retrofits. Benchmarking and energy simulation are well established tools in the industry to identify potential improvements and measure performance. Analysis to identify most sensitive retrofit parameters to energy performance can optimize investment and available energy savings. Presented study demonstrates methodology using a static model to determine sensitivity of building design and retrofit parameters with respect to energy performance. Calibrated simulation energy models (eQUEST) of two distribution centers (A, B) are presented. A fractional factorial analysis is conducted on retrofit parameters of efficiency measures targeting the highest energy consumers, and the results are benchmarked using Energy Star® Portfolio Manager. A custom Microsoft Excel® based simulation model is created to simulate occupancy levels, lighting, plug loads, and other equipment used in various spaces throughout the day. For Building A, efficient lighting was the most influential parameter for energy savings, carbon savings and benchmarking score; whereas, for Building B, HVAC efficiency was most influential for energy and demand controlled ventilation and economizers was most influential for benchmarking score. While retrofit projects can save energy and carbon emissions, variation in source-site ratios and state grid emissions, benchmarking scores may not always reflect equivalent improvement. State grid emissions factors, natural gas composition are difficult to model and hence not considered in this study. In conclusion, the synergistic analysis presented, emphasizes the importance of benchmarking and efficiency retrofits in promoting sustainable building practices to reduce energy consumption.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2023

Rooftop unit comparison calculator: a framework for comparing performance of rooftop units with building energy simulation

The applications of building energy simulation (BES) in designing heating, ventilation, and air conditioning (HVAC) systems are limited by the high costs of developing simulation models and the lack of references for determining the model parameters. This paper presents a software framework for selecting designs for rooftop unit HVAC (RTU) systems with BES. Specifically, this framework reduces the cost of using BES by automating the generation of EnergyPlus models. It also employs a systematic method for determining model parameters based on well-accepted datasets. We applied this framework in a comprehensive assessment of an advanced design of RTU systems in which 478 EnergyPlus models were developed without human involvement. The assessment reveals that replacing a constant-speed fan/coil with a multiple-speed fan/coil may not guarantee better overall performance. In conclusion, it also suggests the benefits of replacing furnace coils with heat pumps are subject to utility cost, weather conditions, and heating load profiles.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2021

Research challenges and directions in HVAC fault prevalence

This study provides a review of the current state of knowledge, gaps, and potential value in research on the prevalence of faults in commercial buildings. Two separate efforts were made in this study: (1) we performed a literature review to determine the extent of currently available fault prevalence data for heating, ventilation, and air-conditioning (HVAC) systems, and (2) we conducted dozens of interviews with subject matter experts and stakeholders to determine the HVAC fault data that would be of greatest value. Through the literature review and interviews, we discovered unmet needs for empirical data on the prevalence of faults at the desired level of granularity, consistency, and scale; this lack of data leads us to recommend future work studying commercial buildings’ HVAC fault prevalence, with robust fault taxonomy and a variety of meaningful fault prevalence metrics.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2023

Automated fault detection and diagnosis of airflow and refrigerant charge faults in residential HVAC systems using IoT-enabled measurements

While automated fault detection and diagnosis (AFDD) in residential heating, ventilation, and air-conditioning (HVAC) using smart thermostat data is gaining increasing attention in recent times, it still requires in-depth investigation for market adoption, especially with real-life data. Furthermore, this paper proposes an Internet of Things (IoT) - based approach that adds a smart sensor to the smart thermostat data to carry out AFDD. The approach uses a model which predicts enthalpy change across the evaporator and compares the prediction to the measured enthalpy change. Deviations which exceed analytically determined thresholds then signal faults in the HVAC system. The faults detected are either installation related or degradation related. Experimental tests were carried out in four homes located in Norman, Oklahoma. From the tests, installation issues like indoor/outdoor mismatch were detected in two homes, while a 30% low charge and low indoor airflow rate were detected in one home. The results show that the proposed AFDD algorithm was able to successfully detect two prevalent faults, namely low indoor airflow and low refrigerant charge. Unlike most of the smart thermostat-based approaches, the proposed IoT-based approach can detect and diagnose both faults but only require one additional sensor which is provided by smart thermostat manufacturers.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2023

Performance assessment of a real water source heat pump within a hardware-in-the-loop (HIL) testing environment

Over the last decade, the global fight against climate change through electrification has led to an increase in research on building heating, ventilation, and air conditioning (HVAC) systems that utilize intelligent control algorithms to provide demand-side grid service while also maintaining the thermal comfort of building occupants. As the pivotal point between building electricity consumption and indoor thermal comfort, high-efficiency electrical vapor-compression heat pumps are at the center of these emerging studies, and various grid-interactive and occupant-comfort control algorithms have been developed for them. The impact of these algorithms on heat pump operation and performance when subjected to different weather conditions, building loads, and grid requests calls for investigation and verification via experimental testing with actual heat pumps integrated with real-time building and grid responses. This study introduces a Water-Source Heat Pump (WSHP) Hardware-in-The-Loop (HIL) Test Facility that is the first of its kind. This testbed utilizes a 2-ton variable speed water-to-air heat pump that is capable of interacting with a virtual environment currently comprised of an EnergyPlus (E+) building simulation, an agent-based occupant behavioral model, and a single U-tube ground-loop heat exchanger (GLHE) model. Detailed descriptions of the testbed’s physical design and operation, virtual environment, as well as their mutual communication is provided. An uncertainty analysis is also performed under manufacturer specified heating and cooling design conditions. This analysis shows that the total load across the WSHP’s demand side heat exchanger, i.e., the sum of its latent and sensible components, can be measured with a relative uncertainty of ± 10.4% and ± 3.6% in cooling and heating mode respectively. The WSHP’s coefficient of performance (COP) can be measured with relative uncertainties of ± 10.4% in cooling mode, and ± 3.7% in heating mode. A preliminary 24-h experimental demonstration is then performed utilizing the DOE prototype small commercial office building model in E+. The simulation takes place in Atlanta, GA on the date of 08/26/15 from 12:00 AM to 11:59 PM using TMY3 weather data. Here, the results from this demonstration show that over the course of this experiment the simulated outputs of zone dry-bulb temperature, zone humidity ratio, and WSHP inlet water temperature can be tracked by testbed emulators up to a root mean squared error (RMSE) of ± 0.27 °C, ± 0.376 g/kg, and ± 0.85 °C respectively. The WSHP’s dynamic behavioral characteristics and performance are also captured, and correspond well with the authors’ previous understanding of heat pump efficiency as a function of evaporator and condenser fluid inlet conditions respectively.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2024

A hardware-in-the-loop (HIL) testbed for cyber-physical energy systems in smart commercial buildings

In recent years, there has been a growing trend toward the development of smart buildings that rely on cyber-physical systems (CPS) to optimize occupant comfort, safety, and energy efficiency. To ensure the reliable and efficient operation of CPS with designed control strategies, it is important to evaluate their performance under various scenarios before deploying them in the real world. This is where a Hardware-in-the-loop (HIL) testbed designed for studying sensor and control-related studies in smart buildings can be highly valuable. With the growing threat of cyber-attacks and physical faults targeting smart buildings, it is essential to ensure the security of building operations. A HIL testbed can emulate cyber-attack and physical fault scenarios, allowing researchers to develop and test threat detection and mitigation algorithms. This enables researchers to identify potential issues and optimize the algorithms in a safe and controlled environment before they are deployed in real-world settings, reducing the risk of failures that can negatively impact occupant comfort, safety, and energy efficiency. Therefore, this paper developed a HIL testbed designed for cyber-physical energy systems (e.g. buildings automation system (BAS)) in smart commercial buildings. The HIL testbed is comprised of a real-time building and Heating, Ventilation, and Air-Conditioning (HVAC) emulator using Modelica-based dynamic models, a set of BAS controllers, and a BAS computer server. The data generation capability of the HIL testbed is demonstrated by tracking normal and faulty operating data in the BAS, as well as monitoring detailed network traffic in the local BAS network. Here, this study further demonstrates the HIL testbed’s capability by conducting case studies on real-time physical fault and cyber-attack experiments using a Department of Energy (DOE) prototype commercial building. It is anticipated that the fully functional HIL testbed will be utilized for a variety of sensor and control-related studies, including but not limited to testing, developing, validating of different HVAC control strategies, fault detection & diagnosis, energy monitoring and analysis, cyber security study, etc.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2024

Advanced co-simulation framework for assessing the interplay between occupant behaviors and demand flexibility in commercial buildings

With buildings contributing significantly to electricity usage, enabling demand flexibility becomes a challenge, especially when accounting for occupant comfort. This study introduces an innovative co-simulation framework integrating multiple models: heating, ventilation, and air conditioning (HVAC) system, building zone load, indoor airflow, supervisory control, and occupant comfort and behavior. Uniquely, this framework allows for a comprehensive and dynamic analysis of building systems and occupant interactions in demand response events. Using this framework, we conducted a case study using a typical small office building model. Specifically, we focused on three areas: (1) the impact of indoor airflow modeling on energy use, occupant comfort, and behaviors forecasting, (2) the impact of occupant behaviors on demand flexibility, and (3) occupant comfort and behaviors under demand response events. Key performance indicators such as energy use, flexibility factor, durations of occupant discomfort and occupant behaviors were analyzed. Our findings indicated variations in energy usage and occupant comfort within demand flexibility events, marked by uncertainty boundaries, with variability in demand shedding up to 57.9%. Here, we concluded that this framework is suitable for analyzing typical commercial buildings and their HVAC systems in terms of demand flexibility potential under the impact of occupant behaviors.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2026

Laser interference structuring of Cu for adhesive joining of HVAC equipment

Due to potential energy and cost savings benefits, adhesive joining has been recently considered for heating, ventilation, air conditioning, and refrigeration (HVAC&R) systems. HVAC adhesive bonding requires cost-effective and adequate surface preparations of adherents. Here, this article investigates the use of abrasion, traditional single-beam laser, and a laser-interference technique as surface preparations of copper surfaces. Surface morphology is characterized using scanning electron microscopy (SEM) and atomic force microscopy (AFM). Effective submicrometer peak-to-valley structuring with a periodicity of ∼2.7μ⁢m was demonstrated for laser-interference processing. Single-lap shear tests were conducted for 89 joints made with bondline thicknesses of 0.15 and 0.3 mm. Data on process variables and measured variables included open-time, bond length, maximum load, displacement at failure, shear lap strength, and failure mode. A statistical analysis was conducted on each lot to determine the lower limit with 95% confidence intervals for displacements at failure and shear lap strengths. A comparison is presented between the properties of laser-structured joints with respect to those prepared by abrasion, which is considered the baseline surface preparation technique. Based on this comparison, one single-beam laser technique and two laser-interference techniques were shown to exhibit vastly superior performance over the joints made with abraded specimens.

Sabau, Adrian S. [Oak Ridge National Laboratory (O↗
DOE OSTI2022

Assessing the performance of global thermostat adjustment in commercial buildings for load shifting demand response

Abstract Efficiently leveraging new sources of flexibility is critical to mitigating load balancing challenges posed by variable renewable resources. The thermal inertia of commercial buildings allows us to shift their power consumption on minute to hourly timescales to provide demand response to the grid while maintaining occupant comfort. Global thermostat adjustment (GTA) provides a readily available and scalable approach for implementing load shifting demand response using commercial heating, ventilation, and air conditioning (HVAC) systems, since it leverages the inherent sophistication of modern building automation systems. However, there is an incomplete understanding of GTA’s performance for this purpose and its impact on building systems and occupant comfort. In this paper, we explore the performance of GTA by analyzing results from nearly nine hundred experiments on eight university campus buildings in Michigan and North Carolina. Using GTA, we manipulate each building’s thermostat setpoints causing the building to shift its power consumption with respect to its baseline. We quantify the magnitude of HVAC power response, energy use of HVAC subsystems, and impact on occupant comfort. Finally, we connect our experimental results with power system operation using an optimization model that coordinates GTA actions across a large collection of grid-interactive efficient buildings (GEBs) to reduce high ramp rates on the grid and mitigate renewable energy curtailment. Overall, our work finds that the impacts on HVAC subsystems are often complex, and may result in additional energy being consumed by fans and terminal reheat. These effects must be considered when using GTA for load shifting. Additionally, we demonstrate that occupant comfort, as assessed by indoor temperature and humidity, can be maintained during GTA events. From a societal perspective, our modeling work finds that the additional renewable energy that can be integrated through the use of GTA strategies eclipses any additional energy consumed by buildings.

Keskar, Aditya (ORCID:0000000244617980)↗
DOE OSTI2024

Molecular and Epidemiological Investigation of Fluconazole-resistant Candida parapsilosis —Georgia, United States, 2021

Abstract Background Reports of fluconazole-resistant Candida parapsilosis bloodstream infections are increasing. We describe a cluster of fluconazole-resistant C parapsilosis bloodstream infections identified in 2021 on routine surveillance by the Georgia Emerging Infections Program in conjunction with the Centers for Disease Control and Prevention. Methods Whole-genome sequencing was used to analyze C parapsilosis bloodstream infections isolates. Epidemiological data were obtained from medical records. A social network analysis was conducted using Georgia Hospital Discharge Data. Results Twenty fluconazole-resistant isolates were identified in 2021, representing the largest proportion (34%) of fluconazole-resistant C parapsilosis bloodstream infections identified in Georgia since surveillance began in 2008. All resistant isolates were closely genetically related and contained the Y132F mutation in the ERG11 gene. Patients with fluconazole-resistant isolates were more likely to have resided at long-term acute care hospitals compared with patients with susceptible isolates (P = .01). There was a trend toward increased mechanical ventilation and prior azole use in patients with fluconazole-resistant isolates. Social network analysis revealed that patients with fluconazole-resistant isolates interfaced with a distinct set of healthcare facilities centered around 2 long-term acute care hospitals compared with patients with susceptible isolates. Conclusions Whole-genome sequencing results showing that fluconazole-resistant C parapsilosis isolates from Georgia surveillance demonstrated low genetic diversity compared with susceptible isolates and their association with a facility network centered around 2 long-term acute care hospitals suggests clonal spread of fluconazole-resistant C parapsilosis. Further studies are needed to better understand the sudden emergence and transmission of fluconazole-resistant C parapsilosis.

Misas, Elizabeth (ORCID:0000000162437716)↗