Source-case investigation of Mycobacterium wolinskyi cardiac surgical site infection.

Autor: Dupont C; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France. Electronic address: chloe.dupont@etu.umontpellier.fr., Terru D; Laboratory of Bacteriology, University Hospital of Montpellier, Montpellier, France., Aguilhon S; Department of Cardiothoracic Surgery, University Hospital of Montpellier, Montpellier, France., Frapier JM; Department of Cardiothoracic Surgery, University Hospital of Montpellier, Montpellier, France., Paquis MP; Hospital Hygiene and Infection Control Team, University Hospital of Montpellier, Montpellier, France., Morquin D; Infectious and Tropical Diseases Department, University Hospital of Montpellier, Montpellier, France., Lamy B; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France; Laboratory of Bacteriology, University Hospital of Montpellier, Montpellier, France., Godreuil S; Laboratory of Bacteriology, University Hospital of Montpellier, Montpellier, France., Parer S; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France; Hospital Hygiene and Infection Control Team, University Hospital of Montpellier, Montpellier, France., Lotthé A; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France; Hospital Hygiene and Infection Control Team, University Hospital of Montpellier, Montpellier, France., Jumas-Bilak E; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France; Hospital Hygiene and Infection Control Team, University Hospital of Montpellier, Montpellier, France., Romano-Bertrand S; PHySE, Pathogènes Hydriques, Santé, Environnements, University Hospital of Montpellier, Montpellier, France; Hospital Hygiene and Infection Control Team, University Hospital of Montpellier, Montpellier, France.
Jazyk: angličtina
Zdroj: The Journal of hospital infection [J Hosp Infect] 2016 Jul; Vol. 93 (3), pp. 235-9. Date of Electronic Publication: 2016 Apr 16.
DOI: 10.1016/j.jhin.2016.03.024
Abstrakt: The non-tuberculous mycobacteria (NTM) Mycobacterium wolinskyi caused bacteraemia and massive colonization of an aortic prosthesis in a patient 16 days after cardiac surgery, necessitating repeat surgery and targeted antimicrobial chemotherapy. The infection control team investigated the source and conditions of infection. Peri-operative management of the patient complied with recommendations. The environmental investigation showed that although M. wolinskyi was not recovered, diverse NTM species were present in water from point-of-use taps and heater-cooler units for extracorporeal circulation. This case and increasing evidence of emerging NTM infections in cardiac surgery led to the implementation of infection control procedures in cardiac surgery wards.
(Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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