Outbreak of Nontuberculous Mycobacteria Joint Prosthesis Infections, Oregon, USA, 2010–2016

Autor: Genevieve L. Buser, Matthew R. Laidler, P. Maureen Cassidy, Heather Moulton-Meissner, Zintars G. Beldavs, Paul R. Cieslak
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 25, Iss 5, Pp 849-855 (2019)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid2505.181687
Popis: We investigated a cluster of Mycobacterium fortuitum and M. goodii prosthetic joint surgical site infections occurring during 2010–2014. Cases were defined as culture-positive nontuberculous mycobacteria surgical site infections that had occurred within 1 year of joint replacement surgery performed on or after October 1, 2010. We identified 9 cases by case finding, chart review, interviews, surgical observations, matched case–control study, pulsed-field gel electrophoresis of isolates, and environmental investigation; 6 cases were diagnosed >90 days after surgery. Cases were associated with a surgical instrument vendor representative being in the operating room during surgery; other potential sources were ruled out. A tenth case occurred during 2016. This cluster of infections associated with a vendor reinforces that all personnel entering the operating suite should follow infection control guidelines; samples for mycobacterial culture should be collected early; and postoperative surveillance for
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