Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013–2014
| Autor: | David Schnabel, Douglas H. Esposito, Joanna Gaines, Alison Ridpath, M. Anita Barry, Katherine A. Feldman, Jocelyn Mullins, Rachel Burns, Nina Ahmad, Edith N. Nyangoma, Duc T. Nguyen, Joseph F. Perz, Heather Moulton-Meissner, Bette J. Jensen, Ying Lin, Leah Posivak-Khouly, Nisha Jani, Oliver Morgan, Gary W. Brunette, P. Scott Pritchard, Adena H. Greenbaum, Susan M. Rhee, David Blythe, Mark Sotir |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Emerging Infectious Diseases, Vol 22, Iss 8, Pp 1340-1347 (2016) |
| Druh dokumentu: | article |
| ISSN: | 1080-6040 1080-6059 |
| DOI: | 10.3201/eid2208.151938 |
| Popis: | During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report of 2 Maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) in the Dominican Republic. A multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the Dominican Republic. We identified 21 case-patients in 6 states who had surgery in 1 of 5 Dominican Republic clinics; 13 (62%) had surgery at clinic A. Isolates from 12 (92%) of those patients were culture-positive for Mycobacterium abscessus complex. Of 9 clinic A case-patients with available data, all required therapeutic surgical intervention, 8 (92%) were hospitalized, and 7 (78%) required ≥3 months of antibacterial drug therapy. Healthcare providers should consider infection with rapidly growing mycobacteria in patients who have surgical site infections unresponsive to standard treatment. |
| Databáze: | Directory of Open Access Journals |
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