Details:

Alternative Title:
Emerg Infect Dis
Publisher's site:
http://dx.doi.org/10.3201/eid2208.151938
Personal Author:
Schnabel, David ; Esposito, Douglas H. ; Gaines, Joanna ; Ridpath, Alison ; Barry, M. Anita ; ... More +
Schnabel, David ; Esposito, Douglas H. ; Gaines, Joanna ; Ridpath, Alison ; Barry, M. Anita ; Feldman, Katherine A. ; Mullins, Jocelyn ; Burns, Rachel ; Ahmad, Nina ; Nyangoma, Edith N. ; Nguyen, Duc B. ; Perz, Joseph F. ; Moulton-Meissner, Heather A. ; Jensen, Bette J. ; Lin, Ying ; Posivak-Khouly, Leah ; Jani, Nisha ; Morgan, Oliver W. ; Brunette, Gary W. ; Pritchard, P. Scott ; Greenbaum, Adena H. ; Rhee, Susan M. ; Blythe, David ; Sotir, Mark ; Less -
Corporate Authors:
RGM Outbreak Investigation Team ;
Description:
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.
Subject:
[+]
Adolescent
Adult
Disease Outbreaks
Female
Humans
Medical Tourism
Middle Aged
Mycobacterium Abscessus
Mycobacterium Infections, Nontuberculous
Surgery, Plastic
Surgical Wound Infection
Synopsis
Young Adult

Source:
Emerg Infect Dis. 22(8):1340-1347. ;
Pubmed ID:
27434822
Pubmed Central ID:
PMC4982176
Document Type:
Journal Article ;
Place as Subject:
Dominican Republic ; United States ;
Dominican Republic ; United States ; Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:24a744d209dfa6ad36f266b6950b9bbd14f8d8b2a759c1a727c3bae7ec154f9b
File Type:

Supporting Files

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