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

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Buser, Genevieve L. ; Laidler, Matthew R. ; Cassidy, P. Maureen ; Moulton-Meissner, Heather ; Beldavs, Zintars G. ; Cieslak, Paul R.
• Description:
  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 <90 days can miss surgical site infections caused by slow-growing organisms requiring specialized cultures, like mycobacteria.
• Subjects:
  Arthroplasty Bacteria Case–control Studies Environment Hair Hip Joint Humans Infection Control Knee Joint Mycobacterium Fortuitum Mycobacterium Goodii National Healthcare Safety Network Nontuberculous Mycobacteria Outbreak Of Nontuberculous Mycobacteria Joint Prosthesis Infections, Oregon, USA, 2010–2016 Prostheses And Implants Pulsed-field Gel Electrophoresis Replacement Soil Surgical Wound Infection Synopsis Tuberculosis And Other Mycobacteria Water

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• Source:
  Emerg Infect Dis. 25(5):849-855
• Pubmed ID:
  31002056
• Pubmed Central ID:
  PMC6478192
• Document Type:
  Journal Article
• Place as Subject:
  Oregon
• Location:
  North America
• Volume:
  25
• Issue:
  5
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:a84ae5b63766364340626ecbb7a409fcfaa16af00bb70c904ded363d48066f88
• Download URL:
  https://stacks.cdc.gov/view/cdc/79357/cdc_79357_DS1.pdf
• File Type:
  [PDF - 1.20 MB ]