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

被引：16

作者：

Buser, Genevieve L. ^{[1
,3
]}

Laidler, Matthew R. ^{[1
]}

Cassidy, P. Maureen ^{[1
]}

Moulton-Meissner, Heather ^{[2
]}

Beldays, Zintars G. ^{[1
]}

Cieslak, Paul R. ^{[1
]}

机构：

[1] Oregon Hlth Author, Portland, OR USA

[2] Ctr Dis Control & Prevent, Atlanta, GA USA

[3] Providence Hlth & Serv, Portland, OR USA

来源：

EMERGING INFECTIOUS DISEASES | 2019年 / 25卷 / 05期

关键词：

FORTUITUM; PATTERNS;

D O I：

10.3201/eid2505.181687

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

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.

引用

页码：849 / 855

页数：7

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