Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1).
Emerg Infect Dis
; 22(8): 1340-1347, 2016 08.
Article
en En
| MEDLINE
| ID: mdl-27434822
ABSTRACT
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.
Palabras clave
Dominican Republic; Mycobacteria; Mycobacterium abscessus complex; Mycobacterium chelonae; Mycobacterium fortuitum; United States; antibacterial drugs; antibiotic; antimicrobial resistance; bacteria; cosmetic surgery; healthcare-associated infections; medical tourism; nontuberculous mycobacteria; nosocomial infections; rapidly growing mycobacteria; tourist
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Turismo Médico
/
Mycobacterium abscessus
/
Infecciones por Mycobacterium no Tuberculosas
Tipo de estudio:
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
America do norte
/
Caribe ingles
/
Dominica
/
Republica dominicana
Idioma:
En
Revista:
Emerg Infect Dis
Asunto de la revista:
DOENCAS TRANSMISSIVEIS
Año:
2016
Tipo del documento:
Article