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Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1).

Authors :
Schnabel, David
Esposito, Douglas H.
Gaines, Joanna
Ridpath, Alison
Anita Barry, M.
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.
Ying Lin
Posivak-Khouly, Leah
Jani, Nisha
Morgan, Oliver W.
Brunette, Gary W.
Scott Pritchard, P.
Source :
Emerging Infectious Diseases; Aug2016, Vol. 22 Issue 8, p1340-1347, 8p, 1 Diagram, 2 Charts, 1 Graph
Publication Year :
2016

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10806040
Volume :
22
Issue :
8
Database :
Complementary Index
Journal :
Emerging Infectious Diseases
Publication Type :
Academic Journal
Accession number :
117067657
Full Text :
https://doi.org/10.3201/eid2208.151938