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Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1).
Emerg Infect Dis. 2016 08; 22(8):1340-1347.EI

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.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

27434822

Citation

Schnabel, David, et al. "Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated With Medical Tourism to the Dominican Republic, 2013-2014(1)." Emerging Infectious Diseases, vol. 22, no. 8, 2016, pp. 1340-1347.
Schnabel D, Esposito DH, Gaines J, et al. Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1). Emerging Infect Dis. 2016;22(8):1340-1347.
Schnabel, D., Esposito, D. H., Gaines, J., Ridpath, A., Barry, M. A., Feldman, K. A., Mullins, J., Burns, R., Ahmad, N., Nyangoma, E. N., Nguyen, D. B., Perz, J. F., Moulton-Meissner, H. A., Jensen, B. J., Lin, Y., Posivak-Khouly, L., Jani, N., Morgan, O. W., Brunette, G. W., ... Sotir, M. (2016). Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1). Emerging Infectious Diseases, 22(8), 1340-1347. https://doi.org/10.3201/eid2208.151938
Schnabel D, et al. Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated With Medical Tourism to the Dominican Republic, 2013-2014(1). Emerging Infect Dis. 2016;22(8):1340-1347. PubMed PMID: 27434822.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1). AU - Schnabel,David, AU - Esposito,Douglas H, AU - Gaines,Joanna, AU - Ridpath,Alison, AU - Barry,M Anita, AU - Feldman,Katherine A, AU - Mullins,Jocelyn, AU - Burns,Rachel, AU - Ahmad,Nina, AU - Nyangoma,Edith N, AU - Nguyen,Duc B, AU - Perz,Joseph F, AU - Moulton-Meissner,Heather A, AU - Jensen,Bette J, AU - Lin,Ying, AU - Posivak-Khouly,Leah, AU - Jani,Nisha, AU - Morgan,Oliver W, AU - Brunette,Gary W, AU - Pritchard,P Scott, AU - Greenbaum,Adena H, AU - Rhee,Susan M, AU - Blythe,David, AU - Sotir,Mark, AU - ,, PY - 2016/7/20/entrez PY - 2016/7/21/pubmed PY - 2018/1/9/medline KW - Dominican Republic KW - Mycobacteria KW - Mycobacterium abscessus complex KW - Mycobacterium chelonae KW - Mycobacterium fortuitum KW - United States KW - antibacterial drugs KW - antibiotic KW - antimicrobial resistance KW - bacteria KW - cosmetic surgery KW - healthcare-associated infections KW - medical tourism KW - nontuberculous mycobacteria KW - nosocomial infections KW - rapidly growing mycobacteria KW - tourist SP - 1340 EP - 1347 JF - Emerging infectious diseases JO - Emerging Infect. Dis. VL - 22 IS - 8 N2 - 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. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/27434822/full_citation L2 - https://dx.doi.org/10.3201/eid2208.151938 DB - PRIME DP - Unbound Medicine ER -