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Epidemiologic Review of Veterans Health Administration Patients with Isolation of Nontuberculous Mycobacteria after Cardiopulmonary Bypass Procedures

  • Gina Oda (a1), Russell Ryono (a1), Cynthia Lucero-Obusan (a1), Patricia Schirmer (a1), Hasan Shanawani (a2), Katrina Jacobs (a2) and Mark Holodniy (a1) (a3)...
Abstract

We evaluated the isolation of postoperative nontuberculous mycobacteria (NTM) associated with heater-cooler devices (HCDs) used during cardiopulmonary bypass (CPB) surgery in the Veterans Health Administration from January 1, 2010, to December 31, 2016. In more than 38,000 CPB procedures, NTM was isolated in 111 patients; 1 Mycobacterium chimaera mediastinitis case and 1 respiratory isolate were found.

Infect Control Hosp Epidemiol 2017;38:1103–1106

Copyright
Corresponding author
Address correspondence to Gina Oda, MS, CIC, VA Palo Alto Health Care System, 3801 Miranda Avenue (132), Palo Alto, CA 94304 (Gina.Oda@va.gov).
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PREVIOUS PRESENTATION. This work was presented in part at IDWeek 2016 on October 27, 2016, in New Orleans, Louisiana (poster 569).

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References
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1. Non-tuberculous Mycobacterium (NTM) infections and heater-cooler devices interim practical guidance. Centers for Disease Control and Prevention website. http://www.cdc.gov/HAI/pdfs/outbreaks/CDC-Notice-Heater-Cooler-Units-final-clean.pdf. Updated 2015. Accessed April 21, 2017.
2. Nontuberculous Mycobacterium infections associated with heater-cooler devices: FDA safety communication. US Food and Drug Administration website. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm466963.htm. Published 2015. Accessed April 21, 2017.
3. Sax, H, Bloemberg, G, Hasse, B, et al. Prolonged outbreak of Mycobacterium chimaera infection after open-chest heart surgery. Clin Infect Dis 2015;61:6775.
4. Sommerstein, R, Rüegg, C, Kohler, P, Bloemberg, G, Kuster, SP, Sax, H. Transmission of Mycobacterium chimaera from heater–cooler units during cardiac surgery despite an ultraclean air ventilation system. Emerg Infect Dis 2016;22:10081013.
5. Sommerstein, R, Schreiber, PW, Diekema, DJ, et al. Mycobacterium chimaera outbreak associated with heater-cooler devices: piecing the puzzle together. Infect Control Hosp Epidemiol 2017;38:103108.
6. FDA Presentation. Circulatory System Devices Panel of the Medical Devices Advisory Committee. U.S. Food and Drug Administration website. https://www.fda.gov/downloads/AdvisoryCommittees/CommitteesMeetingMaterials/MedicalDevices/MedicalDevicesAdvisoryCommittee/CirculatorySystemDevicesPanel/UCM504026.pdf Published 2016. Accessed April 21, 2017.
7. Unai, S, Miessau, J, Karbowski, P, Bajwa, G, Hirose, H. Sternal wound infection caused by Mycobacterium chelonae . J Card Surg 2013;28:687692.
8. Schreiber, PW, Kuster, SP, Hasse, B, et al. Reemergence of Mycobacterium chimaera in heater-cooler units despite intensified cleaning and disinfection protocol. Emerg Infect Dis 2016;22(10):18301833.
9. Moon, SM, Kim, SY, Jhun, BW, et al. Clinical characteristics and treatment outcomes of pulmonary disease caused by Mycobacterium chimaera . Diagn Microbiol Infect Dis 2016;86:382384.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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