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

Published online by Cambridge University Press:  11 July 2017

Gina Oda ,
Russell Ryono ,
Cynthia Lucero-Obusan ,
Patricia Schirmer ,
Hasan Shanawani ,
Katrina Jacobs  and
Mark Holodniy
Gina Oda*
Affiliation:
Public Health Surveillance and Research, Department of Veterans Affairs, Palo Alto, California
Russell Ryono
Affiliation:
Public Health Surveillance and Research, Department of Veterans Affairs, Palo Alto, California
Cynthia Lucero-Obusan
Affiliation:
Public Health Surveillance and Research, Department of Veterans Affairs, Palo Alto, California
Patricia Schirmer
Affiliation:
Public Health Surveillance and Research, Department of Veterans Affairs, Palo Alto, California
Hasan Shanawani
Affiliation:
National Center for Patient Safety, Department of Veterans Affairs, Ann Arbor, Michigan
Katrina Jacobs
Affiliation:
National Center for Patient Safety, Department of Veterans Affairs, Ann Arbor, Michigan
Mark Holodniy
Affiliation:
Public Health Surveillance and Research, Department of Veterans Affairs, Palo Alto, California Stanford University, Stanford, California.
*
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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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

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 9 , September 2017 , pp. 1103 - 1106
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION. This work was presented in part at IDWeek 2016 on October 27, 2016, in New Orleans, Louisiana (poster 569).

References

REFERENCES

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.Google Scholar
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.Google Scholar
3. Sax, H, Bloemberg, G, Hasse, B, et al. Prolonged outbreak of Mycobacterium chimaera infection after open-chest heart surgery. Clin Infect Dis 2015;61:67–75.CrossRefGoogle ScholarPubMed
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;22:1008–1013.CrossRefGoogle ScholarPubMed
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;38:103–108.CrossRefGoogle ScholarPubMed
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.Google Scholar
7. Unai, S, Miessau, J, Karbowski, P, Bajwa, G, Hirose, H. Sternal wound infection caused by Mycobacterium chelonae . J Card Surg 2013;28:687–692.CrossRefGoogle ScholarPubMed
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):1830–1833.CrossRefGoogle ScholarPubMed
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;86:382–384.CrossRefGoogle ScholarPubMed
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