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Outbreak of Enterococcus gallinarum Infections After Total Knee Arthroplasty

Published online by Cambridge University Press:  02 January 2015

Michael P. Cooper ,
Fernanda Lessa ,
Bob Brems ,
Rivka Shoulson ,
Steve York ,
Alicia Peterson ,
Judith Noble-Wang ,
Rosemary Duffy  and
L. Clifford McDonald
Michael P. Cooper*
Affiliation:
Ohio Department of Health, Columbus, Ohio Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia
Fernanda Lessa
Affiliation:
Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Bob Brems
Affiliation:
Zanesville-Muskingum County Health Department, Zanesville, Ohio
Rivka Shoulson
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Steve York
Affiliation:
Ohio Department of Health, Columbus, Ohio
Alicia Peterson
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Judith Noble-Wang
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Rosemary Duffy
Affiliation:
Ohio Department of Health, Columbus, Ohio
L. Clifford McDonald
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Ohio Department of Health, 8th Floor, Columbus, OH 43215 (fgi7@cdc.gov)
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Abstract

In September 2006, we investigated a cluster of 9 patients who developed Enterococcus gallinarum infection after total knee arthroplasty. Isolates recovered from these patients were from the same outbreak strain. Although all 9 patients were monitored by the same healthcare personnel, were given spinal anesthesia, and had the same specific type of wound irrigation procedure performed during their hospitalization, the source or sources of these infections were not identified.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 4 , April 2008 , pp. 361 - 363
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Peersman, G, Laskin, R, Davis, J, Peterson, M. Infection in total knee replacement: a retrospective review of 6,489 total knee replacements. Clin Orthop 2001;392:15–23.Google Scholar
2.Grogan, TJ, Dorey, F, Rollins, J, Amstutz, HC. Deep sepsis following total knee arthroplasty: ten year experience at the University of California at Los Angeles Medical Center. J Bone Joint Surg Am 1986;68:226–234.CrossRefGoogle ScholarPubMed
3.Phillips, JE, Crane, TP, Noy, M, Elliott, TS, Grimer, RJ. The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey. J Bone Joint Surg Br 2006;88:943–948.Google Scholar
4.Sia, IG, Berbari, EF, Karchmer, AW. Prosthetic joint infections. Infect Dis Clin North Am 2005;19:885–914.Google Scholar
5.Vincent, S, Minkler, P, Bincziewski, B, Etter, L, Shlaes, DM. Vancomycin resistance in Enterococcus gallinarum. Antimicrob Agents Chemother 1992;36:1392–1399.Google Scholar
6.Centers for Disease Control and Prevention. Nosocomial enterococci resistant to vancomycin—United States, 1989-1993. MMWR Morb Mortal Wkly Rep 1993;42:597–599.Google Scholar
7.DeLisle, S, Perl, TM. Conundrums in the management of critically ill patients: vancomycin resistant enterococci supplement. Chest 2003;123:504–518.CrossRefGoogle Scholar
8.Wendt, C, Wiesenthal, B, Dietz, E, Ruden, H. Survival of vancomycin-resistant and vancomycin-susceptible enterococci on dry surfaces. J Clin Microbiol 1998;36:3734–3736.Google Scholar
9.Montecalvo, MA, de Lencastre, H, Carraher, M, et al. Natural history of colonization with vancomycin-resistant Enterococcus faecium. Infect Control Hosp Epidemiol 1995;16:680–685.Google Scholar