We found a high prevalence of multiresistant ESBL-producing E. coli in RACF residents. A clonal relatedness of isolates suggests possible transmission within the facility. RACFs should have programs emphasising processes that will limit spread of these organisms, namely good hand hygiene compliance, enhanced environmental cleaning and dedicated antimicrobial stewardship programs.

We report a case of disseminated Mycobacterium haemophilum osteomyelitis in a patient with advanced HIV infection, who later developed recurrent immune reconstitution inflammatory syndrome after commencement of antiretroviral therapy. We review previous reports of M. haemophilum bone and joint infection associated with HIV infection and describe the management of M. haemophilum-associated immune reconstitution inflammatory syndrome, including the role of surgery as an adjunctive treatment modality and the potential drug interactions between antiretroviral and antimycobacterial agents.

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BACKGROUND:Round cohesive implants are increasingly popular due to their ability to maintain shape, higher fill volume, and projection. However, they have also been associated with a higher risk of implant flipping. The current literature on risk factors of anteroposterior implant malposition in patients with two-stage implant-based reconstruction (IBR) is scarce. We identified predisposing factors of implant anteroposterior malposition in postmastectomy patients with prepectoral round, cohesive, smooth implants. METHODS:A retrospective review of patients who underwent postmastectomy two-stage IBR with prepectoral Natrelle Inspira Cohesivity Level 3 implants, from 2013 to 2020 at our institution, was conducted. Inclusion criterion was patients 18 years or older who had a prepectoral tissue expander and prepectoral breast implant. Patients who had prior breast reconstruction or aesthetic surgeries were excluded.