<i>Notes from the Field</i>: Nontuberculous Mycobacteria Infections in U.S. Medical Tourists Associated with Plastic Surgery — Dominican Republic, 2017

Gaines, Joanna; Poy, Jose; Musser, Kimberlee A.; Benowitz, Isaac; Leung, Vivian; Carothers, Barbara; Kauerauf, Judy; Mollon, Noreen; Duwell, Monique; Henschel, Kathleen; MPH,; Jesus, Alexandra De; Head, Susan L.; Lee, Keun; Arboleda, Nelson B.; Esposito, Douglas H.

doi:10.15585/mmwr.mm6712a5

Cited by 14 publications

(5 citation statements)

References 2 publications

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“…It is important for clinicians to be aware of the possibility of an NTM outbreak because they can help identify extrapulmonary NTM outbreaks. In 2013, a clinician reporting two extrapulmonary NTM cases among medical tourists led to detection of an NTM outbreak traced to cosmetic surgery centers in the Dominican Republic; subsequent case finding identified outbreak cases from four other states ( 9 , 10 ). Extrapulmonary NTM surveillance could enhance detection and identification of the source of multijurisdictional outbreaks.…”

Section: Discussionmentioning

confidence: 99%

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance — Oregon, 2014–2016

Shih¹,

Cassidy²,

Perkins³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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Nontuberculous mycobacteria (NTM), ubiquitous in soil and water, usually infect immunocompromised persons. However, even healthy persons are susceptible to infection through percutaneous inoculation. Although 77% of NTM diseases manifest as primarily pulmonary illnesses (1), NTM also infect skin, bones, joints, the lymphatic system, and soft tissue. NTM infections can have incubation periods that exceed 5 years (2), often require prolonged treatment, and can lead to sepsis and death. Extrapulmonary NTM outbreaks have been reported in association with contaminated surgical gentian violet (3), nail salon pedicures (4), and tattoos received at tattoo parlors (5), although few surveillance data have been available for estimating the public health burden of NTM.* On January 1, 2014, the Oregon Health Authority designated extrapulmonary NTM disease a reportable condition. To characterize extrapulmonary NTM infection, estimate resources required for surveillance, and assess the usefulness of surveillance in outbreak detection and investigation, 2014–2016 extrapulmonary NTM surveillance data were reviewed, and interviews with stakeholders were conducted. During 2014–2016, 134 extrapulmonary NTM cases (11 per 1 million persons per year) were reported in Oregon. The age distribution was bimodal, with highest incidence among persons aged <10 years (20 per 1 million persons per year) and persons aged 60–69 years (18 per 1 million persons per year). The most frequently reported predisposing factors (occurring within 14–70 days of symptom onset) were soil exposure (41/98; 42%), immunocompromised condition (42/124; 34%), and surgery (32/120; 27%). Overall, 43 (33%) patients were hospitalized, 18 (15%) developed sepsis, and one (0.7%) died. Surveillance detected or helped to control two outbreaks at low cost. Jurisdictions interested in implementing extrapulmonary NTM surveillance can use the Council of State and Territorial Epidemiologists (CSTE) standardized case definition (6) for extrapulmonary NTM reporting or investigative guidelines maintained by the Oregon Health Authority (7).

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Section: Discussionmentioning

confidence: 99%

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance — Oregon, 2014–2016

Shih¹,

Cassidy²,

Perkins³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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“…Hygiene er ikke nødvendigvis av samme kvalitet i alle lansds heseinstitusjoner, og post operative infeksjoner er ikke uvanlig etter kirurgi i enkelte land. I 2016 advarte Centers for Diseases Control and Prevention i USA om at 38 av 52 amerikanske pasienter var blitt infisert med non-tuberculose mycobacter etter plastisk kirurgi i ved en klinikk i Den Dominikanske Republikk, en av disse døde av infeksjonen (13). I februar 2019 advarte WHO om at 20 amerikanske pasienter var blitt smittet med karbapenem resistente Pseudomonas aeruginosa etter kirurgiske inngrep, de fleste fedmeoperasjoner, i Tijuana, Mexico, like ved grensa til USA (14).…”

Section: Hva Er Problemet?unclassified

Medisinsk tannturisme

Olsvik

Lilleng²,

Lund

2020

ANO

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“…Mycobacterium abscessus is a species of intrinsically multidrug–resistant, rapidly growing nontuberculous mycobacteria (NTM) known to cause health care–associated infections ( 1 ) and implicated in skin and soft tissue infections after cosmetic surgical procedures ( 2 , 3 ). On February 7, 2023, CDC notified the Florida Department of Health (FDOH) of a non-Florida resident with NTM infection after a cosmetic procedure at a surgery clinic (clinic A) in south Florida.…”

Section: Introductionmentioning

confidence: 99%

Notes from the Field: Nontuberculous Mycobacteria Infections After Cosmetic Surgery Procedures in Florida — Nine States, 2022–2023

Saunders,

Reyes,

Cyril

et al. 2024

MMWR Morb. Mortal. Wkly. Rep.

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Notes from the Field: Nontuberculous Mycobacteria Infections in U.S. Medical Tourists Associated with Plastic Surgery — Dominican Republic, 2017

Cited by 14 publications

References 2 publications

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance — Oregon, 2014–2016

Extrapulmonary Nontuberculous Mycobacterial Disease Surveillance — Oregon, 2014–2016

Medisinsk tannturisme

Notes from the Field: Nontuberculous Mycobacteria Infections After Cosmetic Surgery Procedures in Florida — Nine States, 2022–2023

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