International Society of Cardiovascular Infectious Diseases Guidelines for the Diagnosis, Treatment and Prevention of Disseminated Mycobacterium chimaera Infection Following Cardiac Surgery with Cardiopulmonary Bypass

Hasse, Barbara; Hannan, Margaret M.; Sommerstein, Rami; Mertz, Dominik; Wagner, Dirk; Fernández-Hidalgo, Núria; Nomura, Jim; Manfrin, Vinicio; Béttex, Dominique; Conte, Antonio Hernandez; Durante‐Mangoni, Emanuele; Tang, T; Stuart, Rhonda L.; Lundgren, Johan; Gordon, Steven M.; Jarashow, M. Claire; Schreiber, Peter W.; Niemann, Stefan; Kohl, Thomas A.; Stewardson, Andrew J.; Whitener, Cynthia; Perkins, Kiran M.; Plachouras, D.; Lamagni, Theresa; Chand, Meera; Freiberger, Tomáš; Zweifel, Sandrine; Sander, Peter; Schulthess, Bettina; Sax, Hugo; Ingen, Jakko van; Mestres, Carlos–A.; Diekema, Daniel J.; Brown‐Elliott, Barbara A.; Wallace, Richard J.; Baddour, Larry M.; Miró, José M.; Hoën, Bruno; Athan, Eugene; Bayer, Arnold S.; Baršić, Bruno; Corey, G. Ralph; Chu, Vivian H.; Durack, David T.; Fortes, Cláudio Querido; Fowler, Vance G.; Krachmer, A.W.; Durante-Magnoni, E.; Wilson, Walter R.; Scriven, James; Stewart, Ralph; Herwaldt, Loreen A.; Widmer, Andreas F.; Elliot, B.A. Brown; Daley, Charles L.; Keller, Peter M.; Maurer, Florian P.; Falk, Volkmar; Halbe, Maximilian

doi:10.1016/j.jhin.2019.10.009

Cited by 58 publications

(107 citation statements)

References 104 publications

(228 reference statements)

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“…Despite the presence of M. chimaera in the water tanks, there have been no new cases of M. chimaera infections identified; however the diagnosis of cardiac M. chimaera infection can be difficult because initial symptoms may be non-specific, subtle and appear months to years after surgery [ 10 ]. Mycobacterium chimaera is a ubiquitous environmental organism that can cause disease in patients with underlying airway disease or individuals who are immunocompromised.…”

Section: Discussionmentioning

confidence: 99%

Mycobacterium chimaera in heater–cooler devices: an experience in a tertiary hospital in Spain

Viqueira¹,

Pérez-Romero

Toro-Rueda³

et al. 2021

New Microbes and New Infections

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Section: Discussionmentioning

confidence: 99%

Mycobacterium chimaera in heater–cooler devices: an experience in a tertiary hospital in Spain

Viqueira¹,

Pérez-Romero

Toro-Rueda³

et al. 2021

New Microbes and New Infections

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“…This occurs within 30 days after the surgery [ 12 ]. Also, cardiac surgery involves superficial and deep cutaneous/sternal infections, but also the site of saphenous vein removal a the level of the lower extremity [ 13 ]. Today, it is believed that most surgery site infections originate from the bacteria that enter the wound during surgery.…”

Section: Discussionmentioning

confidence: 99%

Microbial Contamination after Cardiac Surgery in a Hospital Cardiac Surgery Ward

et al. 2020

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Surgery site infection is one of the most common postoperative complications which is associated with increased morbidity, mortality and admission costs. It is considered a priority to determine the level of nosocomial infection and its control in reflecting the quality of care. Therefore, this study aimed to evaluate the microbial contamination after cardiac surgery at a hospital cardiac surgery ward of Besat Hospital, Tehran. In this cross-sectional descriptive-analytic study (2013-2017), 610 patients underwent surgery at the Department of Cardiac Surgery of Besat Hospital. All necessary information such as urine culture, surgical site, histopathologic examination for the diagnosis of microbial contamination and microorganisms were collected from the patient records and inserted in the questionnaire. The data were analyzed using SPSS (version 25). The incidence of nosocomial infections following cardiac surgery reportedly ranged from 17% to 23%. Accordingly, pneumonia (51.2%) and local infections (22%) were the most common infections in the studied population. The mortality rate in our population was 11.4%. Moreover, 64.3% of the total mortality cases were reported in patients with sepsis. The mean age and duration of admission of patients with catheter infection were significantly higher than other subjects. Given the relatively high prevalence of the infection and its importance, it is necessary to take more serious measures to prevent and control these infections.

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“…New models of the machines have rectified the problem; however, the infection can remain latent for many years. It is difficult to diagnose and treat, and therefore the extent of the problem is likely to be underestimated (Hasse et al, 2020;Scriven et al, 2018).…”

Section: Mycobacterium Simiaementioning

confidence: 99%

Non-tuberculous mycobacterial infections—A neglected and emerging problem

Ahmed

Tiberi

Farooqi

et al. 2020

International Journal of Infectious Diseases

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Non-tuberculous mycobacteria (NTM) are ubiquitous dwellers of environmental niches and are an established cause of natural and nosocomial infections. The incidence of NTM infections is rising owing to a growing population of immunocompromised and vulnerable individuals, complex medical and surgical procedures, as well as increased awareness and diagnostic capabilities. The prevalence of different NTM varies between continents, regions, and countries. The true global burden of pulmonary and extrapulmonary disease is unknown and estimates are subject to under and/or over-estimation. Diagnosis requires confirmation by isolation of NTM along with clinical and radiological criteria, which may be suboptimal at all levels. Susceptibility testing is complex and clinical breakpoints are not available for many of the drugs. Frequently, NTM infections are not considered until late in the course of disease. Improved and rapid detection of tuberculosis cases in high-burden countries has, however, also brought NTM infections into the limelight, and has identified a need for research efforts towards rapid diagnostic tests and the identification of biomarkers to monitor the treatment response in patients with NTM infections.

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International Society of Cardiovascular Infectious Diseases Guidelines for the Diagnosis, Treatment and Prevention of Disseminated Mycobacterium chimaera Infection Following Cardiac Surgery with Cardiopulmonary Bypass

Cited by 58 publications

References 104 publications

Mycobacterium chimaera in heater–cooler devices: an experience in a tertiary hospital in Spain

Mycobacterium chimaera in heater–cooler devices: an experience in a tertiary hospital in Spain

Microbial Contamination after Cardiac Surgery in a Hospital Cardiac Surgery Ward

Non-tuberculous mycobacterial infections—A neglected and emerging problem

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