Outbreak of surgical infection caused by non-tuberculous mycobacteria in breast implants in Brazil

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dc.contributor.authorPadoveze, M. C.
dc.contributor.authorFortaleza, C. M. C. B.
dc.contributor.authorFreire, M. P.
dc.contributor.authorAssis, D. Brandao de
dc.contributor.authorMadalosso, G.
dc.contributor.authorPellini, A. C. G.
dc.contributor.authorCesar, M. L. V.
dc.contributor.authorNeto, V. Pisani
dc.contributor.authorBeltramelli, M. M.
dc.contributor.authorChimara, E.
dc.contributor.authorFerrazoli, L.
dc.contributor.authorSilva Telles, M. A. da
dc.contributor.authorSampaio, J. L. M.
dc.contributor.authorLeao, S. C.
dc.contributor.institutionCtr Vigilancia Epidemiol Prof Alexandre Vranjac
dc.contributor.institutionCity Hlth Dept
dc.contributor.institutionInst Adolfo Lutz Registro
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:49:07Z
dc.date.available2016-01-24T13:49:07Z
dc.date.issued2007-10-01
dc.description.abstractWe investigated an outbreak caused by non-tuberculous mycobacteria (NTM) related to breast implant surgery in the city of Campinas, Brazil, by means of a retrospective cohort and molecular epidemiological study. A total of 492 records of individuals having breast surgery in 12 hospitals were evaluated. Twelve isolates were analysed using four different molecular typing methods. There were 14 confirmed cases, 14 possible cases and one probable case. One probable, nine possible and 12 confirmed cases were included in a cohort study; all occurred in eight of the hospitals and the confirmed cases in five. Univariate analysis showed that patients who had had breast reconstruction surgery in hospitals A and B were more likely to have NTM infections. No risk factor was independently associated with NTM infection in the multivariate model. the isolates obtained from patients at each hospital showed different molecular patterns, excluding isolates from hospital C that repeatedly showed the same genotype for approximately one year. in conclusion, this outbreak was caused by polyclonal strains at different institutions, and in one hospital a unique genotype caused most cases. No specific risk factors were found. (C) 2007 the Hospital Infection Society. Published by Elsevier B.V. All rights reserved.en
dc.description.affiliationCtr Vigilancia Epidemiol Prof Alexandre Vranjac, State Hlth Dept, Div Hosp Infect, São Paulo, Brazil
dc.description.affiliationCity Hlth Dept, Sanit Div, Campinas, Brazil
dc.description.affiliationInst Adolfo Lutz Registro, State Hlth Dept, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Div Microbiol Immunol & Parasitol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Div Microbiol Immunol & Parasitol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent161-167
dc.identifierhttp://dx.doi.org/10.1016/j.jhin.2007.07.007
dc.identifier.citationJournal of Hospital Infection. London: W B Saunders Co Ltd, v. 67, n. 2, p. 161-167, 2007.
dc.identifier.doi10.1016/j.jhin.2007.07.007
dc.identifier.issn0195-6701
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30076
dc.identifier.wosWOS:000250847500009
dc.language.isoeng
dc.publisherW B Saunders Co Ltd
dc.relation.ispartofJournal of Hospital Infection
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectsurgical infectionen
dc.subjectoutbreaken
dc.subjectbreast implanten
dc.subjectmycobacteriaen
dc.titleOutbreak of surgical infection caused by non-tuberculous mycobacteria in breast implants in Brazilen
dc.typeinfo:eu-repo/semantics/article
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