Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-25T11:47:23.275Z Has data issue: false hasContentIssue false

A bronchoscopy-associated pseudo-outbreak of Mycobacterium mucogenicum traced to use of contaminated ice used for bronchoalveolar lavage

Published online by Cambridge University Press:  15 November 2019

Judie Bringhurst*
Affiliation:
Hospital Epidemiology, University of North Carolina Hospitals, Chapel Hill, North Carolina
David J. Weber
Affiliation:
Hospital Epidemiology, University of North Carolina Hospitals, Chapel Hill, North Carolina Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina
Melissa B. Miller
Affiliation:
Clinical Microbiology Laboratory, University of North Carolina Hospitals, Chapel Hill, North Carolina Department of Pathology and Laboratory Medicine, UNC School of Medicine, Chapel Hill, North Carolina
Melissa C. Jones
Affiliation:
Clinical Microbiology Laboratory, University of North Carolina Hospitals, Chapel Hill, North Carolina
M. Patricia Rivera
Affiliation:
Division of Pulmonary and Critical Care Medicine, UNC School of Medicine, Chapel Hill, North Carolina
Jason Akulian
Affiliation:
Division of Pulmonary and Critical Care Medicine, UNC School of Medicine, Chapel Hill, North Carolina
William A. Rutala
Affiliation:
Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina
Emily E. Sickbert-Bennett
Affiliation:
Hospital Epidemiology, University of North Carolina Hospitals, Chapel Hill, North Carolina Division of Infectious Diseases, UNC School of Medicine, Chapel Hill, North Carolina
*
Author for correspondence: Judie Bringhurst, Email: [email protected]

Abstract

Clonal Mycobacterium mucogenicum isolates (determined by molecular typing) were recovered from 19 bronchoscopic specimens from 15 patients. None of these patients had evidence of mycobacterial infection. Laboratory culture materials and bronchoscopes were negative for Mycobacteria. This pseudo-outbreak was caused by contaminated ice used to provide bronchoscopic lavage. Control was achieved by transitioning to sterile ice.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Seoane-Vazquez, E, Rodriguez-Monguio, R, Visaria, J, Carlson, A. Exogenous endoscopy-related infections, pseudoinfections, and toxic reactions: clinical and economic burden. Curr Med Res Opin 2006;22:20072021.CrossRefGoogle Scholar
Weber, DJ, Rutala, WA. Lessons learned from outbreaks and pseudo-outbreaks associated with bronchoscopy. Infect Control Hosp Epidemiol 2012;33:230234.CrossRefGoogle ScholarPubMed
Kovaleva, J, Peters, FT, van der Mei, HC, Degener, JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev 2013;26:231254.CrossRefGoogle ScholarPubMed
Decker, BK, Palmore, TN. The role of water in healthcare-associated infections. Curr Opin Infect Dis 2013;26:345351.CrossRefGoogle ScholarPubMed
Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Clin Infect Dis 2016;62:14231435.CrossRefGoogle ScholarPubMed
Wallace, RJ Jr, Brown, BA, Griffith, DE. Nosocomial outbreaks/pseudo-outbreaks caused by nontuberculous mycobacteria. Annu Rev Microbiol 1998;52:453490.CrossRefGoogle ScholarPubMed
Adékambi, T. Mycobacterium mucogenicum group infections: a review. Clin Microbiol Infect 2009;15:911918.CrossRefGoogle ScholarPubMed
Brown-Elliott, BA, Philley, JV. Rapidly growing mycobacteria. Microbiol Spectr 2017;5(1). doi: 10.1128/microbiolspec.CrossRefGoogle ScholarPubMed
Rodriguez-Coste, MA, Chirca, I, Steed, LL, Salgado, CD. Epidemiology of rapidly growing mycobacteria bloodstream infections. Am J Med Sci 2016;351:253258.CrossRefGoogle ScholarPubMed
Cunha, CB, Cunha, BA. Pseudoinfections and pseudo-outbreaks. In: Glen Mayhall, C., ed. Hospital Epidemiology and Infection Control, 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2012:142152.Google Scholar