Re: STUDY: Outbreak of surgical infection caused by non-tuberculous mycobacteria in breast implants On Sep 21, 11:33 pm, Ilena Rose <B...@mundo . com > wrote:
> * breastimplantAwareness.blogspot . com
>
> w w w .BreastImplantAwareness.org/
>
> J Hosp Infect. 2007 Sep 18;
>
> * w w w .ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=Retrieve&dopt=
=...
> Outbreak of surgical infection caused by non-tuberculous mycobacteria
> in breast implants in Brazil.
>
> Padoveze MC, Fortaleza CM, Freire MP, Brandão de Assis D, Madalosso G,
> Pellini AC, César ML, Pisani Neto V, Beltramelli MM, Chimara E,
> Ferrazoli L, da Silva Telles MA, Sampaio JL, Leão SC.
> Centro de Vigilância Epidemiológica 'Prof. Alexandre Vranjac', State
> Health Department, Hospital Infection Division, São Paulo, Brazil.
>
> SUMMARY: We 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.
Why would you post this to sci.med.immunology? Totally off-topic.