Rapidly growing mycobacterial infections associated with plastic surgery: An epidemiological description

African Journal of Microbiology Research Pub Date : 2021-03-31 DOI:10.5897/AJMR2020.9473

J. Braga, M. Prado, H. C. C. Neves, A. Tipple, D. M. Costa, S. L. A. Alves, HÃ©lio Galdino-JÃºnior, Katiane Martins MendonÃ§a, Silvana de Lima Vieira dos Santos

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引用次数: 2

Abstract

Surgical site infections (SSI) caused by rapidly growing mycobacterial (RGM) have become increasingly frequent. The aim of this study is to describe the epidemiological, clinical aspects and factors associated with RGM infections related to plastic surgery. Notifications of SSI from 86 health care facilities of the capital of a Brazilian state within nine years, approximately, were assessed. RGM, predominantly M. fortuitum (39.0%), was isolated from 66 cases of infection folowing plastic surgery, mainly mammoplasty. All the cases were woman, with an average of 32.9 years. Amikacin/clarithomycin was the prevalent therapeutic regimen, and most of the isolates showed resistance to ciprofloxacin. There was an association of infection by M. abscessus and use of surgical instruments that were not exclusive to the institution (P=0.048). Thus, these findings emphasize the importance of SSI notifications and strict monitoring of surgical instruments reprocessing. Key words: Surgical site infection, plastic surgery, non-tuberculous mycobacteria.

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与整形手术相关的快速增长的分枝杆菌感染:流行病学描述

由快速生长的分枝杆菌（RGM）引起的手术部位感染（SSI）越来越频繁。本研究的目的是描述整形外科相关RGM感染的流行病学、临床方面和相关因素。对巴西一个州首府86家医疗机构在大约九年内发出的SSI通知进行了评估。RGM，主要是偶然分枝杆菌（39.0%），是从66例整形手术后感染中分离出来的，主要是乳房成形术。所有病例均为女性，平均年龄32.9岁。阿米卡星/克拉霉素是流行的治疗方案，大多数分离株对环丙沙星表现出耐药性。脓肿分枝杆菌感染与使用非该机构独有的手术器械有关（P=0.048）。因此，这些发现强调了SSI通知和严格监测手术器械再处理的重要性。关键词：手术部位感染，整形，非结核分枝杆菌。

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来源期刊

African Journal of Microbiology Research 生物-微生物学

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审稿时长

3.8 months