Volume 10, Number 10—October 2004
Dispatch
Mycobacterium goodii Infections Associated with Surgical Implants at Colorado Hospital
Table
Criteria | Patient 1 | Patient 2 | Patient 3 |
---|---|---|---|
Age | 64 | 64 | 75 |
Sex | Male | Male | Female |
Date of surgery | 4/02 | 1/03 | 4/03 |
Date infection diagnosed | 8/03 (16 mo after surgery) | 2/03 (19 d after surgery) | 5/03 (29 d after surgery) |
Initial surgery | Total hip arthroplasty | Inguinal hernia repair | Total knee replacement |
Hospitala | A | A | A |
Surgical implant | Artificial hip | Kugel patch | Artificial knee |
Operating room (OR)b | A | B | A |
Surgeonc | A | B | C |
Anesthesiologistd | A | A | A |
Assistante | A | None | A, B |
OR personnelf | A, B, C, D | A, E | B, F, G, H |
Skin preparation | Povidone-iodine, isopropyl alcohol | Povidone-iodine, ethanol | Povidone-iodine, isopropyl alcohol |
Local anesthetic | Bupivicaine | Bupivicaine | None |
Saline irrigation | Yes (with kanamycin) | Yes | Yes |
Intraoperative antibiotics | Cefazolin | None | Cefazolin |
Notes | Hip aspiration, hospital A, 5/03; Hip arthroplasty revision, hospital B, 7/03 | Laminectomy, hospital C, 2/03 |
aIncludes circulating nurse, scrub technician, surgical sales representative, and any staff not previously listed who were working in the operating room.
aThe three patients received implants at hospital A.
bThe three patients had surgery in two operating rooms (A and B) at hospital A.
cThree surgeons (A–C) were involved in these three operations at hospital A.
dOne anesthesiologist (A) was involved in the three operations at hospital A.
eTwo different assistants (A and B) were involved in two of the three operations at hospital A.
fIncludes circulating nurses, scrub technicians, a surgical sales representative and any staff not previously listed who were working in the operating rooms during these operations (A–H).
CrossRef reports the first author should be "Brown-Elliott" not "Brown" in reference 2 "Brown, Wallace, 2002".
Medline reports the first author should be "Brown-Elliott BA" not "Brown BA" in reference 2 "Brown, Wallace, 2002".
Medline reports the first author should be "Wallace RJ" not "Wallace JR" in reference 7 "Wallace, Zhang, Brown, Fraser, Mazurek, Maloney, 1993".