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Volume 10, Number 10—October 2004
Dispatch

Mycobacterium goodii Infections Associated with Surgical Implants at Colorado Hospital

Dayna Devon Ferguson*†Comments to Author , Ken Gershman*, Bette J. Jensen†, Matthew J. Arduino†, Mitch Yakrus†, Robert C. Cooksey†, and Arjun Srinivasan†
Author affiliations: *Colorado Department of Public Health and Environment, Denver, Colorado, USA; †Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table

Summary of investigation of three cases of Mycobacterium goodii postoperative wound infections associated with surgical implants at a Colorado hospital

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).

Main Article

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".

Page created: April 11, 2011
Page updated: April 11, 2011
Page reviewed: April 11, 2011
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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