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Volume 22, Number 8—August 2016
Synopsis

Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013–20141

David SchnabelComments to Author , Douglas H. Esposito, Joanna Gaines, Alison Ridpath, M. Anita Barry, Katherine A. Feldman, Jocelyn Mullins, Rachel Burns, Nina Ahmad, Edith N. Nyangoma, Duc T. Nguyen, Joseph F. Perz, Heather Moulton-Meissner, Bette J. Jensen, Ying Lin, Leah Posivak-Khouly, Nisha Jani, Oliver Morgan, Gary W. Brunette, P. Scott Pritchard, Adena H. Greenbaum, Susan M. Rhee, David Blythe, Mark Sotir, and the RGM Outbreak Investigation Team
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D. Schnabel, D.H. Esposito, J. Gaines, A. Ridpath, J. Mullins, N. Ahmad, E.N. Nyangoma, D.B. Nguyen, J.F. Perz, H.A. Moulton-Meissner, B.J. Jensen, O.W. Morgan, G.W. Brunette, M. Sotir); Maryland Department of Health and Mental Hygiene, Baltimore, Maryland, USA (D. Schnabel, K.A. Feldman, D. Blythe); New York City Department of Health and Mental Hygiene, New York, New York, USA (A. Ridpath, Y. Lin); Boston Public Health Commission, Boston, Massachusetts, USA (M.A. Barry); Connecticut Department of Public Health, Hartford, Connecticut, USA (J. Mullins); Massachusetts Department of Public Health, Boston (R. Burns); New York State Department of Health, Albany, New York (N. Ahmad); Montgomery County Health Department, Norristown, Pennsylvania, USA (L. Posivak-Khouly); Newark Department of Child and Family Well-Being, Newark, New Jersey, USA (N. Jani); Florida Department of Health, Tallahassee, Florida, USA (P.S. Pritchard); Johns Hopkins Hospital, Baltimore (A.H. Greenbaum); Johns Hopkins Bayview Medical Center, Baltimore (S.M. Rhee)

Main Article

Figure 1

Dendrogram of rapidly growing mycobacteria in surgical site infections among patients in the US associated with medical tourism to the Dominican Republic, 2013–2014. Patients were exposed in 5 known clinics and 1 unknown clinic (data not shown). Pulsed-field gel electrophoresis band patterns for available Mycobacterium abscessus complex isolates were restricted with the Asel enzyme and run at 3 and 20 seconds for 20 hours. Isolates with indistinguishable band patterns are labelled cluster A. Cas

Figure 1. Dendrogram of rapidly growing mycobacteria in surgical site infections among patients in the US associated with medical tourism to the Dominican Republic, 2013–2014. Patients were exposed in 5 known clinics and 1 unknown clinic (data not shown). Pulsed-field gel electrophoresis band patterns for available Mycobacterium abscessus complex isolates were restricted with the Asel enzyme and run at 3 and 20 seconds for 20 hours. Isolates with indistinguishable band patterns are labelled cluster A. Case ID indicates US location and patient case number. ID, identification; NYC, New York City; NYS, state of New York.

Main Article

1Preliminary results from this study were presented at the 2014 Council and State and Territorial Epidemiologists Annual Conference; June 22–26, 2014; Nashville, Tennessee, USA.

2Members of the RGM Outbreak Investigation Team are listed at the end of this article.

Page created: July 15, 2016
Page updated: July 15, 2016
Page reviewed: July 15, 2016
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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