TY - JOUR AU - Buser, Genevieve AU - Laidler, Matthew AU - Cassidy, P. Maureen AU - Moulton-Meissner, Heather AU - Beldavs, Zintars AU - Cieslak, Paul T1 - Outbreak of Nontuberculous Mycobacteria Joint Prosthesis Infections, Oregon, USA, 2010–2016 T2 - Emerging Infectious Disease journal PY - 2019 VL - 25 IS - 5 SP - 849 SN - 1080-6059 AB - We investigated a cluster of Mycobacterium fortuitum and M. goodii prosthetic joint surgical site infections occurring during 2010–2014. Cases were defined as culture-positive nontuberculous mycobacteria surgical site infections that had occurred within 1 year of joint replacement surgery performed on or after October 1, 2010. We identified 9 cases by case finding, chart review, interviews, surgical observations, matched case–control study, pulsed-field gel electrophoresis of isolates, and environmental investigation; 6 cases were diagnosed >90 days after surgery. Cases were associated with a surgical instrument vendor representative being in the operating room during surgery; other potential sources were ruled out. A tenth case occurred during 2016. This cluster of infections associated with a vendor reinforces that all personnel entering the operating suite should follow infection control guidelines; samples for mycobacterial culture should be collected early; and postoperative surveillance for <90 days can miss surgical site infections caused by slow-growing organisms requiring specialized cultures, like mycobacteria. KW - humans KW - Mycobacterium fortuitum KW - Mycobacterium goodii KW - nontuberculous mycobacteria KW - National Healthcare Safety Network KW - case–control studies KW - pulsed-field gel electrophoresis KW - surgical wound infection KW - mycobacteria KW - environment KW - knee joint KW - hip joint KW - arthroplasty KW - replacement KW - prostheses and implants KW - infection control KW - hair KW - soil KW - water KW - tuberculosis and other mycobacteria KW - Oregon KW - USA KW - bacteria DO - 10.3201/eid2505.181687 UR - https://wwwnc.cdc.gov/eid/article/25/5/18-1687_article ER - End of Reference