Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 28, Number 3—March 2022
Synopsis

Association of Healthcare and Aesthetic Procedures with Infections Caused by Nontuberculous Mycobacteria, France, 2012‒2020

Côme DaniauComments to Author , Emmanuel Lecorche, Faiza Mougari, Hanaa Benmansour, Claude Bernet, Hervé Blanchard, Jérôme Robert, Anne Berger-Carbonne, and Emmanuelle Cambau
Author affiliations: Santé Publique France, Saint-Maurice, France (C. Daniau, A. Berger-Carbonne); Université de Paris, Paris, France (E. Lecorche, E. Cambau); Assistance Publique Hôpitaux de Paris, Paris (E. Lecorche, F. Mougari, H. Benmansour, H. Blanchard, J. Robert, E. Cambau); Centre National de Référence des Mycobactéries et de la Résistance des Mycobactéries aux Antituberculeux, Paris (E. Lecorche, F. Mougari, H. Benmansour, J. Robert, E. Cambau); Centre d’Appui pour la Prévention des Infections Associées aux Soins en Provence-Alpes-Côte-d’Azur, Lyon, France (C. Bernet); Centre d’Appui pour la Prévention des Infections Associées aux Soins en Île-de-France, Paris (H. Blanchard); Centre d’Immunologie et des Maladies Infectieuses (CIMI),; Sorbonne Université, Paris (J. Robert)

Main Article

Table 2

Genomic comparison between clinical versus environmental isolates and comparison of clinical isolates for patients suspected of being contaminated with nontuberculous mycobacteria by a common source, France, 2012–2020

Report Species involved Case manifestations Environmental sample Result of comparison Location of information*
A
 M. chimaera
 Endocarditis after cardiac surgery by using contaminated heater-cooler unit (2 patients operated on in 2 hospitals)
 Heater-cooler unit water
 Clinical isolates from the 2 patients who had M. chimaera disseminated disease after open-heart surgery belonged to worldwide epidemic cluster. Environmental isolates, obtained only for 1 of the 2 patients, belonged to the epidemic cluster for 5/10 of them
 Figure 2, panel A; Appendix Table 1
B
 M. chimaera
 Prosthesis infection after breast reconstruction (1 patient)
 Hospital water supply network
 Environmental and clinical isolates did not belong to the same cluster
 Figure 2, panel A; Appendix Table 1
C
 M. fortuitum
 Prosthesis infection after breast reconstruction (1 patient)
 Hospital water supply network
 Environmental and clinical isolates belonged to the same cluster
 Figure 2, panel B; Appendix Table 2
D
 M. chelonae
 Skin and soft tissue infection after face lift surgery (1 patient)
 Hospital water supply network
 Environmental and clinical isolates belonged to the same cluster
 Figure 2, panel C; Appendix Table 3
E
 M. chelonae
 Skin and soft tissue infection after tattoo (2 patients tattooed in the same tattoo parlor)
 Tattoo parlor water supply network
 Environmental and clinical isolates belonged to the same cluster
 Figure 2, panel C; Appendix Table 3
F
 M. chelonae
 Skin and soft tissue infection after mesotherapy (1 patient)
 Water supply network from doctor’s office sink and patient’s home
 Environmental isolates from doctor’s office sink and clinical isolate belonged to the same cluster. Isolates from patient’s home were not related
 Figure 2, panel C; Appendix Table 3
G
 M. chelonae
 Skin and soft tissue infection after mesotherapy (1 patient)
 Water supply network from doctor’s office sink and patient’s home
 Environmental and clinical isolates did not belong to the same cluster
 Figure 2, panel C; Appendix Table 3
H
 M. chelonae
 Catheter-associated infection (5 patients from the same institution)
 No environmental sample
 Two clusters of 2 clinical isolates were identified
 Figure 2, panel C; Appendix Table 3
I
 M. marinum
 Skin and soft tissue infection caused by contamination after a bath in a balneotherapy swimming pool (1 patient)
 Swimming pool water
 Environmental and clinical isolates belong to the same cluster
 Figure 2, panel D; Appendix Table 4
J
 M. mucogenicum
 Catheter-associated infection (3 patients from the same institution)
 Hospital water supply network
 Environmental and clinical isolates belong to the same cluster
 Figure 2, panel D; Appendix Table 5
K
 M. neoaurum
 Catheter-associated infection discovered during microbiological control of autologous stem cell transplant (1 patient)
 Autologous stem cell transplant; no environmental sample
 Environmental and clinical isolates belong to the same cluster
 Figure 2, panel E; Appendix Table 6
*Appendix.

Main Article

Page created: December 03, 2021
Page updated: February 21, 2022
Page reviewed: February 21, 2022
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.
file_external