Mycobacterium chimaera Infections Associated With Contaminated Heater-Cooler Devices for Cardiac Surgery: Outbreak Management

Alexandre R Marra; Daniel J Diekema; Michael B Edmond

doi:10.1093/cid/cix368

Mycobacterium chimaera Infections Associated With Contaminated Heater-Cooler Devices for Cardiac Surgery: Outbreak Management

Clin Infect Dis. 2017 Aug 15;65(4):669-674. doi: 10.1093/cid/cix368.

Authors

Alexandre R Marra^{1

2}, Daniel J Diekema^{1

3

4}, Michael B Edmond^{1

4}

Affiliations

¹ Office of Clinical Quality, Safety and Performance Improvement, University of Iowa Hospitals and Clinics, Iowa City.
² Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, Brazil.
³ Division of Medical Microbiology, Department of Pathology, University of Iowa Carver College of Medicine, Iowa City.
⁴ Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City.

PMID: 28430899
DOI: 10.1093/cid/cix368

Abstract

The global outbreak of Mycobacterium chimaera infections associated with heater-cooler devices (HCDs) presents several important, unique challenges for the infection prevention community. The primary focus of this article is to assist hospitals in establishing a rapid response for identification, notification, and evaluation of exposed patients, and management of HCDs with regard to placement and containment, environmental culturing, and disinfection.

Keywords: Mycobacterium chimaera; heater-cooler devices; outbreak.

Publication types

Review

MeSH terms

Adolescent
Adult
Aged
Aged, 80 and over
Cardiac Surgical Procedures / instrumentation*
Child
Child, Preschool
Disease Outbreaks / prevention & control*
Disinfection
Equipment Contamination / prevention & control*
Female
Humans
Infant
Infection Control / methods
Male
Middle Aged
Mycobacterium Infections* / etiology
Mycobacterium Infections* / microbiology
Mycobacterium Infections* / prevention & control
Mycobacterium*
Risk Management
Young Adult