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Decontamination of an Extracorporeal Membrane Oxygenator Contaminated With Mycobacterium chimaera

Published online by Cambridge University Press:  14 August 2017

Mark I. Garvey ,
Natalie Phillips ,
Craig W. Bradley  and
Elisabeth Holden
Mark I. Garvey*
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, United Kingdom.
Natalie Phillips
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, United Kingdom.
Craig W. Bradley
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, United Kingdom.
Elisabeth Holden
Affiliation:
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, United Kingdom.
*
Address correspondence to Mark I. Garvey, PhD, MSc, BSc, DipHIC, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2WB (mark.garvey@uhb.nhs.uk).
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Abstract

Water samples taken from extracorporeal membrane oxygenator (ECMO) devices used at University Hospitals Birmingham yielded high total viable counts (TVCs) containing a variety of microorganisms, including M. chimaera. Disinfection resulted in the reduction of TVCs and eradication of Mycobacterium chimaera. Weekly disinfection and water sampling are required to manage the water quality in these devices.

Infect Control Hosp Epidemiol 2017;38:1244–1246

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 10 , October 2017 , pp. 1244 - 1246
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Sax, H, Bloemberg, G, Hasse, B, et al. Prolonged outbreak of Mycobacterium chimaera infection after open-chest heart surgery. Clin Infect Dis 2015;61:67–75.CrossRefGoogle ScholarPubMed
2. Sommerstein, R, Ruegg, C, Kohler, P, Bloemberg, G, Kuster, SP, Sax, H. Transmission of Mycobacterium chimaera from heater-cooler units during cardiac surgery despite an ultraclean air ventilation system. Emerg Infect Dis 2016;22:1008–1013.CrossRefGoogle ScholarPubMed
3. Sommerstein, R, Schreiber, PW, Diekema, DJ, et al. Mycobacterium chimaera outbreak associated with heater cooler devices: piecing the puzzle together. Infect Control Hosp Epidemiol 2017;38:103–108.CrossRefGoogle ScholarPubMed
4. Garvey, M, Ashford, R, Bradley, T, Martin, T, Walker, J, Jumaa, P. Decontamination of Sorin heater-cooler units associated with contamination with atypical mycobacteria. J Hosp Infect 2016;93:229–234.CrossRefGoogle Scholar
5. Garvey, MI, Bradley, CW, Walker, J. A year in the life of a contaminated heater cooler unit with Mycobacterium chimaera? Infect Control Hosp Epidemiol 2017;38:705–711.Google Scholar
6. Chand, M, Lamagni, T, Kranzer, K, et al. Insidious risk of severe Mycobacterium chimaera infection in cardiac surgery patients. Clin Infect Dis 2016;64:335–342.Google Scholar
7. Mycobacterium chimaera infections associated with cardiopulmonary bypass clinical guidance for secondary care. Public Health England website. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/605650/Secondary_care_advice_on_Mycobacterium_chimaera_infections_associated_with_cardiopulmonary_bypass.pdf. Published February 2017. Accessed July 10, 2017.Google Scholar
8. Trudzinski, FC, Schlotthauer, U, Kamp, A, et al. Clinical implications of Mycobacterium chimaera detection in thermoregulatory devices used for extracorporeal membrane oxygenation (ECMO), Germany, 2015 to 2016. Euro Surveill 2016;21: pii:30398. doi: 10.2807/1560-7917.ES.2016.21.46.30398.CrossRefGoogle ScholarPubMed
9. Mycobacterial infections associated with heater cooler units used in cardiothoracic surgery. Advice for providers of cardiothoracic surgery. Public Health England website. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/434189/M_chimaera_advice_for_providers.pdf. Published July 2015. Accessed July 10, 2017.Google Scholar
10. Maquet Getinge Group. Revised cleaning and descaling of Heater Unit 35. URPL website. http://www.urpl.gov.pl/sites/default/files/Zmieniona%20Instrukcja%20Obs%C5%82ugi_3.pdf. Published 2017. Accessed July 10, 2017.Google Scholar