An outbreak of Mycobacterium chelonae infection after LASIK

Freitas, Denise de; Alvarenga, Lênio Souza; Sampaio, Jorge Luiz Mello; Mannis, Mark J.; Sato, Élcio Hideo; Sousa, L.B.; Vieira, Luiz Henrique Palucci; Yu, Maria Cecília Zorat; Martins, Maria Cristina; Höffling-Lima, Ana Luisa; Belfort, Rubens

doi:10.1016/s0161-6420(02)01643-3

Cited by 133 publications

(107 citation statements)

References 90 publications

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“…Unsatisfactory medical therapy, can be associated with a delayed diagnosis, slow response to therapy, inadequate drug penetration, resistance to most conventional antibiotics and the emergence of a resistant strain, especially when using monotherapy (3,5) . …”

Section: Discussionmentioning

confidence: 99%

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Deep stromal mycobacterial keratitis: viable bacteria after six months of treatment: case report and literature review

Gusmão¹,

Alvarenga²,

Barbosa³

et al. 2005

Arq. Bras. Oftalmol.

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Section: Discussionmentioning

confidence: 99%

“…More recently, mycobacteria species were reported to cause infectious keratitis after LASIK, photorefractive keratectomy, and radial keratectomy (4)(5) .…”

Section: Introductionmentioning

confidence: 99%

Deep stromal mycobacterial keratitis: viable bacteria after six months of treatment: case report and literature review

Gusmão¹,

Alvarenga²,

Barbosa³

et al. 2005

Arq. Bras. Oftalmol.

Self Cite

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“…Hence, clinical characteristics of NTM infections are key for suspecting infection post LASIK. NTM keratitis is characterized by its indolent course and low antimicrobial response, progressing to a severe necrosis due to the inflammatory process (9,(19)(20) . Patients report pain, photophobia, decreased vision and redness, and alternatively they may complain of foreign body sensation or just a mild irritation (9) .…”

Section: Nonrandomized Experimentsmentioning

confidence: 99%

“…However, mycobacterial infections have been frequently associated with keratitis post LASIK due to failure in antimicrobial therapy, especially monotherapy (29) . Nevertheless some authors recommend performing cultures of corneal infiltrates to confirm the diagnosis and determine sensitivity to antibiotics to implement appropriate therapeutic measures (9,20) . Considering that the risk for infection represents an important threat to the safety of patients and professionals delivering care, prevention and control actions should be implemented in the entire organizational structure.…”

Section: Nonrandomized Experimentsmentioning

confidence: 99%

Micobactérias não tuberculosas em cirurgias: desafio passível de enfrentamento no Brasil?

Cabral¹,

Andrade

2011

Acta paul. enferm.

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Infections caused by nontuberculous mycobacteria (MNT) represent an epidemiological and health emergency, especially in patients undergoing invasive procedures. Based on these, we aimed to analyze the scientific evidence, the scientific literature, on the occurrence in Brazil of MNT infections in surgical patients. We used as a research method integrative review of the literature using the databases Lilacs, Medline/Pubmed, ISI Web of Science and the Cochrane Library. We selected 15 publications on this theme from the last 30 years that were directed at methods of prevention and control, with a focus on post-discharge surveillance, the use of antibiotics and glutaraldehyde. Eye surgery, cosmetic, heart, laparoscopic and arthroscopic procedures were the most commonly investigated. The national situation of MNTs is concerning, especially when one recognizes the possibility of underreporting. Keywords: Mycobacteria, atypical; Surgical procedures operative; Mycobacterium infections atypical RESUMOInfecções por micobactéria não tuberculosa (MNT) representam uma emergência epidemiológica e sanitária, especialmente, em pacientes submetidos a procedimentos invasivos. Frente ao exposto, objetivou-se analisar as evidências científicas, na literatura científica, sobre a ocorrência no Brasil de infecções por MNT em pacientes cirúrgicos. Utilizou-se como método de pesquisa a revisão integrativa da literatura nas bases de dados Lilacs, Medline/Pubmed, ISI Web of Science e Biblioteca Cochrane. Foram selecionadas 15 publicações sobre a temática nos últimos 30 anos que estavam direcionadas às medidas de prevenção e controle com foco na vigilância pós-alta, no uso de antibioticoterapia e glutaraldeído. Cirurgias oftalmológicas, estéticas, cardíacas e procedimentos laparoscópicos e artroscópicos foram as mais investigadas. A situação nacional das MNTs é preocupante, ainda mais quando se reconhece a possibilidade de subnotificação. Descritores: Micobactérias atípicas; Procedimentos cirúrgicos operatórios; Infecções atípicas por Mycobacterium RESUMENLas infecciones por micobacteria no tuberculosa (MNT) representan una emergencia epidemiológica y sanitaria, especialmente, en pacientes sometidos a procedimientos invasivos. Frente a lo expuesto, se tuvo como objetivo analizar las evidencias científicas, en la literatura científica, sobre la ocurrencia en el Brasil de infecciones por MNT en pacientes quirúrgicos. Se utilizó como método de investigación la revisión integrativa de la literatura en las bases de datos Lilacs, Medline/Pubmed, ISI Web of Science y Biblioteca Cochrane. Se seleccionaron 15 publicaciones sobre la temática en los últimos 30 años que estaban orientadas a las medidas de prevención y control con foco en la vigilancia post alta, en el uso de antibioticoterapia y glutaraldehido. Cirugías oftalmológicas, estéticas, cardíacas y procedimientos laparoscópicos y artroscópicos fueron las más investigadas. La situación nacional de las MNTs es preocupante, aun más cuando se reconoce la posibilidad de subnotificación.

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“…2 Gram-positive infections and mycobacterial infections were more likely to present less than 7 days and 10 or more days after LASIK, respectively. 1,2,13 Severe reductions in visual acuity were significant with fungal infections. 2 As LASIK increases in popularity, the incidence of post-LASIK infectious complications will also likely increase.…”

Section: Commentmentioning

confidence: 99%

Aspergillus fumigatus keratitis after laser in situ keratomileusis: a case report and review of post-LASIK fungal keratitis

Rahimi

Hashemian

Rajabi

2007

Eye

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An outbreak of Mycobacterium chelonae infection after LASIK

Cited by 133 publications

References 90 publications

Deep stromal mycobacterial keratitis: viable bacteria after six months of treatment: case report and literature review

Deep stromal mycobacterial keratitis: viable bacteria after six months of treatment: case report and literature review

Micobactérias não tuberculosas em cirurgias: desafio passível de enfrentamento no Brasil?

Aspergillus fumigatus keratitis after laser in situ keratomileusis: a case report and review of post-LASIK fungal keratitis

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