title: [Non-tuberculous mycobacterial infections related to esthetic care in France, 2001-2010].
abstract: Non-tuberculous mycobacteria (NTM) infections usually occur in immunocompromised patients but also in immunocompetent patients following invasive procedures, especially for esthetic purposes. Since 2001, 20 episodes (57 cases) of NTM infections, seven of which (43 cases) were related to esthetic care, have been reported to the regional infection control coordinating centers (RICCC), the local health authorities (LHA), and the national institute for public health surveillance. Four notifications (40 cases) were related to non-surgical procedures performed by general practitioners in private settings: mesotherapy, carboxytherapy, and sclerosis of microvaricosities. The three other notifications (three cases) concerned surgical procedures-lifting and mammary prosthesis. Practice evaluations performed by the RICCC and LHA for five notifications showed deficiency of standard hygiene precautions and tap water misuse for injection equipment cleaning, or skin disinfection. Microbiological investigations (national reference center for mycobacteria) demonstrated the similarity of patient and environmental strains: in one episode (16 cases after mesotherapy), M. chelonae isolated from tap water was similar to those isolated from 11 cases. Healthcare-associated NTM infections are rare but have a potentially severe outcome. These cases stress the need of healthcare-associated infection notifications in outpatient settings.
authors: Centre de coordination de la lutte contre les infections nosocomiales en région Paris-Nord (CClin Paris-Nord), site Broussais, pavillon Leriche, 96 rue Didot, Paris, France.
authors: C
authors: C
authors: Couderc
authors: A
authors: A
authors: Carbonne
authors: J M
authors: JM
authors: Thiolet
authors: F
authors: F
authors: Brossier
authors: A
authors: A
authors: Savey
authors: C
authors: C
authors: Bernet
authors: C
authors: C
authors: Ortmans
authors: C
authors: C
authors: Lecadet-Morin
authors: I
authors: I
authors: Coudière
authors: M
authors: M
authors: Aggoune
authors: P
authors: P
authors: Astagneau
authors: B
authors: B
authors: Coignard
authors: E
authors: E
authors: Cambau
mesh_terms: D000328:Adult; D003357:Cosmetic Techniques / Q000009:adverse effects*; D018563:Disease Notification; D004203:Disinfection; D004866:Equipment Contamination; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D006920:Hygiene; D008297:Male; D057748:Mesotherapy / Q000009:adverse effects; D009165:Mycobacterium Infections, Nontuberculous / Q000453:epidemiology / Q000209:etiology* / Q000635:transmission; D016926:Mycobacterium chelonae / Q000302:isolation & purification; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification; D011159:Population Surveillance; D011183:Postoperative Complications / Q000453:epidemiology; D016459:Prosthesis-Related Infections / Q000453:epidemiology / Q000209:etiology / Q000635:transmission; D015911:Sclerotherapy / Q000009:adverse effects; D014871:Water Microbiology