title: A case of postoperative breast infection by Mycobacterium fortuitum associated with the hospital water supply.
abstract: This report describes the first known laboratory-confirmed case of Mycobacterium fortuitum breast infection related to the hospital water supply. The source of the M fortuitum infection was identified by repetitive extragenic palindromic sequence-based polymerase chain reaction genotyping. In addition, we discuss appropriate infection control measures to minimize patient exposure to waterborne pathogens, in particular, in the context of nontuberculous mycobacteria, which is difficult to eradicate from the water supply network.
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Bactériologie, Virologie, Parasitologie, Saint Pierre, Reunion Island, France; Centre Hospitalier Universitaire de la Réunion, Service d'Hygiène Hospitalière, Saint Pierre, Reunion Island, France. Electronic address: julien.jaubert@chu-reunion.fr.
authors.forename: Julien
authors.initials: J
authors.lastname: Jaubert
authors.affiliation: APHP, Hôpitaux universitaires Lariboisière-Saint Louis, Service de Bactériologie, Laboratoire associé au Centre National de Référence des Mycobactéries et Résistance des Mycobactéries aux Antituberculeux, Paris, France; Université Paris Diderot, Sorbonne Paris Cité, Paris, France.
authors.forename: Faiza
authors.initials: F
authors.lastname: Mougari
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Bactériologie, Virologie, Parasitologie, Saint Pierre, Reunion Island, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Picot
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Gynécologie Obstétrique, Saint Pierre, Reunion Island, France; UFR santé, Université de la Réunion, Saint-Denis, Réunion Island, France.
authors.forename: Malik
authors.initials: M
authors.lastname: Boukerrou
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Gynécologie Obstétrique, Saint Pierre, Reunion Island, France.
authors.forename: Georges
authors.initials: G
authors.lastname: Barau
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Gynécologie Obstétrique, Saint Pierre, Reunion Island, France.
authors.forename: Sitty-Amina
authors.initials: SA
authors.lastname: Ali Ahmed
authors.affiliation: APHP, Hôpitaux universitaires Lariboisière-Saint Louis, Service de Bactériologie, Laboratoire associé au Centre National de Référence des Mycobactéries et Résistance des Mycobactéries aux Antituberculeux, Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Raskine
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service des Maladies Infectieuses, Saint Pierre, Reunion Island, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Camuset
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service de Bactériologie, Virologie, Parasitologie, Saint Pierre, Reunion Island, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Michault
authors.affiliation: Centre Hospitalier Universitaire de la Réunion, Service d'Hygiène Hospitalière, Saint Pierre, Reunion Island, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Simac
authors.affiliation: APHP, Hôpitaux universitaires Lariboisière-Saint Louis, Service de Bactériologie, Laboratoire associé au Centre National de Référence des Mycobactéries et Résistance des Mycobactéries aux Antituberculeux, Paris, France; Université Paris Diderot, Sorbonne Paris Cité, Paris, France.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Cambau
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D003428:Cross Infection / Q000175:diagnosis*; D004269:DNA, Bacterial / Q000302:isolation & purification; D004866:Equipment Contamination; D005260:Female; D006761:Hospitals; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D011183:Postoperative Complications / Q000382:microbiology*; D015203:Reproducibility of Results; D014871:Water Microbiology; D014881:Water Supply / Q000592:standards*
chemical_list: D000890:Anti-Infective Agents; D004269:DNA, Bacterial
keywords: Breast; Mycobacterium fortuitum; Surgical wound infection; Water supply