Using Syndromic Surveillance to Investigate Tattoo-Related Skin Infections in New York City
In response to two isolated cases of Mycobacterium chelonae infections in tattoo recipients where tap water was used to dilute ink, the New York City (NYC) Department of Health and Mental Hygiene conducted an investigation using Emergency Department (ED) syndromic surveillance to assess whether an o...
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| Veröffentlicht in: | PloS one 2015-06, Vol.10 (6), p.e0130468-e0130468 |
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| creator | Kotzen, Mollie Sell, Jessica Mathes, Robert W Dentinger, Catherine Lee, Lillian Schiff, Corinne Weiss, Don |
| description | In response to two isolated cases of Mycobacterium chelonae infections in tattoo recipients where tap water was used to dilute ink, the New York City (NYC) Department of Health and Mental Hygiene conducted an investigation using Emergency Department (ED) syndromic surveillance to assess whether an outbreak was occuring. ED visits with chief complaints containing the key word "tattoo" from November 1, 2012 to March 18, 2013 were selected for study. NYC laboratories were also contacted and asked to report skin or soft tissue cultures in tattoo recipients that were positive for non-tuberculosis mycobacterial infection (NTM). Thirty-one TREDV were identified and 14 (45%) were interviewed to determine if a NTM was the cause for the visit. One ED visit met the case definition and was referred to a dermatologist. This individual was negative for NTM. No tattoo-associated NTM cases were reported by NYC laboratories. ED syndromic surveillance was utilized to investigate a non-reportable condition for which no other data source existed. The results were reassuring that an outbreak of NTM in tattoo recipients was not occurring. In response to concerns about potential NTM infections, the department sent a letter to all licensed tattoo artists advising them not to dilute tattoo ink with tap water. |
| doi_str_mv | 10.1371/journal.pone.0130468 |
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ED visits with chief complaints containing the key word "tattoo" from November 1, 2012 to March 18, 2013 were selected for study. NYC laboratories were also contacted and asked to report skin or soft tissue cultures in tattoo recipients that were positive for non-tuberculosis mycobacterial infection (NTM). Thirty-one TREDV were identified and 14 (45%) were interviewed to determine if a NTM was the cause for the visit. One ED visit met the case definition and was referred to a dermatologist. This individual was negative for NTM. No tattoo-associated NTM cases were reported by NYC laboratories. ED syndromic surveillance was utilized to investigate a non-reportable condition for which no other data source existed. The results were reassuring that an outbreak of NTM in tattoo recipients was not occurring. In response to concerns about potential NTM infections, the department sent a letter to all licensed tattoo artists advising them not to dilute tattoo ink with tap water.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0130468</identifier><identifier>PMID: 26076006</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Age ; Artists ; Body piercing ; Dilution ; Disease Outbreaks ; Drinking water ; Emergency medical services ; Emergency Service, Hospital ; Epidemics ; Epidemiological Monitoring ; Female ; Fresh Water - microbiology ; Health aspects ; Hepatitis ; Hospitals ; Humans ; Hygiene ; Infection ; Infections ; Ink ; Laboratories ; Male ; Medical research ; Middle Aged ; Mycobacterium ; Mycobacterium chelonae - isolation & purification ; Mycobacterium Infections, Nontuberculous - epidemiology ; Mycobacterium Infections, Nontuberculous - microbiology ; New York City - epidemiology ; Outbreaks ; Patients ; Population Surveillance ; Skin ; Skin - microbiology ; Skin - pathology ; Skin Diseases, Infectious - epidemiology ; Skin Diseases, Infectious - microbiology ; Surveillance ; Surveys and Questionnaires ; Tattooing - adverse effects ; Tattoos ; Tuberculosis ; Young Adult</subject><ispartof>PloS one, 2015-06, Vol.10 (6), p.e0130468-e0130468</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”) Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6078-404271b77c410ae5c22039634420ea8b824bd8f3ecb89a5baae5ee78c99a90df3</citedby><cites>FETCH-LOGICAL-c6078-404271b77c410ae5c22039634420ea8b824bd8f3ecb89a5baae5ee78c99a90df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4468107/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4468107/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26076006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shaman, Jeffrey</contributor><creatorcontrib>Kotzen, Mollie</creatorcontrib><creatorcontrib>Sell, Jessica</creatorcontrib><creatorcontrib>Mathes, Robert W</creatorcontrib><creatorcontrib>Dentinger, Catherine</creatorcontrib><creatorcontrib>Lee, Lillian</creatorcontrib><creatorcontrib>Schiff, Corinne</creatorcontrib><creatorcontrib>Weiss, Don</creatorcontrib><title>Using Syndromic Surveillance to Investigate Tattoo-Related Skin Infections in New York City</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>In response to two isolated cases of Mycobacterium chelonae infections in tattoo recipients where tap water was used to dilute ink, the New York City (NYC) Department of Health and Mental Hygiene conducted an investigation using Emergency Department (ED) syndromic surveillance to assess whether an outbreak was occuring. ED visits with chief complaints containing the key word "tattoo" from November 1, 2012 to March 18, 2013 were selected for study. NYC laboratories were also contacted and asked to report skin or soft tissue cultures in tattoo recipients that were positive for non-tuberculosis mycobacterial infection (NTM). Thirty-one TREDV were identified and 14 (45%) were interviewed to determine if a NTM was the cause for the visit. One ED visit met the case definition and was referred to a dermatologist. This individual was negative for NTM. No tattoo-associated NTM cases were reported by NYC laboratories. ED syndromic surveillance was utilized to investigate a non-reportable condition for which no other data source existed. The results were reassuring that an outbreak of NTM in tattoo recipients was not occurring. In response to concerns about potential NTM infections, the department sent a letter to all licensed tattoo artists advising them not to dilute tattoo ink with tap water.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Artists</subject><subject>Body piercing</subject><subject>Dilution</subject><subject>Disease Outbreaks</subject><subject>Drinking water</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital</subject><subject>Epidemics</subject><subject>Epidemiological Monitoring</subject><subject>Female</subject><subject>Fresh Water - microbiology</subject><subject>Health aspects</subject><subject>Hepatitis</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infection</subject><subject>Infections</subject><subject>Ink</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical research</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Mycobacterium chelonae - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kotzen, Mollie</au><au>Sell, Jessica</au><au>Mathes, Robert W</au><au>Dentinger, Catherine</au><au>Lee, Lillian</au><au>Schiff, Corinne</au><au>Weiss, Don</au><au>Shaman, Jeffrey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using Syndromic Surveillance to Investigate Tattoo-Related Skin Infections in New York City</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-06-15</date><risdate>2015</risdate><volume>10</volume><issue>6</issue><spage>e0130468</spage><epage>e0130468</epage><pages>e0130468-e0130468</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In response to two isolated cases of Mycobacterium chelonae infections in tattoo recipients where tap water was used to dilute ink, the New York City (NYC) Department of Health and Mental Hygiene conducted an investigation using Emergency Department (ED) syndromic surveillance to assess whether an outbreak was occuring. ED visits with chief complaints containing the key word "tattoo" from November 1, 2012 to March 18, 2013 were selected for study. NYC laboratories were also contacted and asked to report skin or soft tissue cultures in tattoo recipients that were positive for non-tuberculosis mycobacterial infection (NTM). Thirty-one TREDV were identified and 14 (45%) were interviewed to determine if a NTM was the cause for the visit. One ED visit met the case definition and was referred to a dermatologist. This individual was negative for NTM. No tattoo-associated NTM cases were reported by NYC laboratories. ED syndromic surveillance was utilized to investigate a non-reportable condition for which no other data source existed. The results were reassuring that an outbreak of NTM in tattoo recipients was not occurring. In response to concerns about potential NTM infections, the department sent a letter to all licensed tattoo artists advising them not to dilute tattoo ink with tap water.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26076006</pmid><doi>10.1371/journal.pone.0130468</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Age Artists Body piercing Dilution Disease Outbreaks Drinking water Emergency medical services Emergency Service, Hospital Epidemics Epidemiological Monitoring Female Fresh Water - microbiology Health aspects Hepatitis Hospitals Humans Hygiene Infection Infections Ink Laboratories Male Medical research Middle Aged Mycobacterium Mycobacterium chelonae - isolation & purification Mycobacterium Infections, Nontuberculous - epidemiology Mycobacterium Infections, Nontuberculous - microbiology New York City - epidemiology Outbreaks Patients Population Surveillance Skin Skin - microbiology Skin - pathology Skin Diseases, Infectious - epidemiology Skin Diseases, Infectious - microbiology Surveillance Surveys and Questionnaires Tattooing - adverse effects Tattoos Tuberculosis Young Adult |
| title | Using Syndromic Surveillance to Investigate Tattoo-Related Skin Infections in New York City |
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