Mycoplasma hominis infection in heart and lung transplantation

“Culture-negative” wound infection and mediastinitis secondary to Mycoplasma hominis have been reported after cardiothoracic surgery but no case cluster has ever been described. We report 4 cases of infection in 3 cardiac and 1 bilateral sequential lung transplant recipient over 3 weeks of hospitali...

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Veröffentlicht in:The Journal of heart and lung transplantation 2002-11, Vol.21 (11), p.1225-1229
Hauptverfasser: Hopkins, Peter M, Winlaw, David S, Chhajed, Prashant N, Harkness, John L, Horton, Matthew D, Keogh, Anne M, Malouf, Monique A, Glanville, Allan R
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container_end_page 1229
container_issue 11
container_start_page 1225
container_title The Journal of heart and lung transplantation
container_volume 21
creator Hopkins, Peter M
Winlaw, David S
Chhajed, Prashant N
Harkness, John L
Horton, Matthew D
Keogh, Anne M
Malouf, Monique A
Glanville, Allan R
description “Culture-negative” wound infection and mediastinitis secondary to Mycoplasma hominis have been reported after cardiothoracic surgery but no case cluster has ever been described. We report 4 cases of infection in 3 cardiac and 1 bilateral sequential lung transplant recipient over 3 weeks of hospitalization. Successful treatment was achieved with early aggressive surgical intervention and combination antibiotics of clindamycin, doxycycline and/or ciprofloxacin. This cluster raises the question of nosocomial transmission of infection and supports a recommendation for single-room isolation and universal precautions for infected individuals.
doi_str_mv 10.1016/S1053-2498(02)00427-8
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subjects Adolescent
Adult
Biological and medical sciences
Cluster Analysis
Cross Infection - epidemiology
Cross Infection - microbiology
Heart Transplantation
Humans
Lung Transplantation
Male
Medical sciences
Middle Aged
Mycoplasma hominis
Mycoplasma Infections - drug therapy
Mycoplasma Infections - epidemiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Surgical Wound Dehiscence - epidemiology
Surgical Wound Dehiscence - microbiology
title Mycoplasma hominis infection in heart and lung transplantation
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