Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations - Indiana, Kentucky, and Ohio, September 2018-February 2019
During December 2018-February 2019, a multistate investigation identified 101 patients with vaccination-associated adverse events among an estimated 940 persons in Kentucky, Indiana, and Ohio who had received influenza; hepatitis A; pneumococcal; or tetanus toxoid, reduced diphtheria toxoid, and ace...
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Veröffentlicht in: | MMWR. Morbidity and mortality weekly report 2021-10, Vol.70 (42), p.1472-1477 |
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creator | Blau, Erin F Flinchum, Andrea Gaub, Kathryn L Hartnett, Kathleen P Curran, Michael Allen, Virginia K Napier, Allison Hesse, Elisabeth M Hause, Anne M Cathey, Rachel Feaster, Christine Mohr, Marika de Fijter, Sietske Mitchell, Sarah Moulton-Meissner, Heather A Benowitz, Isaac Spicer, Kevin B Thoroughman, Douglas A |
description | During December 2018-February 2019, a multistate investigation identified 101 patients with vaccination-associated adverse events among an estimated 940 persons in Kentucky, Indiana, and Ohio who had received influenza; hepatitis A; pneumococcal; or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines at the workplace during September 11-November 28, 2018. These vaccines had been administered by staff members of a third-party health care company contracted by 24 businesses. Company A provided multiple vaccine types during workplace vaccination events across 54 locations in these adjoining states. Injection-site wound isolates from patients yielded Mycobacterium porcinum, a nontuberculous mycobacteria (NTM) species in the Mycobacterium fortuitum group; subtyping using pulsed-field gel electrophoresis of all 28 available isolates identified two closely related clusters. Site visits to company A and interviews with staff members identified inadequate hand hygiene, improper vaccine storage and handling, lack of appropriate medical record documentation, and lack of reporting to the Vaccine Adverse Event Reporting System (VAERS). Vaccination-associated adverse events can be prevented by training health care workers responsible for handling or administering vaccines in safe vaccine handling, administration, and storage practices, timely reporting of any suspected vaccination-associated adverse events to VAERS, and notifying public health authorities of any adverse event clusters. |
doi_str_mv | 10.15585/MMWR.MM7042A3 |
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These vaccines had been administered by staff members of a third-party health care company contracted by 24 businesses. Company A provided multiple vaccine types during workplace vaccination events across 54 locations in these adjoining states. Injection-site wound isolates from patients yielded Mycobacterium porcinum, a nontuberculous mycobacteria (NTM) species in the Mycobacterium fortuitum group; subtyping using pulsed-field gel electrophoresis of all 28 available isolates identified two closely related clusters. Site visits to company A and interviews with staff members identified inadequate hand hygiene, improper vaccine storage and handling, lack of appropriate medical record documentation, and lack of reporting to the Vaccine Adverse Event Reporting System (VAERS). Vaccination-associated adverse events can be prevented by training health care workers responsible for handling or administering vaccines in safe vaccine handling, administration, and storage practices, timely reporting of any suspected vaccination-associated adverse events to VAERS, and notifying public health authorities of any adverse event clusters.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>DOI: 10.15585/MMWR.MM7042A3</identifier><identifier>PMID: 34673748</identifier><language>eng</language><publisher>United States: U.S. Government Printing Office</publisher><subject>Adult ; Adverse events ; Aged ; Antigens ; Biological products industry ; Complications and side effects ; Diphtheria ; DPT vaccine ; Female ; Full Report ; Health care ; Hepatitis A ; Humans ; Hygiene ; Immunization ; Indiana - epidemiology ; Infections ; Influenza ; Interviews ; Investigations ; Kentucky - epidemiology ; Laboratories ; Male ; Medical personnel ; Medical records ; Middle Aged ; Mycobacteriaceae - isolation & purification ; Ohio - epidemiology ; Pertussis ; Public health ; Skin ; Skin Diseases, Bacterial - epidemiology ; Skin Diseases, Bacterial - microbiology ; Soft Tissue Infections - epidemiology ; Soft Tissue Infections - microbiology ; Soft tissues ; Tetanus ; Tetanus antitoxin ; Vaccination ; Vaccination - adverse effects ; Vaccines ; Whooping-cough ; Young Adult</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2021-10, Vol.70 (42), p.1472-1477</ispartof><rights>COPYRIGHT 2021 U.S. Government Printing Office</rights><rights>Published 2021. This article is a U.S. Government work and is in the public domain in the USA.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-1266fdd5f22602fe9254a317506570331927faff1ab22561e91a7c59c8c2f7b43</citedby><cites>FETCH-LOGICAL-c553t-1266fdd5f22602fe9254a317506570331927faff1ab22561e91a7c59c8c2f7b43</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/PMC9361840/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361840/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34673748$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blau, Erin F</creatorcontrib><creatorcontrib>Flinchum, Andrea</creatorcontrib><creatorcontrib>Gaub, Kathryn L</creatorcontrib><creatorcontrib>Hartnett, Kathleen P</creatorcontrib><creatorcontrib>Curran, Michael</creatorcontrib><creatorcontrib>Allen, Virginia K</creatorcontrib><creatorcontrib>Napier, Allison</creatorcontrib><creatorcontrib>Hesse, Elisabeth M</creatorcontrib><creatorcontrib>Hause, Anne M</creatorcontrib><creatorcontrib>Cathey, Rachel</creatorcontrib><creatorcontrib>Feaster, Christine</creatorcontrib><creatorcontrib>Mohr, Marika</creatorcontrib><creatorcontrib>de Fijter, Sietske</creatorcontrib><creatorcontrib>Mitchell, Sarah</creatorcontrib><creatorcontrib>Moulton-Meissner, Heather A</creatorcontrib><creatorcontrib>Benowitz, Isaac</creatorcontrib><creatorcontrib>Spicer, Kevin B</creatorcontrib><creatorcontrib>Thoroughman, Douglas A</creatorcontrib><title>Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations - Indiana, Kentucky, and Ohio, September 2018-February 2019</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>During December 2018-February 2019, a multistate investigation identified 101 patients with vaccination-associated adverse events among an estimated 940 persons in Kentucky, Indiana, and Ohio who had received influenza; hepatitis A; pneumococcal; or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines at the workplace during September 11-November 28, 2018. These vaccines had been administered by staff members of a third-party health care company contracted by 24 businesses. Company A provided multiple vaccine types during workplace vaccination events across 54 locations in these adjoining states. Injection-site wound isolates from patients yielded Mycobacterium porcinum, a nontuberculous mycobacteria (NTM) species in the Mycobacterium fortuitum group; subtyping using pulsed-field gel electrophoresis of all 28 available isolates identified two closely related clusters. Site visits to company A and interviews with staff members identified inadequate hand hygiene, improper vaccine storage and handling, lack of appropriate medical record documentation, and lack of reporting to the Vaccine Adverse Event Reporting System (VAERS). Vaccination-associated adverse events can be prevented by training health care workers responsible for handling or administering vaccines in safe vaccine handling, administration, and storage practices, timely reporting of any suspected vaccination-associated adverse events to VAERS, and notifying public health authorities of any adverse event clusters.</description><subject>Adult</subject><subject>Adverse events</subject><subject>Aged</subject><subject>Antigens</subject><subject>Biological products industry</subject><subject>Complications and side effects</subject><subject>Diphtheria</subject><subject>DPT vaccine</subject><subject>Female</subject><subject>Full Report</subject><subject>Health care</subject><subject>Hepatitis A</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Immunization</subject><subject>Indiana - epidemiology</subject><subject>Infections</subject><subject>Influenza</subject><subject>Interviews</subject><subject>Investigations</subject><subject>Kentucky - epidemiology</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Mycobacteriaceae - isolation & purification</subject><subject>Ohio - epidemiology</subject><subject>Pertussis</subject><subject>Public health</subject><subject>Skin</subject><subject>Skin Diseases, Bacterial - epidemiology</subject><subject>Skin Diseases, Bacterial - microbiology</subject><subject>Soft Tissue Infections - epidemiology</subject><subject>Soft Tissue Infections - microbiology</subject><subject>Soft tissues</subject><subject>Tetanus</subject><subject>Tetanus antitoxin</subject><subject>Vaccination</subject><subject>Vaccination - adverse effects</subject><subject>Vaccines</subject><subject>Whooping-cough</subject><subject>Young Adult</subject><issn>0149-2195</issn><issn>1545-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkl1v0zAUhiMEYmNwyyWKQEJcNMUfsZ3cIFUTg4lVk-j4uLMc57g1S-xiJ6D-AP43bjumDdWW_Pm8r4-OT5Y9x2iKGavY2_n82-fpfC5QSWb0QXaMWcmKiuPvD7NjhMu6ILhmR9mTGH-gbaPocXZESy6oKKvj7M98o32j9ADBjn2-9kFblxaLa-ty5dp84c2QX9kYR8jPnQE9WO9iPjNJkX9VOuFqf1Sk-9Yqpyb5J3DDqK83k53F5cr6Sb6A9QB9k1QE4ao4gyaMKmy2u_pp9sioLsKzm_kk-3L2_ur0Y3Fx-eH8dHZRaMboUGDCuWlbZgjhiBioCSsVxYIhzgSiFNdEGGUMVg0hjGOosRKa1brSxIimpCfZu73vemx6aHUKM6hOroPtUyjSKyvv3zi7kkv_S9aU46pEyeDljUHwP0eIgwyQcjZESQRjNRKckwS9-Q_qbdTQdcqBHxPKqrKkiFZbv1d7dKk6kNYZn57VW1zOeIURYaQSiSoOUEtwkGL0DoxNx_f46QE-9RZ6qw8KXt8RrEB1wyr6btx97EFnHXyMAcxt7jCSu4KUff87pGFbkIomwYu7Gb_F_1Ug_QsooNkN</recordid><startdate>20211022</startdate><enddate>20211022</enddate><creator>Blau, Erin F</creator><creator>Flinchum, Andrea</creator><creator>Gaub, Kathryn L</creator><creator>Hartnett, Kathleen P</creator><creator>Curran, Michael</creator><creator>Allen, Virginia K</creator><creator>Napier, Allison</creator><creator>Hesse, Elisabeth M</creator><creator>Hause, Anne M</creator><creator>Cathey, Rachel</creator><creator>Feaster, Christine</creator><creator>Mohr, Marika</creator><creator>de Fijter, Sietske</creator><creator>Mitchell, Sarah</creator><creator>Moulton-Meissner, Heather A</creator><creator>Benowitz, Isaac</creator><creator>Spicer, Kevin B</creator><creator>Thoroughman, Douglas A</creator><general>U.S. Government Printing Office</general><general>U.S. Center for Disease Control</general><general>Centers for Disease Control and Prevention</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88F</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>5PM</scope></search><sort><creationdate>20211022</creationdate><title>Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations - Indiana, Kentucky, and Ohio, September 2018-February 2019</title><author>Blau, Erin F ; Flinchum, Andrea ; Gaub, Kathryn L ; Hartnett, Kathleen P ; Curran, Michael ; Allen, Virginia K ; Napier, Allison ; Hesse, Elisabeth M ; Hause, Anne M ; Cathey, Rachel ; Feaster, Christine ; Mohr, Marika ; de Fijter, Sietske ; Mitchell, Sarah ; Moulton-Meissner, Heather A ; Benowitz, Isaac ; Spicer, Kevin B ; Thoroughman, Douglas A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c553t-1266fdd5f22602fe9254a317506570331927faff1ab22561e91a7c59c8c2f7b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Adverse events</topic><topic>Aged</topic><topic>Antigens</topic><topic>Biological products industry</topic><topic>Complications and side effects</topic><topic>Diphtheria</topic><topic>DPT vaccine</topic><topic>Female</topic><topic>Full Report</topic><topic>Health care</topic><topic>Hepatitis A</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Immunization</topic><topic>Indiana - 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Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2021-10-22</date><risdate>2021</risdate><volume>70</volume><issue>42</issue><spage>1472</spage><epage>1477</epage><pages>1472-1477</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>During December 2018-February 2019, a multistate investigation identified 101 patients with vaccination-associated adverse events among an estimated 940 persons in Kentucky, Indiana, and Ohio who had received influenza; hepatitis A; pneumococcal; or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines at the workplace during September 11-November 28, 2018. These vaccines had been administered by staff members of a third-party health care company contracted by 24 businesses. Company A provided multiple vaccine types during workplace vaccination events across 54 locations in these adjoining states. Injection-site wound isolates from patients yielded Mycobacterium porcinum, a nontuberculous mycobacteria (NTM) species in the Mycobacterium fortuitum group; subtyping using pulsed-field gel electrophoresis of all 28 available isolates identified two closely related clusters. Site visits to company A and interviews with staff members identified inadequate hand hygiene, improper vaccine storage and handling, lack of appropriate medical record documentation, and lack of reporting to the Vaccine Adverse Event Reporting System (VAERS). Vaccination-associated adverse events can be prevented by training health care workers responsible for handling or administering vaccines in safe vaccine handling, administration, and storage practices, timely reporting of any suspected vaccination-associated adverse events to VAERS, and notifying public health authorities of any adverse event clusters.</abstract><cop>United States</cop><pub>U.S. Government Printing Office</pub><pmid>34673748</pmid><doi>10.15585/MMWR.MM7042A3</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Adverse events Aged Antigens Biological products industry Complications and side effects Diphtheria DPT vaccine Female Full Report Health care Hepatitis A Humans Hygiene Immunization Indiana - epidemiology Infections Influenza Interviews Investigations Kentucky - epidemiology Laboratories Male Medical personnel Medical records Middle Aged Mycobacteriaceae - isolation & purification Ohio - epidemiology Pertussis Public health Skin Skin Diseases, Bacterial - epidemiology Skin Diseases, Bacterial - microbiology Soft Tissue Infections - epidemiology Soft Tissue Infections - microbiology Soft tissues Tetanus Tetanus antitoxin Vaccination Vaccination - adverse effects Vaccines Whooping-cough Young Adult |
title | Mycobacterium porcinum Skin and Soft Tissue Infections After Vaccinations - Indiana, Kentucky, and Ohio, September 2018-February 2019 |
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