| pubmed-article:3419478 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:3419478 | lifeskim:mentions | umls-concept:C0085441 | lld:lifeskim |
| pubmed-article:3419478 | lifeskim:mentions | umls-concept:C0029882 | lld:lifeskim |
| pubmed-article:3419478 | lifeskim:mentions | umls-concept:C0032893 | lld:lifeskim |
| pubmed-article:3419478 | lifeskim:mentions | umls-concept:C0678227 | lld:lifeskim |
| pubmed-article:3419478 | pubmed:issue | 15 | lld:pubmed |
| pubmed-article:3419478 | pubmed:dateCreated | 1988-10-24 | lld:pubmed |
| pubmed-article:3419478 | pubmed:abstractText | Seventeen cases of otitis media caused by Mycobacterium chelonae were detected among patients seen at a single ear-nose-and-throat (ENT) office (Office A) in Louisiana between May 5 and September 15, 1987. All the patients had a tympanotomy tube or tubes in place or had one or more tympanic-membrane perforations, with chronic otorrhea that was unresponsive to standard therapy with antimicrobial agents. Middle-ear exploration in six patients revealed abundant granulation tissue; multiple granulomas and acid-fast bacilli were demonstrated on a section of tissue from one patient with a nonhealing mastoidectomy incision. Thirteen of the 14 ear isolates obtained from patients seen in Office A had the same unusual pattern of high-level resistance to aminoglycosides. M. chelonae and other nontuberculous mycobacteria were recovered from several sources of water in Office A, as well as in another ENT office (Office B) in a neighboring city that was visited by the index patient. Only one additional case was detected in Office B during the same period. Otologic instruments in Office A were cleaned in an ultrasonic bath with tap water and a liquid detergent; the contents of the bath were changed only once weekly. Instruments in Office B were placed in boiling water between patient examinations. This outbreak establishes M. chelonae as an agent of otitis media and underscores the need for high-level disinfection or sterilization of ENT instruments between examinations to prevent the transmission of this organism to patients in the office setting. | lld:pubmed |
| pubmed-article:3419478 | pubmed:language | eng | lld:pubmed |
| pubmed-article:3419478 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:3419478 | pubmed:citationSubset | AIM | lld:pubmed |
| pubmed-article:3419478 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:3419478 | pubmed:month | Oct | lld:pubmed |
| pubmed-article:3419478 | pubmed:issn | 0028-4793 | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:BocchiniJ... | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:SwensonJ MJM | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:WallaceR... | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:JarvisW RWR | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:SilbermanRR | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:LowryP WPW | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:BlandL ALA | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:OberleA DAD | lld:pubmed |
| pubmed-article:3419478 | pubmed:author | pubmed-author:DeanH DHD | lld:pubmed |
| pubmed-article:3419478 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:3419478 | pubmed:day | 13 | lld:pubmed |
| pubmed-article:3419478 | pubmed:volume | 319 | lld:pubmed |
| pubmed-article:3419478 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:3419478 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:3419478 | pubmed:pagination | 978-82 | lld:pubmed |
| pubmed-article:3419478 | pubmed:dateRevised | 2004-11-17 | lld:pubmed |
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| pubmed-article:3419478 | pubmed:meshHeading | pubmed-meshheading:3419478-... | lld:pubmed |
| pubmed-article:3419478 | pubmed:year | 1988 | lld:pubmed |
| pubmed-article:3419478 | pubmed:articleTitle | Mycobacterium chelonae causing otitis media in an ear-nose-and-throat practice. | lld:pubmed |
| pubmed-article:3419478 | pubmed:affiliation | Hospital Infections Program, Centers for Disease Control, Atlanta, GA 30333. | lld:pubmed |
| pubmed-article:3419478 | pubmed:publicationType | Journal Article | lld:pubmed |
| pubmed-article:3419478 | pubmed:publicationType | Case Reports | lld:pubmed |
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