National outbreak of Pseudomonas aeruginosa associated with an aftercare solution following piercings, July to September 2016, England
Rattachement africain : gb, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
outbreak from a common source following piercings between July and September 2016 in England. The multi-agency outbreak investigation included active case finding, microbiological testing of environmental samples and case specimens including Variable Number Tandem Repeat (VNTR) typing and a retrospective cohort study. Overall, 162 outbreak cases (29 confirmed, 14 probable and 119 possible) and 14 non-outbreak cases were identified; all confirmed cases had ear piercings (93% cartilage). Outbreak cases were predominantly female (95%) and had a median age of 18 years (interquartile range: 13-56 years). Nineteen outbreak cases required surgery under general anaesthetic The same outbreak VNTR type (11,3,5,3,3,3,6,4,7) was isolated from bottles of an aftercare solution from a single manufacturer and in specimens from confirmed cases who attended eight different piercing studios supplied with this product. In the cohort study, use of aftercare solution was associated with becoming a case (aOR: 4.60, 95% confidence interval: 1.65-12.90). Environmental, microbiological and epidemiological investigations confirmed that contamination during production of aftercare solution was the source of this national outbreak; highlighting challenges in the regulation of a cosmetic products used in the piercing industry and that guidance on piercing aftercare may need to be reviewed.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- National outbreak of Pseudomonas aeruginosa associated with an aftercare solution following piercings, July to September 2016, England
- Date Crossref
- 13/09/2018
- Éditeur
- European Centre for Disease Control and Prevention (ECDC)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Public Health England pays non établi dans la noticeOrganisme public
-
European Centre for Disease Prevention and Control pays non établi dans la noticeOrganisme public
-
University of Nottingham pays non établi dans la noticeUniversité ou école supérieure
-
European Programme for Intervention Epidemiology Training (EPIET) pays non établi dans la noticeInstitution
-
Field Epidemiology Services pays non établi dans la noticeInstitution
-
These authors contributed equally to this work pays non établi dans la noticeInstitution
-
United Kingdom Field Epidemiology Training Programme pays non établi dans la noticeInstitution
-
Food Water and Environmental Microbiology Laboratory pays non établi dans la noticeStructure de recherche
-
Antimicrobial Resistance and Healthcare Associated Infections Reference Unit pays non établi dans la noticeInstitution
-
The members of the Outbreak Control Team have been listed at the end of this article pays non établi dans la noticeInstitution
Public Health England, European Centre for Disease Prevention and Control et University of Nottingham, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.