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Your search keyword '"Brunette, Gary"' showing total 5 results
Start Over Author "Brunette, Gary" Topic medical tourism
5 results on '"Brunette, Gary"'

1. Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013-2014(1).

Author

Schnabel D, Esposito DH, Gaines J, Ridpath A, Barry MA, Feldman KA, Mullins J, Burns R, Ahmad N, Nyangoma EN, Nguyen DB, Perz JF, Moulton-Meissner HA, Jensen BJ, Lin Y, Posivak-Khouly L, Jani N, Morgan OW, Brunette GW, Pritchard PS, Greenbaum AH, Rhee SM, Blythe D, and Sotir M

Subjects
Adolescent, Adult, Disease Outbreaks, Dominican Republic epidemiology, Female, Humans, Middle Aged, Mycobacterium Infections, Nontuberculous drug therapy, Mycobacterium Infections, Nontuberculous economics, Surgery, Plastic adverse effects, Surgical Wound Infection, United States epidemiology, Young Adult, Medical Tourism, Mycobacterium Infections, Nontuberculous epidemiology, Mycobacterium Infections, Nontuberculous microbiology, Mycobacterium abscessus
Abstract

During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report of 2 Maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) in the Dominican Republic. A multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the Dominican Republic. We identified 21 case-patients in 6 states who had surgery in 1 of 5 Dominican Republic clinics; 13 (62%) had surgery at clinic A. Isolates from 12 (92%) of those patients were culture-positive for Mycobacterium abscessus complex. Of 9 clinic A case-patients with available data, all required therapeutic surgical intervention, 8 (92%) were hospitalized, and 7 (78%) required ≥3 months of antibacterial drug therapy. Healthcare providers should consider infection with rapidly growing mycobacteria in patients who have surgical site infections unresponsive to standard treatment.

Published
2016
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2. Notes from the field: rapidly growing nontuberculous Mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the Dominican Republic--multiple states, March 2013-February 2014.

Author

Schnabel D, Gaines J, Nguyen DB, Esposito DH, Ridpath A, Yacisin K, Poy JA, Mullins J, Burns R, Lijewski V, McElroy NP, Ahmad N, Harrison C, Parinelli EJ, Beaudoin AL, Posivak-Khouly L, Pritchard S, Jensen BJ, Toney NC, Moulton-Meissner HA, Nyangoma EN, Barry AM, Feldman KA, Blythe D, Perz JF, Morgan OW, Kozarsky P, Brunette GW, and Sotir M

Subjects
Adolescent, Adult, Centers for Disease Control and Prevention, U.S., Dominican Republic, Female, Humans, Middle Aged, Mycobacterium isolation & purification, Mycobacterium Infections etiology, Surgical Wound Infection etiology, United States epidemiology, Young Adult, Disease Outbreaks, Medical Tourism, Mycobacterium classification, Mycobacterium Infections epidemiology, Plastic Surgery Procedures adverse effects, Surgical Wound Infection epidemiology
Abstract

In August 2013, the Maryland Department of Health and Mental Hygiene (MDHMH) was notified of two persons with rapidly growing nontuberculous mycobacterial (RG-NTM) surgical-site infections. Both patients had undergone surgical procedures as medical tourists at the same private surgical clinic (clinic A) in the Dominican Republic the previous month. Within 7 days of returning to the United States, both sought care for symptoms that included surgical wound abscesses, clear fluid drainage, pain, and fever. Initial antibiotic therapy was ineffective. Material collected from both patients' wounds grew Mycobacterium abscessus exhibiting a high degree of antibiotic resistance characteristic of this organism.

Published
2014

3. Rapidly Growing Nontuberculous Mycobacterium Wound Infections Among Medical Tourists Undergoing Cosmetic Surgeries in the Dominican Republic — Multiple States, March 2013–February 2014

Author

Schnabel, David, Gaines, Joanna, Nguyen, Duc B., Esposito, Douglas H., Ridpath, Alison, Yacisin, Kari, Poy, Jose A., Mullins, Jocelyn, Burns, Rachel, Lijewski, Virginia, McElroy, Nora P., Ahmad, Nina, Harrison, Cassandra, Parinelli, Ellen J., Beaudoin, Amanda L., Posivak-Khouly, Leah, Pritchard, P. Scott, Jensen, Bette J., Toney, Nadege C., Moulton-Meissner, Heather A., Nyangoma, Edith N., Barry, M. Anita, Feldman, Katherine A., Blythe, David, Perz, Joseph F., Morgan, Oliver W., Kozarsky, Phyllis, Brunette, Gary W., and Sotir, Mark

Published
2014

5. The Global Availability of Rabies Immune Globulin and Rabies Vaccine in Clinics Providing Indirect Care to Travelers.

Author

Jentes, Emily S., Blanton, Jesse D., Johnson, Katherine J., Petersen, Brett W., Lamias, Mark J., Robertson, Kis, Franka, Richard, Muhm, Daniel, Rupprecht, Charles E., Marano, Nina, and Brunette, Gary W.

Subjects
RABIES vaccines, TRAVEL hygiene, VIRAL vaccines, MEDICAL tourism
Abstract

We assessed rabies vaccine ( RV) and immune globulin ( RIG) availability on the local market by querying US Embassy medical staff worldwide. Of 112 responses, 23% were from West, Central, and East Africa. RV and RIG availability varied by region. Possible rabies exposures accounted for 2% of all travelers' health inquiries. [ABSTRACT FROM AUTHOR]

Published
2014
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