Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021

In April 2021, the South Eastern Sydney Local Health District Public Health Unit (Sydney, New South Wales, Australia) was notified of 3 patients with Pseudomonas aeruginosa infections secondary to skin piercings performed at the same salon. Active case finding through laboratories, clinician alerts...

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Main Authors: Benjamin T. Trevitt, Anthea L. Katelaris, Catherine Bateman-Steel, Sandra Chaverot, Sinead Flanigan, Toni Cains, Elena Martinez, Andrew Ginn, Vitali Sintchenko, Arthur Jones, Kishen Lachireddy, Mark J. Ferson, Vicky Sheppeard
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/10/23-0560_article
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author Benjamin T. Trevitt
Anthea L. Katelaris
Catherine Bateman-Steel
Sandra Chaverot
Sinead Flanigan
Toni Cains
Elena Martinez
Andrew Ginn
Vitali Sintchenko
Arthur Jones
Kishen Lachireddy
Mark J. Ferson
Vicky Sheppeard
author_facet Benjamin T. Trevitt
Anthea L. Katelaris
Catherine Bateman-Steel
Sandra Chaverot
Sinead Flanigan
Toni Cains
Elena Martinez
Andrew Ginn
Vitali Sintchenko
Arthur Jones
Kishen Lachireddy
Mark J. Ferson
Vicky Sheppeard
author_sort Benjamin T. Trevitt
collection DOAJ
description In April 2021, the South Eastern Sydney Local Health District Public Health Unit (Sydney, New South Wales, Australia) was notified of 3 patients with Pseudomonas aeruginosa infections secondary to skin piercings performed at the same salon. Active case finding through laboratories, clinician alerts, and monitoring hospital visits for piercing-related infections identified additional cases across New South Wales, and consumers were alerted. We identified 13 confirmed and 40 probable case-patients and linked clinical isolates by genomic sequencing. Ten confirmed case-patients had used the same brand and batch of aftercare solution. We isolated P. aeruginosa from opened and unopened bottles of this solution batch that matched the outbreak strain identified by genomic sequencing. Piercing-related infections returned to baseline levels after this solution batch was recalled. Early outbreak detection and source attribution via genomic sequencing are crucial for controlling outbreaks linked to contaminated products. Manufacturing standards for nonsterile cosmetic products and guidance for piercing aftercare warrant review.
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spelling doaj.art-e0c32215e801416fb66126169cb471432023-09-21T14:51:55ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-10-0129102008201510.3201/eid2910.230560Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021Benjamin T. TrevittAnthea L. KatelarisCatherine Bateman-SteelSandra ChaverotSinead FlaniganToni CainsElena MartinezAndrew GinnVitali SintchenkoArthur JonesKishen LachireddyMark J. FersonVicky Sheppeard In April 2021, the South Eastern Sydney Local Health District Public Health Unit (Sydney, New South Wales, Australia) was notified of 3 patients with Pseudomonas aeruginosa infections secondary to skin piercings performed at the same salon. Active case finding through laboratories, clinician alerts, and monitoring hospital visits for piercing-related infections identified additional cases across New South Wales, and consumers were alerted. We identified 13 confirmed and 40 probable case-patients and linked clinical isolates by genomic sequencing. Ten confirmed case-patients had used the same brand and batch of aftercare solution. We isolated P. aeruginosa from opened and unopened bottles of this solution batch that matched the outbreak strain identified by genomic sequencing. Piercing-related infections returned to baseline levels after this solution batch was recalled. Early outbreak detection and source attribution via genomic sequencing are crucial for controlling outbreaks linked to contaminated products. Manufacturing standards for nonsterile cosmetic products and guidance for piercing aftercare warrant review. https://wwwnc.cdc.gov/eid/article/29/10/23-0560_articlePseudomonas aeruginosaoutbreakpiercinggenomicsinfectioncommunicable diseases
spellingShingle Benjamin T. Trevitt
Anthea L. Katelaris
Catherine Bateman-Steel
Sandra Chaverot
Sinead Flanigan
Toni Cains
Elena Martinez
Andrew Ginn
Vitali Sintchenko
Arthur Jones
Kishen Lachireddy
Mark J. Ferson
Vicky Sheppeard
Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
Emerging Infectious Diseases
Pseudomonas aeruginosa
outbreak
piercing
genomics
infection
communicable diseases
title Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
title_full Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
title_fullStr Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
title_full_unstemmed Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
title_short Community Outbreak of Pseudomonas aeruginosa Infections Associated with Contaminated Piercing Aftercare Solution, Australia, 2021
title_sort community outbreak of pseudomonas aeruginosa infections associated with contaminated piercing aftercare solution australia 2021
topic Pseudomonas aeruginosa
outbreak
piercing
genomics
infection
communicable diseases
url https://wwwnc.cdc.gov/eid/article/29/10/23-0560_article
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