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Residence of Wash. Goes to Mexico for surgery, returns with a rare, possibly deadly infection



By Karina Mazhuhina / KOMO News

Pseudomonas aeruginosa bacteria (Credit: American Centers for Disease Control and Prevention ̵

1; Medical Illustrators)

What began as a cheap medical operation in Tijuana, Mexico became a resident of Washington

From noon on Thursday, Centers for Disease Control report three suspicious and 12 confirmed cases of infection in America, including Arkansas, Arizona, Oregon, Utah, Texas, Virginia. and two in Washington.

Bacteria, known as Pseudomonas aeruginosa, can cause serious infections in hospital or immunocompromised patients, according to the CDC. The bacterium becomes more resistant to antibiotics, making the infection more difficult to treat. The average cost of gastric bypass in America is $ 23,000 – the hospital in Tijuana offers it for $ 3,999.

The Mexican government closed the hospital to further notification, with the CDC recommending travelers not to carry out operations at this hospital until the government can confirm that the bacteria are no longer there

Of the 15 reported cases, 13 were between August and December of 2018. There was one case from 2015 and another from 2017, said David Deegle with the CDC. also does not focus on identifying cases prior to autumn 2018, so those from previous years may not have been reported, adds Deegle.

"Healthy individuals are at low risk for acquiring this organism," said Deegle. "However, we are concerned about the spread of these highly resistant bacteria in health care facilities."

Patients in hospitals, particularly those in respiratory and surgical wounds or burns, are potentially at risk from serious, life-threatening infections. Bacteria can be spread on the hands of healthcare workers or by equipment that is polluted and not properly cleaned. "When the patient is known to have highly resistant bacteria, health care providers take special precautions such as wearing dresses and gloves and dedicating certain medical equipment to the use of this patient to prevent the spread of bacteria to other patients," says Deegle (But) If the patient is not recognized as being at risk for these resistant bacteria at the time of admission to the US hospital,

Although there is still hope – patients can still recover completely from infection with these highly resistant bacteria, says Diagle. "In other countries, there is a precedent for this type of resistance to spread rapidly, with a corresponding increase in the rate of infections that are antibiotic-resistant," says Diagle. In practice, this means that the choice of an antibiotic such as crabapenems bacteria) can quickly become ineffective, which could leave providers with limited capabilities that could be associated with bad side effects. "The CDC confirms one death, but it is still unclear whether it is related to the infection. health "In short, it is important to note that medical and surgical procedures carried out everywhere, even in the United States, carry a certain risk and can lead to complications," Deegle said. "Persons traveling outside of the United States for medical assistance, must visit a US travel medicine specialist at least one month before traveling and should investigate the health care professional who will do the procedure as well as the clinic or hospital. Suppliers and clinics standards abroad may be different from US standards.


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