{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:54:11Z","timestamp":1793764451663,"version":"4.6.1"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background.<\/jats:title>\n                    <jats:p>Nontuberculous mycobacteria (NTM) commonly colonize municipal water supplies and cause healthcare-associated outbreaks. We investigated a biphasic outbreak of Mycobacterium abscessus at a tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Case patients had recent hospital exposure and laboratory-confirmed colonization or infection with M. abscessus from January 2013 through December 2015. We conducted a multidisciplinary epidemiologic, field, and laboratory investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The incidence rate of M. abscessus increased from 0.7 cases per 10000 patient-days during the baseline period (January 2013\u2013July 2013) to 3.0 cases per 10000 patient-days during phase 1 of the outbreak (August 2013\u2013May 2014) (incidence rate ratio, 4.6 [95% confidence interval, 2.3\u20138.8]; P &amp;lt; .001). Thirty-six of 71 (51%) phase 1 cases were lung transplant patients with positive respiratory cultures. We eliminated tap water exposure to the aerodigestive tract among high-risk patients, and the incidence rate decreased to baseline. Twelve of 24 (50%) phase 2 (December 2014\u2013June 2015) cases occurred in cardiac surgery patients with invasive infections. Phase 2 resolved after we implemented an intensified disinfection protocol and used sterile water for heater-cooler units of cardiopulmonary bypass machines. Molecular fingerprinting of clinical isolates identified 2 clonal strains of M. abscessus; 1 clone was isolated from water sources at a new hospital addition. We made several water engineering interventions to improve water flow and increase disinfectant levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>We investigated and mitigated a 2-phase clonal outbreak of M. abscessus linked to hospital tap water. Healthcare facilities with endemic NTM should consider similar tap water avoidance and engineering strategies to decrease risk of NTM infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/cid\/ciw877","type":"journal-article","created":{"date-parts":[[2017,1,3]],"date-time":"2017-01-03T23:06:57Z","timestamp":1483484817000},"page":"902-911","source":"Crossref","is-referenced-by-count":100,"title":["Two-Phase Hospital-Associated Outbreak of\n                    <i>Mycobacterium abscessus<\/i>\n                    : Investigation and Mitigation"],"prefix":"10.1093","volume":"64","author":[{"given":"Arthur W.","family":"Baker","sequence":"first","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"},{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah S.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"},{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara D.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"},{"name":"Duke University Clinical Microbiology Laboratory 3 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke F.","family":"Chen","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"},{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Richard J.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Duke University Clinical Microbiology Laboratory 3 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara A.","family":"Brown-Elliott","sequence":"additional","affiliation":[{"name":"Duke University Clinical Microbiology Laboratory 3 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela J.","family":"Isaacs","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa C.","family":"Pickett","sequence":"additional","affiliation":[{"name":"Division of Trauma and Critical Care, Duke University Hospital 5 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chetan B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Duke University Hospital 6 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, Duke University Hospital 7 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University Hospital 8 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Engel","sequence":"additional","affiliation":[{"name":"Duke University Hospital 9 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron R.","family":"Wolfe","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo A.","family":"Milano","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, Duke University Hospital 7 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob N.","family":"Schroder","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, Duke University Hospital 7 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Davis","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, Duke University Hospital 7 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew G.","family":"Hartwig","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Surgery, Duke University Hospital 7 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason E.","family":"Stout","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Strittholt","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen K.","family":"Maziarz","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer Horan","family":"Saullo","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Hazen","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Richard J.","family":"Walczak","sequence":"additional","affiliation":[{"name":"Perfusion Services, Duke University Hospital 10 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravikiran","family":"Vasireddy","sequence":"additional","affiliation":[{"name":"Mycobacteria\/Nocardia Research Laboratory, Department of Microbiology, University of Texas Health Science Center 4 , Tyler"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sruthi","family":"Vasireddy","sequence":"additional","affiliation":[{"name":"Mycobacteria\/Nocardia Research Laboratory, Department of Microbiology, University of Texas Health Science Center 4 , Tyler"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celeste M.","family":"McKnight","sequence":"additional","affiliation":[{"name":"Duke University Clinical Microbiology Laboratory 3 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deverick J.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"},{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Sexton","sequence":"additional","affiliation":[{"name":"Duke Program for Infection Prevention and Healthcare Epidemiology, Duke University Hospital 1 , Durham, North Carolina"},{"name":"Division of Infectious Diseases, Duke University Hospital 2 , Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,1,13]]},"reference":[{"key":"2024111411403454700_CIT0001","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1128\/CMR.17.1.98-106.2004","article-title":"Health impacts of environmental mycobacteria","volume":"17","author":"Primm","year":"2004","journal-title":"Clin Microbiol Rev"},{"key":"2024111411403454700_CIT0002","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1128\/AEM.67.3.1225-1231.2001","article-title":"Factors influencing numbers of Mycobacterium avium, Mycobacterium intracellulare, and other mycobacteria in drinking water distribution systems","volume":"67","author":"Falkinham","year":"2001","journal-title":"Appl Environ Microbiol"},{"key":"2024111411403454700_CIT0003","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1186\/1471-2334-13-241","article-title":"Mycobacterium abscessus isolated from municipal water\u2014a potential source of human infection","volume":"13","author":"Thomson","year":"2013","journal-title":"BMC Infect Dis"},{"key":"2024111411403454700_CIT0004","doi-asserted-by":"crossref","first-page":"3006","DOI":"10.1128\/JCM.00899-13","article-title":"Isolation of nontuberculous mycobacteria (NTM) from household water and shower aerosols in patients with pulmonary disease caused by NTM","volume":"51","author":"Thomson","year":"2013","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0005","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/08927014.2012.757308","article-title":"Plumbing of hospital premises is a reservoir for opportunistically pathogenic microorganisms: a review","volume":"29","author":"Williams","year":"2013","journal-title":"Biofouling"},{"key":"2024111411403454700_CIT0006","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jhin.2006.10.004","article-title":"Prevalence of non-tuberculous mycobacteria in a hospital environment","volume":"65","author":"Shin","year":"2007","journal-title":"J Hosp Infect"},{"key":"2024111411403454700_CIT0007","doi-asserted-by":"crossref","first-page":"1599","DOI":"10.1001\/jama.1988.03410110107037","article-title":"Concentration of Mycobacterium avium by hospital hot water systems","volume":"260","author":"du Moulin","year":"1988","journal-title":"JAMA"},{"key":"2024111411403454700_CIT0008","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1086\/342331","article-title":"Mycobacterium simiae pseudo-outbreak resulting from a contaminated hospital water supply in Houston, Texas","volume":"35","author":"El Sahly","year":"2002","journal-title":"Clin Infect Dis"},{"key":"2024111411403454700_CIT0009","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1017\/ice.2014.28","article-title":"Pseudo-outbreak of Mycobacterium gordonae following the opening of a newly constructed hospital at a Chicago Medical Center","volume":"36","author":"Prabaker","year":"2015","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024111411403454700_CIT0010","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1146\/annurev.micro.52.1.453","article-title":"Nosocomial outbreaks\/pseudo-outbreaks caused by nontuberculous mycobacteria","volume":"52","author":"Wallace","year":"1998","journal-title":"Annu Rev Microbiol"},{"key":"2024111411403454700_CIT0011","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1093\/cid\/cir539","article-title":"Pedicure-associated rapidly growing mycobacterial infection: an endemic disease","volume":"53","author":"Stout","year":"2011","journal-title":"Clin Infect Dis"},{"key":"2024111411403454700_CIT0012","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1056\/NEJMoa012643","article-title":"An outbreak of mycobacterial furunculosis associated with footbaths at a nail salon","volume":"346","author":"Winthrop","year":"2002","journal-title":"N Engl J Med"},{"key":"2024111411403454700_CIT0013","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1007\/s003830050350","article-title":"An outbreak of post-surgical wound infections due to Mycobacterium abscessus","volume":"13","author":"Chadha","year":"1998","journal-title":"Pediatr Surg Int"},{"key":"2024111411403454700_CIT0014","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1097\/INF.0000000000000391","article-title":"Rapidly growing mycobacteria among pediatric hematopoietic cell transplant patients traced to the hospital water supply","volume":"33","author":"Iroh Tam","year":"2014","journal-title":"Pediatr Infect Dis J"},{"key":"2024111411403454700_CIT0015","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/PRS.0b013e31821ef29d","article-title":"Mycobacterium abscessus outbreak after rhytidectomies performed in an outpatient surgery center","volume":"128","author":"Agarwal","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"2024111411403454700_CIT0016","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1017\/ice.2014.14","article-title":"A cluster of central line-associated bloodstream infections due to rapidly growing nontuberculous mycobacteria in patients with hematologic disorders at a Japanese tertiary care center: an outbreak investigation and review of the literature","volume":"36","author":"Tagashira","year":"2015","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024111411403454700_CIT0017","doi-asserted-by":"crossref","first-page":"2574","DOI":"10.1093\/jac\/dkq366","article-title":"The use of quaternary ammonium disinfectants selects for persisters at high frequency from some species of non-tuberculous mycobacteria and may be associated with outbreaks of soft tissue infections","volume":"65","author":"Cortesia","year":"2010","journal-title":"J Antimicrob Chemother"},{"key":"2024111411403454700_CIT0018","doi-asserted-by":"crossref","first-page":"511","DOI":"10.3201\/eid2203.150828","article-title":"Treatment of Mycobacterium abscessus infection","volume":"22","author":"Novosad","year":"2016","journal-title":"Emerg Infect Dis"},{"key":"2024111411403454700_CIT0019","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1093\/cid\/ciq237","article-title":"Clinical and microbiologic outcomes in patients receiving treatment for Mycobacterium abscessus pulmonary disease","volume":"52","author":"Jarand","year":"2011","journal-title":"Clin Infect Dis"},{"key":"2024111411403454700_CIT0020","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1093\/infdis\/169.5.1166","article-title":"Mycobacterium abscessus pseudoinfection traced to an automated endoscope washer: utility of epidemiologic and laboratory investigation","volume":"169","author":"Maloney","year":"1994","journal-title":"J Infect Dis"},{"key":"2024111411403454700_CIT0021","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1086\/647570","article-title":"A pseudo-outbreak of Mycobacterium chelonae infections related to bronchoscopy","volume":"18","author":"Cox","year":"1997","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024111411403454700_CIT0022","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1086\/524328","article-title":"Pseudo-outbreak of Mycobacterium abscessus infection caused by laboratory contamination","volume":"29","author":"Blossom","year":"2008","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024111411403454700_CIT0023","doi-asserted-by":"crossref","first-page":"2040","DOI":"10.1128\/jcm.35.8.2040-2042.1997","article-title":"Pseudo-outbreak of septicemia due to rapidly growing mycobacteria associated with extrinsic contamination of culture supplement","volume":"35","author":"Ashford","year":"1997","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0024","volume-title":"ANSI\/ASHRAE Standard 188\u20132015, Legionellosis: risk management for building water systems","author":"American Society for Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE)","year":"2015"},{"key":"2024111411403454700_CIT0025","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1093\/cid\/civ198","article-title":"Prolonged outbreak of Mycobacterium chimaera infection after open-chest heart surgery","volume":"61","author":"Sax","year":"2015","journal-title":"Clin Infect Dis"},{"key":"2024111411403454700_CIT0026","volume-title":"Public health mycobacteriology\u2014a guide for the level III laboratory","author":"Kent","year":"1985"},{"key":"2024111411403454700_CIT0027","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1128\/JCM.02950-14","article-title":"Utility of sequencing the erm(41) gene in isolates of Mycobacterium abscessus subsp. abscessus with low and intermediate clarithromycin MICs","volume":"53","author":"Brown-Elliott","year":"2015","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0028","doi-asserted-by":"crossref","first-page":"5699","DOI":"10.1128\/JCM.41.12.5699-5708.2003","article-title":"rpoB-based identification of nonpigmented and late-pigmenting rapidly growing mycobacteria","volume":"41","author":"Ad\u00e9kambi","year":"2003","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0029","doi-asserted-by":"crossref","first-page":"3084","DOI":"10.1128\/JCM.00753-12","article-title":"Molecular typing of Mycobacterium abscessus based on tandem-repeat polymorphism","volume":"50","author":"Wong","year":"2012","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0030","doi-asserted-by":"crossref","first-page":"5582","DOI":"10.1128\/JCM.42.12.5582-5587.2004","article-title":"Pulsed-field gel electrophoresis study of Mycobacterium abscessus isolates previously affected by DNA degradation","volume":"42","author":"Zhang","year":"2004","journal-title":"J Clin Microbiol"},{"key":"2024111411403454700_CIT0031","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.jenvman.2015.02.029","article-title":"A comparative review of environmental concern prioritization: LEED vs other major certification systems","volume":"154","author":"Suzer","year":"2015","journal-title":"J Environ Manage"},{"key":"2024111411403454700_CIT0032","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1086\/661282","article-title":"Point-of-use membrane filtration and hyperchlorination to prevent patient exposure to rapidly growing mycobacteria in the potable water supply of a skilled nursing facility","volume":"32","author":"Williams","year":"2011","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2024111411403454700_CIT0033","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1378\/chest.06-1906","article-title":"Gastroesophageal reflux disease, acid suppression, and Mycobacterium avium complex pulmonary disease","volume":"131","author":"Thomson","year":"2007","journal-title":"Chest"},{"key":"2024111411403454700_CIT0034","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1097\/SLA.0b013e3182a6589b","article-title":"Aspiration and allograft injury secondary to gastroesophageal reflux occur in the immediate post-lung transplantation period (prospective clinical trial)","volume":"258","author":"Griffin","year":"2013","journal-title":"Ann Surg"},{"key":"2024111411403454700_CIT0035","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1093\/cid\/ciw122","article-title":"Healthcare outbreaks associated with a water reservoir and infection prevention strategies","volume":"62","author":"Kanamori","year":"2016","journal-title":"Clin Infect Dis"},{"key":"2024111411403454700_CIT0036","author":"US Food and Drug Administration"},{"key":"2024111411403454700_CIT0037","author":"Sorin Group Deutschland GMBH"},{"key":"2024111411403454700_CIT0038","first-page":"1","article-title":"Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)","volume":"52","author":"Sehulster","year":"2003","journal-title":"MMWR Recomm Rep"},{"key":"2024111411403454700_CIT0039","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1093\/eurheartj\/ehv342","article-title":"Healthcare-associated prosthetic heart valve, aortic vascular graft, and disseminated Mycobacterium chimaera infections subsequent to open heart surgery","volume":"36","author":"Kohler","year":"2015","journal-title":"Eur Heart J"},{"key":"2024111411403454700_CIT0040","author":"European Centre for Disease Prevention and Control"},{"key":"2024111411403454700_CIT0041","author":"WellSpan York Hospital Open Heart Surgery Infections"},{"key":"2024111411403454700_CIT0042","author":"Milton S. Hershey Medical Center"},{"key":"2024111411403454700_CIT0043","author":"University of Iowa Hospitals and Clinics"},{"key":"2024111411403454700_CIT0044","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.15585\/mmwr.mm6540a6","article-title":"Notes from the field: Mycobacterium chimaera contamination of heater-cooler devices used in cardiac surgery\u2014United States","volume":"65","author":"Perkins","year":"2016","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2024111411403454700_CIT0045","doi-asserted-by":"crossref","DOI":"10.2807\/1560-7917.ES.2016.21.17.30215","article-title":"Contamination during production of heater-cooler units by Mycobacterium chimaera potential cause for invasive cardiovascular infections: results of an outbreak investigation in Germany, April 2015 to February 2016","volume":"21","author":"Haller","year":"2016","journal-title":"Euro Surveill"},{"key":"2024111411403454700_CIT0046","author":"Centers for Disease Control and Prevention"}],"container-title":["Clinical Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/cid\/article-pdf\/64\/7\/902\/24254768\/ciw877.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/cid\/article-pdf\/64\/7\/902\/24254768\/ciw877.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T07:07:41Z","timestamp":1731568061000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/cid\/article\/64\/7\/902\/2880717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,13]]},"references-count":46,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2017,1,13]]},"published-print":{"date-parts":[[2017,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/cid\/ciw877","relation":{},"ISSN":["1058-4838","1537-6591"],"issn-type":[{"value":"1058-4838","type":"print"},{"value":"1537-6591","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2017,4,1]]},"published":{"date-parts":[[2017,1,13]]}}}