Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 10;70(36):1261-1263.
doi: 10.15585/mmwr.mm7036a4.

Notes from the Field: Tuberculosis Outbreak Linked to a Contaminated Bone Graft Product Used in Spinal Surgery - Delaware, March-June 2021

Notes from the Field: Tuberculosis Outbreak Linked to a Contaminated Bone Graft Product Used in Spinal Surgery - Delaware, March-June 2021

Ruoran Li et al. MMWR Morb Mortal Wkly Rep. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Figures

FIGURE
FIGURE
Time line of product implantation, symptom onset, hospital readmission, and start of tuberculosis treatment§ in patients exposed to product A (N = 23) — Delaware, March–June 2021 * Excludes one patient with insidious onset of weight loss. One patient was readmitted 4 days after product implantation with a surgical site infection caused by nonmycobacterial species; this readmission was excluded from the figure. The patient subsequently developed worsening lumbar back pain and was readmitted with a tuberculous abscess; this subsequent symptom onset and readmission were included in the figure. § All 22 living patients have started tuberculosis treatment. One patient died 3 weeks after product implantation, before the tuberculosis outbreak was recognized. Numbers of patients in each category are as follows: product A implantation = 23 patients; symptom onset = 18; readmission = 16; start of tuberculosis treatment = 22.

References

    1. Food and Drug Administration. Urgent voluntary notification: FiberCel Fiber Viable Bone Matrix (“FiberCel”)—lot number: NMDS210011. Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration; 2021. https://www.fda.gov/vaccines-blood-biologics/recalls-biologics/urgent-vo...
    1. Hutton MD, Stead WW, Cauthen GM, Bloch AB, Ewing WM. Nosocomial transmission of tuberculosis associated with a draining abscess. J Infect Dis 1990;161:286–95 .10.1093/infdis/161.2.286 - DOI - PubMed
    1. Siegel JD, Rhinehart E, Jackson M, Chiarello L; Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Atlanta, GA: US Department of Health and Human Services, CDC; 2019. https://www.cdc.gov/infectioncontrol/pdf/guidelines/isolation-guidelines... - PubMed
    1. National Tuberculosis Controllers Association. CDC. Guidelines for the investigation of contacts of persons with infectious tuberculosis. Recommendations from the National Tuberculosis Controllers Association and CDC. MMWR Recomm Rep 2005;54(No. RR-15). - PubMed
    1. James JI. Tuberculosis transmitted by banked bone. J Bone Joint Surg Br 1953;35-B:578 .10.1302/0301-620X.35B4.578 - DOI - PubMed