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HEALTH CDC: Superbug involved in Tijuana bariatric surgery infections showed concerning mutation
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  1. #1
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    4 CDC: Superbug involved in Tijuana bariatric surgery infections showed concerning mutation

    For links see article source.....
    Posted for fair use.....
    https://www.sandiegouniontribune.com...111-story.html

    CDC: Superbug involved in Tijuana bariatric surgery infections showed concerning mutation

    Paul SissonContact Reporter

    The superbug that infected nearly a dozen Americans who recently underwent weight-loss surgery at a Tijuana hospital had a particularly nasty genetic mutation that set off alarm bells after patients began showing up in hospitals and doctors officers with painful wounds.

    The U.S. Centers for Disease Control and Prevention issued a travel warning this week, notifying the public that 11 Americans who traveled to Tijuana hospitals for weight-loss surgery had become infected with drug-resistant pseudomonus aeruginosa infections during their stays.

    Dr. David “Cal” Ham, a CDC medical officer, said Friday that the particular strain of pseudomonus bacteria involved in 11 confirmed cases had metallo-beta lactamase genes. Often called “VIM” by the epidemiological community, Ham explained that these genes cause the microbes that carry them to excrete enzymes that destroy carbapenems, a workhorse class of antibiotics with some of the broadest efficacy in medicine.

    The pseudomonus strains that caused the Tijuana outbreak were already drug resistant, Ham said. Picking up carbapenem-fighting chops made an already serious threat more deadly.

    “VIM makes this more concerning than your run-of-the-mill, drug-resistant pseudomonus,” Ham said.

    One patient with an outbreak-linked infection has died, the physician said, though it’s impossible to say that it was just pseudomonus that caused that outcome.

    “The patient who died did have a number of other underlying medical conditions, so we can’t say for sure if this infection was the primary cause of death,” Ham said.

    Though six of the cases underwent bariatric surgeries at Grand View Hospital just south of the U.S. Mexico border, Ham said that so far not a single sickened patient was a California resident. Infected medical tourists came from seven states: Arkansas, Arizona, Oregon, Utah, Texas, Washington and West Virginia.

    Some of the patients, Ham said, have received treatment with other antibiotics and have seen their infections subside while others are still in hospitals suffering as doctors work down a dwindling list of available options.

    “There are still active infections, unfortunately,” Ham said. “Several of the isolates involved are susceptible only to a couple of, I would say, less-than-optimal antibiotics that have significant side effect profiles.”

    Patients involved in the outbreak underwent surgeries from August through November with one case subsequently identified in 2015. Two additional suspected cases, Ham said, remain under investigation.

    The CDC is urging doctors across the United States to report any cases of pseudomonus so that specialized testing can determine whether VIM or a handful of other problematic mutations that confer carbapenem resistance are present.

    It was the CDC’s own Antimicrobial Resistance Laboratory Network that first sounded the alarm in the Tijuana outbreak. Pseudomonus samples are routinely sent to network-affiliated hospitals for analysis, and that’s where the VIM mutation became visible. But it’s necessary for doctors to report positive pseudomonus tests to the network in order for it to take analysis to the necessary next level.

    Pseudomonas is relatively new to the VIM party. As of Sept. 30, 2017, only 84 cases nationwide have shown the mutation, Ham said. But other types of bacteria, especially enterobacteriacae and E.coli, have shown significantly higher rates of mutation.

    Infectious disease specialists seek to isolate and treat patients infected with extra carbapenem resistance as quickly as possible because the genes that confer this extra protection are stored on structures called plasmids, which can easily move between different bacteria species. The idea is to kill these critters quickly before they have a chance to share their resistance genes with other types of bacteria.

    “It’s important that we learn about these infections as quickly as possible so that very specific control measures and containment responses can be implemented,” Ham said.

    When the CDC first issued its Tijuana travel warning this week, it said that the Mexican Government temporarily closed Grand View hospital, though it was apparent that the facility was still open Thursday evening. Mexican officials issued a short written statement Friday clarifying that the hospital’s surgery department, but not the entire facility, had been shut down pending an investigation.

    Ham said the CDC has no access to the health records of patients involved, so it is difficult for American investigators to learn which surgical practices might have caused the infections.

    So far, the CDC has said only that three other hospitals or clinics in Tijuana cared for the five patients out of 11 not cared for by Grand View. Those other hospitals were not mentioned by name in the CDC’s travel warning, Ham said, because they operated on only one or two outbreak patients, and the CDC could not determine that the number of cases was significantly greater than the facility’s normal rate of pseudomonus infection.

  2. #2
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    Welllll....

    Better cancel my plans for a stomach stapling in Tijuana.
    Proud Infidel...............and Cracker

    Member: Nowski Brigade

    Deplorable


  3. #3
    There must be some level of desperation (or a striking lack of due care) for a person to head to Tijuana for surgery.
    Better to be a warrior in a garden than a gardener in a war.

  4. #4
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    Quote Originally Posted by bw View Post
    There must be some level of desperation (or a striking lack of due care) for a person to head to Tijuana for surgery.
    A lot of cosmetic surgery, as well as dental work, is done in Tijuana due to the cost being much lower.....Just like prescription drugs......

  5. #5
    There's nothing wrong with a little meat on the bone. Why go to third-world hell for surgery?
    I've thrown my back out trying to kiss my ass goodbye.

  6. #6
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    The title alone told me everything I needed to know.
    "You are allowed to be disappointed but not surprised"

  7. #7
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    Stomach Stapling in Tijuana...isn't that a Jimmy Buffett song?
    Proud Infidel...............and Cracker

    Member: Nowski Brigade

    Deplorable


  8. #8
    Quote Originally Posted by bw View Post
    There must be some level of desperation (or a striking lack of due care) for a person to head to Tijuana for surgery.
    They want cheap prices.
    Now they have brought a new problem into the country.

  9. #9
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    I have a cousin that weighed almost 600 pounds that had the gastric sleeve done there in March. She's has only lost about 125 pounds, she's an idiot about food, will not give up bread and still eats too much. She's had no infection issues, said the facility was pristine clean. That 125 pound loss has made a good difference for her in her ability to get around. Now she can stand for awhile and before she could not at all, and now she can walk around in the grocery store where before she could not at all.

    Some of the folks on this forum are extremely judgemental and until you walk in someone's shoes you have little idea what you are talking about. Shame.

    P.S. and just because the CDC says so doesn't necessarily make it so.

    Judy

  10. #10
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    Quote Originally Posted by nomifyle View Post
    I have a cousin that weighed almost 600 pounds that had the gastric sleeve done there in March. She's has only lost about 125 pounds, she's an idiot about food, will not give up bread and still eats too much. She's had no infection issues, said the facility was pristine clean. That 125 pound loss has made a good difference for her in her ability to get around. Now she can stand for awhile and before she could not at all, and now she can walk around in the grocery store where before she could not at all.

    Some of the folks on this forum are extremely judgemental and until you walk in someone's shoes you have little idea what you are talking about. Shame.

    P.S. and just because the CDC says so doesn't necessarily make it so.

    Judy
    People who have fork to mouth disease brought it on to themselves. DH insists it's a disease. Call it what you will, some people are addicts and food is one of them. How can one NOT be judgemental when they see an extremely obese person having a hard time getting around all due to being addicted to food. DH woke up in a sweat last night. He woke me up! His heart was pounding and in a sweat. I said what's the matter? He said I was dreaming that I had to sit next to an obese person on our upcoming flight. 15 hours of misery, the person took up 1/2 of my chair and all of his! Walk in his shoes? No thanks, I make sure I can walk in mine, keep my food intake within reason, not be a drag on society, but most of all the medical system. Losing 125 lb is great! But, you made an excuse for your cousin,

    she's an idiot about food, will not give up bread and still eats too much.
    So, right there lies the problem. It isn't us being judgemental, it's your cousin doing it to herself. /just saying

    P.S. As for going to another country to get this procedure done, cheaper is not always better.
    People create their own questions because they are afraid to look straight. All you have to do is look straight and see the road, and when you see it, don't sit looking at it - walk. Ayn Rand

  11. #11
    Judy, the judgement is on going to Tijuana for anything not on the bariatric procedures. TJ is the infected, festering crotch of Mexico. If I needed cheap Mexican surgery, I would go anywhere but there.

    Happy to hear that your cousin is much improved from the surgery! And happy that she didn’t have any infections as souvenirs.

  12. #12
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    Obesity has an enzyme component that includes the genetic lack of the chem that tells the brain that the stomach is full....
    RULE 1:
    THEY want you DEAD.

    Word to the wise:

    "All skill is in vain when an Angel pees in the touch-hole of your musket!"

    MY version:

    "If there must be trouble, let it be in my day, that my brothers' children (and their parents) may have peace, and have NO KNOWLEDGE of what I have done."

  13. #13
    Quote Originally Posted by night driver View Post
    Obesity has an enzyme component that includes the genetic lack of the chem that tells the brain that the stomach is full....
    When you're so big you can't stand up, it's time for your brain to say "put down the fork " even if you still feel hungry.

  14. #14
    Do you read this as the bacteria pseudomonus aeruginosa has mutated to VIM or that the pseudomonus aeruginosa is the mutated form? Recently looked up the pseudomonus bacteria and there are many different ones. My sisters boyfriend just had open heart surgery by top US surgeon. He was readmitted due to an infection and had more surgery they removed the wires they stitched his chest together with & put in drainage tube. He has been on IV for over 6 wks. Just finished & now on cipro. They identified the bacteria as pseudomonus aeruginosa & CDC was involved. Scary. Very scary.

  15. #15
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    Quote Originally Posted by Snyper View Post
    When you're so big you can't stand up, it's time for your brain to say "put down the fork " even if you still feel hungry.
    Snyper gets it........Because you're not hungry, you just think you are!
    People create their own questions because they are afraid to look straight. All you have to do is look straight and see the road, and when you see it, don't sit looking at it - walk. Ayn Rand

  16. #16
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    Quote Originally Posted by Lindy View Post
    Do you read this as the bacteria pseudomonus aeruginosa has mutated to VIM or that the pseudomonus aeruginosa is the mutated form? Recently looked up the pseudomonus bacteria and there are many different ones. My sisters boyfriend just had open heart surgery by top US surgeon. He was readmitted due to an infection and had more surgery they removed the wires they stitched his chest together with & put in drainage tube. He has been on IV for over 6 wks. Just finished & now on cipro. They identified the bacteria as pseudomonus aeruginosa & CDC was involved. Scary. Very scary.
    There was a guy in the stroke rehab ward with me who had his stroke as the by product of a post surgery infection, and that was at a "high tier" hospital in the SF Bay Area. One thing I was paranoid about while I was there was infection as was the staff. Heck the first hour I was on the ward they took a sinus culture on me. The staff was also real good about wiping everything in the rehab room down between patients. So was the cleaning staff. That's one thing, of many, I give Valley Med points on!

  17. #17
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    You’d think the author would double-check his spelling - the correct spelling of the name of this bug is Pseudomonas.

  18. #18
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    From what I have seen, a lot of people seem bent on self destruction. I don't know if it is psychological issues at the root or what but I see a lot of it. My sister is a prime example of what I am talking about. We are two and a half years apart in age, I am pretty healthy, she is always at deaths door. She hasn't always been this way but once she found out that she garnered attention and prayer for being unhealthy it seems she went out of her way to make herself more unhealthy. She has type 2 diabetes brought on by diet and NO exercise, heart problems and pulmonary hypertension ( so she says). She has always been overweight which contributed to all of the above mentioned problems. I weigh in at around 116, if I hit 120 I immediately back off on any junk whatsoever! I refuse to gain a lot of weight. I have a client who used to be a pharmacist. He weighs 400# if he weighs 10. Diabetic, of course, sits in a recliner all day, even sleeps in it. He only gets up to get more food or go to the restroom. Have another client weighs even more although she had the lapband surgery years ago, never lost an ounce. She came home on day to find her severely obese husband dead in his computer chair from a heart attack, left her with a 10 year old son to raise alone. Think that motivated her to lose weight? Not an ounce! For some reason these people are driven to eat even when they don't need to or make the wrong choices when they do. I saw the retired pharmacist sit down to a plate of 3 krispy cream donuts for a snack! He is diabetic!

    As for infections, my mom died from a MRSA infection acquired in a nursing home. The hospital she was sent to spread that stuff everywhere, I saw it with my own eyes! Before the culture even came back I saw a nurse use some scissors to cut off the bandage then stuff the scissors back in her pocket and moved on to the next patient! The article in the OP is probably a scare tactic to make folks be afraid to find a cheaper alternative to our " health care" system.
    Sherry in GA

    "If you knew who walked beside you at all times, on the path that you have chosen, you could never experience fear or doubt again." -- Wayne Dyer

  19. #19
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    You know why they call it a ‘disease’.....makes them not responsible for the condition they are in. A alcoholic, dope head and smoker will tell you the same thing. Until you face up to it and own it surgery won’t be the answer alone for the super fat in this case. Also lack of knowledge feeds into it when you stuff your face full of carbs. Go low carb/high fat and with moderate exercise you’ll start losing weight without the surgery and you can probably solve your metabolic (diabetes) issues at the same time.
    What is the lake of fire? What is it's purpose? Is the lake of fire eternal hell? Is there any hope of escape for those cast into this lake?
    http://bible-truths.com/lake1.html

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