Form

Atypical mycobacterial infection diagnosed in 10 years following cardiopulmonary bypass: surveillance form

Form to report patients meeting the case definition.

Documents

Atypical mycobacterial infection diagnosed in 10 years following cardiopulmonary bypass: surveillance form

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Details

Healthcare providers should complete this form for any patient meeting the following case definition:

  • Mycobacterium avium complex, M. intracellulare or M. chimera endocarditis, surgical site infection or desseminated infection
  • AND who has had cardiopulmonary bypass (cardiothoracic surgery or extracorporeal membrane oxygenation or any other procedure involving the use of a heater cooler unit) in the 10 years before diagnosis

Return this form to your local health protection team.

Published 5 November 2015