Information for healthcare providers in England.
Evidence to date suggests heater cooler units used in cardiopulmonary bypass and extracorporeal membrane oxygenation (ECMO) may generate potentially infectious aerosols containing bacteria, including mycobacteria and legionella.
This guidance explains what healthcare providers need to do to mitigate risks associated with these devices.
This guidance supersedes the Mycobacterial infections: advice for cardiothoracic surgery providers issued on 9 June 2015.
It has been produced by Public Health England in association with the Medicines & Healthcare products Regulatory Agency, NHS England, the Health and Safety Executive, the Society for Cardiothoracic Surgery and the Association of Cardiothoracic Anaesthetists.