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An Outbreak of Pseudomonas Aeruginosa Infection Linked to a "Black Friday" Piercing Event.

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MacPherson, Peter ORCID: https://orcid.org/0000-0002-0329-9613, Valentine, Katherine, Chadderton, Victoria, Dardamissis, Evdokia, Doig, Ian, Fox, Andrew, Ghebrehewet, Sam, Hampton, Tom, Mutton, Ken, Sherratt, Claire and McCann, Catherine M (2017) 'An Outbreak of Pseudomonas Aeruginosa Infection Linked to a "Black Friday" Piercing Event.'. PLoS Currents, Vol 1.

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Abstract

Outbreaks linked to cosmetic piercing are rare, but can cause significant illness. We report the investigation and management of a point-source outbreak that occurred during a Black Friday promotional event in North West England. Outbreak investigation was led by Public Health England, and included active case finding among individuals pierced at a piercing premises between 25/11/2016 (Black Friday) and 7/12/2016. Detailed epidemiological, environmental (including inspection and sampling), and microbiological investigation was undertaken. During the Black Friday event (25/11/2016), 45 people were pierced (13 by a newly-appointed practitioner). Eleven cases were identified (7 microbiologically-confirmed, 2 probable, and 2 possible). All cases had clinical signs of infection around piercing sites, and five required surgical intervention, with varying degrees of post-operative disfigurement. All confirmed and probable cases had a scaffold piercing placed with a guide bar by the newly-appointed practitioner. Pseudomonas aeruginosa, indistinguishable at nine-locus variable-number tandem repeat loci, was isolated from four of the confirmed cases, and from pre- and post-flush samples from five separate water taps (three sinks) in the premises. Water samples taken after remedial plumbing work confirmed elimination of Pseudomonas contamination. Although high levels of Pseudomonas water contamination and some poor infection control procedures were identified, infection appeared to require additional exposure to an inexperienced practitioner, and the more invasive scaffold piercing. A proactive collaborative approach between piercers and health and environmental officials is required to reduce outbreak risk, particularly when unusually large events are planned.

Item Type: Article
Subjects: QW Microbiology and Immunology > Bacteria > QW 131 Gram-negative bacteria.
WA Public Health > WA 100 General works
WC Communicable Diseases > Infection. Bacterial Infections > Other Bacterial Infections. Zoonotic Bacterial Infections > WC 330 Pseudomonas infections. Glanders
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1371/currents.outbreaks.51af24797f6f856a9861b5ddabc7db58
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 12 Dec 2017 17:13
Last Modified: 14 Dec 2017 12:45
URI: https://archive.lstmed.ac.uk/id/eprint/7953

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