As the first case was identified, we analyzed water and aerosols from our two Stockert 3T HCD units. M. chimaera was isolated from both samples. Based on the recommendations of the Swiss Chimaera Task Force, we replaced the two units and built a dedicated space outside the operating room to store and control the HCD remotely [18 ]. We also established a strict weekly chlorine-based disinfection protocol of the HCD water circuits, according to the manufacturer’s instructions, as well as a monthly analysis for the atypical mycobacteria of HCD water and air samples.
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