Band J D, Ward J I, Fraser D W, Peterson N J, Silcox V A, Good R C, Ostroy P R, Kennedy J
J Infect Dis. 1982 Jan;145(1):9-17. doi: 10.1093/infdis/145.1.9.
Two outbreaks of peritonitis caused by a Mycobacterium chelonei-like organism--a previously unrecognized pathogen--occurred among patients receiving intermittent chronic peritoneal dialysis (CPD). In one center, five of 22 patients who had undergone CPD during a one-month period developed peritonitis caused by an M. chelonei-like organism acquired from a single contaminated automated CPD machine. In a second center, five of eight patients who had received CPD during a several-week period became infected, apparently as a result of cross-infection from contaminated machines. Seven sporadic cases of peritonitis due to an M. chelonei-like organism were also found. M. chelonei-like organisms can survive and proliferate in water and are relatively resistant to formaldehyde. Defects in the design of CPD machines and disinfection procedures were identified that may have permitted M. chelonei-like organisms to survive attempted disinfection.
两起由龟分枝杆菌样菌（一种此前未被识别的病原体）引起的腹膜炎疫情，发生在接受间歇性慢性腹膜透析（CPD）的患者中。在一个中心，22名在一个月内接受CPD治疗的患者中有5人发生了腹膜炎，病原体是从一台受污染的自动CPD机器上获得的龟分枝杆菌样菌。在第二个中心，8名在数周内接受CPD治疗的患者中有5人受到感染，显然是由于受污染机器的交叉感染所致。还发现了7例由龟分枝杆菌样菌引起的散发性腹膜炎病例。龟分枝杆菌样菌能在水中存活和增殖，且对甲醛相对耐药。已确定CPD机器设计和消毒程序存在缺陷，这可能使龟分枝杆菌样菌在试图消毒时得以存活。
