Thursday, August 31, 2023

Second Patient Dies from CDC-identified Outbreak of TB Cases Linked to Viable Bone Matrix

 


Second Patient Dies from CDC-Identified Outbreak of TB Cases Linked to Viable Bone Matrix

In this post, the first point I want to make is that this entire subject is very, very rare.  As a matter of fact in all of my years in clinical practice, I cannot remember something like this happening before.  This is not something which occurs with any regularity.  Bone grafts are performed thousands of times a day in the United States.  The are not only done in dentistry but in other surgical procedures such as joint replacement surgery performed by orthopedic surgeons.  

The tainted grafting material has been tracked back and linked to a single product lot that has been used in both medical as well as dental procedures.  The company is Asiyo Biologics and their product: FiberCel Fiber Viable Bone Matrix.  The company issued a voluntary recall notice on July 13, 2023 and the Centers for Disease Control and Prevention has been alerting health care providers in the United States.

The ADA News states:

Shipments of this product lot were sent to 13 facilities in seven states — California, Louisiana, Michigan, New York, Oregon, Texas, and Virginia — between Feb. 27 and June 20. A total of 36 people had medical or dental procedures using product from this lot, according to a CDC news release.

Now that I have established the facts of how rare this is, here is the post...

The American Dental Association (ADA) has reported that a second patient has died from a tuberculosis (TB) infection that is linked to viable bone matrix (VBM). VBM is a type of bone graft material that is made from donated human bone.

The first patient to die from the outbreak was a 67-year-old woman who had received VBM surgery in 2022. The second patient to die was a 72-year-old man who had also received VBM surgery in 2022.

The Centers for Disease Control and Prevention (CDC) has identified 11 cases of TB infection that are linked to VBM. The cases have been reported in six states: California, Florida, Illinois, Michigan, New York, and Texas.

The CDC is warning dentists and other healthcare providers to be aware of the potential risks of TB infection associated with VBM. The CDC is also recommending that patients who have received VBM surgery be tested for TB.

If you have received VBM surgery, it is important to talk to your doctor about the risks of TB infection. You should also be tested for TB. If you are diagnosed with TB, you will need to be treated with antibiotics.

The ADA is working with the CDC to investigate the outbreak of TB cases linked to VBM. The ADA is also providing information and resources to dentists and other healthcare providers about the risks of TB infection associated with VBM.

If you have any questions or concerns about VBM, please talk to your doctor or dentist.

Here are some additional things to keep in mind:

The risk of TB infection from VBM is very low. However, it is important to be aware of the potential risks.

If you have received VBM surgery, you should be tested for TB.

If you are diagnosed with TB, you will need to be treated with antibiotics.

The ADA and the CDC are working together to investigate the outbreak of TB cases linked to VBM.



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