Discussions in Infection Control

An independent site by Lawrence F Muscarella PhD -- a national authority on the causes and prevention of healthcare-associated infections and related errors.

Category: Antibiotic-Resistant Bacteria

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Biofilms Bronchoscopes Carbapenem-Resistant Enterobacteriaceae (CRE) Colonoscopes Design Control Endoscope Design Endoscopic Retrograde Cholangiopancreatography (ERCP) Endoscopic Ultrasound (EUS) Escherichia coli Ethylene Oxide Gas Sterilization High-Level Disinfection Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization O-ring Contamination Quality System Regulation Shelf Life, Storage Transparency

Investigation and Prevention of ‘Superbug’ Outbreaks Following Endoscopy

January 9, 2014 Lawrence F Muscarella PhD

May 11, 2013 — Gastrointestinal (GI) endoscopes and other types of flexible endoscopes may become contaminated with infectious materials during their routine clinical use. The rigorous, prompt and thorough reprocessing…

Antibiotic-Resistant Bacteria Biofilms Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Ethylene Oxide Gas Sterilization Food and Drug Administration GI Endoscopes Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization Monitoring Rinse Water Pentax Transparency

Overlooked Outbreaks of “CRE” Linked to GI Endoscopy: A “Superbug” Epidemic in Our Midst?

December 30, 2013 Lawrence F Muscarella PhD

December 20, 2013 (updated December 23, 2015) — A Chicago newspaper reported on December 27, 2013, that a hospital in Park Ridge (IL) had identified an outbreak of carbapenem-resistant Enterobacteriaceae,…

Ambulatory Surgery Centers Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Bedside Cleaning Best Practices Carbapenem-Resistant Enterobacteriaceae (CRE) Cystoscopes Flexible "ENT" Laryngoscopes Glutaraldehyde Hepatitis (B and C) Viruses HIV Instrument Reprocessing Joint Commission (JCAHO) Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae ortho-phthalaldehyde Patient Notification Pseudomonas aeruginosa Risk Management Serratia spp. Sheaths Transparency

Risk of Disease Transmission during Cystoscopy: Discussion of a Specific Error in Maine

December 6, 2013 Lawrence F Muscarella PhD

December 5, 2013 —A hospital in Maine (USA) confirmed today a medical error — namely, that it had been improper cleaning cystoscopes after their use during certain urological procedures. This…

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