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: Carbapenem-Resistant Enterobacteriaceae (CRE)

Advocate Lutheran General Hospital Bronchoscopes Carbapenem-Resistant Enterobacteriaceae (CRE) Cystoscopes Device Recalls Endoscope Sampling Endoscopic Retrograde Cholangiopancreatography (ERCP) Endoscopic Ultrasound (EUS) FUJIFILM Klebsiella pneumoniae Olympus Outbreak Investigations Pentax Superbugs University of Pittsburgh Medical Center

Superbugs, Contaminated Gastrointestinal Endoscopes, and a Growing Number of Hospital Infections: Is an FDA Action Imminent?

December 2, 2014 Lawrence F Muscarella PhD

December 2, 2014 — Two superbug outbreaks of carbapenem-resistant Enterobacteriaceae were recently linked to contaminated gastrointestinal (GI) endoscopes. These “nightmarish” bacteria are often abbreviated as CRE. These two outbreaks were…

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Biofilms Carbapenem-Resistant Enterobacteriaceae (CRE) Colonoscopes Colonoscopy Design Control Disease Transmission Disinfection Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Escherichia coli Esophagogastroduodenoscopy (EGD) Ethylene Oxide Gas Sterilization Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Glutaraldehyde High-Level Disinfection Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization Patient Notification Quality Assurance Quality System Regulation Root Causes Analysis Shelf Life, Storage Transparency Veterans Health Administration

Risk of Transmission of Superbugs during Gastrointestinal Endoscopy

October 16, 2014 Lawrence F Muscarella PhD

Click here (PDF format) or here (HTML format) to read Dr. Muscarella’s “Risk of transmission of carbapenem-resistant Enterobacteriaceae and related ‘superbugs’ during gastrointestinal endoscopy” (World J Gastrointest Endosc 2014; 6(10):457-474.)…

Advocate Lutheran General Hospital Audits Carbapenem-Resistant Enterobacteriaceae (CRE) Corrective and Preventive Actions Endoscopic Retrograde Cholangiopancreatography (ERCP) Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae NDM-producing E. coli Outbreak Investigations Pseudomonas aeruginosa Transmission-Based Precautions

Association of GI Endoscopy with Two Patient Deaths: Illinois, 2013

June 24, 2014 Lawrence F Muscarella PhD

February 9, 2015 — The FDA’s “MAUDE” database (or, “Manufacturer and User Facility Device Experience” database) lists medical device reports, or MDRs, which document the association of one or more…

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