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: Disinfection

Auxiliary Water Channel Biofilms Bronchoscopes Colonoscopes Delayed Reprocessing Disease Transmission Disinfection Gastrointestinal Endoscopy GI Endoscopes High-Level Disinfection Infection Prevention Instrument Reprocessing MAJ-855 Water Tube

Delayed Reprocessing of Gastrointestinal Endoscopes and Bronchoscopes

January 11, 2013 Lawrence F Muscarella PhD

August 8, 2013 — This article by Lawrence F Muscarella, PhD, provides insight into whether a soiled flexible endoscope’s terminal reprocessing can be delayed for several hours after its clinical…

Auxiliary Water Channel Bronchoscopes Colonoscopes Disease Transmission Disinfection Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Los Angeles Times MAJ-855 Water Tube Pseudomonas aeruginosa Semicritical Devices

Risk of Disease Transmission Associated with Gastrointestinal Endoscopy

January 3, 2013 Lawrence F Muscarella PhD

January 3, 2013 (updated July 28, 2013, revised April 24, 2014) — This article responds to an article published in The Los Angeles Times. Although this Times’ article was published…

Biofilms Bronchoscopes Case Study Colonoscopes Disease Transmission Disinfection Endoscope Sampling Gastrointestinal Endoscopy GI Endoscopes High-Level Disinfection Infection Prevention Instrument Reprocessing Outbreak Investigations Semicritical Devices

Case Study: A “Dirty” Gastrointestinal Endoscope

January 2, 2013 Lawrence F Muscarella PhD

January 2, 2013 — This article presents a case study, for the purpose of education, that details events at a fictional facility known as “Hospital X.” Breaches in reprocessing protocols…

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Case Reviews Centers for Disease Control and Prevention Cosmetic Surgery Mycobacterium abscessus Nontuberculous Mycobacteria ("NTM") Outbreak Investigations Public Disclosure

15 Patients Infected with Mycobacteria After Undergoing Cosmetic Surgery at a South Florida Clinic

May 6, 2024 Lawrence F Muscarella PhD
Adverse Event Reports Case Reviews Colonoscopes Colonoscopy Endoscope Reprocessing Risk Assessment Salmonella

17 U.S. Patients Were Exposed in December to a Colonoscope Contaminated with Salmonella Bacteria, FDA Reports Reveal

January 24, 2024 Lawrence F Muscarella PhD
Adverse Event Reports Ambu Centers for Medicare and Medicaid Services (CMS) COVID-19 Endoscope Reprocessing Rebuttals Single-Use TPT Medicare Payment Status

In Support of Patient Safety, Healthcare Access, and Medicare Payment for a Single-Use Bronchoscope Model

January 8, 2024 Lawrence F Muscarella PhD
Adulterated Devices Adverse Event Reports Device Recalls Duodenoscopes with Disposable Components Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Esophagogastroduodenoscopy (EGD) FUJIFILM ED-580XT MAJ-2315 Misbranded Devices Olympus TJF-Q190V Single-Use Endcap with Elevator Warning letters (FDA)

Guidance to Prevent Adverse Events, Including Mucosal Tissue Injuries, When Using Duodenoscopes with a Single-Use Endcap

August 2, 2023 Lawrence F Muscarella PhD