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: Endoscopic Retrograde Cholangiopancreatography (ERCP)

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,…

Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Central Sterile Processing Disease Transmission Disinfection Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Gastrointestinal Endoscopy GI Endoscopes Gloves and Other Personal Protective Equipment Hand Hygiene and Antisepsis High-Level Disinfection Infection Prevention Instrument Drying Isolation Precautions Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Outbreak Investigations Standard Precautions Transmission-Based Precautions

Early Identification and Control of Carbapenemase-Producing Klebsiella pneumoniae Originating from a Contaminated GI Endoscope

September 4, 2013 Lawrence F Muscarella PhD

September 4, 2013 — The following is a discussion of an article by Alrabaa et al. (2013) entitled, “Early identification and control of carbapenemase-producing Klebsiella pneumoniae, originating from contaminated endoscopic…

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