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: Food and Drug Administration

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 Antibiotic-Resistant Bacteria carbapenem Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Centers for Disease Control and Prevention Custom Ultrasonics Disease Transmission Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Escherichia coli Ethylene Oxide Gas Sterilization Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization Medical Errors Outbreak Investigations Patient Notification Pentax Risk Assessment Risk Management Veterans Health Administration

Lessons Taught by a Recent “Superbug” Outbreak: Could ‘Ex Post Facto’ Notification be Warranted?

January 21, 2014 Lawrence F Muscarella PhD

April 21, 2014 — Advocate Lutheran General Hospital (Park Ridge, IL) in 2013 linked multiple patient infections and colonizations of carbapenem-resistant Enterobacteriaceae, or “CRE,” to contaminated gastrointestinal (GI) endoscopes. This…

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Bacterial Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Centers for Disease Control and Prevention Custom Ultrasonics Delayed Reprocessing Disease Transmission Disinfection Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Escherichia coli Ethylene Oxide Gas Sterilization Food and Drug Administration GI Endoscopes High-Level Disinfection Infection Prevention Instrument Reprocessing Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Outbreak Investigations Pentax Quality Assurance Quality System Regulation Risk Management Root Causes Analysis Transmission-Based Precautions

GI Endoscopy: Pushed Beyond its Reprocessing Limits?

January 14, 2014 Lawrence F Muscarella PhD

This article is divided into two sections, for the reader’s convenience: “Part 1: ‘The Outbreak'” and “Part 2: ‘Commentary: An superbug outbreak waiting to happen?'” (‘Part 2’ can be read…

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