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: Gastrointestinal Endoscopy

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…

Aseptic Technique Disease Transmission Doctor's Offices Gastrointestinal Endoscopy Hepatitis (B and C) Viruses HIV Infection Prevention Multi-Dose Medicine Vials Newspapers Outbreak Investigations Single-Dose Medicine Vials Syringes or Needles The Reuse of Single-Use Devices USA Today

Recommendations to Prevent Viral Transmissions due to Improper Medical Practices

December 28, 2012 Lawrence F Muscarella PhD

September 30, 2014 — This article discusses the faulty clinical practice of reusing contaminated syringes, needles and both multi- and single-dose vials of medicine. This article also provides important recommendations…

Automated Endoscope Reprocessors Auxiliary Water Channel Disease Transmission Flexible "ENT" Laryngoscopes Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Infection Prevention Instrument Reprocessing Liquid Chemical Sterilization MAJ-855 Water Tube Sterilization

Medical Errors, Infection-Control Breaches and the Use of Adulterated Devices

December 21, 2012 Lawrence F Muscarella PhD

Initial comments: The following blog is an abstract of my peer-reviewed article: Medical errors, infection-control breaches and the use of adulterated and misbranded medical devices. (Muscarella LF. World J Clin…

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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