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: University of North Carolina – Chapel Hill

Carbapenem-Resistant Enterobacteriaceae (CRE) Colonoscopes Device Contamination Duodenoscopes Enteric Bacteria Olympus TJF-Q180V Patient Notification Transparency University of North Carolina - Chapel Hill

At Least 40% of Disinfected Endoscopes, Possibly Colonoscopes, Remained Contaminated, Emails Reveal The endoscopes tested "positive" for contamination with concerning bacteria.

July 28, 2016 Lawrence F Muscarella PhD

July 28, 2016 — A manufacturer decided not to warn U.S. hospitals in February 2013 about a certain complex endoscope that reports indicated was unreasonably prone to infecting patients with…

Device Contamination Duke University Health System Ethylene Oxide Gas Sterilization Hydraulic Fluid Prions Simulated In-Use Microbiological Tests Steam Sterilization Surgical Instruments University of North Carolina - Chapel Hill

Impact of Hydraulic Fluid on the Sterilization of Surgical Instruments Were Affected Patients Told of the True Infection Risk?

January 4, 2013 Lawrence F Muscarella PhD

January 4, 2013 — Two community hospitals in North Carolina in 2004 unwittingly used a oil-based hydraulic fluid instead of a detergent to “clean” surgical instruments prior to terminal sterilization…

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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
Adverse Event Reports Candida auris Carbapenem-Resistant Enterobacteriaceae (CRE) Duodenoscopes Endoscope Reprocessing Escherichia coli Gastroscopes MAUDE Medical Device Reports (MDRs) Risk Assessment Single-Use Disposable Devices

Gastroscopes Have Been Linked to A Cluster of Resistant E. coli Infections — Is the Risk Sufficiently Recognized?

January 6, 2023 Lawrence F Muscarella PhD