COVID-19 (in the context of infection prevention during GI endoscopy and bronchoscopy):
- “SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients” — NEJM (March 19, 2020)
- “Study: COVID-19 Is Also Spread by Fecal-Oral Route” — Medpage Today (March 9, 2020)
- “Viral RNA is detectable in fecal samples from suspected cases, indicating that the virus sheds into the stool.”
- “It is a potentially important finding of relevance to the emergence of COVID-19 globally, but the exact extent of gastrointestinal transmission of the virus remains unclear.”
- Click here for more information about COVID-19.
Just in …
- “Even After Reprocessing, Many Scopes Stay Dirt” — Gastroenterology and Endoscopy News (March 18, 2020)
- “A $100,000 cleaning machine? A ‘silver bullet’ disinfectant? Businesses cash in on coronavirus panic at schools” — USA TODAY (March 8, 2020)
- On February 25, 2020, the FDA cleared a new version of the LivaNova Heater-Cooler 3T System featuring changes to help reduce the risk of patient infections (Clearance code: K191402).
- Also on February 25, 2020, the FDA published the safety communication: “FDA: “UPDATE: Reduce the Risk of Cardiac Surgery Infection While Using the LivaNova Heater-Cooler System 3T.”
- The previous day (February 24, 2020), LivaNova released an “Urgent Device Correction: Mitigating Potential Cardiac Surgery Infection Risks.
- The 3T’s updated Operating Instructions (Version 21) can be read by clicking here.
- Also read the FDA’s “Recommendations for the Use of Any Heater Cooler Device.” (Content current as of 02/25/2020)
Dr. Muscarella’s 5 most recent postings —
- Do Bronchoscopes Pose a Risk of Transmitting ‘Superbugs’?
- Sterilization of Duodenoscopes Found to Terminate ‘Superbug’ Outbreaks Other effective measures include returning the endoscope to the manufacturer for servicing.
- New Guidance for Hospitals Considering the Sterilization of Flexible Endoscopes A newly developed 3-tiered classification scheme based on the infection risk is discussed.
- A Colonoscope is Linked to Two Infections of the Nightmarish ‘CRE’ Superbug. Colonoscopy could now also be a risk factor for infection, in addition to ERCP and bronchoscopy.
- A Bronchoscope is Linked Again in the U.S. to an Outbreak of the Feared ‘CRE’ Superbug Safety Notice: Is enough being done to improve the safety of bronchoscopes? And, several bronchoscope models are recalled.
JUST IN, Dr. Muscarella discussing disposable duodenoscopes, mold in hospitals and an organ transplant mistake:
- Los Angeles Times: “Disposable medical scope approved by FDA to stop superbug infections.” December 16, 2019.
- Seattle Times: “Before mea culpa, Children’s was confident its air systems weren’t source of infection.” November 26, 2019.
- CBS Philly 3 News: “EXCLUSIVE: Lourdes Hospital Transplant Center Admits Giving Wrong Person Kidney Transplant.” November 26, 2019.
Expert Consulting, Forensic Services — LFM-Healthcare Solutions, LLC provides medical expertise and solutions for healthcare facilities, device manufacturers and patients, specializing in the causes and prevention of healthcare-associated infections (HAIs) linked to contaminated medical equipment. Years of experience, reasonably priced services. Click here.
ALSO JUST IN, Dr. Muscarella discussing infections linked to mycobacteria (“NTM”) in hospital water supplies:
- WCNC (NBC Charlotte, NC): “Bacteria from hospital water is killing patients” — YouTube (entire aired story). November 20, 2019.
- WCNC (NBC Charlotte, NC): “Hospital water can make patients ill, but most don’t have to report infections” — video and text. November 13, 2019.
- WCNC (NBC, Charlotte, NC): “They went to the hospital for help and the water sickened them” — video and text. November 12, 2019.
Other hospital infections in the news:
New York Times: “New York Identifies Hospitals and Nursing Homes With Deadly Fungus.” November 13, 2019.
NBC News: “Bacteria that killed 3 infants traced to Pennsylvania hospital equipment.” November 8, 2019.
- Danville News: “Officials looking into source of bacteria.” October 10, 2019.
FDA 2-day panel meeting discussing ethylene oxide (EO) gas sterilization of medical instruments:
- 1st Day Webcast — November 6, 2019: Click here
- 2nd Day Webcast — November 7, 2019: Click here
- A Proposed Paradigm Shift Regarding How We Clean Endoscopes
- Gastroenterology & Endoscopy News: “Which Flexible Scopes Really Need Sterilization?” (Oct. 23, 2019)
- Running Out of Runway — A Podcast: Dr. Lawrence Muscarella’s talks about “Building a Case for a Paradigm Shift in Endoscope Reprocessing” (Produced by Beyond Clean; Oct. 28, 2019)
Also Just In
- “Study: Flexible Bronchoscopes Pose Under-Recognized Potential for MDRO Transmission” (A blog by Ambu Inc.)
- “Sterilization of Duodenoscopes Found to Terminate ‘Superbug’ Outbreaks” (Discussions in Infection Control)
- Coming soon! A discussion about the risk of bronchoscopes transmitting “superbugs”
Dr. Muscarella’s recent peer-reviewed articles:
- Muscarella LF. Use of ethylene-oxide gas sterilisation to terminate multidrug-resistant bacterial outbreaks linked to duodenoscopes. BMJ Open Gastro August 2019.
- Mehta AC, Muscarella LF. Bronchoscope-Related “Superbug” Infections. CHEST August 2019.
- Muscarella LF. Risk of transmission of carbapenem-resistant Enterobacteriaceae and related “superbugs” during gastrointestinal endoscopy. World J Gastrointest Endosc October 2014.
Infection Prevention … In the News
- New York Times (Aug. 6, 2019): “Why Are These Medical Instruments So Tough to Sterilize?”
- Reuters (Aug. 30, 2019): “Oklahoma hospital used dirty gastroscopes on almost 1,000 patients; no infections reported“
- Daily Item (Oct. 10, 2019): “Officials looking into source of bacteria“
Dr. Muscarella’s other relevant peer-reviewed articles:
- Muscarella LF. Infection control and its application to the administration of intravenous medications during gastrointestinal endoscopy. Am J Infect Control 2004 Aug;32(5):282-6.
- Muscarella LF. The study of a contaminated colonoscope. Clin Gastroenterol Hepatol. 2010 Jul;8(7):577-80.e1.
- Nelson DB, Muscarella LF. Current issues in endoscope reprocessing and infection control during gastrointestinal endoscopy. World J Gastroenterol 2006 Jul 7;12(25):3953-64.
- Muscarella LF; New York State health officials. Recommendations for preventing hepatitis C virus infection: analysis of a Brooklyn endoscopy clinic’s outbreak. Infect Control Hosp Epidemiol 2001 Nov;22(11):669.
Significant “Firsts” — Click here for a list of some of the salient infection risks and identified adverse events reported “first” by Discussions in Infection Control.
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Dr. Muscarella has provided expert guidance on the following TV news programs — CNN | NBC’s The Today Show | NBC’s Nightly News with Lester Holt | ABC World News Tonight | CBS Evening News with Scott Pelley | Wall Street Journal Live | WWL-TV News (New Orleans, LA) | CNC-TV News (NBC, Charlotte, NC)
Some of Dr. Muscarella’s radio interviews and quotes in the press include — USA TODAY | New York Times | CNN | The Washington Post | Wall Street Journal | CBS News Radio (Los Angeles, CA) | Philadelphia Inquirer | Los Angeles Times | Bloomberg Business | NPR Radio (Los Angeles) | The Los Angeles Times | Scientific America | The Seattle Times | Reuters | Highlands Today | The Palm Beach Post | MassLive! | Los Angeles Times | Bloomberg Business | Newsweek | Al Jazeera America | KNX-1070 NewsRadio | CBS News 3 | CBS News 2 | ABC6 On-Your-Side | The Associated Press | The San Francisco Chronicle | WSOC-TV Eyewitness News | Reuters | The Los Angeles Times | USA TODAY | The Seattle Times | The Iowa City Gazette | NJ.com | The Philadelphia Inquirer | Winston-Salem Journal | Wall Street Journal | San Juan Weekly
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Disclaimer — Lawrence F Muscarella PhD is the owner of LFM Healthcare Solutions, LLC, a Pennsylvania-based quality improvement and consulting company that has provides safety services for hospitals, manufacturers and the public since 2013.
LFM Healthcare Solutions, LLC, owns, publishes, and is solely responsible for the content of “Discussions in Infection Control.” © Copyright 2013-2019. All Rights Reserved.