Latest posts by Lawrence F Muscarella PhD (see all)
- Causal Association Between Duodenoscopes and ‘Superbug’ Infections: Can It Be Proven? Correction of a misquote about causation attributed to Lawrence F. Muscarella, PhD. - August 24, 2016
- At Least 40% of Disinfected Endoscopes, Possibly Colonoscopes, Remained Contaminated, Emails Reveal Discussion of the results of a 2014 North Carolina study. - July 28, 2016
- Questions to Ask Your Doctor Before Undergoing Endoscopy - June 19, 2016
BREAKING — Heater-cooler devices are in the news, again: “Open-heart surgery patients contacted about infection risk” KCCI-8 TV (Des Monies, IL)
Dr. Muscarella: “This risk is national and affects dozens of U.S. hospitals. I wrote about this risk being a national concern two years ago, in 2014. Read my article: ‘Deadly Infections at a South Carolina Hospital in 2014: Was A Heater-Cooler Device To Blame?‘”
- “At Least 40% of Disinfected Endoscopes, Possibly Colonoscopes, Remained Contaminated, Emails Reveal” (Discussions in Infection Control; July 28, 2016)
- “NICU at Maryland hospital closed after discovery of potentially fatal bacteria” — The Washington Post (August 9, 2016)
- “Sharing information is vital to heading off public health threats” — Pittsburgh Tribune-Review (“OP/ED” by Lawrence Muscarella, PhD — August 8, 2016)
- “Those Olympus Scopes” (Pittsburgh Tribune Review Editorial Board; July 26, 2016)
- “Causal Association Between Duodenoscopes and ‘Superbug’ Infections: Can It Be Proven?” — Discussions in Infection Control (August 24, 2016)
- “Ex-Memorial employee sues UCH” — Colorado Springs Independent (August 10, 2016)
- “Colorado Springs hospital didn’t properly clean vaginal ultrasound probes, Health Department investigation finds” — Denver Post (August 9, 2016)
- “Persistence of Microbial Contamination on Transvaginal Ultrasound Probes despite Low-Level Disinfection Procedure: A Brief Review and Recommendation” — Discussions in Infection Control (October 22, 2104)
ALSO JUST IN:
- “Deadly ‘Superbug’ Infections Linked to the Olympus TJF-160F and TJF-160VF Duodenoscopes: My Complete Review of the FDA’s Adverse Event Database.” (“Discussions in Infection Control“)
- “Japanese maker of medical scopes withheld warning of infection, reported emails show.” (Pittsburgh Tribune Review; July 26, 2016)
“Olympus told its U.S. executives no warning about tainted medical scopes was needed, despite superbug outbreaks.” (The Los Angeles Times; July 24, 2016)
Dr. Muscarella’s 5 most recently posted articles:
- Causal Association Between Duodenoscopes and ‘Superbug’ Infections: Can It Be Proven? Correction of a misquote about causation attributed to Lawrence F. Muscarella, PhD.
- At Least 40% of Disinfected Endoscopes, Possibly Colonoscopes, Remained Contaminated, Emails Reveal Discussion of the results of a 2014 North Carolina study.
- Questions to Ask Your Doctor Before Undergoing Endoscopy
- UCLA, Cedars-Sinai Patients Were In “Immediate Jeopardy,” Says State
- At Least 3 Patients Infected with Pseudomonas Die at Pasadena’s Huntington Memorial Hospital
- ‘Superbug’ Infects 9 Patients, 3 Die From Previously Undisclosed Outbreak in Colorado
- Contamination of Heater-Cooler Devices Is Not Limited to One Manufacturer
“Dr. Muscarella, As always, THANK YOU for your efforts and expertise chronicling infection control, transmission, investigations, revelations and insight into solutions. Your site and efforts have single-handedly provided a “One-Stop Go-To” resource allowing medical practitioners, patients, regulators, researchers, stakeholders, attorneys, etc., a most valuable and time-saving reference. You are deserving of the highest award in public service.” — LR, responding to one of Dr. Muscarella’s recent postings. (More testimonials)
ENDOSCOPES IN THE NEWS:
- “Germs cling to hard-to-clean medical scopes, Swedish and other Providence hospitals find” (The Seattle Times; July 3, 2016)
- “What patients undergoing a scope procedure should do” (Allentown Morning Call; June 19, 2016)
- “Questions to ask your doctor before undergoing endoscopy” (Discussions in Infection Control; June 19, 2016)
- Allentown Morning Call: “Lehigh Valley hospitals guard against tainted scopes” (June 19, 2016)
- The York Dispatch: “FDA discusses devices linked to infections in York” (June 15, 2016)
- Bloomberg Business: “Why Is a Hospital Machine Tied to Superbugs Still in Use? The FDA said a device for cleaning endoscopes had to go. Then something weird happened.” (Updated: June 6, 2016)
ALSO NEWS: ‘SUPERBUG’ OUTBREAKS IN THE NEWS —
- Los Angeles (CA): State: UCLA, Cedars-Sinai Patients Were In “Immediate Jeopardy” (Discussions in Infection Control; May 20, 2016)
- Aurora (CO): ‘Superbug’ Infects 9 Patients, 3 Die From Previously Undisclosed Outbreak at University of Colorado Hospital (Discussions in Infection Control; Updated: May 10, 2016)
- Pasadena (CA): Three Infected Patients Die Following Endoscopy at Pasadena’s Huntington Hospital (Discussions in Infection Control; Updated: May 5, 2016)
PAID MEMBERSHIP — This blog is subscription-based and requires a membership. Each newly posted article may be read, free-of-charge, within the first week of its publication. Thereafter, a paid membership is required.
ALSO BREAKING: HEATER-COOLER DEVICES —
- “Contamination of Heater-Cooler Devices Is Not Limited to One Model.” (Discussions in Infection Control; March 23, 2016)
- Investigative report: “A Deadly Bacterial Outbreak at a South Carolina Hospital in 2014: Was A Heater-Cooler Device Responsible?” (Discussions in Infection Control; February 18, 2016)
MORE RECOMMENDED READING —
- Endoscope Washer/Disinfectors by Custom Ultrasonics: Safety Communication – FDA Recommends Health Care Facilities Transition to Alternate Reprocessing Methods (FDA; February 23, 2016)
- Immediate Need for Healthcare Facilities to Review Procedures for Cleaning, Disinfecting, and Sterilizing Reusable Medical Devices. CDC Health Advisory. (CDC; September 11, 2015)
- “Inconsistent Endoscope Reprocessing Instructions Pose a Risk of Serious Hospital Infections” (Discussions in Infection Control — February 3, 2016)
Confidential Quality and Safety Healthcare Services, Risk Assessments, and Legal Reviews for Hospitals, Manufacturers and the Public:
- Click here to read about Dr. Muscarella’s quality and safety services committed to educating and helping hospitals (and manufacturers and patients) reduce the risk of healthcare-associated infections, including those linked to contaminated GI endoscopes and heater-cooler devices, among other types of reusable devices.
SOME OF DR. MUSCARELLA’S PEER-REVIEWED ARTICLES —
- “Risk of transmission of carbapenem-resistant Enterobacteriaceae (CRE) and related ‘superbugs’ during gastrointestinal endoscopy” (Muscarella LF. World Journal of Gastrointestinal Endoscopy 2014 Oct 16;6(10):457-74).
- “Investigation and prevention of infectious outbreaks during endoscopic retrograde cholangiopancreatography” (Muscarella LF. Endoscopy 2010 Nov;42(11):957-9).
- “Other possible causes of a well-publicized outbreak of Pseudomonas aeruginosa following arthroscopy in Texas” (Muscarella LF. Advances in Infectious Diseases 2013)
- “Assessment of the reported effectiveness of five different quality improvement initiatives for the prevention of central line-associated bloodstream infections in intensive care units” (Open Epidemiology Journal 2012)
- “Medical errors, infection-control breaches and the use of adulterated and nisbranded medical devices” (Muscarella LF. World J Clin Infect Dis 2012 April 25; 2(2): 13-27).
SEARCH: Click here to search within this blog for a posting about a specific topic.
MORE RECOMMENDED READING —
- “Information about Automated Endoscope Reprocessors (AERs) and FDA’s Evaluation” (FDA — February 2016)
- Senator Murray’s “Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients.” (Discussions in Infection Control — January 13, 2016)
- ‘Updated’ Guidance for the Prevention of Transmission of ‘CRE’ and Other Multidrug-Resistant ‘Superbugs’ during Gastrointestinal Endoscopy, 2o15” (LF Muscarella)
Olympus recalls the “sealed” TJF-Q180V duodenoscope
- “Olympus recalls the ‘sealed’ Olympus TJF-Q180V duodenoscope” (Discussions in Infection Control)
- FAQs: Olympus: Duodenoscope Frequently Asked Questions (Olympus America)
FDA clears a modified TJF-Q180V duodenoscope
- “FDA clears a modified Olympus TJF-Q180V duodenoscope” (Discussions in Infection Control — January 15, 2016)
A sample of Dr. Muscarella’s Live (and taped) TV-news broadcasts include:
CNN | NBC’s The Today Show | NBC’s Nightly News with Lester Holt | ABC World News Tonight | CBS Evening News with Scott Pelley | CBS News 3 (Philadelphia, PA) | WFMZ’s 69News (Allentown, PA) | Huffington Post Live | Wall Street Journal Live | CBS Los Angeles | WSOC-TV (NC) | Al Jazeera America
A sample of Dr. Muscarella’s radio interviews and comments in newspaper articles 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
These outbreaks at UCLA and other hospitals could collectively be the most significant instance of disease transmission ever linked to a contaminated reusable medical instrument. — Lawrence F Muscarella, PhD, a hospital-safety consultant in Montgomeryville, Pennsylvania as quoted in The LA Times (February 18, 2015)
SERVICE: For a listing of Dr. Muscarella’s quality healthcare services, including audits, click here.
CONTACT: Click here to contact Dr. Muscarella.
FOLLOW: Follow Dr. Muscarella on Twitter at @MuskiePhD
Lawrence F Muscarella PhD is the owner of LFM Healthcare Solutions, LLC, a Pennsylvania-based quality improvement and consulting company that provides safety services for hospitals, manufacturers and the public. Email Dr. Muscarella for more details.
Disclaimer: LFM Healthcare Solutions, LLC, owns, publishes, and is solely responsible for the content of “Discussions in Infection Control.” © Copyright 2013-2016. All Rights Reserved.