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.
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.
Consulting Services — LFM-Healthcare Solutions, LLC provides medical expertise and solutions for hospitals, manufacturers, and the public, specializing in healthcare-associated infections linked to medical equipment. Services include litigation support. Years of experience. Reasonable rates.
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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.
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