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: Bedside Cleaning

Ambulatory Surgery Centers Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Bedside Cleaning Best Practices Carbapenem-Resistant Enterobacteriaceae (CRE) Cystoscopes Flexible "ENT" Laryngoscopes Glutaraldehyde Hepatitis (B and C) Viruses HIV Instrument Reprocessing Joint Commission (JCAHO) Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae ortho-phthalaldehyde Patient Notification Pseudomonas aeruginosa Risk Management Serratia spp. Sheaths Transparency

Risk of Disease Transmission during Cystoscopy: Discussion of a Specific Error in Maine

December 6, 2013 Lawrence F Muscarella PhD

December 5, 2013 —A hospital in Maine (USA) confirmed today a medical error — namely, that it had been improper cleaning cystoscopes after their use during certain urological procedures. This…

Bedside Cleaning Device Classifications Device Contamination Disease Transmission Disinfection Endoscope Reprocessing Escherichia coli Flexible "ENT" Laryngoscopes Hepatitis (B and C) Viruses High-Level Disinfection Infection Prevention Instrument Drying Intermediate-Level Disinfection Pseudomonas aeruginosa Rigid Laryngoscopes Semicritical Devices Serratia spp. Sheaths Sterilization

California Health Alert: Failure to Disinfect Reusable Semicritical Instrumentation Poses an Increased Risk of Infection

September 16, 2013 Lawrence F Muscarella PhD

September 16, 2013 — In 2007 the Health and Human Services Agency Department of Health Services for the state of California advised facility administrators and infection prevention and control professionals,…

Bedside Cleaning Byrne Medical Central Sterile Processing Checklists Colonoscopes Colonoscopy Delayed Reprocessing Disease Transmission Disposable Irrigation Tubing Endoscopic Retrograde Cholangiopancreatography (ERCP) ERBE Esophagogastroduodenoscopy (EGD) Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Medical Errors Medivators Misbranded Devices Product Labeling Quality Assurance Quality System Regulation Reusable Biopsy Valves Risk Assessment Single-Use Disposable Devices Sterility Sterilization STERIS The Reuse of Single-Use Devices US Endoscopy Veterans Health Administration

“Disposable” Irrigation Tubing Used During Gastrointestinal Endoscopy A review of several marketed irrigating tubing kits.

August 15, 2013 Lawrence F Muscarella PhD

August 15, 2013 (updated: January 27, 2015) — This article by Dr. Muscarella is the 2nd in a series of three that discusses disposable tubing used for irrigation during gastrointestinal…

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January 24, 2024 Lawrence F Muscarella PhD
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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