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: Carbapenem-Resistant Enterobacteriaceae (CRE)

522 Order Carbapenem-Resistant Enterobacteriaceae (CRE) Colistin-Resistant Bacteria High-Level Disinfection MCR-1 gene Semicritical Devices Sterilization Superbugs

Sterilization of Duodenoscopes Found to Terminate ‘Superbug’ Outbreaks Other effective measures include returning the endoscope to the manufacturer for servicing.

October 3, 2019 Lawrence F Muscarella PhD

Measures healthcare facilities have adopted to prevent additional infections after associating use of a duodenoscope with a “superbug” outbreak are discussed in an article recently published in the peer-reviewed journal…

522 Order Carbapenem-Resistant Enterobacteriaceae (CRE) High-Level Disinfection Semicritical Devices Spaulding's Device Classification Sterilization Superbugs

New Guidance for Hospitals Considering the Sterilization of Flexible Endoscopes A newly developed 3-tiered classification scheme based on the risk of multidrug-resistant infections is discussed.

May 30, 2019 Lawrence F Muscarella PhD

May 30, 2019 — New guidance designed to help medical facilities considering replacing high-level disinfection with sterilization of flexible endoscopes, including duodenoscopes, has just been published. This guidance is based…

Carbapenem-Resistant Enterobacteriaceae (CRE) Colistin Colonoscopes Klebsiella pneumoniae MCR-1 gene Medical Device Reports (MDRs) Superbugs

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.

January 10, 2019 Lawrence F Muscarella PhD

January 10, 2019 — Infections caused by a nightmarish superbug have been identified following exposure to a colonoscope, according to two related regulatory reports filed last month. On December 7th,…

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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