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: Disease Transmission

Advocate Lutheran General Hospital Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Disease Transmission Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Medical Device Reports (MDRs) Olympus TJF-Q180V Outbreak Investigations Ronald Reagan Medical Center (UCLA) Superbugs Virginia Mason Medical Center

A 2015 ‘Superbug’ Outbreak in North Carolina: Were Contaminated Duodenoscopes to Blame?

July 16, 2015 Lawrence F Muscarella PhD

June 15, 2015 — The Mountain Xpress, a local newspaper in Asheville (NC), reported earlier this week that two patients died in February at a hospital in North Carolina “from…

Carbapenem-Resistant Enterobacteriaceae (CRE) Design Control Device Contamination Disease Transmission Dr. Drew Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Endoscopic Ultrasound (EUS) Superbugs

HLN-TV NEWS: “Dr. Drew responds to ‘superbug’ health scare” — Dr. Muscarella’s Reply

March 10, 2015 Lawrence F Muscarella PhD

Dr. Muscarella’s following comments and perspectives are in reply to HLN-TV’s recent article: Dr. Drew responds to ‘superbug’ health scare | HLNtv.com (March 9, 2015) HLN-TV (a national television network)…

Aseptic Technique Biological Indicators Carbapenem-Resistant Enterobacteriaceae (CRE) Critical Device Classifications Disease Transmission Endoscope Reprocessing Flexible "ENT" Laryngoscopes Food and Drug Administration High-Level Disinfection Hydraulic Fluid Infection Prevention Instrument Drying Intermediate-Level Disinfection Liquid Chemical Sterilization Low-Level Disinfection Noncritical Ophthalmic Instruments Patty Murray (U.S. Senator) Rigid Laryngoscopes Semicritical Devices Skin Electrodes (Reusable) Sterility Sterilization Toxic Anterior Segment Syndrome

Response to the FDA’s Draft Guidance Document on the Reprocessing of Reusable Medical Devices

February 7, 2015 Lawrence F Muscarella PhD

February 5, 2015 — This article presents Dr. Muscarella’s response submitted in August 2011 to the federal Food and Drug Administration (FDA), in reply to the Agency’s request earlier that…

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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