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: Hepatitis (B and C) Viruses

Automated Endoscope Reprocessors Auxiliary Water Channel Best Practices Bronchoscopes Case Study Colonoscopes Disease Transmission Disinfection Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Joint Commission (JCAHO) MAJ-855 Water Tube Medical Errors Risk Assessment Risk Management Root Causes Analysis Semicritical Devices

Root Cause Analysis of an Endoscope-Reprocessing Breach

April 30, 2013 Lawrence F Muscarella PhD

Initial remarks: This blog, which was written by Lawrence F. Muscarella, Ph.D. and is divided into 2 parts, discusses: a confirmed infection-control breach in a hospital’s Endoscopy Unit; the employment…

Auxiliary Water Channel Colonoscopes Disease Transmission Disposable Irrigation Tubing Gastrointestinal Endoscopy Hepatitis (B and C) Viruses HIV Infection Prevention MAJ-855 Water Tube Veterans Health Administration

Improper Use and Reprocessing of a Gastrointestinal Endoscope’s Auxiliary Water System

April 8, 2013 Lawrence F Muscarella PhD

August 16, 2013 — In December, 2008, clinicians identified an adverse event at the Veterans Administration Medical Center (VAMC) in Murfreesboro (TN) that sparked a national discussion about the quality…

Auxiliary Water Channel Bronchoscopes Colonoscopes Disease Transmission Disinfection Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Los Angeles Times MAJ-855 Water Tube Pseudomonas aeruginosa Semicritical Devices

Recommendations to Prevent Infections Associated with Improperly Reprocessed Reusable Medical Equipment

February 27, 2013 Lawrence F Muscarella PhD

January 3, 2013 — This article by Lawrence F Muscarella, PhD, discusses a number of infection-control breaches identified at several medical facilities within the past few years. This article acknowledges…

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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