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: HIV

adenosine triphosphate (ATP) Auxiliary Water Channel Biofilms 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

Response to a Report about GI Endoscopes Remaining Contaminated despite Cleaning

June 25, 2013 Lawrence F Muscarella PhD

This posting by Lawrence F Muscarella, PhD, provides his response to a recent report that gastrointestinal (GI) endoscopes may remain contaminated with patient materials after cleaning, posing an increased risk…

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…

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Adverse Event Reports Case Reviews Colonoscopes Colonoscopy Endoscope Reprocessing Risk Assessment Salmonella

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January 24, 2024 Lawrence F Muscarella PhD
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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