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: Infection Prevention

Adulterated Devices Ambulatory Surgery Centers Aseptic Technique Association of periOperative Registered Nurses Automated Endoscope Reprocessors Biological Indicators Central Sterile Processing Chemical Indicators Design Control Device Recalls Endoscope Reprocessing Flash Sterilization Flash Sterilization Food and Drug Administration Immediate-Use Steam Sterilization Infection Prevention Instrument Drying Instrument Reprocessing Liquid Chemical Sterilization Low-Temperature Sterilization Misbranded Devices Monitoring Rinse Water Operating Rooms Product Labeling Steam Sterilization STERIS STERIS System 1 STERIS System 1E Water Filtration

The STERIS System 1E Liquid Chemical Sterilant Processing System: Looking Back and Forward

November 7, 2014 Lawrence F Muscarella PhD

July 1, 2015 — Almost four years ago, on April 5, 2010, the Food and Drug Administration (FDA) cleared the STERIS System 1E Liquid Chemical Sterilant Processing System, or “SS1E,”…

Aseptic Technique Best Practices Colonoscopes Colonoscopy Disease Transmission Endoscope Reprocessing Esophagogastroduodenoscopy (EGD) Fungal infections Gastrointestinal Endoscopy GI Endoscopes Healthcare Quality, Safety Healthcare-Acquired Infections Hepatitis (B and C) Viruses HIV Infection Prevention Legionella Legionnaires' Disease Multi-Dose Medicine Vials Outbreak Investigations Patient Notification Published Infection Rates Quality Assurance Single-Dose Medicine Vials Sterility Syringes or Needles Transparency Veterans Health Administration

Recent Cases of Infection during GI Endoscopy and Other Surgical Procedures: A Focus on Patient Notification

September 30, 2014 Lawrence F Muscarella PhD

September 30, 2014 — This article discusses a number of recent instances of transmission of the hepatitis C virus and other infectious agents during gastrointestinal (GI) endoscopy and other surgical…

Centers for Disease Control and Prevention Centers for Medicare and Medicaid Services (CMS) Flash Sterilization Healthcare Quality, Safety Healthcare-Acquired Infections Immediate-Use Steam Sterilization Infection Prevention Sterilization Toxic Anterior Segment Syndrome

Flash or Immediate Use Steam Sterilization: A Position Statement

August 22, 2014 Lawrence F Muscarella PhD

This article presents the position of Lawrence F Muscarella, PhD, on the use of “immediate-use steam sterilization” (IUSS), historically known as “flash sterilization,” to process surgical instruments in or near…

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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