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: O-ring Contamination

Bronchoscopes Carbapenem-Resistant Enterobacteriaceae (CRE) Colistin-Resistant Bacteria Device Recalls Duodenoscopes Endoscope Reprocessing Klebsiella pneumoniae Medical Device Reports (MDRs) Multidrug Resistant Strains O-ring Contamination Pseudomonas aeruginosa Superbugs

A Bronchoscope is Linked Again in the U.S. to an Outbreak of the Feared ‘CRE’ Superbug Is enough being done to improve safety? The recall of several bronchoscope models is also discussed.

October 1, 2018 Lawrence F Muscarella PhD

October 1, 2018 (updated: Oct. 5, 2018; edited: Oct. 8, 2020) — A bronchoscope’s use has been linked again to a “superbug” outbreak, this time involving “multiple patients,” according to…

Bronchoscopes Carbapenem-Resistant Enterobacteriaceae (CRE) Endoscope Design Endoscope Reprocessing Endoscopic Ultrasound (EUS) O-ring Contamination Superbugs

A Bronchoscope Was Linked to a ‘Superbug’ Outbreak in 2014 CRE outbreaks linked to bronchoscopes may be under-recognized.

July 21, 2015 Lawrence F Muscarella PhD

July 21, 2015 — A bronchoscope has been linked to 14 patients who tested “positive” for CRE and pan-susceptible Pseudomonas aeruginosa, according to a regulatory report filed with the FDA…

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Biofilms Bronchoscopes Carbapenem-Resistant Enterobacteriaceae (CRE) Colonoscopes Design Control Endoscope Design Endoscopic Retrograde Cholangiopancreatography (ERCP) Endoscopic Ultrasound (EUS) Escherichia coli Ethylene Oxide Gas Sterilization High-Level Disinfection Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization O-ring Contamination Quality System Regulation Shelf Life, Storage Transparency

Investigation and Prevention of ‘Superbug’ Outbreaks Following Endoscopy

January 9, 2014 Lawrence F Muscarella PhD

May 11, 2013 — Gastrointestinal (GI) endoscopes and other types of flexible endoscopes may become contaminated with infectious materials during their routine clinical use. The rigorous, prompt and thorough reprocessing…

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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

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January 6, 2023 Lawrence F Muscarella PhD