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: Quality System Regulation

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…

Bedside Cleaning Byrne Medical Central Sterile Processing Checklists Colonoscopes Colonoscopy Delayed Reprocessing Disease Transmission Disposable Irrigation Tubing Endoscopic Retrograde Cholangiopancreatography (ERCP) ERBE Esophagogastroduodenoscopy (EGD) Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Medical Errors Medivators Misbranded Devices Product Labeling Quality Assurance Quality System Regulation Reusable Biopsy Valves Risk Assessment Single-Use Disposable Devices Sterility Sterilization STERIS The Reuse of Single-Use Devices US Endoscopy Veterans Health Administration

“Disposable” Irrigation Tubing Used During Gastrointestinal Endoscopy A review of several marketed irrigating tubing kits.

August 15, 2013 Lawrence F Muscarella PhD

August 15, 2013 (updated: January 27, 2015) — This article by Dr. Muscarella is the 2nd in a series of three that discusses disposable tubing used for irrigation during gastrointestinal…

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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