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: Risk Assessment

Automated Endoscope Reprocessors Carbapenem-Resistant Enterobacteriaceae (CRE) Custom Ultrasonics Duodenoscopes Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Form 483 Medical Device Reports (MDRs) Olympus TJF-Q180V Risk Assessment Ronald Reagan Medical Center (UCLA)

A ‘Trickle-Down Effect’: The Potential Impact of the FDA’s Warning About Endoscope Safety on Automated Endoscope Reprocessors

August 21, 2015 Lawrence F Muscarella PhD

August 19, 2015 — Late last week the FDA “warned” FujiFilm, Olympus and Pentax — the manufacturers of virtually every gastrointestinal endoscope used in the U.S. — for failing to…

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria carbapenem Carbapenem-Resistant Enterobacteriaceae (CRE) Carbapenems Centers for Disease Control and Prevention Custom Ultrasonics Disease Transmission Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Escherichia coli Ethylene Oxide Gas Sterilization Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization Medical Errors Outbreak Investigations Patient Notification Pentax Risk Assessment Risk Management Veterans Health Administration

Lessons Taught by a Recent “Superbug” Outbreak: Could ‘Ex Post Facto’ Notification be Warranted?

January 21, 2014 Lawrence F Muscarella PhD

April 21, 2014 — Advocate Lutheran General Hospital (Park Ridge, IL) in 2013 linked multiple patient infections and colonizations of carbapenem-resistant Enterobacteriaceae, or “CRE,” to contaminated gastrointestinal (GI) endoscopes. This…

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
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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