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: Shelf Life, Storage

Automated Endoscope Reprocessors Bedside Cleaning Biofilms Delayed Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Esophagogastroduodenoscopy (EGD) High-Level Disinfection Pseudomonas aeruginosa Shelf Life, Storage

Best Practices for Reprocessing Gastrointestinal Endoscopes: Two Questions and Answers

May 11, 2013 Lawrence F Muscarella PhD

April 5, 2013 — Below, I respond to two questions about the reprocessing of gastrointestinal (GI) endoscopes: “It is an acceptable practice for a GI endoscopy unit to pre-clean the…

Bronchoscopes Colonoscopes Endoscopic Retrograde Cholangiopancreatography (ERCP) GI Endoscopes Investors Business Daily Legionella Monitoring Rinse Water Pseudo Infections Pseudomonas aeruginosa Shelf Life, Storage

Infections of Pseudomonas aeruginosa Following Flexible Endoscopy: Did the CDC Get it Right?

April 10, 2013 Lawrence F Muscarella PhD

April 10, 2013 — This article discusses bacterial outbreaks linked to flexible endoscopes contaminated with waterborne microorganisms, including bronchoscopes contaminated with Pseudomonas aeruginosa. The importance of drying the endoscope’s channels…

Bronchoscopes Endoscope Drying Endoscopic Retrograde Cholangiopancreatography (ERCP) GI Endoscopes Investors Business Daily Legionella Monitoring Rinse Water Pseudo Infections Pseudomonas aeruginosa Shelf Life, Storage Sterility Water Filtration

Infections of Pseudomonas aeruginosa linked to Flexible Endoscopes: The Importance of Endoscope Drying

April 3, 2013 Lawrence F Muscarella PhD

This article discusses concerns about the re-contamination of flexible endoscopes with opportunistic, waterborne microorganisms, including Pseudomonas aeruginosa, following their immersion in a high-level disinfectant or liquid chemical sterilant, which is…

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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