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: Superbugs

522 Order Carbapenem-Resistant Enterobacteriaceae (CRE) High-Level Disinfection Semicritical Devices Spaulding's Device Classification Sterilization Superbugs

New Guidance for Hospitals Considering the Sterilization of Flexible Endoscopes A newly developed 3-tiered classification scheme based on the risk of multidrug-resistant infections is discussed.

May 30, 2019 Lawrence F Muscarella PhD

May 30, 2019 — New guidance designed to help medical facilities considering replacing high-level disinfection with sterilization of flexible endoscopes, including duodenoscopes, has just been published. This guidance is based…

Carbapenem-Resistant Enterobacteriaceae (CRE) Colistin Colonoscopes Klebsiella pneumoniae MCR-1 gene Medical Device Reports (MDRs) Superbugs

A Colonoscope is Linked to Two Infections of the Nightmarish ‘CRE’ Superbug | Colonoscopy could now also be a risk factor for infection, in addition to ERCP and bronchoscopy.

January 10, 2019 Lawrence F Muscarella PhD

January 10, 2019 — Infections caused by a nightmarish superbug have been identified following exposure to a colonoscope, according to two related regulatory reports filed last month. On December 7th,…

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…

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17 U.S. Patients Were Exposed in December to a Colonoscope Contaminated with Salmonella Bacteria, FDA Reports Reveal

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