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: Veterans Health Administration

Advocate Lutheran General Hospital Antibiotic-Resistant Bacteria Automated Endoscope Reprocessors Biofilms Carbapenem-Resistant Enterobacteriaceae (CRE) Colonoscopes Colonoscopy Design Control Disease Transmission Disinfection Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Escherichia coli Esophagogastroduodenoscopy (EGD) Ethylene Oxide Gas Sterilization Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Glutaraldehyde High-Level Disinfection Klebsiella pneumoniae Klebsiella pneumoniae carbapenemase]-producing K. pneumoniae Low-Temperature Sterilization Patient Notification Quality Assurance Quality System Regulation Root Causes Analysis Shelf Life, Storage Transparency Veterans Health Administration

Risk of Transmission of Superbugs during Gastrointestinal Endoscopy

October 16, 2014 Lawrence F Muscarella PhD

Click here (PDF format) or here (HTML format) to read Dr. Muscarella’s “Risk of transmission of carbapenem-resistant Enterobacteriaceae and related ‘superbugs’ during gastrointestinal endoscopy” (World J Gastrointest Endosc 2014; 6(10):457-474.)…

Aseptic Technique Best Practices Colonoscopes Colonoscopy Disease Transmission Endoscope Reprocessing Esophagogastroduodenoscopy (EGD) Fungal infections Gastrointestinal Endoscopy GI Endoscopes Healthcare Quality, Safety Healthcare-Acquired Infections Hepatitis (B and C) Viruses HIV Infection Prevention Legionella Legionnaires' Disease Multi-Dose Medicine Vials Outbreak Investigations Patient Notification Published Infection Rates Quality Assurance Single-Dose Medicine Vials Sterility Syringes or Needles Transparency Veterans Health Administration

Recent Cases of Infection during GI Endoscopy and Other Surgical Procedures: A Focus on Patient Notification

September 30, 2014 Lawrence F Muscarella PhD

September 30, 2014 — This article discusses a number of recent instances of transmission of the hepatitis C virus and other infectious agents during gastrointestinal (GI) endoscopy and other surgical…

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…

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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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