Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-28T10:13:27.056Z Has data issue: false hasContentIssue false

Lessons Learned From Outbreaks and Pseudo-Outbreaks Associated with Bronchoscopy

Published online by Cambridge University Press:  02 January 2015

David J. Weber*
Affiliation:
Department of Medicine, University of North Carolina Medical School, and Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
William A. Rutala
Affiliation:
Department of Medicine, University of North Carolina Medical School, and Department of Hospital Epidemiology, University of North Carolina Health Care, Chapel Hill, North Carolina
*
2163 Bioinformatics, CB #7030, Chapel Hill, NC, 27599-7030 ([email protected])

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Commentary
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Yarmus, L, Feller-Kopman, D. Bronchoscopes of the twenty-first century. Clin Chest Med 2010;31(1):1927.CrossRefGoogle ScholarPubMed
2. Owings, MF, Kozak, LJ. Ambulatory and Inpatient Procedures in the United States, 1996. Vital and Health Statistics Series 13, no. 139. Hyattsville, MD: National Center for Health Statistics; 1998.Google ScholarPubMed
3. DeFrances, CJ, Lucas, CA, Buie, VC, Golosinskiy, A. 2006 national hospital discharge survey. National Health Statistics Reports no. 5. Hyattsville, MD: National Center for Health Statistics; 2008.Google ScholarPubMed
4. Cullen, KA, Hall, MJ, Golosinskiy, A. Ambulatory surgery in the United States, 2006. National Health Statistics Reports no. 11. Hyattsville, MD: National Center for Health Statistics; 2009.Google Scholar
5. Dooms, C, Seijo, L, Gasparini, S, Trisolini, R, Ninane, V, Tournoy, KG. Diagnostic bronchoscopy: state of the art. Eur Respir Rev 2010;19(117):229236.CrossRefGoogle ScholarPubMed
6. Haas, AR, Vachani, A, Sterman, DH. Advances in diagnostic bronchoscopy. Am J Respir Crit Care Med 2010;182(5):589597.CrossRefGoogle ScholarPubMed
7. Ross, AR, Ferguson, JS. Advances in interventional pulmonology. Curr Opin Anaesthesiol 2009;22(1):1117.CrossRefGoogle ScholarPubMed
8. Spach, DH, Silverstein, FE, Stamm, WE. Transmission of infection by gastrointestinal endoscopy and bronchoscopy. Ann Intern Med 1993;118(2):117128.CrossRefGoogle ScholarPubMed
9. Weber, DJ, Rutala, WA. Lessons from outbreaks associated with bronchoscopy. Infect Control Hosp Epidemol 2001;22(7):403408.CrossRefGoogle ScholarPubMed
10. Cosgrove, SE, Ristaino, P, Caston-Gaa, A, et al. Caveat emptor: the role of suboptimal bronchoscope repair practices by a third-party vendor in a pseudo-outbreak of Pseudomonas in bronchoalveolar lavage specimens. Infect Control Hosp Epidemiol 2012;33(3):224229 (in this issue).CrossRefGoogle Scholar
11. Rosengarten, D, Block, C, Hidalgo-Grass, C, et al. Cluster of pseudo-infections with Burkholderia cepacia associated with a contaminated washer-disinfector in a bronchoscopy unit. Infect Control Hosp Epidemiol 2010;31(7):769771.CrossRefGoogle Scholar
12. Centers for Disease Control and Prevention (CDC). Pseudo-outbreak of Legionnaires disease among patients undergoing bronchoscopy—Arizona, 2008. MMWR 2009;58(31):849854.Google Scholar
13. Schuetz, AN, Hughes, RL, Howard, RM, et al. Pseudo-outbreak of Legionella pneumophila serogroup 8 infection associated with a contaminated ice machine in a bronchoscopy suite. Infect Control Hosp Epidemiol 2009;30(5):461466.CrossRefGoogle Scholar
14. Chroneou, A, Zimmerman, SK, Cook, S, et al. Molecular typing of Mycobacterium chelonae isolates from a pseudo-outbreak involving an automated bronchoscope washer. Infect Control Hosp Epidemiol 2008;29(11):10881090.CrossRefGoogle ScholarPubMed
15. DiazGranados, CA, Jones, MY, Kongphet-Tran, T, et al. Outbreak of Pseudomonas aeruginosa infection associated with contamination of a flexible bronchoscope. Infect Control Hosp Epidemiol 2009;30(6):550555.CrossRefGoogle ScholarPubMed
16. Schaffer, K, Fitzgerald, SF, Commane, M, Majuiness, A, Fenelon, LE. A pseudo-outbreak of Fusarium solani in an intensive care unit associated with bronchoscopy. J Hosp Infect 2008;69(4):400402.CrossRefGoogle Scholar
17. Shimono, N, Takuma, T, Tsuchimochi, N, et al. An outbreak of Pseudomonas aeruginosa infections following thoracic surgeries occurring via the contamination of bronchoscopes and an automatic endoscope reprocessor. J Infect Chemother 2008;14(6):418423.CrossRefGoogle Scholar
18. Ahn, GY, Yu, FN, Jang, SJ, et al. Pseudo-outbreak of Stenotrophomonas maltophilia due to contamination of bronchoscope [in Korean]. Korean J Lab Med 2007;27(3):205209.Google ScholarPubMed
19. Bou, R, Aguilar, A, Perpiñán, J, et al. Nosocomial outbreak of Pseudomonas aeruginosa infections related to a flexible bronchoscope. J Hosp Infect 2006;64(2):129135.CrossRefGoogle ScholarPubMed
20. Corne, P, Godreuil, S, Jean-Pierre, H, et al. Unusual implication of biopsy forceps in outbreaks of Pseudomonas aeruginosa infections and pseudo-infections related to bronchoscopy. J Hosp Infect 2005;61(1):2026.CrossRefGoogle ScholarPubMed
21. Cêtre, J-C, Nicolle, M-C, Salord, H, et al. Outbreaks of contaminated broncho-alveolar lavage related to intrinsically defective bronchoscopes. J Hosp Infect 2005;61(1):3945.CrossRefGoogle ScholarPubMed
22. Larson, JI, Lambert, L, Stricof, RL, Driscoll, J, McGarry, MA, Ridzon, R. Potential nosocomial exposure to Mycobacterium tuberculosis from a bronchoscope. Infect Control Hosp Epidemiol 2003;24(11):825830.CrossRefGoogle ScholarPubMed
23. Singh, N, Belen, O, Léger, M-M, Campos, JM. Cluster of Trichosporon mucoides in children associated with a faulty bronchoscope. Pediatr Infect Dis J 2003;22(7):609612.CrossRefGoogle ScholarPubMed
24. Silva, CV, Magalhães, VD, Pereira, CR, Kawagoe, JY, Ikura, C, Ganc, AJ. Pseudo-outbreak of Pseudomonas aeruginosa and Serratia marcescens related to bronchoscopes. Infect Control Hosp Epidemiol 2003;24(3):195197.CrossRefGoogle ScholarPubMed
25. Srinivasan, A, Wolfenden, LL, Song, X, et al. An outbreak of Pseudomonas aeruginosa infections associated with flexible bronchoscopes. N Engl J Med 2003;348(3):221227.CrossRefGoogle ScholarPubMed
26. Kirschke, DL, Jones, TF, Craig, AS, et al. Pseudomonas aeruginosa and Serratia marcescens contamination associated with a manufacturing defect in bronchoscopes. N Engl J Med 2003;348(3):214220.CrossRefGoogle ScholarPubMed
27. Ramsey, AH, Oemig, TV, Davis, JP, Massey, JP, Török, TJ. An outbreak of bronchoscopy-related Mycobacterium tuberculosis infections due to lack of bronchoscope leak testing. Chest 2002;121(3):976981.CrossRefGoogle ScholarPubMed
28. Rossetti, R, Lencioni, P, Innocenti, F, Tortoli, E. Pseudoepidemic from Mycobacterium gordonae due to a contaminated automatic bronchoscope washing machine. Am J Infect Control 2002;30(3):196197.CrossRefGoogle ScholarPubMed
29. Kressel, AB, Kidd, F. Pseudo-outbreak of Mycobacterium chelonae and Methylobacterium mesophilicum caused by contamination of an automated endoscopy washer. Infect Control Hosp Epidemiol 2001;22(7):414418.CrossRefGoogle ScholarPubMed
30. Sorin, M, Segal-Maurer, S, Mariano, N, Urban, C, Combest, A, Rahal, JJ. Nosocomial transmission of imipenem-resistant Pseudomonas aeruginosa following bronchoscopy associated with improper connection to the STERIS SYSTEM 1 processor. Infect Control Hosp Epidemiol 2001;22(7):409413.CrossRefGoogle Scholar
31. Kramer, M, Krizek, L, Gebel, J. Bronchoscopic transmission of Pseudomonas aeruginosa due to a contaminated disinfectant solution from an automated dispenser unit. Paper presented at: 11th Annual Scientific Meeting of the Society for Healthcare Epidemiology of America, April 1–3, 2001. Toronto, Canada.Google Scholar
32. Wilson, SJ, Everts, RJ, Kirkland, KB, Sexton, DJ. A pseudo-outbreak of Aureobasidium species lower respiratory tract infections caused by reuse of single-use stopcocks during bronchoscopy. Infect Control Hosp Epidemiol 2000;21(7):470472.CrossRefGoogle ScholarPubMed
33. Gillespie, TG, Hogg, L, Budge, E, Duncan, A, Coia, JE. Mycobacterium chelonae isolated from rinse water within an endoscope washer-disinfector. J Hosp Infect 2000;45(4):332334.CrossRefGoogle ScholarPubMed
34. Schelenz, S, French, G. An outbreak of multidrug-resistant Pseudomonas aeruginosa infection associated with contamination of bronchoscopes and an endoscope washer-disinfector. J Hosp Infect 2000;46(1):2330.CrossRefGoogle Scholar
35. Culver, DA, Gordon, SM, Mehta, AC. Infection control in the bronchoscopy suite: a review of outbreaks and guidelines for prevention. Am J Respir Crit Care Med 2003;167(8):10501056.CrossRefGoogle ScholarPubMed
36. Neulier, C, Breton, N, Pangon, B, et al. Pseudo-outbreak of Pseudomonas putida respiratory infection caused by laboratory contamination. Infect Control Hosp Epidemiol 2011;32(5):523525.CrossRefGoogle ScholarPubMed
37. Rutala, WA, Weber, DJ, and the Healthcare Infection Control Practices Advisory Committee. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. http://www.cdc.gov/hicpac/Disinfection_Sterilization/acknowledg.html. Published May 2008. Accessed December 1, 2011.Google Scholar
38. Beilenhoff, U, Newmann, CS, Rey, JF, et al. ESGE-ESGENA guideline: cleaning and disinfection in gastrointestinal endoscopy, update 2008. Endoscopy 2008;40(11):939957.CrossRefGoogle Scholar
39. Kelsey, L, Herron-Rice, L, Anderson, P, et al. SGNA standards: standards of infection control in reprocessing of flexible gastrointestinal endoscopes. Gastroenterol Nurs 2010;33(1):7080.Google Scholar
40. Petersen, BT, Chennat, J, Cohen, J, et al. Multisociety guideline on reprocessing flexible gastrointestinal endoscopes, 2011. Gastrintest Endosc 2011;73(6):10751084.CrossRefGoogle ScholarPubMed