Withdrawal of a novel-design duodenoscope ends outbreak of a VIM-2-producing Pseudomonas aeruginosa

Endoscopy

Volumn 47, Issue 6, 2015, Pages 493-502

  Verfaillie, Charlotte J ^a,b   Bruno, Marco J ^b   Holt, Anne F Voor In T ^b   Buijs, Jolanda G ^b   Poley, Jan Werner ^b   Loeve, Arjo J ^c   Severin, Juliette A ^b   Abel, Leo F ^b   Smit, Bert J ^b   De Goeij, Inge ^b   Vos, Margreet C ^b  

^a AZ Sint Lucas Ghent ^*  (Belgium)

^b ERASMUS MEDICAL CENTER   (Netherlands)

^c DELFT UNIVERSITY OF TECHNOLOGY   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

CEFTAZIDIME; VANCOMYCIN; BETA LACTAMASE; BIOLOGICAL MARKER; VIM-2 BETA-LACTAMASE;

CLINICAL ARTICLE; CONFERENCE PAPER; DISINFECTION; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; FLEXIBLE DUODENOSCOPE; FORCEPS; HUMAN; INFECTION CONTROL; MOLECULAR TYPING; NETHERLANDS; PRIORITY JOURNAL; PSEUDOMONAS AERUGINOSA; PSEUDOMONAS INFECTION; ADVERSE EFFECTS; CROSS INFECTION; DEVICES; DISEASE OUTBREAKS; DUODENOSCOPE; EQUIPMENT DESIGN; ISOLATION AND PURIFICATION; METABOLISM; MICROBIOLOGY; PROCEDURES; PSEUDOMONAS INFECTIONS; RETROSPECTIVE STUDY; TERTIARY CARE CENTER; TRANSMISSION;

BETA-LACTAMASES; BIOMARKERS; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; CROSS INFECTION; DISEASE OUTBREAKS; DUODENOSCOPES; EQUIPMENT DESIGN; HUMANS; INFECTION CONTROL; NETHERLANDS; PSEUDOMONAS AERUGINOSA; PSEUDOMONAS INFECTIONS; RETROSPECTIVE STUDIES; TERTIARY CARE CENTERS;

EID: 84930383882     PISSN: 0013726X     EISSN: 14388812     Source Type: Journal    
DOI: 10.1055/s-0034-1391886     Document Type: Conference Paper

References (27)

1. Rutala W. A., Weber D. J. New developments in reprocessing semicritical items. Am J Infection Control: 2013; 41 60 66
2. Kovaleva J., Peters F. T., van der Mei H. C. et al. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Reviews: 2013; 26 231 254
3. Rutala W. A., Weber D. J. Healthcare Infection Control Practices Advisory Committee. Guideline for Disinfection and Sterilization in Healthcare Facilities. 2008; Centers for Disease Control and Prevention. Atlanta, GA. Available from: http://www.cdc.gov/hicpac/Disinfection-Sterilization/acknowledg.html
4. Baron T. H. Endoscopic management of biliary disorders: diagnostic and therapeutic. Surg Clin North Am: 2014; 94 395 411
5. Aumeran C., Poincloux L., Souweine B. et al. Multidrug-resistant Klebsiella pneumoniae outbreak after endoscopic retrograde cholangiopancreatography. Endoscopy: 2010; 42 895 899
6. Holodniy M., Oda G., Schirmer P. L. et al. Results from a large-scale epidemiologic look-back investigation of improperly reprocessed endoscopy equipment. Infect Control Hosp Epidemiol: 2012; 33 649 656
7. Muscarella L. F. Investigation and prevention of infectious outbreaks during endoscopic retrograde cholangiopancreatography. Endoscopy: 2010; 42 957 959
8. Schwaber M. J., Carmeli Y. Carbapenem-resistant Enterobacteriaceae: a potential threat. JAMA: 2008; 300 2911 2913
9. Andremont A., Lucet J. C. Extensively resistant VIM-2-positive Pseudomonas aeruginosa. Lancet Infect Dis: 2013; 13 828 829
10. Livermore D. M. Of Pseudomonas, porins, pumps and carbapenems. J Antimicrob Chemother: 2001; 47 247 250
11. Walsh T. R. Clinically significant carbapenemases: an update. Curr Opin Infect Dis: 2008; 21 367 371
12. Van der Bij A. K., Van der Zwan D., Peirano G. et al. Metallo-beta-lactamase-producing Pseudomonas aeruginosa in The Netherlands: the nationwide emergence of a single sequence type. Clin Microbiol Infect: 2012; 18 E369 372
13. Advisory Board Cleaning and Disinfection Flexible Endoscopes (SFERD). Professional standard handbook. Flexible endoscopes - Cleaning and disinfection. 2011; Available from: http://www.google.be/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=2&cad=rja&uact=8&ved=0CCwQFjAB&url=http%3A%2F%2Fwww.sterilisatievereniging.nl%2Fpublicaties%2Fdoc-download%2F207-sferd-professional-standard-handbook-flexibele-endoscopes-cleaning-and-disinfection-2011-&ei=59z5VI-nJ4njUY-ng-AE&usg=AFQjCNGQIcu220u2WlZkQMgmSzD-bPsQjw
14. Pitout J. D., Chow B. L., Gregson D. B. et al. Molecular epidemiology of metallo-beta-lactamase-producing Pseudomonas aeruginosa in the Calgary Health Region: emergence of VIM-2-producing isolates. J Clin Microbiol: 2007; 45 294 298
15. Loeve A. J. Investigational report on a TJF-Q180V duodenoscope following contamination after cleaning and disinfection. 2012; Available on request from the Dutch Healthcare Inspectorate/National Institute for Public Health and the Environment (Bilthoven, The Netherlands)
16. Gastmeier P., Vonberg R. P. Klebsiella spp. in endoscopy-associated infections: we may only be seeing the tip of the iceberg. Infection: 2014; 42 15 21
17. Centers for Disease Control and Prevention Notes from the Field: New Delhi metallo-β-lactamase-producing Escherichia coli associated with endoscopic retrograde cholangiopancreatography - Illinois, 2013. Morb mortal Wkly Rep: 2014; 62 1051
18. Otter J. A., Vickery K., Walker J. T. et al. Surface-attached cells, biofilms and biocide susceptibility: implications for hospital cleaning and disinfection. J Hosp Infect: 2015; 89 16 27
19. Bajolet O., Ciocan D., Vallet C. et al. Gastroscopy-associated transmission of extended-spectrum beta-lactamase-producing Pseudomonas aeruginosa. J Hosp Infect: 2013; 83 341 343
20. Fraser T. G., Reiner S., Malczynski M. et al. Multidrug-resistant Pseudomonas aeruginosa cholangitis after endoscopic retrograde cholangiopancreatography: failure of routine endoscope cultures to prevent an outbreak. Infect Control Hosp Epidemiol: 2004; 25 856 859
21. Silva C. V., Magalhaes V. D., Pereira C. R. et al. Pseudo-outbreak of Pseudomonas aeruginosa and Serratia marcescens related to bronchoscopes. Infect Control Hosp Epidemiol: 2003; 24 195 197
22. Kirschke D. L., Jones T. F., Craig A. S. et al. Pseudomonas aeruginosa and Serratia marcescens contamination associated with a manufacturing defect in bronchoscopes. New Engl J Med: 2003; 348 214 220
23. Srinivasan A., Wolfenden L. L., Song X. et al. An outbreak of Pseudomonas aeruginosa infections associated with flexible bronchoscopes. New Engl J Med: 2003; 348 221 227
24. Morris J., Duckworth G. J., Ridgway G. L. Gastrointestinal endoscopy decontamination failure and the risk of transmission of blood-borne viruses: a review. J Hospital Infection: 2006; 63 1 13
25. Buss A. J., Been M. H., Borgers R. P. et al. Endoscope disinfection and its pitfalls - requirement for retrograde surveillance cultures. Endoscopy: 2008; 40 327 332
26. Olympus GmbH. Important safety advice - Safe reprocessing of TJF-Q180V. January 2013. Available from: https://www.swissmedic.ch/recalllists-dl/07207/Vk-20130123-15-e1.pdf
27. Olympus GmbH. Field safety corrective action - EVIS EXERA II DUODENOVIDEOSCOPE TJF-Q180V. August 2014. Available from: https://www.swissmedic.ch/recalllists-dl/10220/Vk-20140729-02-e1.pdf