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Identification and control of two outbreaks of unrelated New Delhi metallo-β-lactamase–producing carbapenem-resistant Escherichia coli traced to the same endoscope defect
Published online by Cambridge University Press: 23 February 2023
Yuval Geffen and
Abstract
We report 2 outbreaks of genetically unrelated carbapenem-resistant New Delhi metallo-β-lactamase–producing Escherichia coli caused by contaminated duodenoscopes. Using endoscopes with disposable end caps, adherence to the manufacturer’s reprocessing instructions, routine audits, and manufacturer evaluation are critical in preventing such outbreaks.
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- © The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
References
Anderson, DJ, Shimpi, RA, McDonald, JR, et al. Infectious complications following endoscopic retrograde cholangiopancreatography: an automated surveillance system for detecting postprocedure bacteremia. Am J Infect Control 2008;36:592–594.10.1016/j.ajic.2007.10.023CrossRefGoogle Scholar
Larsen, S, Russell, R, Ockert, L, et al. Rate and impact of duodenoscope contamination: a systematic review and meta-analysis. EClinicalMedicine 2020;25:100451.10.1016/j.eclinm.2020.100451CrossRefGoogle Scholar
Beilenhoff, U, Biering, H, Blum, R, et al. Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA)—update 2018. Endoscopy 2018;50:1205–1235.Google Scholar
Guideline Task Force, Reprocessing, Petersen, BT, Cohen, J, et al. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. Gastrointest Endosc 2017;85:282–294.e1.Google Scholar
Epstein, L, Hunter, JC, Arwady, MA, et al. New Delhi metallo-β-lactamase–producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA 2014;312:1447–1455.10.1001/jama.2014.12720CrossRefGoogle Scholar
Humphries, RM, Yang, S, Kim, S, et al. Duodenoscope-related outbreak of a carbapenem-resistant Klebsiella pneumoniae identified using advanced molecular diagnostics. Clin Infect Dis 2017; 65:1159–1166.CrossRefGoogle ScholarPubMed
Use duodenoscopes with innovative designs to enhance safety: FDA safety communication. US Food and Drug Administration website. https://www.fda.gov/medical-devices/safety-communications/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication. Published 2022. Accessed February 3, 2023.Google Scholar
Cristina, ML, Sartini, M, Schinca, E, et al. Is post-reprocessing microbiological surveillance of duodenoscopes effective in reducing the potential risk in transmitting pathogens? Int J Environ Res Public Health 2019;17:140.10.3390/ijerph17010140CrossRefGoogle Scholar
Valeriani, F, Agodi, A, Casini, B, et al. Potential testing of reprocessing procedures by real-time polymerase chain reaction: a multicenter study of colonoscopy devices. Am J Infect Control 2018; 46:159–164.10.1016/j.ajic.2017.08.008CrossRefGoogle Scholar
Interim protocol for healthcare facilities regarding surveillance for bacterial contamination of duodenoscopes after reprocessing. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/organisms/cre/cre-duodenoscope-surveillance-protocol.html. Published 2015. Accessed February 3, 2023.Google Scholar