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Microbiological characteristics, transmission routes, and mitigation measures in bronchoscope-associated investigations: Summary of Centers for Disease Control and Prevention (CDC) consultations, 2014–2022

Published online by Cambridge University Press:  06 November 2023

Dipesh Solanky Open the ORCID record for Dipesh Solanky [Opens in a new window] ,
Ana Cecilia Bardossy Open the ORCID record for Ana Cecilia Bardossy [Opens in a new window] ,
Shannon Novosad Open the ORCID record for Shannon Novosad [Opens in a new window] ,
Heather Moulton-Meissner Open the ORCID record for Heather Moulton-Meissner [Opens in a new window] ,
Matthew Arduino Open the ORCID record for Matthew Arduino [Opens in a new window]  and
Kiran M. Perkins
Dipesh Solanky
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Ana Cecilia Bardossy
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Shannon Novosad
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Heather Moulton-Meissner
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Matthew Arduino
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Kiran M. Perkins*
Affiliation:
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Corresponding author: Kiran Perkins; Email: guu9@cdc.gov
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Abstract

In this summary of US Centers for Disease Control and Prevention (CDC) consultations with state and local health departments concerning their bronchoscope-associated investigations from 2014 through 2022, bronchoscope reprocessing gaps and exposure to nonsterile water sources appeared to be the major routes of transmission of infectious pathogens, which were primarily water-associated bacteria.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 12 , December 2023 , pp. 2052 - 2055
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Copyright
© The Society for Healthcare Epidemiology of America, 2023. This is a work of the US Government and is not subject to copyright protection within the United States. To the extent this work is subject to copyright outside of the United States, such copyright shall be assigned to The Society for Healthcare Epidemiology of America and licensed to the Publisher. Outside of the United States, the. US Government retains a paidup, nonexclusive, irrevocable worldwide licence to reproduce, prepare derivative works, distribute copies to the public and display publicly the Contribution, and to permit others to do so. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Rutala, WA, Weber, DJ, Healthcare Infection Control Practices Advisory Committee. Guideline for disinfection and sterilization in healthcare facilities, 2008—update: May 2019. Centers for Disease Control and Prevention website. https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf. Published 2019. Accessed October 16, 2023.Google Scholar
Kovaleva, J, Peters, FT, van der Mei, HC, Degener, JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev 2013;26,231–254.10.1128/CMR.00085-12CrossRefGoogle ScholarPubMed
Srinivasan, A. Epidemiology and prevention of infections related to endoscopy. Curr Infect Dis Rep 2003;5:467–472.10.1007/s11908-003-0088-5CrossRefGoogle ScholarPubMed
Healthcare Infection Control Practices Advisory Committee. Essential elements of a reprocessing program for flexible endoscopes—recommendations of the Healthcare Infection Control Practices Advisory Committee. Centers for Disease Control and Prevention website. https://www.cdc.gov/hicpac/pdf/flexible-endoscope-reprocessing.pdf. Published 2016. Accessed October 16, 2023.Google Scholar
Engers, DW, Swarup, R, Morrin, V, et al. A bronchoscopy-associated pseudo-outbreak of Mycobacterium chelonae and Mycobacterium mucogenicum associated with contaminated ice machine water and ice. Infect Control Hosp Epidemiol 2023. doi: 10.1017/ice.2023.101.CrossRefGoogle Scholar
Bringhurst, J, Weber, DJ, Miller, MB, et al. A bronchoscopy-associated pseudo-outbreak of Mycobacterium mucogenicum traced to use of contaminated ice used for bronchoalveolar lavage. Infect Control Hosp Epidemiol 2020;41:124–126.10.1017/ice.2019.317CrossRefGoogle ScholarPubMed
Perkins, KM, Reddy, SC, Fagan, R, Arduino, MJ, Perz, JF. Investigation of healthcare infection risks from water-related organisms: summary of CDC consultations, 2014–2017. Infect Control Hosp Epidemiol 2019;40:621–626.10.1017/ice.2019.60CrossRefGoogle ScholarPubMed
Li, T, Abebe, LS, Cronk, R, Bartram, J. A systematic review of waterborne infections from nontuberculous mycobacteria in healthcare facility water systems. Int J Hygiene Environ Health 2017;220:611–620.10.1016/j.ijheh.2016.12.002CrossRefGoogle ScholarPubMed
Weber, DJ, Rutala, WA. Lessons learned from outbreaks and pseudo-outbreaks associated with bronchoscopy. Infect Control Hosp Epidemiol 2012;33:230–234.10.1086/664495CrossRefGoogle ScholarPubMed
Seoane-Vazquez, E, Rodriguez-Monguio, R, Visaria, J, Carlson, A. Exogenous endoscopy-related infections, pseudo-infections, and toxic reactions: clinical and economic burden. Curr Med Res Opin 2006;22:2007–2021.10.1185/030079906X121048CrossRefGoogle ScholarPubMed