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Infections Associated with Use of Ultrasound Transmission Gel: Proposed Guidelines to Minimize Risk

  • Susan C. Oleszkowicz (a1), Paul Chittick (a1) (a2), Victoria Russo (a1), Paula Keller (a1), Matthew Sims (a1) (a2) and Jeffrey Band (a1) (a2)...
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Corresponding author
Department of Epidemiology, Beaumont Health System, 3601 West 13 Mile Road, Royal Oak, MI 48073 (soleszkowicz@beaumont.edu)
References
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1. Olshtain-Pops K, Block C, Temper V, et al. An outbreak of Achromobacter xylosoxidans associated with ultrasound gel used during transrectal ultrasound guided prostate biopsy. J Urol 2011;185:144147.
2. Keizur J, Lavin B, Leidich R. Iatrogenic urinary tract infection with Pseudomonas cepacia after transrectal ultrasound guided needle biopsy of the prostate. J Urol 1993;149:523526.
3. Hutchinson J, Runge W, Mulvey M, et al. Burkholderia cepacia infections associated with intrinsically contaminated ultrasound gel: the role of microbial degradation of parabens. Infect Control Hosp Epidemiol 2004;25:291296.
4. Weist K, Wendt C, Petersen L, Versmold H, Ruden H. An outbreak of pyodermas among neonates caused by ultrasound gel contaminated with methicillin-susceptible Staphylococcus aureus . Infect Control Hosp Epidemiol 2000;21:761764.
5. Gaillot O, Maruejouls C, Abachin E, et al. Nosocomial outbreak of Klebsiella pneumoniae producing SHV-5 extended-spectrum β-lactamase, originating from a contaminated ultrasonography coupling gel. J Clin Microbiol 1998;36:13571360.
6. Jacobson M, Wray R, Kovach D, Henry D, Speert D, Matlow A. Sustained endemicity of Burkholderia cepacia complex in a pediatric institution, associated with contaminated ultrasound gel. Infect Control Hosp Epidemiol 2006;27:362366
7. Chittick P, Russo V, Sims M, et al. Outbreak of Pseudomonas aeruginosa respiratory tract infections in cardiovascular surgery associated with contaminated ultrasound gel used for trans-esophageal echocardiography—Michigan, December 2011–January 2012. MMWR Morb Mortal Wkly Rep 2012;61:262264.
8. Product line. Pharmaceutical Innovations website. http://www.pharminnovations.com/products.html. Accessed April 12, 2012.
9. Muradali D, Gold WL, Phillips A, Wilson S. Can ultrasound probes and coupling gel be a source of nosocomial infection in patients undergoing sonography? an in vivo and in vitro study. Am J Roentgenol 1995;164:15211524.
10. Ohara T, Itoh Y, Itoh K. Ultrasound instruments as possible vectors of staphylococcal infection. J Hosp Infect 1998;40:7377.
11. Favero MS, Bond WW. Chemical disinfection of medical and surgical materials. In: Block SS, ed. Disinfection, Sterilization, and Preservation. 4th ed. Philadelphia: Lea & Febiger, 1991:618619.
12. Health Canada. Notice to Hospitals: Important Safety Information on Ultrasound and Medical Gels. October 20, 2004. http://www.hc-sc.gc.ca/dhp-mps/medeff/advisories-avis/prof/_2004/ultrasound_2_nth-ah-eng.php. Accessed March 16, 2012.
13. Rutala WA, Weber DJ; Healthcare Infection Control Practices Advisory Committee. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf. Accessed April 24, 2012.
14. Ashline V, Stevens A, Carter MJ. Nosocomial peritonitis related to contaminated dialysate warming water. Am J Infect Control 1981;9:5052.
15. Muyldermans G, de Smet F, Pierard D, et al. Neonatal infections with Pseudomonas aeruginosa associated with a water-bath used to thaw fresh frozen plasma. J Hosp Infect 1998;39:309314.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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