Transmission of Salmonella enteritidis after endoscopic retrograde cholangiopancreatography because of inadequate endoscope decontamination

Transmission of Salmonella enteritidis after endoscopic retrograde cholangiopancreatography because of inadequate endoscope decontamination

We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loa...

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Veröffentlicht in:American journal of infection control 2017-04, Vol.45 (4), p.440-442
Hauptverfasser: Robertson, Paul, BSc, BA, MBChB, MD, MRCP, FRCPath, Smith, Andrew, BDS, FDS, RCS, PhD, FRCPath, Anderson, Margaret, BA, RGN, Stewart, Jackie, MSc, RGN, DPSN, Hamilton, Kate, MA, RN, MPH, McNamee, Sandra, BSc, MPH, DipIC, RGN, RM, Curran, Evonne T., DNurs, MPH, DipIC
Format: Artikel
Sprache:eng
Schlagworte:
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cross Infection - epidemiology
Cross Infection - microbiology
Cross Infection - transmission
Decontamination
Decontamination - methods
Disease Outbreaks
Disease Transmission, Infectious
Disinfection & disinfectants
Drug resistance
Endoscope
Humans
Infection Control
Infectious Disease
Nosocomial infections
Risk assessment
Salmonella
Salmonella enteritidis - isolation & purification
Salmonella Infections - epidemiology
Salmonella Infections - microbiology
Salmonella Infections - transmission
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Beschreibung
Zusammenfassung:We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loan endoscopes, particularly regarding their commissioning and adherence to disinfection protocols. In an era of increasing antibiotic resistance, transmission of Enterobacteriaceae by endoscopes remains a significant concern.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2016.11.024