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Adequacy of Duodenoscope Reprocessing Methods as Reported by Infectious Disease Physicians

  • Susan E. Beekmann (a1), Tara N. Palmore (a2) (a3), Philip M. Polgreen (a1) and John E. Bennett (a3)


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Address correspondence to Susan Beekmann, RN, MPH, Department of Internal Medicine, SW34-GH, 200 Hawkins Dr, Iowa City, IA 52245 (


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Presented in part: IDWeek 2015; San Diego, California; October 8, 2015; abstract #109.



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1. Cryan, EM, Falkiner, FR, Mulvihill, TE, Keane, CT, Keeling, PW. Pseudomonas aeruginosa cross-infection following endoscopic retrograde cholangiopancreatography. J Hosp Infect 1984;5:371376.
2. Epstein, L, Hunter, J, Arwady, MA, et al. New Delhi metallo-β-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA 2014;312:14471455.
3. Wendorf, KA, Kay, M, Baliga, C, et al. Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak. Infect Control Hosp Epidemiol 2015;36:634642.
4. Centers for Disease Control and Prevention. Interim protocol for healthcare facilities regarding surveillance for bacterial contamination of duodenoscopes after reprocessing. CDC website. Updated April 3, 2015. Accessed May 8, 2015.
5. Pillai, SK, Beekmann, SE, Santibanez, S, Polgreen, PM. The Infectious Diseases Society of America Emerging Infections Network—bridging the gap between clinical infectious diseases and public health. Clin Infect Dis 2014;58:991996.
6. Laboratory practices committee prepares endoscopy document on the question of culturing of duodenoscopes. American Society for Microbiology website. Published April 9, 2015. Accessed October 6, 2015.
7. Rutala, WA, Weber, DJ, Healthcare Infection Control Practices Advisory Committee. Guideline for disinfection and sterilization in healthcare facilities, 2008. Accessed May 8, 2015.
8. Petersen, BT, Chennat, J, Cohen, J, et al. Multisociety guideline on reprocessing flexible GI endoscopes: 2011. Infect Control Hosp Epidemiol 2011;32:527537.
9. Rutala, WA, Weber, DJ. Gastrointestinal endoscopes: a need to shift from disinfection to sterilization? JAMA 2014;312:14051406.
10. US Food and Drug Administration. Supplemental measures to enhance duodenoscope reprocessing: FDA safety communication. FDA website. Published August 4, 2015. Accessed September 11, 2015.


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