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Mycobacterium avium pseudo-outbreak associated with an outpatient bronchoscopy clinic: Lessons for reprocessing

Published online by Cambridge University Press:  26 November 2018

Jessica L. Seidelman*
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Richard J. Wallace Jr
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Elena Iakhiaeva
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Ravikiran Vasireddy
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Barbara A. Brown-Elliott
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Celeste McKnight
Affiliation:
Duke Clinical Microbiology Laboratory, Duke University Medical Center, Durham, North Carolina (Present affiliation: Merck & Co, Philadelphia, PA [L.F.C].)
Luke F. Chen
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina
Terry Smith
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Sarah S. Lewis
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
*
Author for correspondence: Jessica L. Seidelman, 310 Trent Drive, Hanes House Room 181, Durham, NC 27710. E-mail: jessica.seidelman@duke.edu

Abstract

We identified a pseudo-outbreak of Mycobacterium avium in an outpatient bronchoscopy clinic following an increase in clinic procedure volume. We terminated the pseudo-outbreak by increasing the frequency of automated endoscope reprocessors (AER) filter changes from quarterly to monthly. Filter changing schedules should depend on use rather than fixed time intervals.

Type
Concise Communication
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

Cite this article: Seidelman JL, et al. (2019). Mycobacterium avium pseudo-outbreak associated with an outpatient bronchoscopy clinic: Lessons for reprocessing. Infection Control & Hospital Epidemiology 2019, 40, 106–108. doi: 10.1017/ice.2018.298

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