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Nosocomial Infections and Pseudoinfections From Contaminated Bronchoscopes: Two-Year Follow Up Using Molecular Markers

Published online by Cambridge University Press:  02 January 2015

Abstract

During a 6-month period, two genetically distinct clones were isolated from 65% of patients with Pseudomonas aeruginosa isolated from bronchial specimens obtained during or after bronchoscopy. This epidemic was due to contamination of bronchoscopes by washing machines. After reintroduction of manual disinfection of endoscopes, a significant decrease in the incidence of the epidemic clones was observed, but the incidence of nonepidemic P aeruginosa did not change. The distinction between sporadic and epidemic cases was possible only with the use of a molecular typing method (ribotyping).

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1997

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References

1. Alvarado, CJ, Stolz, SM, Maki, DG. Nosocomial infections from contaminated endoscopes: a flawed automated endoscope washer. An investigation using molecular epidemiology. Am J Med 1991;91:272S280S.CrossRefGoogle ScholarPubMed
2. Allen, JI, O'Connor Allen, M, Olson, MM, et al. Pseudomonas infection of the biliary system resulting from use of a contaminated endoscope. Gastroenterol 1987;92:759763.CrossRefGoogle ScholarPubMed
3. O'Connor, HJ, Babb, JR, Ayliffe, GAJ. Pseudomonas aeruginosa infection during endoscopy. Gastroenterol 1987;93:1451. Letter.Google Scholar
4. Gubler, JG, Salfinger, M, von Graevenitz, A. Pseudoepidemic of nontuberculous mycobacteria due to a contaminated broncho-scope cleaning machine. Report of an outbreak and review of the literature. Chest 1992;101:12451249.Google Scholar
5. Blanc, DS, Siegrist, HH, Sahli, R, Francioli, P. Ribotyping of Pseudomonas aeruginosa: discriminatory power and usefulness as a tool for epidemiological studies. J Clin Microbiol 1993;31:7177.Google Scholar
6. Babb, JR, Bradley, CR, Ayliffe, GAJ. Comparison of automated systems for the cleaning and disinfection of flexible fiberoptic endoscopes. J Hosp Infect 1984;5:213226.CrossRefGoogle Scholar
7. Ojeniyi, B. Bacteriophages in sputum of cystic fibrosis patients as a possible cause of in vivo changes in serotypes of Pseudomonas aeruginosa . APMIS 1988;96:294298.Google Scholar