Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-17T16:37:05.391Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  02 January 2015

Susan C. Oleszkowicz*
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Paul Chittick
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Royal Oak, Michigan
Victoria Russo
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Paula Keller
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan
Matthew Sims
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Royal Oak, Michigan
Jeffrey Band
Affiliation:
Department of Epidemiology, Beaumont Health System, Royal Oak, Michigan Oakland University William Beaumont School of Medicine, Royal Oak, Michigan
*
Department of Epidemiology, Beaumont Health System, 3601 West 13 Mile Road, Royal Oak, MI 48073 (soleszkowicz@beaumont.edu)

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Commentary
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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;27:362366Google Scholar
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.Google Scholar
8. Product line. Pharmaceutical Innovations website. http://www.pharminnovations.com/products.html. Accessed April 12, 2012.Google Scholar
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.Google Scholar
10.Ohara, T, Itoh, Y, Itoh, K. Ultrasound instruments as possible vectors of staphylococcal infection. J Hosp Infect 1998;40:7377.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
14.Ashline, V, Stevens, A, Carter, MJ. Nosocomial peritonitis related to contaminated dialysate warming water. Am J Infect Control 1981;9:5052.Google Scholar
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.Google Scholar