In 2011, a nonhospital endoscopy clinic in Ottawa, Ontario, was found to have numerous lapses in infection control procedures during an inspection by the College of Physicians and Surgeons of Ontario. The public was notified and patients who had undergone procedures at the clinic were offered testing for blood-borne pathogens. This article describes the procedure that was followed in response to the lapse, and reports the results of the tests for blood-borne pathogens as well as analyses conducted to determine whether any infections occurred as a result of the infection control lapse.
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