An Outbreak of Bronchoscopy-Related Mycobacterium tuberculosis Infections Due to Lack of Bronchoscope Leak Testing

Ramsey, Alan H.; Oemig, Tanya V.; Davis, Jeffrey P.; Massey, Jeffrey P.; Török, Thomas J.

doi:10.1378/chest.121.3.976

Cited by 74 publications

(31 citation statements)

References 23 publications

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“…While there are well-documented failures in bronchoscope manufacturing and cleaning procedures that have led to procedure-related infection outbreaks [11][12][13], this source is unlikely in the present case study for several reasons. First, this technology was new to the author's bronchoscopy programme and the manufacturer significantly increased in size (from 3.462.9 cm to 6.565.3 cm), but more importantly now contained multiple small gas bubbles at different levels (arrow).…”

Section: Infectious Complications From Ebus-tbna Ar Haasmentioning

confidence: 90%

Infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration

2009

European Respiratory Journal

109

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The development of a convex probe endobronchial ultrasound (CP-EBUS) videobronchoscope to allow real-time transbronchial needle aspiration (TBNA) has been a significant advance in minimally invasive lung cancer staging and diagnosis. Several recent studies have demonstrated CP-EBUS-TBNA to have recovery rivalling that of the current gold standard, cervical mediastinoscopy. These same studies have indicated that the safety of this procedure has no reported complications.The present case study presents two infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration and discusses possible aetiologies of these infections, as well as implications for future application of this technology.

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Section: Infectious Complications From Ebus-tbna Ar Haasmentioning

confidence: 90%

Infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration

2009

European Respiratory Journal

109

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“…Most publications about mycobacterial outbreaks described cross-contamination, a situation where the patient becomes nosocomially colonized with a strain from the endoscope in the absence of infection, but reports of bronchoscopy-related pulmonary tuberculosis were documented (63,(108)(109)(110)(111). The majority of the patients was immunocompromised and had a history of lung cancer, HIV, or hematological malignancies.…”

Section: Bacteriamentioning

confidence: 99%

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

et al. 2013

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SUMMARY Flexible endoscopy is a widely used diagnostic and therapeutic procedure. Contaminated endoscopes are the medical devices frequently associated with outbreaks of health care-associated infections. Accurate reprocessing of flexible endoscopes involves cleaning and high-level disinfection followed by rinsing and drying before storage. Most contemporary flexible endoscopes cannot be heat sterilized and are designed with multiple channels, which are difficult to clean and disinfect. The ability of bacteria to form biofilms on the inner channel surfaces can contribute to failure of the decontamination process. Implementation of microbiological surveillance of endoscope reprocessing is appropriate to detect early colonization and biofilm formation in the endoscope and to prevent contamination and infection in patients after endoscopic procedures. This review presents an overview of the infections and cross-contaminations related to flexible gastrointestinal endoscopy and bronchoscopy and illustrates the impact of biofilm on endoscope reprocessing and postendoscopic infection.

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“…The fibre-optic bronchoscopy is beyond doubt helpful in the early diagnosis of SSN-PTB cases but the availability, cost and cross transmission of tubercle bacilli are the limiting factors [25,26].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Induced Sputum and Fibre-Optic Bronchoscopy (Fob) in the Early Diagnosis of Sputum Smear Negative Suspected Cases of Pulmonary Tuberculosis under Rntcp Settings-A Study Conducted in Southern Part of Rajasthan

Luhadia¹,

Kapur²,

Luhadia³

et al. 2017

J Pulm Respir Med

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An Outbreak of Bronchoscopy-Related Mycobacterium tuberculosis Infections Due to Lack of Bronchoscope Leak Testing

Cited by 74 publications

References 23 publications

Infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration

Infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration

Transmission of Infection by Flexible Gastrointestinal Endoscopy and Bronchoscopy

Comparison of Induced Sputum and Fibre-Optic Bronchoscopy (Fob) in the Early Diagnosis of Sputum Smear Negative Suspected Cases of Pulmonary Tuberculosis under Rntcp Settings-A Study Conducted in Southern Part of Rajasthan

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