Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography

The American Journal of Medicine
D C ClassenR S Evans

Abstract

After observing a single case of Pseudomonas aeruginosa bacteremia following endoscopic retrograde cholangiopancreatography (ERCP), six other P. aeruginosa infections that were temporally related to ERCP were retrospectively found over one year (August 1985 through July 1986) at LDS Hospital. In all seven patients, infection developed within five days after an ERCP. Five patients had bacteremia and two had cholangitis. All five of the Pseudomonas isolates available for testing were serotype 010. Cultures from the ERCP endoscope and several other endoscopes also yielded P. aeruginosa serotype 10, as did environmental cultures from equipment used to clean endoscopes. Among 167 ERCPs performed during the outbreak period, no other patient acquired P. aeruginosa infection. Each of the patients in the outbreak received the first scheduled ERCP of the day. The mean duration between the cleaning of the ERCP endoscope and its subsequent use was significantly longer in cases than in matched controls, a factor that may have permitted contaminating organisms to achieve high inocula in the inadequately cleaned endoscope. Epidemic control measures included improved disinfection of endoscopes, ongoing surveillance, and appropriate antimicrobi...Continue Reading

References

Aug 1, 1978·Gastrointestinal Endoscopy·W W Bond, R E Moncada
Jan 1, 1977·Medicine·E D Everett, J V Hirschmann
Aug 1, 1976·Gastrointestinal Endoscopy·T R Liebermann
Nov 27, 1975·The New England Journal of Medicine·H Colcher
Mar 1, 1985·The Journal of Hospital Infection·J J EarnshawB T Thom
Sep 1, 1985·Diseases of the Colon and Rectum·D J MatteucciH Jenkins
May 1, 1986·The Journal of Pediatrics·M L Vasil
Aug 17, 1974·Lancet·J A ForrestD J Shearman
Oct 26, 1972·The New England Journal of Medicine·F J Ingelfinger
Dec 1, 1984·The Journal of Hospital Infection·E M CryanP W Keeling
Dec 1, 1981·The Journal of Hospital Infection·P M HawkeyN J Mortensen
Jul 1, 1981·Digestive Diseases and Sciences·J A Vennes
Aug 1, 1983·Journal of Clinical Gastroenterology·S K DuttaH C Standiford
Feb 1, 1982·Digestive Diseases and Sciences·D E DohertyJ Fromkes

❮ Previous
Next ❯

Citations

Sep 1, 1996·Abdominal Imaging·S A CohenF E Kasmin
Mar 1, 1991·Baillière's Clinical Gastroenterology·M C Winslet, J P Neoptolemos
Jun 1, 1997·Infectious Disease Clinics of North America·D A NafzigerR M Massanari
Apr 2, 1999·Alimentary Pharmacology & Therapeutics·J M SubhaniJ S Dooley
Jan 1, 1991·Journal of Gastroenterology and Hepatology·A E Cowen
Jul 1, 1992·Gastrointestinal Endoscopy·E KullmanB Anderberg
Oct 1, 1993·Surgical Oncology·J B HuntJ A Summerfield
Oct 7, 2006·Current Medical Research and Opinion·Enrique Seoane-VazquezAngeline Carlson
Apr 17, 1999·Clinics in Chest Medicine·A C Mehta, O A Minai
Dec 1, 1992·American Journal of Infection Control·C D ReynoldsD A Goldmann
Feb 1, 1994·American Journal of Infection Control·S A NakaharaM J Hardy
Mar 31, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kristen A WendorfJeffrey Duchin
Jan 1, 1992·Scandinavian Journal of Gastroenterology. Supplement·A E Cowen
Nov 3, 2004·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Thomas G FraserGary A Noskin
Apr 1, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·S C LeeW B Shieh
Oct 1, 1996·American Journal of Infection Control·C M WilcoxE S Brookings
Jul 22, 2017·The Journal of Hospital Infection·J Kovaleva
Sep 18, 2014·World Journal of Gastrointestinal Endoscopy·Günter KampfHeike Martiny
Sep 14, 2006·The American Journal of Gastroenterology·Lawrence F Muscarella
Apr 5, 2013·Clinical Microbiology Reviews·Julia KovalevaJohn E Degener
Nov 20, 2015·Journal of Clinical Microbiology·Michaela A GazdikBert Lopansri
Apr 1, 1991·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D C ClassenL E Stevens
Jul 1, 2006·World Journal of Gastroenterology : WJG·Douglas B Nelson, Lawrence F Muscarella
Jul 1, 1993·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·V J FraserP Murray
May 8, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michelle J Alfa, Harminder Singh
Feb 1, 1993·Journal of Clinical Microbiology·E M RubinstienJ E Patterson
Sep 1, 1989·American Journal of Surgery·M V Sivak

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