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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 ([email protected])

Abstract

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Type
Commentary
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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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