Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-22T22:22:32.558Z Has data issue: false hasContentIssue false
  • English
  • Français

Mycobacterium avium pseudo-outbreak associated with an outpatient bronchoscopy clinic: Lessons for reprocessing

Published online by Cambridge University Press:  26 November 2018

Jessica L. Seidelman ,
Richard J. Wallace Jr ,
Elena Iakhiaeva ,
Ravikiran Vasireddy ,
Barbara A. Brown-Elliott ,
Celeste McKnight ,
Luke F. Chen ,
Terry Smith  and
Sarah S. Lewis
Jessica L. Seidelman*
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
Richard J. Wallace Jr
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Elena Iakhiaeva
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Ravikiran Vasireddy
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Barbara A. Brown-Elliott
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Celeste McKnight
Affiliation:
Duke Clinical Microbiology Laboratory, Duke University Medical Center, Durham, North Carolina (Present affiliation: Merck & Co, Philadelphia, PA [L.F.C].)
Luke F. Chen
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina
Terry Smith
Affiliation:
Department of Microbiology, the University of Texas Health Science Center at Tyler, Tyler, Texas
Sarah S. Lewis
Affiliation:
Division of Infectious Diseases, Duke University School of Medicine, Durham, North Carolina Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina
*
Author for correspondence: Jessica L. Seidelman, 310 Trent Drive, Hanes House Room 181, Durham, NC 27710. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We identified a pseudo-outbreak of Mycobacterium avium in an outpatient bronchoscopy clinic following an increase in clinic procedure volume. We terminated the pseudo-outbreak by increasing the frequency of automated endoscope reprocessors (AER) filter changes from quarterly to monthly. Filter changing schedules should depend on use rather than fixed time intervals.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 1 , January 2019 , pp. 106 - 108
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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.)

Footnotes

Cite this article: Seidelman JL, et al. (2019). Mycobacterium avium pseudo-outbreak associated with an outpatient bronchoscopy clinic: Lessons for reprocessing. Infection Control & Hospital Epidemiology 2019, 40, 106–108. doi: 10.1017/ice.2018.298

References

1. Kovaleva, J, Peters, FT, van der Mei, HC, Degener, JE. Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy. Clin Microbiol Rev 2013;26:231–254.Google Scholar
2. Wallace, RJ Jr, Brown, BA, Griffith, DE. Nosocomial outbreaks/pseudo-outbreaks caused by nontuberculous mycobacteria. Annu Rev Microbiol 1998;52:453–490.Google Scholar
3. Collins, FM. Bactericidal activity of alkaline glutaraldehyde solution against a number of atypical mycobacterial species. J Appl Bacteriol 1986;61:247–251.Google Scholar
4. Falkinham, JO 3rd. Nontuberculous mycobacteria from household plumbing of patients with nontuberculous mycobacteria disease. Emerg Infect Dis 2011;17:419–424.Google Scholar
5. CLSI. Laboratory Detection and Identification of Mycobacteria; Approved Guidelines. Wayne, PA: Clinical and Laboratory Standards Institute; 2008.Google Scholar
6. Iakhiaeva, E, Howard, ST, Elliott, BAB, et al. Variable-number tandem-repeat analysis of respiratory and household water biofilm isolates of “Mycobacterium avium subsp. hominissuis” with establishment of a PCR database. J Clin Microbiol 2016;54:891–901.Google Scholar
7. Wallace, RJ Jr, Zhang, Y, Brown-Elliott, BA, et al. Repeat positive cultures in Mycobacterium intracellulare lung disease after macrolide therapy represent new infections in patients with nodular bronchiectasis. J Infect Dis 2002;186:266–273.Google Scholar
8. Rosengarten, D, Block, C, Hidalgo-Grass, C, et al. Cluster of pseudoinfections with Burkholderia cepacia associated with a contaminated washer-disinfector in a bronchoscopy unit. Infect Control Hosp Epidemiol 2010;31:769–771.Google Scholar
9. Chroneou, A, Zimmerman, SK, Cook, S, et al. Molecular typing of Mycobacterium chelonae isolates from a pseudo-outbreak involving an automated bronchoscope washer. Infect Control Hosp Epidemiol 2008;29:1088–1090.Google Scholar
10. Wallace, RJ, Iakhiaeva, E, Williams, MD, et al. Absence of Mycobacterium intracellulare and presence of Mycobacterium chimaera in household water and biofilm samples of patients in the United States with Mycobacterium avium complex respiratory disease. J Clin Microbiol 2013;51:1747–1752.Google Scholar