17
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      An update on gastrointestinal endoscopy-associated infections and their contributing factors

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          During clinical use, gastrointestinal endoscopes are grossly contaminated with patient’s native flora. These endoscopes undergo reprocessing to prevent infectious transmission upon future use. Endoscopy-associated infections and outbreaks have been reported, with a recent focus on the transmission of multi-drug resistant organisms. This review aims to provide an update on endoscopy-associated infections, and the factors contributing to their occurrence.

          Methods

          PubMed, ScienceDirect, and CINAHL were searched for articles describing gastrointestinal endoscopy-associated infections and outbreaks published from 2008 to 2018. Factors contributing to their occurrence, and the outcomes of each outbreak were also examined.

          Results

          This review found 18 articles, 16 of which described duodenoscope-associated infections, and the remaining two described colonoscope- and gastroscope-associated infection respectively. Outbreaks were reported from the United States, France, China, Germany, the Netherlands and the United Kingdom. The causative organisms reported were Klebsiella pneumoniae, Pseudomonas aeruginosa, Escherichia coli and Salmonella enteritidis.

          Conclusions

          A number of factors, including lapses in reprocessing, biofilm formation, endoscope design issues and endoscope damage, contribute to gastrointestinal endoscopy associated infection. Methods of improving endoscope reprocessing, screening for contamination and evaluating endoscope damage may be vital to preventing future infections and outbreaks.

          Related collections

          Most cited references43

          • Record: found
          • Abstract: found
          • Article: not found

          New Delhi metallo-β-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes.

          Carbapenem-resistant Enterobacteriaceae (CRE) producing the New Delhi metallo-β-lactamase (NDM) are rare in the United States, but have the potential to add to the increasing CRE burden. Previous NDM-producing CRE clusters have been attributed to person-to-person transmission in health care facilities.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Withdrawal of a novel-design duodenoscope ends outbreak of a VIM-2-producing Pseudomonas aeruginosa.

            Infections are a recognized risk of endoscopic retrograde cholangiopancreatography (ERCP). This paper reports on a large outbreak of VIM-2-producing Pseudomonas aeruginosa that was linked to the use of a recently introduced duodenoscope with a specific modified design (Olympus TJF-Q180V).
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak.

              We identified an outbreak of AmpC-producing Escherichia coli infections resistant to third-generation cephalosporins and carbapenems (CR) among 7 patients who had undergone endoscopic retrograde cholangiopancreatography at hospital A during November 2012-August 2013. Gene sequencing revealed a shared novel mutation in a bla CMY gene and a distinctive fumC/ fimH typing profile.
                Bookmark

                Author and article information

                Contributors
                (+614) 99 777 181 , c.mccafferty@westernsydney.edu.au
                marra.aghajani1@gmail.com
                dr.david@abi-hanna.com
                i.gosbell@westernsydney.edu.au
                s.jensen@westernsydney.edu.au
                Journal
                Ann Clin Microbiol Antimicrob
                Ann. Clin. Microbiol. Antimicrob
                Annals of Clinical Microbiology and Antimicrobials
                BioMed Central (London )
                1476-0711
                10 October 2018
                10 October 2018
                2018
                : 17
                : 36
                Affiliations
                [1 ]GRID grid.429098.e, Ingham Institute for Applied Medical Research, ; 1 Campbell Street, Sydney, NSW 2560 Australia
                [2 ]ISNI 0000 0000 9939 5719, GRID grid.1029.a, Western Sydney University, School of Medicine, ; Sydney, 2560 Australia
                [3 ]ISNI 0000 0004 0527 9653, GRID grid.415994.4, Department of Gastroenterology and Hepatology, , Liverpool Hospital, ; Sydney, 2170 Australia
                [4 ]ISNI 0000 0004 4902 0432, GRID grid.1005.4, School of Medicine, , University of New South Wales, ; Sydney, 2033 Australia
                Article
                289
                10.1186/s12941-018-0289-2
                6182826
                30314500
                40029f4b-8a3a-4494-b9a4-7dfa4a52690c
                © The Author(s) 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 30 August 2018
                : 6 October 2018
                Categories
                Review
                Custom metadata
                © The Author(s) 2018

                Infectious disease & Microbiology
                Infectious disease & Microbiology

                Comments

                Comment on this article