Bronchoscopy-related infections and pseudoinfections--New York, 1996 and 1998

MMWR Morb Mortal Wkly Rep. 1999 Jul 9;48(26):557-60.

Abstract

Bronchoscopy is a useful diagnostic technique that can be performed safely by trained specialists when the bronchoscopes in both inpatient and ambulatory-care settings are reprocessed properly to prevent transmission of infection. The New York State Department of Health received reports of three clusters of culture-positive bronchoscopy specimens obtained in 1996 and 1998 from patients at local health-care facilities. This report summarizes the results of investigations of these clusters, which indicated involvement of Mycobacterium tuberculosis, M. intracellulare, or imipenem-resistant Pseudomonas aeruginosa. Between patient uses, bronchoscopes had been cleaned, visually inspected, leak tested, and processed by STERIS System 1 processors (STERIS, Mentor, Ohio).

MeSH terms

  • Bronchoscopy* / adverse effects
  • Cluster Analysis
  • Disinfection
  • Equipment Contamination
  • Humans
  • Mycobacterium avium Complex / isolation & purification
  • Mycobacterium avium-intracellulare Infection / epidemiology*
  • Mycobacterium avium-intracellulare Infection / etiology
  • Mycobacterium tuberculosis / isolation & purification
  • New York / epidemiology
  • Pseudomonas Infections / epidemiology*
  • Pseudomonas Infections / etiology
  • Pseudomonas aeruginosa / isolation & purification
  • Sterilization
  • Tuberculosis / epidemiology*
  • Tuberculosis / etiology