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来自受污染的内镜和支气管镜的医院感染及假感染——威斯康星州和密苏里州

Nosocomial infection and pseudoinfection from contaminated endoscopes and bronchoscopes--Wisconsin and Missouri.

出版信息

MMWR Morb Mortal Wkly Rep. 1991 Oct 4;40(39):675-8.

PMID:1910146
Abstract

Flexible fiber-optic endoscopes are widely used in the United States for diagnostic and therapeutic procedures. Between uses, endoscopes should be cleaned and disinfected either manually or by using automated machines. However, outbreaks have occurred among patients exposed to contaminated endoscopes or to inadequately disinfected bronchoscopes (1-4). This report summarizes one outbreak of nosocomially acquired infection (Wisconsin) and one of pseudoinfection (Missouri) linked to endoscopes contaminated during cleaning and disinfection by automated reprocessing machines.

摘要

柔性纤维光学内窥镜在美国被广泛用于诊断和治疗程序。在不同的使用之间,内窥镜应通过手动或使用自动化机器进行清洁和消毒。然而,接触受污染内窥镜或消毒不充分的支气管镜的患者中曾发生过感染暴发(1 - 4)。本报告总结了一起与自动再处理机器在清洁和消毒过程中污染的内窥镜相关的医院获得性感染暴发(威斯康星州)和一起假感染暴发(密苏里州)。

相似文献

1
Nosocomial infection and pseudoinfection from contaminated endoscopes and bronchoscopes--Wisconsin and Missouri.来自受污染的内镜和支气管镜的医院感染及假感染——威斯康星州和密苏里州
MMWR Morb Mortal Wkly Rep. 1991 Oct 4;40(39):675-8.
2
From the Centers for Disease Control. Nosocomial infection and pseudoinfection from contaminated endoscopes and bronchoscopes--Wisconsin and Missouri.来自疾病控制中心。受污染的内镜和支气管镜导致的医院感染及假感染——威斯康星州和密苏里州。
JAMA. 1991;266(16):2197-8.
3
Nosocomial infection and pseudoinfection from contaminated endoscopes and bronchoscopes--United States.
Can Dis Wkly Rep. 1991 Dec 7;17(49):271-4.
4
An outbreak of Pseudomonas aeruginosa infections associated with flexible bronchoscopes.一起与可弯曲支气管镜相关的铜绿假单胞菌感染暴发。
N Engl J Med. 2003 Jan 16;348(3):221-7. doi: 10.1056/NEJMoa021808.
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Unusual implication of biopsy forceps in outbreaks of Pseudomonas aeruginosa infections and pseudo-infections related to bronchoscopy.活检钳在与支气管镜检查相关的铜绿假单胞菌感染及伪感染暴发中的异常影响。
J Hosp Infect. 2005 Sep;61(1):20-6. doi: 10.1016/j.jhin.2005.01.024.
6
Nosocomial outbreak of Pseudomonas aeruginosa infections related to a flexible bronchoscope.与可弯曲支气管镜相关的铜绿假单胞菌感染的医院内暴发。
J Hosp Infect. 2006 Oct;64(2):129-35. doi: 10.1016/j.jhin.2006.06.014. Epub 2006 Aug 8.
7
Nosocomial transmission of imipenem-resistant Pseudomonas aeruginosa following bronchoscopy associated with improper connection to the Steris System 1 processor.与Steris System 1处理器连接不当相关的支气管镜检查后耐亚胺培南铜绿假单胞菌的医院内传播。
Infect Control Hosp Epidemiol. 2001 Jul;22(7):409-13. doi: 10.1086/501925.
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Mycobacterium abscessus pseudoinfection traced to an automated endoscope washer: utility of epidemiologic and laboratory investigation.追溯至自动内镜清洗机的脓肿分枝杆菌假感染:流行病学和实验室调查的作用
J Infect Dis. 1994 May;169(5):1166-9. doi: 10.1093/infdis/169.5.1166.
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An outbreak of multidrug-resistant Pseudomonas aeruginosa infection associated with contamination of bronchoscopes and an endoscope washer-disinfector.一起与支气管镜及内镜清洗消毒机污染相关的多重耐药铜绿假单胞菌感染暴发。
J Hosp Infect. 2000 Sep;46(1):23-30. doi: 10.1053/jhin.2000.0800.
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Inconsistencies in endoscope-reprocessing and infection-control guidelines: the importance of endoscope drying.内窥镜再处理与感染控制指南中的不一致之处:内窥镜干燥的重要性。
Am J Gastroenterol. 2006 Sep;101(9):2147-54. doi: 10.1111/j.1572-0241.2006.00712.x.

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Comparison of the efficacy of disinfectants in automated endoscope reprocessors for colonoscopes: tertiary amine compound (Sencron2®) versus ortho-phthalaldehyde (Cidex®OPA).用于结肠镜的自动内镜清洗消毒机中消毒剂的效果比较:叔胺化合物(Sencron2®)与邻苯二甲醛(Cidex®OPA)
Intest Res. 2016 Apr;14(2):178-82. doi: 10.5217/ir.2016.14.2.178. Epub 2016 Apr 27.
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Analysis of a panel of rapidly growing mycobacteria for resistance to aldehyde-based disinfectants.对一组快速生长分枝杆菌进行基于醛类消毒剂的耐药性分析。
Am J Infect Control. 2014 Aug;42(8):932-4. doi: 10.1016/j.ajic.2014.05.014.
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Transmission of infection by flexible gastrointestinal endoscopy and bronchoscopy.经软性胃肠内镜和支气管镜传播感染。
Clin Microbiol Rev. 2013 Apr;26(2):231-54. doi: 10.1128/CMR.00085-12.
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J Hosp Infect. 2008 Oct;70 Suppl 1:60-8. doi: 10.1016/S0195-6701(08)60014-6.
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American College of Chest Physicians and American Association for Bronchology [corrected] consensus statement: prevention of flexible bronchoscopy-associated infection.美国胸科医师学会和美国支气管学协会[更正后]共识声明:预防可弯曲支气管镜检查相关感染。
Chest. 2005 Sep;128(3):1742-55. doi: 10.1378/chest.128.3.1742.
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The Occurrence and Prevention of Infections Associated with Gastrointestinal Endoscopy.与胃肠内镜检查相关感染的发生与预防
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