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Volume 2003, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Between 5th July and 22nd September 1999, forty-three patients were bronchoscoped of whom forty-one had samples sent for Microbiology i.e., eighty-two specimens (forty one broncho-alveolar lavage (BAL) and forty one bronchial wash(BW)). Of the eighty-two specimens, forty (from twenty patients) grew Burkholderia cepacia with or without other pathogens. None of the patients showed evidence of infection. Sputum cultures from all patients before bronchoscopy and during the episode of infection did not grow B. cepacia. “Savlon” (chlorhexidine and cetrimide; Schering-Plough), used for cleaning bronchoscopes was found to be contaminated with B. cepacia and acted as a source of contamination of the environment, bronchoscopes and samples of patients, leading to a pseudooutbreak.

© 2003 El Shafie, Al Sattar, Al Khal, Al Suob and Estinoso licensee Bloomsbury Qatar Foundation Journals.
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/content/journals/10.5339/qmj.2003.1.10
2003-06-01
2020-07-08
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References

  1. Migual W. Arbeinten ans dem Bakteriologishen. Institute of Technicschen-Hochschule zu karlaruch. 1984; 1::235–238.
     [Google Scholar]
  2. Mitchell RG, Hayward AC. Postoperative urinary tract infection caused by contaminated irrigating fluid. Lancet. 1966; 1::793–795.
     [Google Scholar]
  3. Martone WJ, Tablan OC, Jarvis WR. Epidemiology of nosocomial epidemic Pseudomonas cepacia infection. Eur J Epidemiol. 1987; 2::222–232.
     [Google Scholar]
  4. Reboli Ac, Koshinski R, Austin-Marksk Steritz D, Stull Tl. An outbreak of Burkholderia cepacia lower respiratory tract infection association with contaminated albuterol nebulization solution. Infection Hospital Epidermiol. 1996; 17::741–743.
     [Google Scholar]
  5. Berekelman RC, lewins , Allen JR, et al., Pseudobacteremia attributed to contamination of povidone-iodine with pseudomonas cepacia. Ann intern Med. 1981; 95::32–36.
     [Google Scholar]
  6. Panlilio Al, beck sugue CM, Sigel JD, et al., Infections and pseudoinfections due to povidone-iodine solution contaminated with pseudomonas cepacia. Clin. Infect. Dis. 1992; 14::1078–1083.
     [Google Scholar]
  7. Martin MA. Reichelder for M.APIC. Guidelines for infection prevention and control inflexible endoscopy. Am J. Infection Control. 1994; 22::19–38.
     [Google Scholar]
  8. Agerton T, Valway S, Gore B, et al., Transmission of a highly drug resistant strain (strain Wl) of Mycobacterium tuberculosis. JAMA. 1997; 278::1073–1077.
     [Google Scholar]
  9. Bennett SN, Peterson DE, Johnson Dr, et al., Bronchoscopy Mycobacterium xenopi pseudoinfections. Am J Resp. Crit. Care Med. 1994; 150::245–250.
     [Google Scholar]
  10. Maloney S, Welbed S, Daves B, et al., Mycobacterium abscesses pseudoinfection traced to an automated endoscopes washer: Utility of epidemiologic and laboratory investigation. J. Infect. Dis. 1994; 169::1166–1169.
     [Google Scholar]
  11. Gubler JG, Salfinger M, von Graeyenitz A. Pseudoepidomics of non-tuberculosis due to contaminated bronchoscope cleaning machine: report of an outbreak and review of the literature. Chest. 1992; 101::1245–1249.
     [Google Scholar]
  12. Faser VJ, Jones M, Murray PR, et al., Contamination of flexible fiber-optic bronchoscopes with Mycobacterium chelonac linked to an automated bronchoscope disinfection machine. Am Rev Res. Dis. 1992; 145::853–855.
     [Google Scholar]
  13.   CDC Nosocomial infection and pseudoinfection from contaminated endoscopes and bronchoscopes. Wisconsin and Missouri. MMWR. 1991; 40::675–678.
     [Google Scholar]
  14. Kazmarek RG, Moore RM, McCorhan J, et al., Multi state investigation of the actual disinfection / sterilization of endoscopes in health care facilities. Am J Med. 1992; 92::257–261.
     [Google Scholar]
  15. Bradley CR, Babb JR. Endoscope decontamination: Automated vs. Manual J Hosp. Inf. 1995; 30::537–542.
     [Google Scholar]
  16. Bradley CR, Babb JR. Endoscope decontamination: Where do we go from here? J. Hosp. Inf. E.D.; 30::543–551.
     [Google Scholar]
  17. Garner JS, Favero MS. Guidelines for hand washing and hospital environment control. Infect. Control. 1986; 7::231–243.
     [Google Scholar]
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  • Article Type: Research Article
Keyword(s): Bronchoscopy , Burkholderia cepacia , Pseudooutbreak and Savlon
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