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A bronchoscopy-associated pseudo-outbreak of Mycobacterium chelonae and Mycobacterium mucogenicum associated with contaminated ice machine water and ice

Published online by Cambridge University Press:  05 June 2023

Drew W. Engers Open the ORCID record for Drew W. Engers [Opens in a new window] ,
Rajeev Swarup ,
Cheryl Morrin Open the ORCID record for Cheryl Morrin [Opens in a new window] ,
Mica Blauw Open the ORCID record for Mica Blauw [Opens in a new window] ,
Miles Selfridge ,
Pierre Gonyon ,
Janet E. Stout  and
Anurag N. Malani
Drew W. Engers
Affiliation:
Section of Infectious Diseases, Department of Medicine, Trinity Health Ann Arbor, Ann Arbor, Michigan
Rajeev Swarup
Affiliation:
Section of Pulmonary, Department of Medicine, Trinity Health Ann Arbor, Ann Arbor, Michigan Veterans’ Affairs Hospital, Ann Arbor, Michigan
Cheryl Morrin
Affiliation:
Department of Infection Prevention and Control, Trinity Health Ann Arbor, Ann Arbor, Michigan
Mica Blauw
Affiliation:
Department of Infection Prevention and Control, Trinity Health Ann Arbor, Ann Arbor, Michigan Department of Infection Prevention and Control, Corewell Health. Grand Rapids, Michigan
Miles Selfridge
Affiliation:
Department of Engineering, Trinity Health Ann Arbor, Ann Arbor, Michigan
Pierre Gonyon
Affiliation:
Department of Engineering, Trinity Health Ann Arbor, Ann Arbor, Michigan
Janet E. Stout
Affiliation:
Special Pathogens Laboratory, Pittsburgh, Pennsylvania Department of Civil and Environmental Engineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania
Anurag N. Malani*
Affiliation:
Section of Infectious Diseases, Department of Medicine, Trinity Health Ann Arbor, Ann Arbor, Michigan Department of Infection Prevention and Control, Trinity Health Ann Arbor, Ann Arbor, Michigan
*
Corresponding author: Anurag N. Malani, Email: Anurag.Malani@trinity-health.org
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Abstract

A pseudo-outbreak of bronchoscopy-associated Mycobacterium chelonae and M. mucogenicum was traced to contaminated ice machine water and ice. A nonsterile ice bath was used to cool uncapped, sterile, saline syringes used to slow procedural bleeding. Joining the growing evidence of bronchoscopy pseudo-outbreaks, our investigation describes several lessons for future prevention.

Information

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 12 , December 2023 , pp. 2056 - 2058
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Seoane-Vazquez, E, Rodriguez-Monguio, R, Visaria, J, Carlson, A. Exogenous endoscopy-related infections, pseudoinfections, and toxic reactions: clinical and economic burden. Curr Med Res Opin 2006;22:2007–2021.CrossRefGoogle ScholarPubMed
Weber, DJ, Rutala, WA. Lessons learned from outbreaks and pseudo-outbreaks associated with bronchoscopy. Infect Control Hosp Epidemiol 2012;33:230–234.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
Mehta, AC, Muscarella, LF. Bronchoscope-related “superbug” infections. Chest 2020;157:454–469.CrossRefGoogle ScholarPubMed
Bringhurst, J, Weber, DJ, Miller, MB, et al. A bronchoscopy-associated pseudo-outbreak of Mycobacterium mucogenicum traced to use of contaminated ice used for bronchoalveolar lavage. Infect Control Hosp Epidemiol 2020;41:124–126.CrossRefGoogle ScholarPubMed
Perkins, KM, Reddy, SC, Fagan, R, Arduino, MJ, Perz, JF. Investigation of healthcare infection risks from water-related organisms: summary of CDC consultations, 2014–2017. Infect Control Hosp Epidemiol 2019;40:621–626.CrossRefGoogle ScholarPubMed
Phillips, MS, von Reyn, CF. Nosocomial infections due to nontuberculous mycobacteria. Clin Infect Dis 2001;33:1363–1374.CrossRefGoogle ScholarPubMed
Decker, BK, Palmore, TN. The role of water in healthcare-associated infections. Curr Opin Infect Dis 2013;26:345–351.CrossRefGoogle ScholarPubMed
Kanamori, H, Weber, DJ, Rutala, WA. Healthcare outbreaks associated with a water reservoir and infection prevention strategies. Clin Infect Dis 2016;62:1423–1435.CrossRefGoogle ScholarPubMed
Brown-Elliott, BA, Philley, JV. Rapidly growing mycobacteria. Microbiol Spectr 2017;5(1). doi: 10.1128/microbiolspec.TNMI7-0027-2016.CrossRefGoogle ScholarPubMed