Background
Methods
Results
Conclusions
Key Words
Abbreviations:
AER ( automated endoscope reprocessor), ATP ( adenosine triphosphate), CFU ( colony-forming unit), EBUS ( endobronchial ultrasound), FDA ( Food and Drug Administration), HLD ( high-level disinfection), PPE ( personal protective equipment), RLU ( relative light units)References
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Article Info
Publication History
Footnotes
FUNDING/SUPPORT: 3M Company provided a research grant and study materials including luminometers and adenosine triphosphate–testing devices and swabs. Healthmark Industries sterilized sample collection materials and provided borescopes, spectrophotometers, sample collection materials, and supplies for hemoglobin and protein tests. The sponsors were not involved in designing the study, collecting data, interpreting results, or preparing the manuscript.
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- Infections and Damaged Flexible BronchoscopesCHESTVol. 155Issue 6
- ResponseCHESTVol. 155Issue 6
- In BriefWe appreciate Drs Shulimzon and Chatterji’s concerns related to cross-contamination during flexible bronchoscopy (FB).1 Despite monumental advancement in the technology, little attention has been paid to this potentially serious complication of FB.2 In our opinion ignorance and circumvention are both equally responsible for the phenomenon. The former is strictly related to our reactionary enthusiasm to adopt advanced technology while detouring the fundamentals of bronchoscopy. Fellowship programs, manufacturers, and the wardens of infection prevention have collectively fallen short in educating bronchoscopists in relation to the risk of infection spread during the procedure.
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- In Brief
- ResponseCHESTVol. 155Issue 6
- In BriefWe found the comments by Shulimzon and Chatterji insightful, and we agree that the presence of Stenotrophomonas maltophilia, Escherichia coli, and mold in patient-ready bronchoscopes in our study1 is particularly worrisome. The failure of reprocessing to completely remove exogenous contaminants is concerning, especially considering pathogens were detected in bronchoscopes even after reprocessing using superior techniques. Although Pseudomonas aeruginosa was detected in four bronchoscopes after manual cleaning, this pathogen was not found after high-level disinfection.
- Full-Text
- In Brief
