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Procedures: Unique Investigations in Interventional Pulmonology |

Bronchoscopy Related Transmission of Infections: Should Bronchoscopes Be Routinely Cultured for Surveillance?

Jasleen Pannu, MD; Joseph Horne, RPFT; Susan Pizzuto, RPFT; Jeffery Kwon, MD
Author and Funding Information

Bridgeport Hospital/Yale New Haven Health System, Bridgeport, CT


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1048A. doi:10.1016/j.chest.2016.08.1154
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SESSION TITLE: Unique Investigations in Interventional Pulmonology

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 02:45 PM - 04:15 PM

PURPOSE: Transmission of pathogens via flexible bronchoscopy has been reported in clusters and is generally considered to be a rare event. Preventing transmission requires strict adherence to current guidelines for cleaning and disinfection of the equipment. In October 1999, The New York State Department of health published reports of three clusters of culture positive bronchoscopy specimens between 1996 and 1998. Two of these clusters involved mycobacterium. This prompted a rigorous quality improvement intervention at our hospital to adopt a local quality assurance protocol. Subsequenty, starting in 2002 to present day, periodic mycobacterial surveillance cultures have been performed on all bronchoscopes. Another safety communication regarding recent flexible bronchoscopy-related transmission of infection has been issued by the Food and Drug Administraton(FDA) on September 17, 2015. This has encouraged several more centers to adopt surveillance culture monitoring. However, the role of this strategy in preventing pathogen transmission is unknown. We describe the results of periodic culture monitoring at our institution since 2002

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