Abstract
In 2015, a multi-resistant Klebsiella pneumonia bacteria (“MR Klebsiella”) was found in two Olympus video duodenoscopes of the type TJF-Q180V in the Utrecht University Medical Center (“UMC Utrecht”) after the culturing of flush samples (sterile physiological saline), which were sent through the suction and biopsy channels. This report describes the extensive, and finally destructive investigation of the contaminated scopes that was conducted to reveal the potential causes of the persistent contamination. It appeared that improper maintenance by an external endoscope maintenance company was a major factor.
| Translated title of the contribution | Onderzoek Olympus TJF‐Q180V Scopen UMC Utrecht n.a.v. gevonden contaminatie na reiniging en desinfectie: Verslaglegging, Conclusies en Suggesties |
|---|---|
| Original language | Multiple languages |
| Commissioning body | University Medical Center Utrecht |
| Number of pages | 125 |
| Publication status | Published - 2017 |
Keywords
- Forensic Engineering
- Investigation
- ERCP-scopes
- Patient safety
- Inspection
- Health-care safety
- Endoscopy
- Infection
- Medical technology
- Medical device design