title: Transmission of Salmonella enteritidis after endoscopic retrograde cholangiopancreatography because of inadequate endoscope decontamination.
abstract: We report a historic nosocomial outbreak of Salmonella enteritidis affecting 4 inpatients who underwent endoscopic retrograde cholangiopancreatography. The cause was attributed to inadequate decontamination of an on-loan endoscope used over a weekend. This report highlights the risks of using on-loan endoscopes, particularly regarding their commissioning and adherence to disinfection protocols. In an era of increasing antibiotic resistance, transmission of Enterobacteriaceae by endoscopes remains a significant concern.
authors.affiliation: Microbiology Department, Queen Elizabeth University Hospital, Glasgow, UK. Electronic address: gingerprince@doctors.org.uk.
authors.forename: Paul
authors.initials: P
authors.lastname: Robertson
authors.affiliation: Infection Control Team, North Glasgow University Hospitals National Health Service Trust, Glasgow, UK.
authors.forename: Andrew
authors.initials: A
authors.lastname: Smith
authors.affiliation: Day Surgery Unit, Stobhill Hospital, Glasgow, UK.
authors.forename: Margaret
authors.initials: M
authors.lastname: Anderson
authors.affiliation: Infection Control Team, North Glasgow University Hospitals National Health Service Trust, Glasgow, UK.
authors.forename: Jackie
authors.initials: J
authors.lastname: Stewart
authors.affiliation: Infection Control Team, North Glasgow University Hospitals National Health Service Trust, Glasgow, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Hamilton
authors.affiliation: Infection Control Team, North Glasgow University Hospitals National Health Service Trust, Glasgow, UK.
authors.forename: Sandra
authors.initials: S
authors.lastname: McNamee
authors.affiliation: Infection Control Team, North Glasgow University Hospitals National Health Service Trust, Glasgow, UK.
authors.forename: Evonne T
authors.initials: ET
authors.lastname: Curran
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology / Q000635:transmission*; D003666:Decontamination / Q000379:methods*; D004196:Disease Outbreaks; D018562:Disease Transmission, Infectious; D006801:Humans; D012480:Salmonella Infections / Q000453:epidemiology / Q000382:microbiology / Q000635:transmission*; D012477:Salmonella enteritidis / Q000302:isolation & purification*
keywords: Decontamination; Endoscope; Salmonella