Risk factors linked to CRE transmission via contaminated duodenoscopes

Editor's Note

In patients having endoscopic retrograde cholangiopancreatography (ERCP) with a contaminated duodenoscope, biliary stent placement, a diagnosis of bile duct cancer, and hospital inpatient status were independently associated with an increased risk of carbapenem-resistant Enterobacteriaceae (CRE) transmission, this study finds.

The findings were based on data from a 2015 outbreak at Ronald Reagan UCLA Medical Center. Between October 3, 2014 and January 28, 2015, a total of 125 procedures were performed on 115 patients using one of two contaminated duodenoscopes.