Investigation of a pseudo-outbreak of Mycobacterium franklinni.

Mycobacterium franklinni is a ubiquitous organism that can cause lung, skin, and soft tissue infections. Due to its pervasive nature, it can be a source of outbreaks via contamination of shared medical equipment or tools. When investigating outbreaks of this type of organism it is important to consider the clinical picture of the patient when evaluating if there is a pseudo-outbreak as well as identifying if treatment is needed for patients.

High-level disinfection evaluation in the ambulatory setting.

High level disinfection (HLD) is a complex process, requiring appropriate materials and highly trained personnel. An investigation of the HLD process was performed at an outpatient urology practice upon notification of expired chemical test strips being utilized. Infection Prevention (IP) identified various breaches in the reprocessing of flexible cystoscopes and transrectal prostate biopsy probes. Contributing factors identified were gaps in staff training, availability of all necessary supplies and staff supervision.

Incorporating structured linen oversight into an infection prevention program.

Hospital linen is a potential source for health care acquired infections. The elements of cleaning, transport and storage should be part of an Infection Prevention (IP) consult. The incorporation of linen reprocessing into the IP program ensures compliance with linen standards and patient safety.