Abstract
Duodenoscopes have been implicated in the transmission of multi-drug resistant bacteria (MDRB). Our medical center has been voluntarily submitting cultures since 2010 to a state reference laboratory surveying for the emergence of MDRB in hospitals. We were informed In November 2013 that a cluster of patients treated at our institution had a unique hyper-AmpC-E. Coli, with the preponderance of those patients having had one or more ERCPs.
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