{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:37:52Z","timestamp":1772120272051,"version":"3.50.1"},"reference-count":9,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajicjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Infection Control"],"published-print":{"date-parts":[[2018,1]]},"DOI":"10.1016\/j.ajic.2017.07.021","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T16:26:20Z","timestamp":1505406380000},"page":"73-75","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Improper positioning of the elevator lever of duodenoscopes may lead to sequestered bacteria that survive disinfection by automated endoscope reprocessors"],"prefix":"10.1016","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0540-7438","authenticated-orcid":false,"given":"Michelle J.","family":"Alfa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harminder","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald R.","family":"Duerksen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gale","family":"Schultz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Reidy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4426-9322","authenticated-orcid":false,"given":"Pat","family":"DeGagne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Olson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajic.2017.07.021_bib0010","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1055\/s-0030-1255647","article-title":"Multidrug-resistant Klebsiella pneumoniae outbreak after endoscopic retro- grade cholangiopancreatography","volume":"42","author":"Aumeran","year":"2010","journal-title":"Endoscopy"},{"key":"10.1016\/j.ajic.2017.07.021_bib0015","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1001\/jama.2014.12720","article-title":"New Delhi metallo-\u03b2-lactamase\u2013producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes","volume":"312","author":"Epstein","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.ajic.2017.07.021_bib0020","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s11938-016-0088-9","article-title":"Duodenoscope-associated bacterial infections: a review and update","volume":"14","author":"Higa","year":"2016","journal-title":"Curr Treat Options Gastroenterol"},{"key":"10.1016\/j.ajic.2017.07.021_bib0025","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1007\/s11894-016-0528-7","article-title":"Current practice of duodenoscope reprocessing","volume":"18","author":"Kim","year":"2016","journal-title":"Curr Gaastroenterol Rep"},{"key":"10.1016\/j.ajic.2017.07.021_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajic.2016.01.008","article-title":"Effectiveness of the SYSTEM 1E liquid chemical sterilant processing system for reprocessing duodenoscopes","author":"McDonnell","year":"2016","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ajic.2017.07.021_bib0035","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.gie.2016.10.002","article-title":"Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update","volume":"85","author":"Petersen","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.ajic.2017.07.021_bib0040","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.ajic.2012.07.008","article-title":"Early identification and control of carbapenemase-producing Klebsiella pneumoniae originating from contaminated endoscopic equipment","volume":"41","author":"Alrabaa","year":"2013","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ajic.2017.07.021_bib0045","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jhin.2016.01.023","article-title":"Physical and composition characteristics of clinical secretions compared with test soils used for validation of flexible endoscope cleaning","volume":"93","author":"Alfa","year":"2016","journal-title":"J Hosp Infect"},{"key":"10.1016\/j.ajic.2017.07.021_bib0050","first-page":"22","article-title":"Evaluation of endoscope cleanliness after reprocessing: a clinical-use study","volume":"1","author":"Pineau","year":"2013","journal-title":"Cent Serv"}],"container-title":["American Journal of Infection Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196655317309082?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196655317309082?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T05:48:02Z","timestamp":1759297682000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0196655317309082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["S0196655317309082"],"URL":"https:\/\/doi.org\/10.1016\/j.ajic.2017.07.021","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.731221061.793555288","asserted-by":"object"}]},"ISSN":["0196-6553"],"issn-type":[{"value":"0196-6553","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Improper positioning of the elevator lever of duodenoscopes may lead to sequestered bacteria that survive disinfection by automated endoscope reprocessors","name":"articletitle","label":"Article Title"},{"value":"American Journal of Infection Control","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajic.2017.07.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}