Re: Norovirus

13/11/2013 at 2:20 pm #70640 Quote

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Author:
Godsell, Mary-Rose

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Hi Terri,
The literature ive read says that diarrhoea can also be aerosoled.
Cleaning being a key preventative measure, Ive had similar reduction of
cases once initated
regards
Mary-Rose
Kind regards
Mary-Rose Godsell
RGON, AFAAQHC, GDipHSM, CICP, MAdvPrac(Hons) Infection Prevention &
Control
South West Infection Control Nurse Consultant
Southern Country Health Service – South West

‘Hand hygiene reduces the
spread of infection’

ph:08) 9781 2314
mobile 04 3996 1015
e-mail: Mary-Rose.Godsell@health.wa.gov.au

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Behalf Of Jane Tomlinson

HI Terri
What a great discussion, here at RCH Brisbane we use P2 masks until
vomiting has ceased, then we swap to contact precautions – we also see
significant long standing norovirus colonisation in our oncology
patients.
My rationale is that the vomiting is likely aerosol and that I should
provide the best protection to my HCW.
We find outbreaks are usually from environmental persistence of a
child’s vomit, and usually once we do a disinfectant clean – and find
this usually stops any new cases in outbreak (of course we also close
area to admission and have all exposed pts ‘at risk’ under contact
precautions).
cheers
Jane

We Passed Accreditation – met with merit for standard 3 Infection
Prevention – many thanks for your assistance and great work
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower

Herston Rd, HERSTON QLD 4029

http://www.health.qld.gov.au/childrenshealth

>>> TERRI CRIPPS 25/10/13 15:52
>>>

Hi everyone,

Always on a Friday afternoon!

We have had a great debate here about what sort of precautions Norovirus
requires and what sort of isolation room they need to be nursed in.

The NSW Ministry of Health Infection Control policy PD2007_036 states:

“Contact and Airborne precautions.

P2 mask when there is potential for aerosol dissemination e.g. patient
vomiting or toileting (diarrhoea), disposing of faeces.

Airborne negative pressure room if available and P2 mask

Contact gown/apron, gloves

Ensure consistent environmental cleaning and disinfection.”

I have always advised the staff that contact and DROPLET precautions are
required if the patient is vomiting or has profuse/explosive diarrhoea.
I have also advised that a surgical mask is sufficient (if worn
correctly). Our little ones don’t vomit and expel faeces as far as
adults do too.

We do not have the luxury of having a negative pressure room for them to
be nursed in either as we do not have that many.

I think CDC simply suggests single rooms and contact precautions.

Just thought I would ask the other experts out there what they think
about this topic?

Also if I advise staff to follow the contact and droplet precautions and
surgical mask route, am I going against policy?

Any help on this matter would be appreciated. Happy to admit I am wrong!

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