Course Access
Dear Colleagues,
Just for clarification — if this is required — that microbiologically, an antiseptic hand wash is in between a plain soap hand wash and an alcohol-based hand rub, in the order of reduction factors:
Plain soap hand wash < antiseptic hand wash << alcohol-based hand rub.
The usual achieved reduction factors of antiseptic hand washes are in fact closer to plain soaps than they are to alcohol-based hand rubs. That also depends on the individual product and/or preparation used (not all are equal).
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women's and Children's Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387
Hi Tim
Interestingly, the US HICPAC BSI guidelines has this:
Hand Hygiene and Aseptic Technique
1. Perform hand hygiene procedures, either by washing hands with conventional soap and water or with alcohol-based hand rubs (ABHR). Hand hygiene should be performed before and after palpating catheter insertion sites as well as before and after inserting, replacing, accessing, repairing, or dressing an intravascular catheter. Palpation of the insertion site should not be performed after the application of antiseptic, unless aseptic technique is maintained [12, 77-79]. Category IB
This recommendation seems to be generic for all intravascular devices from what I can see. No specific recommendation for hand cleaning with an antiseptic solution prior to CVC insertion.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Hi Michelle,
Have you asked them for what reasons they have changed their current practice?
Maybe they can supply you with the evidence they used to stop using antiseptic hand wash.
This is currently NOT the recommendations of both a number of Australian and international guidelines and recommendations.
Currently CDC, SHEA, APIC, EPIC, ACI, INS , CNSA and NSW MoH CVAD guidelines support the use of antiseptic handwashing in all aspects of vascular access.
Tim..
Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert, VA-BC.
Independent Vascular Access Consultant
Conjoint Lecturer, South West Sydney Clinical School | Faculty of Medicine | University of NSW
Director-at-Large, Vascular Access Certification Corporation (VACC)
M: +1 (623) 326 8889 (USA)
M: +61 (0)409 463 428 (AU)
E: tim.spencer68@icloud.com
“Be a yardstick of quality. Some people aren’t used to an environment where excellence is expected.” – Steve Jobs
Morning All, I recently found our PICC team no longer use antiseptic hand wash pre PICC insertion and use neutral soap. Can anyone tell me where to find evidence of using antiseptic hand wash prior to invasive procedures?
Thank you
Michelle Kennedy
CNC | Infection Prevention Service
John Hunter Hospital Campus
Lookout rd, New Lambton
Tel 02 4921 3129 | michelle.kennedy@hnehealth.nsw.gov.au
http://www.health.nsw.gov.au
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