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Hello,
Thanks very much Donna, Rachel and Robert – great help.
Cheers
Sonja
Hi Sonja,
I would recommend you refer to both the ASID/AICA position statement – Infection control guidelines for patients with Clostridium difficile infection in healthcare settings (link here http://www.publish.csiro.au/hi/HI11011 ) and to the Hand hygiene Australia website (link here http://www.hha.org.au/About/ABHRS/abhr-limitations.aspx ) which provide guidance re hand hygiene requirements for C. difficile.
While alcohol is not effective against C. difficile spores it is effective against the vegetative form of the bacteria. Spores are a survival mechanism of this organism for when times get tough (so to speak).
HHA recommends that “gloves should be used during the care of patients with CDI, to minimise spore contamination, and if hands become soiled, or gloves have not been used, then hands must be washed with soap and water.”
Regards,
Donna
………………………………………………………………………..
Donna Cameron | Infection Control Consultant
Microbiological Diagnostic Unit
Public Health Laboratory | Department of Microbiology & Immunology
The University of Melbourne, Building 248, Level 1, 792 Elizabeth Street, Melbourne, 3010, VIC
Telephone +61 3 8344 3574 | Fax +61 3 8344 7833
Website http://www.mduphl.unimelb.edu.au/
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Hello all,
I’m interested in how healthcare facilities go about Clostridium positive patients and Hand Hygiene products. As ABHR is not efficient with C-diff, we advise staff to mainly use water and soap for their 5 moments of hand hygiene rather ABHR, especially when leaving patient and patient environment. Also emphasising daily cleaning of high touch areas with sporicidal product.
Now it came to my attention, that ward manager completely removing ABHR from C-diff positive patients environment and expect staff to only use water hand soap for their HH. This is an issue on our ICU ward and I’m currently working on a practical advice/solution.
I’m greatly appreciating any practical help/advice.
Regards
Sonja
Sonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
e … sonja.Wegert@nt.gov.au http://www.nt.gov.au/health
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