Re: Mixing of endoscopy and ophthalmology procedures in a HEPA filtered Operating Room

Hi Terry and All

A little relatedI have been working on a project in relation to ultra-clean OR particularly in relation to implants and as an adjunct to all the other standard approaches asepsis, surgical skill, environmental cleaning and surgical hand asepsis.

This is an incredibly interesting paper from AJIC that infers our current approaches can be improved. It is particularly encouraging to see Australia mentioned. The paper is worth a read in my opinion anyway.

Yours sincerely

Cath

Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry McAuley
Sent: Friday, 6 October 2017 08:33
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Mixing of endoscopy and ophthalmology procedures in a HEPA filtered Operating Room

Thanks Michael,

I’ve suggested a waiting period between cases based on the time taken to achieve a full air exchange in the OR and of course cleaning thoroughly between cases (as they should already be).

Kind Regards
Terry McAuley
Director
STEAM Consulting Pty Ltd
M: 0438109692

Sent from my Samsung Mobile on the Telstra Mobile Network

——– Original message ——–
From: Michael Wishart <Michael.Wishart@SVHA.ORG.AU>
Date: 6/10/17 7:46 am (GMT+10:00)
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Mixing of endoscopy and ophthalmology procedures in a HEPA filtered Operating Room

Hi Terry

We had this question many years ago at St Elsewheres when we opened a new imaging procedure room that was used for vascular grafts. Because the imaging was so good, a gastroenterologist wanted to do so specific colonoscopy procedures requiring imaging in it. The vascular surgeons kicked up a big stink, but the ID/micro people supported it with the appropriate cleaning between cases and use of the procedure room (it was HEPA filtered) for both types of cases.

Similar concept. Not sure if there would be a need to be a waiting period to ensure appropriate air changes before ophthalmic procedures that followed endoscopies (eg possible aerosolized viruses?).

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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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry McAuley
Sent: Thursday, 5 October 2017 5:54 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Mixing of endoscopy and ophthalmology procedures in a HEPA filtered Operating Room
Importance: High

Hi Everyone,

I have been asked if there is any evidence available that would indicate that you should not perform ophthalmic procedures in a correctly ventilated Operating Room after the OR has been used for endoscopy procedures.

I havent been able to locate anything suggesting that this is an issue however before making a recommendation I thought I would ask the Brain Bank if they have ever researched this question and if so have they found an answer?

Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
Mob: +61 (0)438 109 692
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

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