Course Access
Do we think this has come about with the small study that was done around vaccination of children in the community? This issue always raises its head about now with staff flu vaccination as well. ICP discussion usually leans towards swabbing recognising the increased risk factors in the health care environment. The cost of a swab is negligible so cost should not be the issue. Nurse immunisers are being taught not to swab (live vaccines are a foregone conclusion) so we often find some conflict with practices.
I would love to see more research on this if anyone is aware of any.
Regards
Robyn
Robyn Birch
CNC Infection Control
Redland Hospital
Department of Health | Queensland Government
PO Box 585, ClevelandQLD 4163
t. (07) 3488 3518
m. 0412 585 099
Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
________________________________
As an aside to this conversation, there appears to be a difference in risk between subcutaneous injections and IM injections. There is a definite rare but documented risk of sepsis following IM injection (see http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769353/ as an example).
The risk of sepsis from subcutaneous injections seems to be much lower, and possibly more to do with incorrect technique than anything.
I am not sure if universities are taking a blanket approach to injecting and teaching students not to use alcohol disinfection of the skin for all injections. Do we have any academics on the list that can answer this question?
Thanks
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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P Please consider the environment before printing this email
Hi Lyn,
I’ve found the following information on the NPS website for Fragmin Single dose injections – Consumer medication information leaflet
Before you inject, make sure that the injection site is clean by wiping the area with an antiseptic swab, or by washing it with soap and water and patting it dry with a clean towel
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/dalteparin-sodium/fragmin-single-dose-syringe-solution-for-injection
For Clexane it didn’t specify cleaning of the skin
http://www.nps.org.au/medicines/heart-blood-and-blood-vessels/anti-clotting-medicines/for-individuals/anticoagulant-medicines/for-individuals/active-ingredients/enoxaparin-sodium/clexane-solution-for-injection
When administering vaccines, provided the skin is visibly clean, there is no need to wipe it with an antiseptic.
Regards
Marlize
Marlize Senekal
Infection Prevent & Control CNC – Education and Research
T (07) 3621 4545 | M 0418 866 816
E m.senekal@wmb.org.au | http://www.wmb.org.au
Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032
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Morning,
I was just wondering what the general consensus is with regards to the use of alcohol wipe swabbing prior to giving Clexane/Fragmin/Heparin etc.
Some of the students we are seeing come through the hospital are educated not to.
With kind regards,
Lynette Cribb
Infection Control Coordinator | St Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill, QLD, 4001
GPO Box 764, Brisbane, QLD, 4001
P: +61 7 3834 4328 F: +61 7 3834 4599
M: 0427 141 223
E: sawmh.icc@uchealth.com.au
W: http://www.uchealth.com.au
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Remember to protect your patients, family and yourself by getting the Influenza vaccination
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