Course Access
Hi Michael,
I’m interested to know how you manage the clearance regime to get the weekly
rectal swabs over a three week period for all your VRE positive patients
over time.
Do you have a computer tracking and readmission and flagging system or is
this tracking done manually?
What if the VRE patient goes home before the 3 weeks is up? I’m guessing
that with the exception of your dialysis patients the average length of stay
of most inpatients is probably only 4-5 days so do you follow up pts after
discharge to complete the clearance regime?
Would be interested to hear from other infection control teams with similar
clearance regimes and those who also have a large accumulated numbers of
VRE positive patients as to how tracking and readmission
flagging/identification occurs.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
ABN 47533508426
Of Michael Wishart
Hi Barbara
In my lovely hospital here we have 80+% single rooms (including 2 in our 15
bed ICU), so isolation of inpatients with VRE is not a problem, and we
isolate all patients with a history of VRE. We do have a ‘clearance’ regime
that involves 3 negative rectal swabs (plus any other infected / colonised
sites) at least 3 months after last positive, on no antibiotic therapy for
at least 2 weeks, and the clearance swabs must be at least a week apart.
Having said all that, in hospitals with limited single rooms I have seen all
sorts of algorithms for isolation of VRE. Some of the thoughts in these
include risk of transmission (high risk patients: those with diarrhoea or
symptomatic infection; high risk areas like dialysis / transplant / oncology
/ ICU) and time since last positive.
There was actually a discussion a while ago (?Ozbug, ?HICSIG) about the
whole value of VRE precaution, since the actual morbidity with VRE infection
is low (even though colonisation rates may be increasing), so there are
varied opinions on this.
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
w:
http://www.holyspiritnorthside.org.au
Please consider the environment before printing this email
Of May, Barbara
Hello,
My managers have asked me to review our current practices of isolating VRE
positive patients. This is mainly due to the limited number of single rooms
within our facility. I am interested to know how you manage patients who
have a positive VRE screen, whether you isolate or not, what risk
assessments you undertake to determine as to whether to isolate or not and
whether you have introduced a yoghurt regime for these patients and how you
then manage these patients.
Thanking you in advance,
Barbara
Barbara May
CNC Infection Control
Hastings Macleay Clinical Network
Ph. 0255242061
Mo. 0402890677
This message is intended for the addressee(s) named and may contain
confidential information. If you are not the intended recipient, please
delete the message and any attachments and notify the sender. Views
expressed in this message are those of the individual sender, and are not
necessarily the views of NSW Health or any of its entities.
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.
Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au
Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg
Report this message as spam
WARNING : This email contains information, which is CONFIDENTIAL, and that
maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the
“Communication”) is confidential and is for the use only of the intended
recipient, and may not duplicated or used by any other party without the
express consent of the sender. The Communication may contain copyright
material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related
entities or of third parties. If you are not the intended recipient of the
Communication, please notify the sender immediately by return e-mail, delete
the Communication, and do not read, copy, print, retransmit, store or act in
reliance on the Communication. Any views expressed in the Communication are
those of the individual sender only, unless expressly stated to be those of
SVHAC. SVHAC does not guarantee the integrity of the Communication, or that
it is free from errors, viruses or interference. Thank-you.
Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mg
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.
Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au