Course Access
Thanks Rosie, Michael and all for your responses.
I was hoping for a study that at least attempted to demonstrate that
common skin pathogens do get dispersed quite significantly by fans…
understandably, this is an obvious “common sense” thing to ICPs but
surprisingly, to the general public (and even for some nurses), this
doesn’t click.
This generation demands for evidence for everything (and rightly so if
we can back ourselves up with that).
It would be great if a study was done whereby MSSA/MRSA positive
patients cared for in 2 controlled environments, either a vinyl floor
single room or a carpeted single room, then utilised fans (which have
been cleaned) and we compared culture plates (or an air sampling device
fit for this) placed vertically in the direct air stream of the fans
(one at a closer proximity to the fan and maybe another placed past the
patient)… obviously this needs more looking into! 🙂
I am not a fan (pardon the pun!) of fans nor do I like carpets in a
healthcare setting but there hasn’t been any strong supportive evidence
to support what would be seen as obvious IC concerns.
I guess cleaning and a risk assessment would be the way to go for now.
Thanks again for all comments/feedback.
Regards,
Gerald
Gerald Chan
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>>> “Lee, Rosie” 26/10/2012 7:46 AM >>>
Hi Gerald
I would agree Michael. It is not possible to have a study proving every
item does not result in infection. Using infection control principles
blowing air in a ward environment cannot be a good principle. If a
patient is heavily colonised with an antibiotic resistant organism (ARO)
then blowing skin squames will result in contamination. There are many
studies indicating contamination linked to AROs in particular MRSA
across the ward. Risk assessment may have to be used.
Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator Infection Prevention & Management
SMH Service – Royal Perth Hospital
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Hi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI,
that showed MRSA in dust on portable fans. Never have seen anything that
linked increase in MRSA or HAI directly to portable fans, though; that
would be epidemiologically difficult to show, I think. Too many other
variables.
Doesn’t mean fans are not bad, though. 🙂 Especially when not
maintained well. Ask if they cleaned thoroughly (meaning the fan blades)
between each patient use. I suspect not!
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
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Gerald Chan [Gerald.Chan@SJOG.ORG.AU]
Dear all,
I’m looking for evidence to back us up on not having fans in patient
rooms (especially seeing that summer is around the corner).
I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of
infection/colonisation (MRSA, MSSA, etc.) through fan usage in a
healthcare setting?
Cheers,
Gerald
Gerald Chan
Coordinator Infection Control
St John of God Murdoch Hospital
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MURDOCH. WA 6150
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