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Thanks Michael, that confirms my thoughts. From memory Humphreys et al discussed overshoes as being of no value.
I would love to hear anybody else’s thoughts.
Cheers
Carol
Sent from my Samsung Galaxy smartphone.
——– Original message ——–
Hi Carol
Overshoes are not considered to reduce post-operative surgical site infections. From a biological plausibility/epidemiological viewpoint, it is hard to transmit infections routinely from the floor of an OT. But there is a suggestion that the touching of the feet/shoes to apply overshoes contaminates hands (that may not then get appropriately washed!).
The main reason for most staff attending a procedure wearing overshoes over their outside shoes is to protect their shoes from splashes. No-body wants their $500 Gucci loafers to be stained with iodine, do they? 🙂
I recently did some consulting in an animal research facility, and the main issue with shoes there was not sterility during procedures, but the tracking of mud and dirt (and other stuff) from the animal enclosures into the theatres. They had a process of changing from gumboots into disposable boots in an anteroom outside the theatre itself.
I would be comfortable with a no overshoes required policy (we have one here), but you might need to mention mud and dirt from outside (who cleans the shoes? How do you police this?), and have a way to protect those Gucci loafers!
Cheers
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au
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Dear Brains Trust
What are the latest thoughts on wearing dedicated shoes in the operating theatre?
We are currently looking at our Dress Code and because we are a veterinary hospital, we dont have change rooms like human hospitals, so we tend to put shoe covers on but I think that is a problem due to potential of contamination of the hands.
I have been led to believe that shoe covers and/or dedicated shoes do not contribute to post-operative infections?
Thoughts?
Cheers
Carol
Carol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.au
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