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Hello all,
I’m interested in how healthcare facilities go about Clostridium positive patients and Hand Hygiene products. As ABHR is not efficient with C-diff, we advise staff to mainly use water and soap for their 5 moments of hand hygiene rather ABHR, especially when leaving patient and patient environment. Also emphasising daily cleaning of high touch areas with sporicidal product.
Now it came to my attention, that ward manager completely removing ABHR from C-diff positive patients environment and expect staff to only use water hand soap for their HH. This is an issue on our ICU ward and I’m currently working on a practical advice/solution.
I’m greatly appreciating any practical help/advice.
Regards
SonjaSonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
e … sonja.Wegert@nt.gov.au http://www.nt.gov.au/healthMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Sonja,
There was publication of a very helpful infection control joint statement produced in 2011. Link below
http://www.publish.csiro.au/hi/HI11011A very helpful part of this publications states as follows
In summary, ABHR remains the agent of choice for hand hygiene. Gloves should be used during the care of patients with CDI, to minimise spore contamination. If hands become soiled, or gloves have not been used, then hands must be washed with soap (or an antimicrobial soap) and water. Hands should then be dried thoroughly with paper towels.I hope this assists?
Kind regards
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit ManagerInfection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South*: 03 6166 7882/ 6166 8658
Level 4, H Block
48 Liverpool Street
Hobart, 7000Hello all,
I’m interested in how healthcare facilities go about Clostridium positive patients and Hand Hygiene products. As ABHR is not efficient with C-diff, we advise staff to mainly use water and soap for their 5 moments of hand hygiene rather ABHR, especially when leaving patient and patient environment. Also emphasising daily cleaning of high touch areas with sporicidal product.
Now it came to my attention, that ward manager completely removing ABHR from C-diff positive patients environment and expect staff to only use water hand soap for their HH. This is an issue on our ICU ward and I’m currently working on a practical advice/solution.
I’m greatly appreciating any practical help/advice.
Regards
SonjaSonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
e … sonja.Wegert@nt.gov.au http://www.nt.gov.au/healthMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Sonja,
I would recommend you refer to both the ASID/AICA position statement – Infection control guidelines for patients with Clostridium difficile infection in healthcare settings (link here http://www.publish.csiro.au/hi/HI11011 ) and to the Hand hygiene Australia website (link here http://www.hha.org.au/About/ABHRS/abhr-limitations.aspx ) which provide guidance re hand hygiene requirements for C. difficile.
While alcohol is not effective against C. difficile spores it is effective against the vegetative form of the bacteria. Spores are a survival mechanism of this organism for when times get tough (so to speak).
HHA recommends that “gloves should be used during the care of patients with CDI, to minimise spore contamination, and if hands become soiled, or gloves have not been used, then hands must be washed with soap and water.”Regards,
Donna
………………………………………………………………………..
Donna Cameron | Infection Control Consultant
Microbiological Diagnostic Unit
Public Health Laboratory | Department of Microbiology & Immunology
The University of Melbourne, Building 248, Level 1, 792 Elizabeth Street, Melbourne, 3010, VIC
Telephone +61 3 8344 3574 | Fax +61 3 8344 7833
Website http://www.mduphl.unimelb.edu.au/
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This email and any attachments may contain personal information or information that is otherwise confidential or the subject of copyright. Any use, disclosure or copying of any part of it is prohibited. The University does not warrant that this email or any attachments are free from viruses or defects. Please check any attachments for viruses and defects before opening them. If this email is received in error please delete it and notify us by return email.Hello all,
I’m interested in how healthcare facilities go about Clostridium positive patients and Hand Hygiene products. As ABHR is not efficient with C-diff, we advise staff to mainly use water and soap for their 5 moments of hand hygiene rather ABHR, especially when leaving patient and patient environment. Also emphasising daily cleaning of high touch areas with sporicidal product.
Now it came to my attention, that ward manager completely removing ABHR from C-diff positive patients environment and expect staff to only use water hand soap for their HH. This is an issue on our ICU ward and I’m currently working on a practical advice/solution.
I’m greatly appreciating any practical help/advice.
Regards
SonjaSonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
e … sonja.Wegert@nt.gov.au http://www.nt.gov.au/healthMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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 AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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