Advice re COVID

[Christine Giles]

Could I please get some advice regarding

1. Showering or not showering covid residents in a RACF setting
2. Should Overshoes be worn during showering and does anyone have a system in place for donning and doffing with overshoes?

Thankyou
Chris

Chris Giles
0439 437 169

T: (02) 4736 9500 F: (02) 4736 9599
E: Christine.Giles@anglicare.org.au
W: http://www.anglicare.org.au
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[Tanya Hempshall (DHHS)]

Thanks for the question
I need advice for this too. Some facilities asking if appropriate to use plastic aprons under PPE gown when showering clients and confirmation if both needed to be single use or if plastic apron underneath could be washed in washing machine.

Tanya Hempshall

DHHS COVID -19 Outreach Team Registered Nurse
COVID-19 Public Health Division
1300 651 160 | 0429131756 | tanya.hempshall@dhhs.vic.gov.au
DHHS-M-COVID-19-IMT-Outreach-Team@dhhsvicgovau.onmicrosoft.com
Department of Health and Human Services | 50 Lonsdale St, Melbourne VIC 3000

Could I please get some advice regarding

1. Showering or not showering covid residents in a RACF setting
2. Should Overshoes be worn during showering and does anyone have a system in place for donning and doffing with overshoes?

Thankyou
Chris

Chris Giles
0439 437 169

T: (02) 4736 9500 F: (02) 4736 9599
E: Christine.Giles@anglicare.org.au
W: http://www.anglicare.org.au
[Anglicare Signature.jpg]

The information contained in this email transmission and its attachments is confidential and is intended only for the nominated recipient. If you are not the intended recipient and have received this message in error, please advise the sender immediately by telephone and delete this email and any attachments. Please be aware that it is prohibited to disseminate, distribute and/or copy this transmission.

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.

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[Anonymous]

Hello all

The Victorian DHHS Infection Control cell recently provided the following advice about showering COVID positive patients/residents

Scientific Background

Shower water and aerosolised shower mist are a potential media of infection, as showering may produce bioaerosols. However, this has largely been proven in relation to specific pathogens such as legionella species and certain fungal species.1

SARS-CoV-2 has been isolated from wastewater in a shower siphon in quarantined households. It has been hypothesised that aerosolisation of virus from wastewater may be possible. However, this risk is largely theoretical and it is not known if virus found in wastewater is viable.2

1. Prussin AJ, Marr LC. Sources of airborne microorganisms in the built environment. Microbiome. 2015 Dec 1;3(1):78.

2. Dhla M, Wilbring G, Schulte B, Kmmerer BM, Diegmann C, Sib E, Richter E, Haag A, Engelhart S, Eis-Hbinger AM, Exner M. SARS-CoV-2 in environmental samples of quarantined households. medRxiv. 2020 Jan 1.

Interpretation

In the shower environment, the water stream may generate droplets that arise from the patient’s skin. It is plausible that infected patients may have skin contamination with SARS-CoV-2. Shower cubicles may have poor to limited ventilation and showering may wet masks being worn by healthcare workers potentially disrupting mask integrity.

Assessment & Guidance

Showering of COVID-19 infected cases is not in itself a high-risk activity. The risks of infection transmission are largely theoretical.

The risk of infection transmission can best be mitigated by using a gentle stream of water from a handheld shower head, which would reduce the risk of droplet aerosolisation.

Healthcare workers should wear a mask and face shield. The mask should be replaced after the shower.

Individuals who are able to shower independently or who require minimal assistance with shower set-up should be allowed to shower at an allocated time.

Regards,
Noleen

Noleen Bennett
Infection Control Consultant
1.VICNISS Coordinating Centre/ National Centre for Antimicrobial Stewardship
Peter Doherty Institute for Infections and Immunity
792 Elizabeth St Melbourne VIC 3000 T: + 61 3 93429333
2. Department of Nursing, Melbourne School of Health Sciences
The University of Melbourne

Thanks for the question
I need advice for this too. Some facilities asking if appropriate to use plastic aprons under PPE gown when showering clients and confirmation if both needed to be single use or if plastic apron underneath could be washed in washing machine.

Tanya Hempshall

DHHS COVID -19 Outreach Team Registered Nurse
COVID-19 Public Health Division
1300 651 160 | 0429131756 | tanya.hempshall@dhhs.vic.gov.au
DHHS-M-COVID-19-IMT-Outreach-Team@dhhsvicgovau.onmicrosoft.com
Department of Health and Human Services | 50 Lonsdale St, Melbourne VIC 3000

Could I please get some advice regarding

1) Showering or not showering covid residents in a RACF setting
2) Should Overshoes be worn during showering and does anyone have a system in place for donning and doffing with overshoes?

Thankyou
Chris

Chris Giles
0439 437 169

T: (02) 4736 9500 F: (02) 4736 9599
E: Christine.Giles@anglicare.org.au
W: http://www.anglicare.org.au
[Anglicare Signature.jpg]

The information contained in this email transmission and its attachments is confidential and is intended only for the nominated recipient. If you are not the intended recipient and have received this message in error, please advise the sender immediately by telephone and delete this email and any attachments. Please be aware that it is prohibited to disseminate, distribute and/or copy this transmission.

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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_________________________________________________________________________________

This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. The Department provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with. If you have received this email in error or have any other concerns regarding its transmission, please notify Postmaster@dhhs.vic.gov.au
_________________________________________________________________________________
________________________________
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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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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