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Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
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Dear Fiona,
Here at our institution, we are currently using this reference:
Dharan S, Pittet D. Environmental controls in operating theatres. J Hosp Infect. 2002 Jun;51(2):79-84.
http://www.ncbi.nlm.nih.gov/pubmed/12090793Realising that it is very difficult to set and apply acceptable CFU limits, and there always will be an arbitrary component to this.
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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Dear Fiona
Not sure what others have used but I have found this document I have attached of use and nicely set out and easy to follow and so used it as some of my reference review and basis for the commissioning of our new operating theatres here a couple of years ago that was accepted by our management and micro here as part of Quality control.
I also still went along with the commissioning team & watched and monitored the pressure & flow readings of the central sterile store room, to OT room to anaesthetic bay to corridors as part of airflow monitoring baseline given they were brand new (they had a wiz bang snake looking device…better than the dry ice smoke test I had used previously ….and actually provide a reading…I did feel modern!!)
I didn’t check baseline starting humidity & temperature of each room that was sampled…. but would do this now I think of it & given we have had complaints it would have been good to add them to my micro sampling results to provide a better overall understanding on the environment that was being sampled at the time as part of our Quality control for future reference not just cleanliness / appropriateness at opening- As4187 provides guides on acceptable limits for storage of sterile stock which is why I used it as my reference point. I also was present for the witness testing for the HEPA filter installation and commissioning testing. Finally I did a visual inspection / audit at the same time as the air sampling using the OT audit tool we had been using
Again this is just what we did with the little expertise we had and information I could locate to help …more than happy if any has a more scientific or practical ideas to share – I may have done too much or missed something but I was none the wiser and my management seemed satisfied. So will be interesting to see if anyone else has anything to share that I can perhaps use for next time (we are always building something new here !!)
Cheers
Lindy
Lindy Ryan
Infection Prevention & Control Clinical Nurse Consultant | Nepean Hospital, NBM LHD
Infection control Service, PO Box 63 Penrith, 2751, NSW
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au“wise and humane management of the patient is the best safeguard against infection”
Florence Nightingale circa 1860[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]
Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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Hi Fiona
I have found it very hard to get a definite consensus on this within Australia. This document from Dept of Health in WA is a reasonable starting point for internal discussions in your facility to come to an agreement over what is ‘acceptable’.
http://www.health.wa.gov.au/CircularsNew/circular.cfm?Circ_ID12021
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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Oops – the WA document I cited is apparently under review, and shouldn’t be taken as current best practice.
Apologies.
There is obviously a need for more robust and evidenced guidance on this within Australia.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Hi Fiona
I have found it very hard to get a definite consensus on this within Australia. This document from Dept of Health in WA is a reasonable starting point for internal discussions in your facility to come to an agreement over what is ‘acceptable’.
http://www.health.wa.gov.au/CircularsNew/circular.cfm?Circ_ID12021
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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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______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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Dear Fiona
We also base our approach on Dharan
I did put together an approach on the WIKI – see http://hicsigwiki.asid.net.au/index.php?titleOperating_theatre_commissioning_-_Microbiological
It would be useful to agree a national standard for this!
Kind regards
JohnDr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health[cid:image001.jpg@01CFC5FB.5251CEF0]
Dear Fiona,
Here at our institution, we are currently using this reference:
Dharan S, Pittet D. Environmental controls in operating theatres. J Hosp Infect. 2002 Jun;51(2):79-84.
http://www.ncbi.nlm.nih.gov/pubmed/12090793Realising that it is very difficult to set and apply acceptable CFU limits, and there always will be an arbitrary component to this.
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
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visit http://www.messagelabs.com
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________________________________
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Hi Fiona,
Can you elaborate further on when you will be doing the air sampling?
I’m assuming:
. after Engineering ventilation parameters met and
. before any occupation of the facility (i.e. staff/stock &
equipment) and. after the ventilation has been running in the unoccupied facility
for a 24hr period?Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
Of Fiona de Sousa
Dear members,
I know that air sampling in a new building is a contentious issue but we
are currently undergoing it as part of the commissioning process for new
operating theatres and one of the difficulties I face is people asking for
the acceptable limit of certain organisms. Aside from fungal organisms I
have been unable to find any references to guide me on specific organisms
counts.I would like to hear people’s views on the isolation of skin or
environmental flora when doing this sampling – how many CFU would be
acceptable per air sample ?Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the
sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of
Adventist HealthCare Limited.
_____________________________________________________________________
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Glenys,
Your assumptions are correct.
Kind regards,Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi Fiona,
Can you elaborate further on when you will be doing the air sampling?
I’m assuming:
* after Engineering ventilation parameters met and
* before any occupation of the facility (i.e. staff/stock & equipment) and
* after the ventilation has been running in the unoccupied facility for a 24hr period?
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426Dear members,
I know that air sampling in a new building is a contentious issue but we are currently undergoing it as part of the commissioning process for new operating theatres and one of the difficulties I face is people asking for the acceptable limit of certain organisms. Aside from fungal organisms I have been unable to find any references to guide me on specific organisms counts.
I would like to hear people’s views on the isolation of skin or environmental flora when doing this sampling – how many CFU would be acceptable per air sample ?
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
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visit http://www.messagelabs.comMESSAGES 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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