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  • #69691
    Dalrymple, Ruth
    Participant

    Author:
    Dalrymple, Ruth

    Email:
    Ruth.Dalrymple@HEALTHECARE.COM.AU

    Organisation:

    State:

    Dear All,

    I was wondering if anyone could tell me any extra precautions
    necessary, when operating on a patient with vaginal and anal warts.
    There was apparently a claim that when the warts are diathermied off, it
    would cause the virus to become airborne? I was asked to check up on it.
    Is there any truth in this statement?

    Regards

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital

    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au
    W

    is intended only for the use of the addressee(s) named above and may
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    #69693
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@hsn.org.au

    Organisation:

    State:

    Hi Ruth

    I think this is referring to ‘laser plume’ as a mechanism for transmission of papillomavirus. Electrocautery is also a risk, but less well identified.

    The main risk minimisation for these types of procedures is to use well-fitting masks, and use a local exhaust suction system to minimise aerosol dispersal. I am sure there are many guidelines to this effect available. Obviously using different treatments for these warts where this is an option should also be considered.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Dear All,
    I was wondering if anyone could tell me any extra precautions necessary, when operating on a patient with vaginal and anal warts. There was apparently a claim that when the warts are diathermied off, it would cause the virus to become airborne? I was asked to check up on it. Is there any truth in this statement?
    Regards

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital
    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au W
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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    #69694
    Sony SO
    Participant

    Author:
    Sony SO

    Email:
    sony@HA.ORG.HK

    Organisation:

    State:

    Hi Ruth,

    I noted AORN has addressed your concerns caused by diathermy, the hazards should related to surgical smoke and bio-aerosols, visit ARON website for details https://www.aorn.org/Secondary.aspx?id22018&termssmoke

    Regards,

    Sony SO
    Nursing Officer, Infection Control Team
    Kwong Wah Hospital
    HONG KONG SAR, CHINA
    Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
    Please consider the environment before printing this e-mail

    Dear All,
    I was wondering if anyone could tell me any extra precautions necessary, when operating on a patient with vaginal and anal warts. There was apparently a claim that when the warts are diathermied off, it would cause the virus to become airborne? I was asked to check up on it. Is there any truth in this statement?
    Regards

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital
    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au W
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    #69695
    Infectioncontrol, HVL
    Participant

    Author:
    Infectioncontrol, HVL

    Email:
    HVL.Infectioncontrol@HEALTHECARE.COM.AU

    Organisation:

    State:

    Dear Michael,

    I guess that raises another question. What is the best surgical mask in
    Australia to use in OT that would be appropriately called a High
    filtration surgical masks?

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital

    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au
    W

    is intended only for the use of the addressee(s) named above and may
    contain information that is privileged or subject to copyright. If you
    are not the intended recipient of this message you are hereby notified
    that you must not disseminate, copy or take any action based upon it.
    Please delete and destroy the message from your computer. If you
    received this message in error please notify Healthe Care Australia
    immediately.

    Behalf Of Michael Wishart

    Hi Ruth

    I think this is referring to ‘laser plume’ as a mechanism for
    transmission of papillomavirus. Electrocautery is also a risk, but less
    well identified.

    The main risk minimisation for these types of procedures is to use
    well-fitting masks, and use a local exhaust suction system to minimise
    aerosol dispersal. I am sure there are many guidelines to this effect
    available. Obviously using different treatments for these warts where
    this is an option should also be considered.

    Cheers

    Michael

    Michael Wishart

    CNC Infection Control

    Holy Spirit Northside Private Hospital

    627 Rode Road, Chermside, Qld 4032

    t: (07) 3326 3068 | f: (07) 3607 2226

    e: Michael.Wishart@hsn.org.au

    w:www.holyspiritnorthside.org.au

    Please consider the environment before printing this email

    Behalf Of Dalrymple, Ruth

    Dear All,

    I was wondering if anyone could tell me any extra precautions
    necessary, when operating on a patient with vaginal and anal warts.
    There was apparently a claim that when the warts are diathermied off, it
    would cause the virus to become airborne? I was asked to check up on it.
    Is there any truth in this statement?

    Regards

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital

    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au
    W

    is intended only for the use of the addressee(s) named above and may
    contain information that is privileged or subject to copyright. If you
    are not the intended recipient of this message you are hereby notified
    that you must not disseminate, copy or take any action based upon it.
    Please delete and destroy the message from your computer. If you
    received this message in error please notify Healthe Care Australia
    immediately.

    Messages posted to this list are solely the opinion of the authors, and
    do not represent the opinion of ACIPC.

    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

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    that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments
    to it (the “Communication”) is confidential and is for the use only of
    the intended recipient, and may not duplicated or used by any other
    party without the express consent of the sender. The Communication may
    contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
    or any of its related entities or of third parties. If you are not the
    intended recipient of the Communication, please notify the sender
    immediately by return e-mail, delete the Communication, and do not read,
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    Any views expressed in the Communication are those of the individual
    sender only, unless expressly stated to be those of SVHAC. SVHAC does
    not guarantee the integrity of the Communication, or that it is free
    from errors, viruses or interference. Thank-you.

    Message protected by MailGuard: e-mail anti-virus, anti-spam and content
    filtering.
    http://www.mailguard.com.au/mg

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    do not represent the opinion of ACIPC.

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    – registration and login required.

    Replies to this message will be directed back to the list. To create a
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    #69697
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@hsn.org.au

    Organisation:

    State:

    Hi Ruth

    That is a good question, with a difficult answer! In Australia, high filtration masks are considered P2 masks, which is similar to the N95 standard in the US, (not the same though). In the US, they also sell “laser plume” masks”, which are not considered N95 masks, but are designed to protect from “laser plume”.

    My opinion is that if you have very good local exhaust extraction for surgical cutting that may create aerosols (“surgical smoke”), then the type of masks is not as important. Many theatres even in Australia use “laser plume masks” for surgical cutting specifically with lasers, but not with all Electrocautery.

    There is no real simple answer as to which is the “best” mask for this purpose, as the risks are still not fully identified. Ask the mask manufacturers what their recommendations are for their masks, and what evidence they have to support this.

    Hopefully others on the list may have more advice on this.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Dear Michael,
    I guess that raises another question. What is the best surgical mask in Australia to use in OT that would be appropriately called a High filtration surgical masks?

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital
    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au W

    Hi Ruth

    I think this is referring to ‘laser plume’ as a mechanism for transmission of papillomavirus. Electrocautery is also a risk, but less well identified.

    The main risk minimisation for these types of procedures is to use well-fitting masks, and use a local exhaust suction system to minimise aerosol dispersal. I am sure there are many guidelines to this effect available. Obviously using different treatments for these warts where this is an option should also be considered.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Dear All,
    I was wondering if anyone could tell me any extra precautions necessary, when operating on a patient with vaginal and anal warts. There was apparently a claim that when the warts are diathermied off, it would cause the virus to become airborne? I was asked to check up on it. Is there any truth in this statement?
    Regards

    Ruth Dalrymple
    Quality Risk/Infection Control Co-Ordinator
    Hurstville Private Hospital
    37 Gloucester Road, Hurstville NSW 2220, Australia
    T 9579 7773 F 9586 2311
    E Ruth.Dalrymple@healthecare.com.au W
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    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

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    WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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