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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 Hospital37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7773 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au
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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
MichaelMichael 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 emailDear 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?
RegardsRuth 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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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-mailDear 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?
RegardsRuth 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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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 Hospital37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7773 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au
Wis 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
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 Hospital37 Gloucester Road, Hurstville NSW 2220, Australia
T 9579 7773 F 9586 2311
E Ruth.Dalrymple@healthecare.com.au
Wis 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.auTo send a message to the list administrator send an email to
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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.Message protected by MailGuard: e-mail anti-virus, anti-spam and content
filtering.
http://www.mailguard.com.au/mgMessages 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
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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
MichaelMichael 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 emailDear 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 WHi 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
MichaelMichael 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 emailDear 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?
RegardsRuth 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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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.
Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
http://www.mailguard.com.au/mgMessages 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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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.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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