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CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

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  • #71561
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Position:

    Organisation:

    State:

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

    re this point specifically

    Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipe…if a wipe what would you use.

    We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know I can’t name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

    Hope you are all travelling well…huge body of work being done by us all trying to have consistency for staff and pt safety and calm …another thesis for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with …I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Nepean-Blue-Mountains-LHD.jpg]

    “Wise and human management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #71563
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Position:
    Director

    Organisation:
    Grimmond and Associates, Microbiology Consultants

    State:
    Waikato

    Hi Michael,

    Given Ebola urgency, uniqueness, and common need of members, can you allow
    an exception in naming of disinfectant brands and types? The CDC list of
    EPA registered is very frustrating and not applicable in Australia.

    Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills
    (dependent on blood presence) it is economical, readily available and
    effective.

    Regards,

    Terry Grimmond FASM, BAgrSc, GrDpAdEd

    Consultant Microbiologist

    Grimmond and Associates

    Ph (NZ): +64 7 855 3212

    Mob (NZ): +64 274 365 140

    E: terry@terrygrimmond.com

    [image: Twitter_logo_blue]: @terrygrimmond

    W: http://terrygrimmond.com

    [image: cid:image002.gif@01CFEE08.AD39A920]

    “This email (including any attachments) is intended only for the use of the
    individual or entity named above and may contain information that is
    confidential and privileged. If you are not the intended recipient, you are
    reminded that any dissemination, distribution or copying of this email or
    attachments is prohibited. If you have received this email in error, please
    notify me immediately by return email or telephone and destroy the original
    message. Thank you.”

    *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
    Behalf Of *Lindy Ryan
    *Sent:* Wednesday, October 22, 2014 2:01 PM
    *To:* AICALIST@AICALIST.ORG.AU
    *Subject:* CDC guidelines question re disinfection of gloved hands – any
    shared advice – words of wisdom?

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand
    re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

    re this point specifically

    *Disinfection of gloved hands* using either an EPA-registered disinfectant
    wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipeif a wipe what would
    you use.

    We are just trying to understand what specifically is in the EPA
    registered disinfectant wipe so we can match it with what we have TGA
    approved and available in Australia as there are many listed but not
    available in Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know
    I cant name products on this forum) here but know there are other
    products. Can anybody send me what they are using off line and if it comply
    with the EPA list as recommended by the CDC (I know you are busy so a quick
    reply with just a name would be great!)

    Hope you are all travelling wellhuge body of work being done by us all
    trying to have consistency for staff and pt safety and calm another thesis
    for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already
    you are all such a wonderful group to be able to liaise and work with I
    love being an ICP when I get to work with such proactive resourceful
    sharing bunch as we all are!!

    *Cheers*

    *Lindy*

    *Lindy Ryan*

    Infection Prevention & Control CNC | *Infection Control Service Nepean
    Hospital NBMLHD*

    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and human management of the patient is the best safeguard against
    infection

    (Florence Nightingale Circa 1860)

    This message is intended for the addressee named and may contain
    confidential information. If you are not the intended recipient, please
    delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are
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    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.

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    #71565
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Terry

    I would suggest that the active ingredients in any wipe are much more important than the name / brand of a wipe. Thus I would suggest we still maintain discussion of active ingredients rather than brand name.

    It does raise the question: Which disinfectants are effective against filoviruses? though, doesnt it? Apart for sodium hypochlorite (bleach), are there any other recommended disinfectants or combinations effective in inactivating filoviruses? Is that what we are trying to do in disinfecting disposable gloves?

    More questions than answers from me, Im afraid, Lindy.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01CFD7EC.B488ED80]
    P Please consider the environment before printing this email

    [http://www.interactivejam.com.au/images/ACIPC-conference.jpg]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
    Sent: Wednesday, 22 October 2014 12:02 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

    Hi Michael,
    Given Ebola urgency, uniqueness, and common need of members, can you allow an exception in naming of disinfectant brands and types? The CDC list of EPA registered is very frustrating and not applicable in Australia.
    Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills (dependent on blood presence) it is economical, readily available and effective.
    Regards,
    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph (NZ): +64 7 855 3212
    Mob (NZ): +64 274 365 140
    E: terry@terrygrimmond.com
    [Twitter_logo_blue]: @terrygrimmond
    W: http://terrygrimmond.com
    [cid:image002.gif@01CFEE08.AD39A920]
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
    Sent: Wednesday, October 22, 2014 2:01 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

    re this point specifically

    Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipeif a wipe what would you use.

    We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know I cant name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

    Hope you are all travelling wellhuge body of work being done by us all trying to have consistency for staff and pt safety and calm another thesis for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and human management of the patient is the best safeguard against infection
    (Florence Nightingale Circa 1860)

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    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.

    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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    ______________________________________________________________________
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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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    ______________________________________________________________________
    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 Vincents 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.

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

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    #71567
    Donnellan, Robyn
    Participant

    Author:
    Donnellan, Robyn

    Position:

    Organisation:

    State:

    Hi Terry
    I am concerned that the CDC has recommended the use of ABHR on gloves. ABHR has skin emollients in the preparation and is classified as a skin antiseptic not a disinfectant. A straight 70% alcohol impregnated wipe (disinfectant ) should be used if an equipment surface wipe is required throughout the doffing procedure. Some staff think the use of ABHR is acceptable, I would be disappointed if this poor practice was promoted.
    Kind regards
    Robyn Donnellan CICP
    CNC Infection Prevention & Control Service
    for Northern NSW LHD
    02 66207490

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
    Sent: Wednesday, 22 October 2014 1:02 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

    Hi Michael,
    Given Ebola urgency, uniqueness, and common need of members, can you allow an exception in naming of disinfectant brands and types? The CDC list of EPA registered is very frustrating and not applicable in Australia.
    Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills (dependent on blood presence) it is economical, readily available and effective.
    Regards,
    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph (NZ): +64 7 855 3212
    Mob (NZ): +64 274 365 140
    E: terry@terrygrimmond.com
    [Twitter_logo_blue]: @terrygrimmond
    W: http://terrygrimmond.com
    [cid:image002.gif@01CFEE08.AD39A920]
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
    Sent: Wednesday, October 22, 2014 2:01 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

    re this point specifically

    Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipeif a wipe what would you use.

    We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know I cant name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

    Hope you are all travelling wellhuge body of work being done by us all trying to have consistency for staff and pt safety and calm another thesis for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    Wise and human management of the patient is the best safeguard against infection
    (Florence Nightingale Circa 1860)

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
    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.

    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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    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.

    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.

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    ________________________________

    This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    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.

    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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    #71584
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Position:
    Consultant

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Lindy,

    In Australia disinfectants (including wipes) are regulated by the TGA as
    follows:

    . a Class IIb ‘Medical Device’,

    . a Class I ‘Medical Device,

    . ‘Other Therapeutic Goods’ – registered with specific claims and

    . ‘Other Therapeutic Goods’ – listed without specific claims.

    See TGA table –
    http://www.tga.gov.au/industry/disinfectants-regulation-summary.htm#.VEeyTfm
    UdWU

    If they are intended to be used on medical devices they must be registered
    as a Class IIb ‘Medical Device’, or a Class I ‘Medical Device.

    For disinfectants that are regulated as ‘Other Therapeutic Goods’ –
    registered with specific claims

    . The term ‘specific claims’ covers virucidal, sporicidal,
    tuberculocidal, fungicidal or other biocidal activity. Except where claims
    of activity against fungi (yeast and mould) for excluded products are
    concerned, these claims mean a product is registered.

    For disinfectants that are regulated as ‘Other Therapeutic Goods’ – listed
    without specific claims.

    . The term a ‘non-specific claim’, is a claim which includes
    general antibacterial action or activity against vegetative bacteria
    (excluding mycobacteria) covered by the battery of test organisms included
    in the specified test, or bacteria of the same genus. Claims for bacteria
    other than these are allowable, but the specific organism against which
    activity is claimed must be included as an extra organism in the test
    battery e.g. E. coli O157, Salmonella spp, Streptococcus spp, etc.

    Regards

    Glenys

    Glenys Harrington

    Consultant

    Infection Control Consultancy (ICC)

    PO Box 5202

    Middle Park

    Victoria, 3206

    Australia

    M: +61 404 816 434

    infexion@ozemail.com.au

    ABN 47533508426

    Of Lindy Ryan
    of gloved hands – any shared advice – words of wisdom?

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand
    re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equi
    pment.html

    re this point specifically

    Disinfection of gloved hands using either an EPA-registered disinfectant
    wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipe.if a wipe what would you
    use.

    We are just trying to understand what specifically is in the EPA registered
    disinfectant wipe so we can match it with what we have TGA approved and
    available in Australia as there are many listed but not available in
    Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know
    I can’t name products on this forum) here but know there are other products.
    Can anybody send me what they are using off line and if it comply with the
    EPA list as recommended by the CDC (I know you are busy so a quick reply
    with just a name would be great!)

    Hope you are all travelling well.huge body of work being done by us all
    trying to have consistency for staff and pt safety and calm .another thesis
    for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already
    you are all such a wonderful group to be able to liaise and work with .I
    love being an ICP when I get to work with such proactive resourceful sharing
    bunch as we all are!!

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control CNC | Infection Control Service Nepean
    Hospital NBMLHD

    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Hea
    lth-Nepean-Blue-Mountains-LHD.jpg

    “Wise and human management of the patient is the best safeguard against
    infection”

    (Florence Nightingale Circa 1860)

    This message is intended for the addressee named and may contain
    confidential information. If you are not the intended recipient, please
    delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are
    not necessarily the views of NSW Health or any of its entities.

    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
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    #71585
    Hobbs, Louise
    Participant

    Author:
    Hobbs, Louise

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    Dear All

    I think it would be worthwhile seeking a statement from our colleagues in HHA on this aspect of the CDC guidelines before we translate it into our Ebola guidelines.

    “Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.”

    Kind regards

    Louise Hobbs | Manager Infection Prevention and Surveillance Service
    Melbourne Health | Royal Melbourne Hospital – City Campus | Level 2 Melbourne Private Building
    Grattan Street, Parkville Victoria 3052
    T: + 61 3 9342 8328 | F: + 61 3 9342 7277 | e: louise.hobbs@mh.org.au

    Hey all Ebola champions

    just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

    http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

    re this point specifically

    Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

    Will you be considering ABHR or a disinfectant wipe…if a wipe what would you use.

    We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

    We have a disinfectant wipe here we use for environmental cleaning (I know I can’t name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

    Hope you are all travelling well…huge body of work being done by us all trying to have consistency for staff and pt safety and calm …another thesis for somebody in the making hey?

    Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with …I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

    Cheers

    Lindy

    Lindy Ryan

    Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
    PO Box 63, Penrith, 2751
    Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [cid:image001.jpg@01CFEDEF.E34A0780]

    “Wise and human management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

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