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[Posted on behalf of Helen Scott – Moderator]
We are installing a new alcohol based hand rub and soap product. The chlorhexidine hand wash at the sinks on the wards is going to be removed. We use this for skin antisepsis prior to aseptic techniques.
Are there guidelines somewhere that recommend the use of the 0.2% – 2% for skin antisepsis? Have trawled through the WHO site. The CDC states that the use of Triclosan 0.1% (similar stuff) reduces bacterial counts on hands by 2.8 log (whatever a log is).
Can anyone provide me with best practice on using chlohex/Triclosan prior to these kinds of procedures?
Thanks,Helen Scott
Infection Control Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.auPlease consider the environment before printing this message
Michael Wishart
Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221
To contact Nursing team:
LWM_PHN@health.qld.gov.au********************************************************************************
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Dear Helen,
What kind of product do you mean? (a) Alcohol-based hand rub product or (b) soap-based hand wash product? (It would be either/or).
For (antiseptic) hand washing, a typical chlorhexidine concentration would be 4%, for alcohol-based hand or skin antiseptics, typical concentrations of chlorhexidine (if this is added) would be 0.5-2%.
For skin antisepsis, it is important to know whether it is (a) for normal superficial skin, or (b) for antisepsis on or near mucous membranes (e.g. vaginal surgery). For (b), alcohol-containing products cannot be used.
For normal superficial skin, chlorhexidine alone without alcohol or triclosan alone are not recommended, because they are too weak and ineffective as antiseptics.
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 1387—–Original Message—–
[Posted on behalf of Helen Scott – Moderator]
We are installing a new alcohol based hand rub and soap product. The chlorhexidine hand wash at the sinks on the wards is going to be removed. We use this for skin antisepsis prior to aseptic techniques.
Are there guidelines somewhere that recommend the use of the 0.2% – 2% for skin antisepsis? Have trawled through the WHO site. The CDC states that the use of Triclosan 0.1% (similar stuff) reduces bacterial counts on hands by 2.8 log (whatever a log is).Can anyone provide me with best practice on using chlohex/Triclosan prior to these kinds of procedures?
Thanks,
Helen Scott
Infection Control Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.auPlease consider the environment before printing this message
Michael Wishart
Public Health Nurse,Communicable Disease Control Logan West Moreton PHU Ph 34131200 Fax 34131221
To contact Nursing team:
LWM_PHN@health.qld.gov.au********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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———————————————————————————
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Hi Matthias,
Thank you for your reply.
The product is b, soap based and it is for hand washing prior to an aseptic technique such as a dressing change. It is not for pre surgical hand washing.
Thanks,
Helen.
Helen Scott
Infection Control Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.auPlease consider the environment before printing this message
>>> On 12/06/2012 at 3:51 pm, in message , “Matthias Maiwald (KKH)” wrote:
Dear Helen,What kind of product do you mean? (a) Alcohol-based hand rub product or (b) soap-based hand wash product? (It would be either/or).
For (antiseptic) hand washing, a typical chlorhexidine concentration would be 4%, for alcohol-based hand or skin antiseptics, typical concentrations of chlorhexidine (if this is added) would be 0.5-2%.
For skin antisepsis, it is important to know whether it is (a) for normal superficial skin, or (b) for antisepsis on or near mucous membranes (e.g. vaginal surgery). For (b), alcohol-containing products cannot be used.
For normal superficial skin, chlorhexidine alone without alcohol or triclosan alone are not recommended, because they are too weak and ineffective as antiseptics.
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 1387—–Original Message—–
[Posted on behalf of Helen Scott – Moderator]
We are installing a new alcohol based hand rub and soap product. The chlorhexidine hand wash at the sinks on the wards is going to be removed. We use this for skin antisepsis prior to aseptic techniques.
Are there guidelines somewhere that recommend the use of the 0.2% – 2% for skin antisepsis? Have trawled through the WHO site. The CDC states that the use of Triclosan 0.1% (similar stuff) reduces bacterial counts on hands by 2.8 log (whatever a log is).Can anyone provide me with best practice on using chlohex/Triclosan prior to these kinds of procedures?
Thanks,
Helen Scott
Infection Control Co-ordinator
Nepean Private Hospital
Penrith, NSW.
0247 327333
Helen.Scott@healthscope.com.auPlease consider the environment before printing this message
Michael Wishart
Public Health Nurse,Communicable Disease Control Logan West Moreton PHU Ph 34131200 Fax 34131221
To contact Nursing team:
LWM_PHN@health.qld.gov.au********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************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
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
———————————————————————————
The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.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
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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