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Hi Brains Trust,
Borrowing for previous world experience with Ebola, I have been asked to provide details of a product that can be sprayed onto staff to decontaminate them prior to doffing their PPE to reduce potential exposure.
The clinical scenario put to me was the ICU setting with intubation of a heavily coughing / expectorating patient, with this leading to heavy contamination of PPE. It was proposed that for safety of the staff member a decontamination spray be used prior to doffing.
I would appreciate advice from colleagues regarding both the suitability of this type of decontamination and what sort of situation this would be undertaken in. Also if you are able to provide advice on a specific product you have experience with I would appreciate an off-list email.
Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms
________________________________
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Hi Fiona,
The application for such strategies are for haemorrhagic type of disease
outbreaks in underdeveloped countries where people have to reuse heavy duty,
reusable waterproof aprons over PPE (isolation precautions or removing
deceased bodies). The application also applies to gumboots which are reused.https://www.unicef.org/supply/files/Rapid_advice_guideline_technical_specifi
cations_on_Ebola_response_WHO.pdfThe disinfectant that is sprayed on the reusable items is chlorine.
If you are going to “spray” a disinfectant in a hospital you will need a
dedicate area with drainage.An option may be the following:
a.Over standard PPE for the procedure wear a good quality, long
sleeved, plastic, disposable gown
b.Wear disposable waterproof foot covers to the knee
c.At the end of the procedure wipe the front (i.e. trunk area) of the
plastic disposable gown with infection control approved cleaning and
disinfecting wipes
d.Remove the plastic disposable gown followed by other PPE as per your
sequence of doffing (removal) proceduresRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Sousa, Fiona M
Hi Brains Trust,
Borrowing for previous world experience with Ebola, I have been asked to
provide details of a product that can be sprayed onto staff to decontaminate
them prior to doffing their PPE to reduce potential exposure.The clinical scenario put to me was the ICU setting with intubation of a
heavily coughing / expectorating patient, with this leading to heavy
contamination of PPE. It was proposed that for safety of the staff member a
decontamination spray be used prior to doffing.I would appreciate advice from colleagues regarding both the suitability of
this type of decontamination and what sort of situation this would be
undertaken in. Also if you are able to provide advice on a specific product
you have experience with I would appreciate an off-list email.Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email:
fiona.de.sousa@ths.tas.gov.au |intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU – ‘By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms’_____
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by
legal professional privilege, and is intended only for the person or persons
to whom it is addressed. If you are not such a person, you are warned that
any disclosure, copying or dissemination of the information is unauthorised.
If you have received the transmission in error, please immediately contact
this office by telephone, fax or email, to inform us of the error and to
enable arrangements to be made for the destruction of the transmission, or
its return at our cost. No liability is accepted for any unauthorised use of
the information contained in this transmission.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 acipclist@acipc.org.auTo send a message to the list administrator send an email to
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(without 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.
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 acipclist@acipc.org.au
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Hi Fiona,
I worked in Sierra Leone during Ebola crisis and I can confirm spraying
disinfectant onto a HCP prior to doffing is NOT recommended. In fact we had
several instances of permanent eye damage to HCP because of the practice.
Neither WHOnor CDC
recommend spraying. The emphasis is on careful (slow) and methodical
removal so as not to self-contaminate.PS. For the Airborne discussionCDC just released new IPC Guide (Mar10)
airborne now only for risk-procedures (same as WHO).
Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
[image: Twitter_logo_blue]: https://twitter.com/terrygrimmond
[image: cid:image011.gif@01D3DD18.CB4D22E0]
“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 *On Behalf Of *De
Sousa, Fiona M
*Sent:* Wednesday, March 11, 2020 9:26 PM
*To:* ACIPCLIST@ACIPC.ORG.AU
*Subject:* [ACIPC_Infexion_Connexion] Decontamination of PPE prior to
DoffingHi Brains Trust,
Borrowing for previous world experience with Ebola, I have been asked to
provide details of a product that can be sprayed onto staff to
decontaminate them prior to doffing their PPE to reduce potential exposure.The clinical scenario put to me was the ICU setting with intubation of a
heavily coughing / expectorating patient, with this leading to heavy
contamination of PPE. It was proposed that for safety of the staff member
a decontamination spray be used prior to doffing.I would appreciate advice from colleagues regarding both the suitability of
this type of decontamination and what sort of situation this would be
undertaken in. Also if you are able to provide advice on a specific
product you have experience with I would appreciate an off-list email.Kind regards,
*Fiona De Sousa CICP-E| *Nurse Manager *|* Infection Prevention & Control
UnitLaunceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 *| mobile: *0408 487 197 *| *fax: 6777 5170 *|* email:
fiona.de.sousa@ths.tas.gov.au *|*intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
IPCU * By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms*——————————
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information is
unauthorised. If you have received the transmission in error, please
immediately contact this office by telephone, fax or email, to inform us of
the error and to enable arrangements to be made for the destruction of the
transmission, or its return at our cost. No liability is accepted for any
unauthorised use of the information contained in this transmission.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 acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.auYou can unsubscribe manually from this list by sending ‘signoff acipclist’
(without 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.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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