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Hello all,
I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?
Many thanks
Katherine Fisher
Eurobodalla Infection Prevention Specialist
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As far as I am aware there is no clearance protocol for clearance of ESBL.
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Peel Health Campus
Infection Control
Phone:08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
[http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]
Hello all,
I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?
Many thanks
Katherine Fisher
Eurobodalla Infection Prevention Specialist
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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.
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Hi Katherine
The Queensland Health MRO guidelines that this:
4.2.3.2 Clearance of MROs
A health service may decide to institute a program of screening clients with MRO colonisation to determine whether the MRO has been ‘cleared’ (the client is no longer colonised with the MRO). Clearance should be undertaken in consultation with the infection prevention and control team. A client who has been cleared of MRO colonisation who subsequently returns a positive culture from either a clinical isolate or a screening specimen should be considered to be MRO colonised again. The process for clearance should then be recommenced as below. The following criteria should be satisfied prior to certifying that a client has cleared an MRO:
MRSA, MRGN and ESBL producing organisms (other than CPE)
* More than three months elapsed time from the last positive specimen
* All wounds are healed, no indwelling medical devices present * No exposure to any antibiotic or antiseptic body wash for at least two weeks prior to screening
* In the case of MRSA, no exposure to specific anti-MRSA antibiotic therapy in the past three months
* Consecutive negative screens from screening sites (refer to Table 1 for required screening sites) on two separate occasions. The screening swabs must be separated by a minimum period of one week. The period over which these swabs are collected should not be less than a week, but may be over a period of months
* Health services may consider using the evaluation of a single set of screening swabs with a broth amplification technique for clearance of clients. This process should be based on local factors and agreements with local laboratories.From https://www.health.qld.gov.au/__data/assets/pdf_file/0026/444626/multi-resistant-organisms.pdf
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hello all,
I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?
Many thanks
Katherine Fisher
Eurobodalla Infection Prevention Specialist
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Hi,
As it happens I came across this article today. It may be wise to reconsider clearance processes for ESBL.
Cheers,
Deb
CNC – CDIM
Communicable Diseases Branch
Queensland HealthAs far as I am aware there is no clearance protocol for clearance of ESBL.
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo]
Peel Health Campus
Infection Control
Phone:08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
[http://www.ramsayhealth.com/~/media/Images/email/email-social-mediaPCP.jpg]
Hello all,
I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?
Many thanks
Katherine Fisher
Eurobodalla Infection Prevention Specialist
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.
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Hi Katherine,
In NSW, the Clinical Excellence Commission states there is insufficient evidence that ESBL is ever cleared.
The CEC IP&C handbook is available on line for reference.
Kind regards
KristinKristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections
[Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
‘Bulla Yana Yabur’ Standing Together As OneHello all,
I am wondering if anyone has a resource for education re ESBL, namely what constitutes as clearance of ESBL?
Many thanks
Katherine Fisher
Eurobodalla Infection Prevention Specialist
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.
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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.
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