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We are starting to teach suturing using ‘pig trotters’. I have been
asked what process we should follow if any of the students suffer a
needlestick on a suture needle used for this. I have no idea!Does anyone have any sage advice? What if anything should we do as
follow-up of a student exposed to pig tissue??Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
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On 15/07/2010 8:28 AM, Wishart, Michael wrote:
> We are starting to teach suturing using ‘pig trotters’. I have been
> asked what process we should follow if any of the students suffer a
> needlestick on a suture needle used for this. I have no idea!
>
> Does anyone have any sage advice? What if anything should we do as
> follow-up of a student exposed to pig tissue??
>
> Thanks
> Michael
>
> Michael Wishart | GPH – Infection Control Coordinator
>
> GPH – Quality& Safety Unit (Infection Control) | Greenslopes Private
> Hospital
> Newdegate Street, Greenslopes QLD 4120
> t: 07 3394 7919 | f: 07 3394 7985
> e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au
>
>
> Ramsay Health Care is an environmentally responsible corporation, please
> consider the environment before printing this email.
>
>
> NOTICE: CONFIDENTIAL COMMUNICATION
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>—
Matt Mason
Lecturer/Campus Co-ordinator
School of Nursing, Midwifery& Nutrition
James Cook University
Thursday Island Campus
Thursday Island 4875JCU CRICOS Provider Code: 00117J
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————–010207060207070908070006
Hi Michael,
I did a quick google search and came up with this list of zoonoses from
pigs. There doesn’t appear to be much out there! Someone who does
xenotransplants might know more (Prince of Wales in Sydney comes to
mind).
Cheers Matt- Anthrax
- Ascaris suum
- Botulism
- Brucellosis
- Cryptosporidium
- Entamoeba polecki
- Erysipelothrix
rhusiopathiae
- Flavobacterium Group IIb-like
organism - Foot
and Mouth Disease virus - Influenza
- Leptospirosis
- Pasteurella aerogenes and multocida
- Pigbel
- Psittacosis
- Rabies
- Salmonellosis
(S.cholerae-suis) - Sarcosporidiosis
- Scabies
- Sparganosis
(Wild pigs) - Streptococcus dysgalactiae (Group
L Beta-haemolytic) - Streptococcus milleri
- Streptococcus suis type 2 (group R)
- Swine Vesicular Disease virus
- Swine influenza virus
- Taenia solium
- Trichinella spiralis
- Tularaemia
- Yersiniosis
(Plague)
On 15/07/2010 8:28 AM, Wishart, Michael wrote:
We are starting to teach suturing using 'pig trotters'. I have been asked what process we should follow if any of the students suffer a needlestick on a suture needle used for this. I have no idea! Does anyone have any sage advice? What if anything should we do as follow-up of a student exposed to pig tissue?? Thanks Michael Michael Wishart | GPH - Infection Control Coordinator GPH - Quality & Safety Unit (Infection Control) | Greenslopes Private Hospital Newdegate Street, Greenslopes QLD 4120 t: 07 3394 7919 | f: 07 3394 7985 e: WishartM@ramsayhealth.com.au | w: www.ramsayhealth.com.au Ramsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email. This e-mail message and any accompanying files may contain information that is confidential and subject to privilege. If you are not the intended recipient, and have received the e-mail in error, you are notified that any use, dissemination, distribution, forwarding, printing or copying of the message and any attached files is strictly prohibited. If you have received this e-mail message in error please immediately advise the sender by return e-mail, or telephone 1800 243 903. You must destroy the original transmission and its contents. Any views expressed within this communication are those of the individual sender, except where the sender specifically states them to be the views of Ramsay Health Care. This communication should not be copied or disseminated without permission. ------------------------------------------------------------------------ Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA. 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
-- Matt Mason Lecturer/Campus Co-ordinator School of Nursing, Midwifery & Nutrition James Cook University Thursday Island Campus Thursday Island 4875 JCU CRICOS Provider Code: 00117J Please consider the environment before printing this document.
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————–010207060207070908070006–
Hi Matt and Michael,
We have done suture removal with nurses and hand therapists using pigs trotters in the past and whilst it is realistic it has several infection implications that need to be considered apart from occupational exposures. These include:
Biological spills – ensure where the activity is going to occur can be cleaned effectively – no carpet. We used a wet lab.
Supply of appropriate PPE for training session, waste disposal.
Ensuring HH resources are available.
Handling of any instrumentation that is reusable and then reprocessing it – strongly suggest you use disposable.
Disposal of used tissue – pigs trotters – great for dog bones
Managment of occupational expsoures – as per HCWs re Hep B and other BBV and for the additional diseases Matt has identified – several are not in Australia but pigs are a natural home for may infectious agents that do cause disease in humans and Standard Precautions and use of PPE needs to be considered for the training session. Hopefully you are getting pigs trotters that have been prepared for human consumption and therefore they will be clean and meet the relevent food standards in your state/territory. At this time we have not had an occupational exposure associated with the training sessions but would undertake a management plan based on risk assessment if it did occur.In addition to this we have now changed to using compressed foam for these sessions and they work well for training suture removal and don’t create risks that need to be managed that I have already identified. Also much less tedious and much safer to complete the suturing. The last time we used pigs trotters we did over 8 hrs suturing preparing the pigs trotters for the sessions.
Regards,
Sue________________________________
Hi Michael,
I did a quick google search and came up with this list of zoonoses from pigs. There doesn’t appear to be much out there! Someone who does xenotransplants might know more (Prince of Wales in Sydney comes to mind).
Cheers Matt* Anthrax
* Ascaris suum
* Botulism
* Brucellosis
* Cryptosporidium
* Entamoeba polecki
* Erysipelothrix rhusiopathiae
* Flavobacterium Group IIb-like organism
* Foot and Mouth Disease virus
* Influenza
* Leptospirosis
* Pasteurella aerogenes and multocida
* Pigbel
* Psittacosis
* Rabies
* Salmonellosis (S.cholerae-suis)
* Sarcosporidiosis
* Scabies
* Sparganosis (Wild pigs)
* Streptococcus dysgalactiae (Group L Beta-haemolytic)
* Streptococcus milleri
* Streptococcus suis type 2 (group R)
* Swine Vesicular Disease virus
* Swine influenza virus
* Taenia solium
* Trichinella spiralis
* Tularaemia
* Yersiniosis (Plague)On 15/07/2010 8:28 AM, Wishart, Michael wrote:
We are starting to teach suturing using ‘pig trotters’. I have been
asked what process we should follow if any of the students suffer a
needlestick on a suture needle used for this. I have no idea!Does anyone have any sage advice? What if anything should we do as
follow-up of a student exposed to pig tissue??Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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—
Matt Mason
Lecturer/Campus Co-ordinator
School of Nursing, Midwifery & Nutrition
James Cook University
Thursday Island Campus
Thursday Island 4875JCU CRICOS Provider Code: 00117J
Please consider the environment before printing this document.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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Michael,
Contemporary training of healthcare workers(HCW) is best conducted in a
simulated environment/setting in which neither HCWs or patients are placed
at risk of an adverse event.Suggest rather than using animal parts for training HCWs in clinical
procedures medical mannequins for suturing be used. Universities/hospitals
with HCW simulated training centres will be able to provide you with
information in relation to suppliers of such mannequins.In the event that animal parts are used for training the following CDC
xenotransplantation documents may of interest.U.S. Public Health Service Guideline on Infectious Disease Issues in
Xenotransplantation
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5015a1.htmhttp://www.cdc.gov/ncidod/eid/vol7no3_supp/chapman.htm
Regards
Glenys
Glenys Harrington, Infection Control Consultant |Communicable Disease
Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria 3000
Australia
t. 1300 651 160 (03 909 65123) | f. 03 909 69174 | e.
glenys.harrington@dhs.vic.gov.au | http://www.health.vic.gov.au/ideasFrom:
“Wishart, Michael”
To:
AICALIST@AICALIST.ORG.AU
Date:
15/07/2010 08:28 AM
Subject:
Exposure to Pig tissue
Sent by:
AICA Infexion ConnexionWe are starting to teach suturing using ‘pig trotters’. I have been
asked what process we should follow if any of the students suffer a
needlestick on a suture needle used for this. I have no idea!Does anyone have any sage advice? What if anything should we do as
follow-up of a student exposed to pig tissue??Thanks
MichaelMichael Wishart | GPH – Infection Control Coordinator
GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.auRamsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives –
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