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Michael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auHi
We are currently implementing is a 5 day preoperative program based on screening results.
Fort anyone found to be colonised with Staph aureus including sensitive and resistant strains
The 5 day preop program follows Therapeutic Guidelines: Antibiotic 2014 and based on evidence of Dutch study a published NEJM attached
Mupirocin twice daily to nostril for 5 days
Chlorhexidine 2% or Triclosan 1% body and hair wash daily for 5 days
Hope this helps!
RegardsBernadette Crawford Infection Control Clinical Nurse Consultant St Vincent’s Private Hospital
406 Victoria Rd Darlinghurst NSW 2010 Ph: 02 8382 7491 Fax :02 8382 7435From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 25 February 2015 2:08 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Fwd: RE: [asid-ozbug] Staph decolonisation: at the coal face[Cross-posted from ASID-OzBug with author permission – Moderator. Replies will be forwarded to author]
——– Original message ——–
On 20/02/2015 2:54 PM, Meryta May wrote:
Dear Ozbug,Irrespective of what the literature shows, can I ask the following as a quick straw poll:
In your current favourite staph decolonisation protocol how many days do you usually recommend? If you have time to give a quick reason that would be great too (eg based on cast-iron evidence; based on previous failures; patient acceptance, a whim; etc).
Nasal mupirocin: 5, 7, 10, other?
Daily washes: 5, 7, 10, 14 , other?
Many thanks
Meryta
Regards, Dr Meryta May|Clinical Microbiologist and Paediatric Infectious Disease Specialist|Microbiology Department|Microbiology|Sullivan Nicolaides Pathology
P + 61 7 33778402| F +61 7 38705971| E meryta_may@snp.com.au______________________________________________________________________
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.
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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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The Dutch know the most about decolonisation
Their 2012 evidence review is here- http://www.swab.nl/swab/cms3.nsf/uploads/51DB72E670CAC33BC12579BF00342A95/$FILE/SwabrichtlijnMRSAherziening%2015022012_EN.pdfUncomplicated carriage gets 5days with TDS mup
Complicated carriage 7 daysRegards
JohnDr John Ferguson MBBS DTM&H FRACP FRCPA
Director, Infection Prevention Service | Hunter New England Health
Microbiologist | Hunter Area Pathology, Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
Tel 61 2 49214444 | Fax 61 2 49214440 | Mobile +61428 885573 (Speed Dial 67607) | Tw @mdjkfFollow http://www.aimed.net.au, a new HNE Health/Pathology North discussion site for continuously updated important information about antibiotics and their use.
[cid:image001.jpg@01D0545F.58F32360]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 25 February 2015 2:08 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Fwd: RE: [asid-ozbug] Staph decolonisation: at the coal face[Cross-posted from ASID-OzBug with author permission – Moderator. Replies will be forwarded to author]
——– Original message ——–
On 20/02/2015 2:54 PM, Meryta May wrote:
Dear Ozbug,Irrespective of what the literature shows, can I ask the following as a quick straw poll:
In your current favourite staph decolonisation protocol how many days do you usually recommend? If you have time to give a quick reason that would be great too (eg based on cast-iron evidence; based on previous failures; patient acceptance, a whim; etc).
Nasal mupirocin: 5, 7, 10, other?
Daily washes: 5, 7, 10, 14 , other?
Many thanks
Meryta
Regards, Dr Meryta May|Clinical Microbiologist and Paediatric Infectious Disease Specialist|Microbiology Department|Microbiology|Sullivan Nicolaides Pathology
P + 61 7 33778402| F +61 7 38705971| E meryta_may@snp.com.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 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 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.
You can unsubscribe from this list be sending ‘signoff aicalis
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