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Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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Many thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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_____________________________________________________________________
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________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[cid:image001.png@01CEE460.61A6AE70]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[cid:image001.png@01CECF22.8F98DA40]
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
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
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Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
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
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________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Thank you Jo ,
Will provide this to the local drug committee….I can only keep chipping away
But definitely appreciate the document
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
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
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
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
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________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
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.
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———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
We care for our environment. Please only print this e-mail if necessary.
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(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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 Vicki
I agree with Fiona that the cadoxomer iodine preparations are best for breaking down Bio Films – they have been shown to be effective against biofilms. You need to be sure the patient does not have any sensitivities or conditions that prevent iodine use. Also no longer than 3 months and not for large extensive wounds (150 gm max per week)
The Australian Wound Management Assoc. guidelines are available at the AWMA website http://www.awma.com.au/publications/publications.php
Also the Venous leg ulcer guidelines are thereKerry Taliaferro
AWMA (ACT) Secretary / Newsletter Editor
[AWMA_Logo_Australian_Capital_Territory_LH[1].JPG]
Thank you Jo ,
Will provide this to the local drug committee….I can only keep chipping away
But definitely appreciate the document
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments 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.
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
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If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
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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
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Thanks so much Kerry – yes was looking at the wound care management late yesterday…many thanks for the response.
Feeling positive again ..will supply all with the extra information…may make change happen…..
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki
I agree with Fiona that the cadoxomer iodine preparations are best for breaking down Bio Films – they have been shown to be effective against biofilms. You need to be sure the patient does not have any sensitivities or conditions that prevent iodine use. Also no longer than 3 months and not for large extensive wounds (150 gm max per week)
The Australian Wound Management Assoc. guidelines are available at the AWMA website http://www.awma.com.au/publications/publications.php
Also the Venous leg ulcer guidelines are thereKerry Taliaferro
AWMA (ACT) Secretary / Newsletter Editor
[AWMA_Logo_Australian_Capital_Territory_LH[1].JPG]
Thank you Jo ,
Will provide this to the local drug committee….I can only keep chipping away
But definitely appreciate the document
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicky
Check NSW Policy on off-label for medications http://www0.health.nsw.gov.au/policies/pd/2008/pdf/PD2008_037.pdfThis may be helpful – it tells the drug committees how to assess any off-label use of medications before it can be used
Thanks
Joe-Anne Bendall
(Monday/Thursday/Friday)
Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AUMany thanks for this information Fiona,
Whilst I can understand why potentially there may be steps to utilization antibiotics topically ( under strict supervision) it’s the issue that here they are using IV gentamycin – impregnated onto another dressing bed to apply. In accordance with the antibiotic guidelines this is not the designated application
Currently I believe TGA has not approved a topical gentamycin application & in accordance with antibiotic stewardship I thought I had some strong support to stop this practise. However seem to be fighting a losing battle. . I also tried with inappropriate use of medication as well as the doctors prescribe this on medication charts ( wrong route/wrong dose etc…)Thanks again with supplying this information …
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
Hi Vicki,
I posed this question to our Wound care consultant and this is the response I receivedTopical antibiotics have traditionally been frowned upon in the care of chronic wounds.
However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
* Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
* Wound bed antisepsis [Prontosan or iodine preparations are common]
* Topical antibiotics [dependent on pathology]
* Appropriate dressing and bandaging
* Systemic antibiotics if required
Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
Hope this is useful info.Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076Hi All,
I would appreciate any additional advice on the following issue:
Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.
Vicki Denyer
Clinical Nurse Consultant | Infection Prevention & Control Unit
Lismore Base Hospital
Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au[Description: cid:image001.png@01CE7F1B.E103A4C0]
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