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  • #74004
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Collective Brains Trust,
    We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCR’s are still pending. Any help would be greatly appreciated.
    Regards,
    Kelly

    Kelly Barton
    Infection Prevention & Control Officer
    Monday- Friday
    [Standard 3]
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    [cid:image003.jpg@01D328B2.63FC3880]
    [Description: Alpine Health Logo 1]
    30 O’Donnell Ave
    Myrtleford, 3737.

    Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    http://www.alpinehealth.org.au

    Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    ________________________________
    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
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    #74005
    Alan Wu
    Participant

    Author:
    Alan Wu

    Email:
    alanklwu@YAHOO.COM

    Organisation:

    State:

    Dear Kelly,

    We have experienced similar outbreak in our psychiatric units before. Besides the usual control measures like cohort isolation and environmental disinfection, you may consider introducing a “supervised alcoholic hand rub rounds” for all residents, which may have a role in terminating the outbreak earlier and prevention of similar happenings in future.

    Outbreak of human metapneumovirus infection in psychiatric inpatients: implications for directly observed use of alcohol hand rub in prevention of nosocomial outbreaks. JHI May 17, 2010.
    http://www.journalofhospitalinfection.com/article/S0195-6701(07)00336-2/fulltext

    Best regards,

    Dr Alan Wu
    Consultant Clinical Microbiologist,
    Hong Kong East Cluster, Hospital Authority, HK.

    q iPhone e

    > Kelly Barton 2017~98 U12:54 gDG
    >
    > Hi Collective Brains Trust,
    > We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCRs are still pending. Any help would be greatly appreciated.
    > Regards,
    > Kelly
    >
    > Kelly Barton
    > Infection Prevention & Control Officer
    > Monday- Friday
    >
    > P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    > Ph: 03 5751 9364
    > Mob: 0409 885 002
    > Fax: 03 5751 9395
    >
    >
    > 30 ODonnell Ave
    > Myrtleford, 3737.
    >
    >
    >
    > Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    > http://www.alpinehealth.org.au
    >
    > Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    > This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
    > MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #74008
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Kelly
    It is recognised as being a common cause of pneumonia, we basically treat all respiratory with same precautions; Droplet and contact precautions. Considered infectious for five days from onset of symptoms (some places will say seven) then standard precautions prevail (ie if you are close to someone and they are coughing in your face – use a mask!), good cough etiquette and hand hygiene education to residents.
    Any outbreak as you know is extremely difficult if in a dementia unit. Staff at least should be able to minimise the risk to themselves.
    Other usual outbreak interventions, closing unit, education relatives and visitors, limiting staff movements, increased cleaning.

    Best wishes – it is the worst year we have seen for quite a while for resp and gastro

    Robyn

    Robyn Birch
    CNC Infection Control
    Redland Hospital
    Department of Health | Queensland Government
    PO Box 585, ClevelandQLD 4163
    t. (07) 3488 3518
    m. 0412 585 099
    Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
    [cid:image001.gif@01D328B5.FB65C9E0] [cid:image002.gif@01D328B5.FB65C9E0] [cid:image003.gif@01D328B5.FB65C9E0]
    [cid:image004.jpg@01D328B5.FB65C9E0]
    Queensland Health acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.

    Hi Collective Brains Trust,
    We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCR’s are still pending. Any help would be greatly appreciated.
    Regards,
    Kelly

    Kelly Barton
    Infection Prevention & Control Officer
    Monday- Friday
    [cid:image001.png@01D328B2.150AB7B0]
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    [cid:image003.jpg@01D328B2.63FC3880]
    [cid:image005.jpg@01D328B2.63FC3880]
    30 O’Donnell Ave
    Myrtleford, 3737.

    Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    http://www.alpinehealth.org.au

    Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    ________________________________
    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
    ________________________________
    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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    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #74009
    Marlize Senekal
    Participant

    Author:
    Marlize Senekal

    Email:
    M.Senekal@WMQ.ORG.AU

    Organisation:

    State:

    Hi Kelly,

    I’ve found the CDC website helpful

    CDC – Human Metapneumovirus (HMPV) Clinical Features
    http://www.cdc.gov/surveillance/nrevss/hmpv/clinical.html

    HMPV tend to linger around for longer than Influenza and could be quite severe.

    There was an outbreak during February 2016 in Cairns, you might find the news article of interest

    Herberton Hospital human metapneumovirus outbreak: Coroner probes seven deaths
    https://www.brisbanetimes.com.au/national/queensland/herberton-hospital-human-metapneumovirus-outbreak-coroner-probes-seven-deaths-20160203-gmkyhw.html

    Regards
    Marlize

    Marlize Senekal
    Infection Prevent & Control CNC – Residential Aged Care

    Hi Collective Brains Trust,
    We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCR’s are still pending. Any help would be greatly appreciated.
    Regards,
    Kelly

    Kelly Barton
    Infection Prevention & Control Officer
    Monday- Friday
    [Standard 3]
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    [cid:image003.jpg@01D328B2.63FC3880]
    [Description: Alpine Health Logo 1]
    30 O’Donnell Ave
    Myrtleford, 3737.

    Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    http://www.alpinehealth.org.au

    Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    ________________________________
    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
    ________________________________
    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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    #74007
    Verily Thomas
    Participant

    Author:
    Verily Thomas

    Email:
    Verily.Thomas@SSWAHS.NSW.GOV.AU

    Organisation:

    State:

    Hi Kelly

    I certainly can share my experience on the respiratory human Metapneumovirus as one that I have not seen in the 10 years I have been in infection control. We also recovered from a HMPV virus outbreak on one of our wards and all I can say is that the activity of all viruses regardless has had a shift in the last year or two.

    Most of our patients had low grade temperatures and cough. Based on the past activity of HMPV it was not notified to IP&C as it was considered an organism that was not required to be routinely notified to IP&C but rather to the wards. I find this a problem as not all IC processes are followed by the book regardless of how you beat down in trying to getting them done as this is not usually considered a priority in patient care on most cases. However, from its current activity and who knows what else happens in the future it probably should be considered a notifiable organism to IP&C just like any other respiratory virus i.e. influenza. There should be more standardised and clear cut guidelines on how these organisms should be managed as an outbreak is a clear indicator of person to person transmission. Sometimes even a change in activity by the lab should be enough to bring out that trigger to the IPU.

    What we noted when dealing with this virus that is usually self-limiting and has never resulted in an outbreak until now in our facility is that it was also very debilitating to the patients that it affected and took a longer time to clear. Mind you most of these patients were non-acute rehabilitating patients so the impact on their recovery and limiting services like utilising a shared gym and keeping them secluded were a challenge in itself.

    What we also noticed and I am sure others have too is that the viruses including RSV are on the increase resulting in more healthcare associated transmission than I have ever seen before should we ignore this or should these be the types of emerging organisms of significance that we should be taking note of as I am sure we are all recovering from this debilitating flu season we certainly wouldn’t have the capacity to control when they got out of hand. What is currently not clear is how long we could isolate the patients and safely de-isolate as there are no clear guidelines for this so all we relied on was fever and cough which we know can go on for a while. However, apart from this and not understanding how long transmission can go on for we kept affected patients in the same area did not admit any new patients to the cohort rooms for a while(this was achievable as they were long stay patients)-this could be a challenge where there is a high turnover of patients.

    I would also appreciate if there is anyone out there with clear evidence based protocols to manage such patients that they would share the information with us as well. We finally got over the outbreak after 6 confirmed cases and monitoring of all patients within the unit who became may have developed symptoms. It took us close to 2 weeks of monitoring, screening, isolation, education and cleaning to finally stop having any confirmed cases for HMPV as most of the confirmation was some days apart- and also taking into consideration the maximum recommended incubation period of 7days.What I also found and have read is some of these viruses can complicate any opportunistic infections particularly patients colonised with MRO’s would be interesting to see if there is any conclusive evidence out there relating to this claim.

    In other words, keep an eye out for these organisms that are emerging and proving to be greater in the IP&C world.

    Kind Regards
    Verily Thomas
    Clinical Nurse Consultant | Infection Prevention and Control
    SWSLHD-Bankstown/Lidcombe Hospital
    Eldridge Road, Bansktown.NSW 2200
    Tel 02 97228000 pager 28230
    Tel 02 9722 8633 | Fax 02 9722 7822 | verily.thomas@sswahs.nsw.gov.au
    http://www.health.nsw.gov.au

    [cid:image002.jpg@01CE8EA5.483A6E60]
    LET’S KEEP OUR HOSPITAL ENVIRONMENT CLEAN
    HAND HYGIENE SAVES LIVES

    Hi Collective Brains Trust,
    We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCR’s are still pending. Any help would be greatly appreciated.
    Regards,
    Kelly

    Kelly Barton
    Infection Prevention & Control Officer
    Monday- Friday
    [Standard 3]
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    [cid:image003.jpg@01D328B2.63FC3880]
    [Description: Alpine Health Logo 1]
    30 O’Donnell Ave
    Myrtleford, 3737.

    Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    http://www.alpinehealth.org.au

    Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    ________________________________
    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
    ________________________________

    _____________________________________________________________________
    This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
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    Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

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    #74011
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    We have found increasing numbers of RSV over the last few years as well. QLD reports other respiratory including flu in their weekly report found here https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/diseases-infection/surveillance/reports/flu. Page 3 shows the trend for this year.

    Robyn

    Robyn Birch
    CNC Infection Control
    Redland Hospital
    Department of Health | Queensland Government
    PO Box 585, ClevelandQLD 4163
    t. (07) 3488 3518
    m. 0412 585 099
    Robyn.Birch@health.qld.gov.au | http://www.health.qld.gov.au
    [cid:image001.gif@01D328B9.D0755E90] [cid:image002.gif@01D328B9.D0755E90] [cid:image003.gif@01D328B9.D0755E90]
    [cid:image004.jpg@01D328B9.D0755E90]
    Queensland Health acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future.

    Hi Collective Brains Trust,
    We currently have a respiratory outbreak in one of our residential aged care facilities and one of our staff has come back positive for Human metapneumovirus infection. I am wondering if anyone has had experience with this that could share your wisdom. Rest of the PCR’s are still pending. Any help would be greatly appreciated.
    Regards,
    Kelly

    Kelly Barton
    Infection Prevention & Control Officer
    Monday- Friday
    [cid:image001.png@01D328B2.150AB7B0]
    P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.
    [cid:image003.jpg@01D328B2.63FC3880]
    [cid:image005.jpg@01D328B2.63FC3880]
    30 O’Donnell Ave
    Myrtleford, 3737.

    Alpine Health, 30 O’Donnell Av, Myrtleford, Victoria, Australia, 3737 | ph (administration): 03 5751 9300 | fax (administration): 03 5751 9396 |
    http://www.alpinehealth.org.au

    Alpine Health acknowledges the Traditional Custodians of the land on which we stand and pay our respect to the Elders both past, present and future.
    ________________________________
    This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify Alpine Health ICT Department – (03) 5751 9388.
    ________________________________
    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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    ********************************************************************************
    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
    **********************************************************************************

    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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