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INFECTION PREVENTION AND CONTROL RECOMMENDATIONS WHEN CARING FOR SUSPECTED 2019-nCoV INFECTIONS
AHPPC commissioned Lyn Gilbert to convene an advisory group to advise on infection control recommendations. This group has made some interim recommendations that are broadly consistent with the WHO and EU policy, but not the same as CDC policy.
In summary* Contact and droplet precautions are recommended for routine care of patients with suspected and confirmed nCoV infection
* Contact and airborne precautions are recommended when performing aerosol generating procedures (AGPs), including taking respiratory specimens (which may provoke sneezing/coughing).
A few points about these recommendations* These are interim recommendations and may be updated
* These are minimum standards that are designed to allow patients with suspected coronavirus to be assessed safely in any setting, including general practice and hospitals
* A higher standard of protection (use of airborne precautions) should be used for high risk AGPs such as bronchoscopy and intubation. Where possible, AGPs (esp nebulisers) should be avoided if possible.
* If hospitals choose to use PAPRs or other PPE, it is essential that staff have adequate training to use them safely. HCWs (esp RMOs starting this week!) should be be trained to use PPE.
* This advice has been provided to the Chief Health Officers (AHPPC) but not yet endorsed.
The more detailed recommendations are below
USE OF PPE DURING CARE OF PATIENTS WITH SUSPECTED OR CONFIRMED nCoV INFECTION.
A person who has been in Hubei province (or other region where the risk of human-to-human transmission is significant) in the previous 14 days OR has been in contact with a person with nCoV infection should be in quarantine (voluntary or supervised).
If a quarantinable person needs to see a doctor for any reason (e.g. development of fever and respiratory symptoms or other illness/injury), they should be asked to phone GP or ED before presenting.
o If the patient has symptoms consistent with nCoV case definition, local public health unit should be consulted about the most suitable venue for clinical assessment and specimen collection.
On presentation (to GP or hospital ED), the patient should be given a surgical mask and immediately directed to a single room, ideally with negative pressure ventilation (whether or not respiratory symptoms) are present.
For clinical examination of a quarantinable patient (as above) transmission-based precautions should be observed whether or not respiratory symptoms are present as follows:
NO RESPIRATORY SYMPTOMS/RESPIRATORY SPECIMEN NOT REQUIRED:
o perform hand hygiene before donning gown, gloves and surgical mask (for routine clinical care),
o at completion of consultation, remove PPE and perform hand hygiene.
RESPIRATORY SYMPTOMS/SPECIMEN COLLECTION FOR 2019-nCoV REQUIRED:
o perform hand hygiene before donning gown, gloves, eye protection (goggles or face shield) and P2/N95 respirator (for specimen collection) which must be fit checked
o at completion of consultation, remove gown and gloves, perform hand hygiene; remove eye protection and P2 respirator without touching the front of them; perform hand hygiene.
At completion of the consultation, the room surfaces should be wiped clean with disinfectant wipes by a person wearing gloves, gown and surgical mask.
NOTE: If respiratory specimen collection (or other aerosol-generating procedure) has been performed in a room without negative pressure ventilation, it should not be used for patient consultation for at least 30 minutes (cleaning can be performed, during this time)Philip Russo PhD MClinEpid BN, FACIPC
ACIPC President
P +61 3 6281 9239
E admin@acipc.org.au
W acipc.org.au
A 228 Liverpool Street, Hobart TAS 7000, Australia[signature_1374035901]
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Hi Phil,
Thanks for posting the new interim minimum standards “Infection prevention
recommendations for care of patients with nCoV’.They sound sensible, easy to apply, are not lengthy and hence are a good
quick reference.Once endorsed by AHPPC look forward to seeing them readily available to all
healthcare settings (i.e. aged care, private hospitals, day surgeries), on
the Australian Government Health Department web page, rather than waiting
for state governments to update their individual guidelines.https://www.health.gov.au/resources/collections/novel-coronavirus-2019-ncov-
resourcesRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Russo
care of patients with nCoVINFECTION PREVENTION AND CONTROL RECOMMENDATIONS WHEN CARING FOR SUSPECTED
2019-nCoV INFECTIONSAHPPC commissioned Lyn Gilbert to convene an advisory group to advise on
infection control recommendations. This group has made some interim
recommendations that are broadly consistent with the WHO and EU policy, but
not the same as CDC policy.In summary
*Contact and droplet precautions are recommended for routine care of
patients with suspected and confirmed nCoV infection
*Contact and airborne precautions are recommended when performing
aerosol generating procedures (AGPs), including taking respiratory specimens
(which may provoke sneezing/coughing).A few points about these recommendations
*These are interim recommendations and may be updated
*These are minimum standards that are designed to allow patients with
suspected coronavirus to be assessed safely in any setting, including
general practice and hospitals
*A higher standard of protection (use of airborne precautions) should
be used for high risk AGPs such as bronchoscopy and intubation. Where
possible, AGPs (esp nebulisers) should be avoided if possible.
*If hospitals choose to use PAPRs or other PPE, it is essential that
staff have adequate training to use them safely. HCWs (esp RMOs starting
this week!) should be be trained to use PPE.
*This advice has been provided to the Chief Health Officers (AHPPC)
but not yet endorsed.The more detailed recommendations are below
USE OF PPE DURING CARE OF PATIENTS WITH SUSPECTED OR CONFIRMED nCoV
INFECTION.be subject to change as more information becomes available
. A person who has been in Hubei province (or other region where the
risk of human-to-human transmission is significant) in the previous 14 days
OR has been in contact with a person with nCoV infection should be in
quarantine (voluntary or supervised).. If a quarantinable person needs to see a doctor for any reason
(e.g. development of fever and respiratory symptoms or other
illness/injury), they should be asked to phone GP or ED before presenting.o If the patient has symptoms consistent with nCoV case definition, local
public health unit should be consulted about the most suitable venue for
clinical assessment and specimen collection.. On presentation (to GP or hospital ED), the patient should be
given a surgical mask and immediately directed to a single room, ideally
with negative pressure ventilation (whether or not respiratory symptoms) are
present.. For clinical examination of a quarantinable patient (as above)
transmission-based precautions should be observed whether or not respiratory
symptoms are present as follows:. NO RESPIRATORY SYMPTOMS/RESPIRATORY SPECIMEN NOT REQUIRED:
o perform hand hygiene before donning gown, gloves and surgical mask (for
routine clinical care),o at completion of consultation, remove PPE and perform hand hygiene.
. RESPIRATORY SYMPTOMS/SPECIMEN COLLECTION FOR 2019-nCoV REQUIRED:
o perform hand hygiene before donning gown, gloves, eye protection
(goggles or face shield) and P2/N95 respirator (for specimen collection) –
which must be fit checkedo at completion of consultation, remove gown and gloves, perform hand
hygiene; remove eye protection and P2 respirator without touching the front
of them; perform hand hygiene.. At completion of the consultation, the room surfaces should be
wiped clean with disinfectant wipes by a person wearing gloves, gown and
surgical mask.. NOTE: If respiratory specimen collection (or other
aerosol-generating procedure) has been performed in a room without negative
pressure ventilation, it should not be used for patient consultation for at
least 30 minutes (cleaning can be performed, during this time)Philip Russo PhD MClinEpid BN, FACIPC
ACIPC President
P +61 3 6281 9239
W
acipc.org.auA 228 Liverpool Street, Hobart TAS 7000, Australia
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 acipclist@acipc.org.auTo send a message to the list administrator send an email to
admin@acipc.org.auYou can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.org.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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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