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Has anyone had to consider the installation of bidets from an IPC perspective. We are planning a brand new surgical wing and our Oncology department want to install for patients with anal fissures and other medical conditions. There are documented health benefits but I wondered about any water or other contamination issues? I notice that the Australian IPC Guidelines include a cleaning regime for bidets so I am assuming that in principle they are acceptable.
Regards
Ruth[IPC logo for email signature]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!********************************************************************************************
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Hi Ruth,
I imagine the risk of contamination in toilet/anteroom facilities with
bidets would be similar to the risks associated with the use of sprayers
(also called aerated spray wands) in patient toilet facilities?In terms of the sprayers/wands these are hoses with a nozzle which are
installed at the back of the toilet and used to rinse out bed pans in the
toilet bowl in anteroom toilet/shower facilities (single/multi-bed rooms)
and in hoppers (wall-mounted sinks, with deep basins, large drains, and a
spray arm that flush like a toilet) in dirty utility rooms (see attached an
embedded images).While they are not very common in Australian healthcare facilities for
patient toilets sprayers/wands seem to be more common in parts of Canada
and the US (mentioned in some of Carlings publications) and have contributed
in outbreaks of C.difficile in Canada Preliminary Findings with
C.difficile Outbreak in Cape Breton District Health Authority (CBDHA), 21
April 2011, Department of Health and Wellness, Nova Scotia – attached.A June 2009 Quebec report (Comparative Analysis of Bedpan Processing
Equipment) by the Agence dvaluation des technologies et des modes
dintervention en sant (AETMIS now INESSS) recommended that staff must not
empty bedpans into sinks or toilets and must no longer use spray wands. The
report includes options in terms of appropriate reprocessing methods for bed
pans and a cost analysis of each option see link.http://www.hygiecanada.com/img/media/Comparative%20Analysis%20of%20bedpan%20
Processing%20Equipment.pdfcid:image005.png@01CD77E8.FA191C00cid:image006.png@01CD77E8.FA191C00
cid:image008.jpg@01CD77E8.FA191C00With this at risk population (oncology) you would need an assurance that the
toilet seat and surrounding area did not become contaminated during use with
the bidet water (which will be contaminated with faecal and other
contaminants).Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
Of Ruth Barratt
Has anyone had to consider the installation of bidets from an IPC
perspective. We are planning a brand new surgical wing and our Oncology
department want to install for patients with anal fissures and other medical
conditions. There are documented health benefits but I wondered about any
water or other contamination issues? I notice that the Australian IPC
Guidelines include a cleaning regime for bidets so I am assuming that in
principle they are acceptable.Regards
Ruth
IPC logo for email signature
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
:: ruth.barratt@cdhb.health.nz
(: + 64 3 3640 083 or ext.80083
1098272744j4O36h: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!
****************************************************************************
****************
Check out our web site: http://www.cdhb.health.nz
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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.
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Hi all
Thanks for the interesting article. This article is very timelyIn relation to the spray hoses has anyone noticed that these are currently contained in the health facility guidelines for use in the dirty utility rooms as a standard component. My concern is that this is a real splash and infection control risk for staff and possibly patients if items are contaminated
This is a recent issue for us with redevelopment. Has anyone else had any issues with this?
Belinda
Belinda Straube
Infection Prevention and Control Department
St George Hospital
Kogarah
Page 424
[cid:image001.jpg@01CF84C2.167238E0]
St George/Sutherland Hospitals and Health Services
[cid:image002.png@01CF84C2.167238E0]Hi Ruth,
I imagine the risk of contamination in toilet/anteroom facilities with bidets would be similar to the risks associated with the use of sprayers (also called aerated spray wands) in patient toilet facilities?
In terms of the sprayers/wands these are hoses with a nozzle which are installed at the back of the toilet and used to rinse out bed pans in the toilet bowl in anteroom toilet/shower facilities (single/multi-bed rooms) and in “hoppers” (wall-mounted sinks, with deep basins, large drains, and a spray arm that flush like a toilet) in dirty utility rooms (see attached an embedded images).
While they are not very common in Australian healthcare facilities for patient toilets sprayers/wands seem to be more common in parts of Canada and the US (mentioned in some of Carlings publications) and have contributed in outbreaks of C.difficile in Canada – Preliminary Findings with C.difficile Outbreak in Cape Breton District Health Authority (CBDHA), 21 April 2011, Department of Health and Wellness, Nova Scotia – attached.
A June 2009 Quebec report (Comparative Analysis of Bedpan Processing Equipment) by the Agence d’valuation des technologies et des modes d’intervention en sant (AETMIS now INESSS) recommended that “staff must not empty bedpans into sinks or toilets and must no longer use spray wands”. The report includes options in terms of appropriate reprocessing methods for bed pans and a cost analysis of each option – see link.
[cid:image001.png@01CF84A9.B8F38420][cid:image002.png@01CF84A9.B8F38420] [cid:image003.jpg@01CF84A9.B8F38420]
With this at risk population (oncology) you would need an assurance that the toilet seat and surrounding area did not become contaminated during use with the bidet water (which will be contaminated with faecal and other contaminants).
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426Has anyone had to consider the installation of bidets from an IPC perspective. We are planning a brand new surgical wing and our Oncology department want to install for patients with anal fissures and other medical conditions. There are documented health benefits but I wondered about any water or other contamination issues? I notice that the Australian IPC Guidelines include a cleaning regime for bidets so I am assuming that in principle they are acceptable.
Regards
Ruth[cid:image004.jpg@01CF83B9.11B6E120]
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[cid:image003.jpg@01CF83B9.118FF830]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!********************************************************************************************
Check out our web site: http://www.cdhb.health.nz
This email and attachments have been scanned for content and viruses and is believed to be clean This email or attachments may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of Canterbury District Health Board
********************************************************************************************
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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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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