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Hi all
We are reviewing our management of multi-resistant organisms and in particular the process to determine someone is cleared (organism not expected to return) or de-activated (organism may return, particularly with antibiotic pressure).
We would be interested to know what other facilities have in place, particularly paediatrics.
Do you have any useful references which guide your practice?
Regards
Janet
Janet Wallace
Clinical Nurse Consultant
Infection Control – Infection Management and Prevention Service (IMPS)Children’s Health Queensland Hospital and Health Service
Level 12, Lady Cilento Children’s Hospital
Children’s Health Queensland
South Brisbane QLD 4101T: 07 3068 3989 / mobile 0408 236 266
E: janet.wallace@health.qld.gov.au
W: http://www.childrens.health.qld.gov.au[cid:image001.png@01D11D2E.593917B0][cid:image002.png@01D11D2E.593917B0][cid:image003.png@01D11D2E.593917B0][cid:image004.png@01D11D2E.593917B0]
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Hi Janet
We refer to these guidelines at Redcliffe Hospital page 9 is for clearance.
https://www.health.qld.gov.au/publications/clinical-practice/guidelines-procedures/diseases-infection/governance/multi-resistant-organisms.pdf No difference between adult and paeds screening.
Best wishes
Karen Beaumont
CN Infection Management and Prevention
Redcliffe Hospital
Qld 4020Hi all We are reviewing our management of multi-resistant organisms and in particular the process to determine someone is cleared (organism not expected to return) or de-activated (organism may return particularly with antibiotic pressure). We would be interested to know what other facilities have in place particularly paediatrics. Do you have any useful references which guide your practice? Regards Janet Janet WallaceClinical Nurse ConsultantInfection Control Infection Management and Prevention Service (IMPS) Childrens Health Queensland Hospital and Health ServiceLevel 12 Lady Cilento Childrens HospitalChildrens Health QueenslandSouth Brisbane QLD 4101 T: 07 3068 3989 / mobile 0408 236 266E: janet.wallace@health.qld.gov.auW: http://www.childrens.health.qld.gov.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.
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Hi Janet,
Our MRO policy is on the SESLHD (NSW health) website. Clinical policies and procedures. Infection control. Prevention & Management of Multi-Resistant Organisms (MRO). Clearing the organism can be found on page 22.
Thanks,
RhiannonMargaret Evans IP&C CNC
Royal Hospital for Women
PO Box 2000
Randwick 2031
T: 9382 6339
E: margaret.evans@sesiahs.health.nsw.gov.au
[cid:image001.png@01D11DE7.A4C48B10]Senior Clinical lecturer,
Sydney universityHi all
We are reviewing our management of multi-resistant organisms and in particular the process to determine someone is cleared (organism not expected to return) or de-activated (organism may return, particularly with antibiotic pressure).
We would be interested to know what other facilities have in place, particularly paediatrics.
Do you have any useful references which guide your practice?
Regards
Janet
Janet Wallace
Clinical Nurse Consultant
Infection Control – Infection Management and Prevention Service (IMPS)Children’s Health Queensland Hospital and Health Service
Level 12, Lady Cilento Children’s Hospital
Children’s Health Queensland
South Brisbane QLD 4101T: 07 3068 3989 / mobile 0408 236 266
E: janet.wallace@health.qld.gov.au
W: http://www.childrens.health.qld.gov.au[cid:image001.png@01D11D2E.593917B0][cid:image002.png@01D11D2E.593917B0][cid:image003.png@01D11D2E.593917B0][cid:image004.png@01D11D2E.593917B0]
[cid:image005.png@01D11D2E.593917B0]********************************************************************************
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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Hi Janet
Our MRO PCP which you will know is available via the bottom of this page- http://aimed.net.au/infection-control/ – clearance criteria are there for MRSA and VRE – we’ve simplified these to a 6 mth event – excerpts below – those with chronic carriage in wounds (risk factor for chronic carriage) detected by culture of same
Allen Cheng’s recent VRE carriage paper worth a read http://www.ncbi.nlm.nih.gov/pubmed/23039285
Kluytman review worthwhile
http://www.ncbi.nlm.nih.gov/pubmed/21366406 Swiss study – similar to older Dutch literature ; however strain specific influence
http://www.ncbi.nlm.nih.gov/pubmed/24393651 MSSA carriage in UKKind regards
John[cid:image001.png@01D12080.3BA3D370]
Dr John Ferguson MBBS DTM&H FRACP FRCPA
Microbiologist | Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkfFollow http://www.idmicnepal.net for microbiology and infectious diseases post graduate resources and discussions.
Follow http://www.biochemcase.wordpress.com for moderated case discussions from a renowned clinical biochemistry expert.
Follow http://www.aimed.net.au, the HNE Health/Pathology North site for practical discussions about antibiotic use.[cid:image002.jpg@01D12080.3BA3D370]
[cid:image003.png@01D12080.3BA3D370]
Hi all
We are reviewing our management of multi-resistant organisms and in particular the process to determine someone is cleared (organism not expected to return) or de-activated (organism may return, particularly with antibiotic pressure).
We would be interested to know what other facilities have in place, particularly paediatrics.
Do you have any useful references which guide your practice?
Regards
Janet
Janet Wallace
Clinical Nurse Consultant
Infection Control – Infection Management and Prevention Service (IMPS)Children’s Health Queensland Hospital and Health Service
Level 12, Lady Cilento Children’s Hospital
Children’s Health Queensland
South Brisbane QLD 4101T: 07 3068 3989 / mobile 0408 236 266
E: janet.wallace@health.qld.gov.au
W: http://www.childrens.health.qld.gov.au[cid:image001.png@01D11D2E.593917B0][cid:image002.png@01D11D2E.593917B0][cid:image003.png@01D11D2E.593917B0][cid:image004.png@01D11D2E.593917B0]
[cid:image005.png@01D11D2E.593917B0]********************************************************************************
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.
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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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
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