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Dear Brains Trust,
Does anyone know of some robust research/evidence to back up, or not, the use of over shoes for visitors to operating theatre and for theatre staff wearing them out side of the theatre environment?
Many thanks in advance.
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
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Hi Jayne
No robust evidence, just an old, old document from the UK full of common sense called ‘Behaviours and Rituals in the Operating Theatre’ (attached).
Theatre footwear
The floor surface of the operating theatre should be kept clean but the effect this has on infection rates remains uncertain. Studies of bacterial contamination of the operating theatre corridor floors indicate that a change of footwear should occur as far from the operating theatre as possible.74 Well-fitting footwear
with impervious soles should be worn and regularly cleaned to remove splashes of blood and body fluid.
All footwear should be cleaned after every use, and procedures should be in place to ensure that this is undertaken at the end of every session.
Humphreys et al.75 illustrated that the use of plastic overshoes led to a significant increase in floor colony counts rather than a decrease. Carter
76 also showed that hands became contaminated when overshoes were put on or removed.
Recommendation: category 3
Special footwear should be worn in the operating department and regularly cleaned. The practice of wearing plastic overshoes should cease.My personal thought is that provided you keep them visibly clean (no blood, no mud, etc), footwear worn in OT can be worn throughout the hospital and then worn back into OT. The way we state that in policy here is that footwear worn in OT must be cleaned after going outside the building, or outside worn shoes must either be cleaned or covered with an overshoe on entry to the operating suite.
Evidence is great if you have it, but sometimes we need to consider common sense and the epidemiology of infections.
Oh, and just a thought on those Gucci loafers the anaesthetist has on…. if you don’t want them splashed with body fluid, put some overshoes on! Nothing to do with protecting the patient, just to protect your $1000 Gucci’s.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.auPlease consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 5 June 2018 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Over shoes for use outside of operating theatresDear Brains Trust,
Does anyone know of some robust research/evidence to back up, or not, the use of over shoes for visitors to operating theatre and for theatre staff wearing them out side of the theatre environment?
Many thanks in advance.
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D3FCCA.199E6280]
CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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_____________________________________________________________________
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Thanks Michael,
was struggling with the evidence as there’s not much of it or its very old., I tend to agree with you too, as long as the shoes are not visibly soiled and are cleaned after being outside the OT then the wearing overshoe is a waste of time. Acorn standards advise to only wear them in theatre to protect (Gucci and other designer) shoes from splashes.From experience I also note hand hygiene is often not performed after removing the over shoes.
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Tuesday, 5 June 2018 1:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Over shoes for use outside of operating theatresHi Jayne
No robust evidence, just an old, old document from the UK full of common sense called ‘Behaviours and Rituals in the Operating Theatre’ (attached).
Theatre footwear
The floor surface of the operating theatre should be kept clean but the effect this has on infection rates remains uncertain. Studies of bacterial contamination of the operating theatre corridor floors indicate that a change of footwear should occur as far from the operating theatre as possible.74 Well-fitting footwear with impervious soles should be worn and regularly cleaned to remove splashes of blood and body fluid.
All footwear should be cleaned after every use, and procedures should be in place to ensure that this is undertaken at the end of every session.
Humphreys et al.75 illustrated that the use of plastic overshoes led to a significant increase in floor colony counts rather than a decrease. Carter
76 also showed that hands became contaminated when overshoes were put on or removed.
Recommendation: category 3
Special footwear should be worn in the operating department and regularly cleaned. The practice of wearing plastic overshoes should cease.My personal thought is that provided you keep them visibly clean (no blood, no mud, etc), footwear worn in OT can be worn throughout the hospital and then worn back into OT. The way we state that in policy here is that footwear worn in OT must be cleaned after going outside the building, or outside worn shoes must either be cleaned or covered with an overshoe on entry to the operating suite.
Evidence is great if you have it, but sometimes we need to consider common sense and the epidemiology of infections.
Oh, and just a thought on those Gucci loafers the anaesthetist has on…. if you don’t want them splashed with body fluid, put some overshoes on! Nothing to do with protecting the patient, just to protect your $1000 Gucci’s.
Cheers
MichaelMichael Wishart, CICP-E
Infection Control CoordinatorA627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.auP Please consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 5 June 2018 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Over shoes for use outside of operating theatresDear Brains Trust,
Does anyone know of some robust research/evidence to back up, or not, the use of over shoes for visitors to operating theatre and for theatre staff wearing them out side of the theatre environment?
Many thanks in advance.
JayneJayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9487 9732 | f: +61 2 9473 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au[SAH_EntitySignature2017][cid:image002.png@01D3FCCA.199E6280]
CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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 https://clicktime.symantec.com/a/1/iLAL_EyhXiyiFEKl5hF_nXMIH9sAJrDDgD_hShS-3jI=?d=N4oZh49CWFrq23i7gMBCXlvXgcUqZRbqcwauL3LF-jMaK6qMCJY7vkJiCKUfEZJPls_irg2TOTltcX-cfcn8Fy8fRVLX99o3ZDU_ExDuA0HDqylJJkQovd_4gipdxYnZ47_LB_nEpbFzZxjkZj8Ll65oSytgDW5CmanevRuBFHZtzV2Qd5ITDijTAVSZKx6BBoG1aUsjGddL8RZyc5h6ElsLLQNlYFBoRKL8rbhXWHyObHZtgA7rdhu6yNcjKMOG3z4Z4tXNd1sQv8-dlG1qSDZknFtFeuawG3wCKmHTWMPw0lM5F1vgBA8Jjmgog2jW2u8CapadcDfj5Etq8jX66Cg7mz9GDe1EoCiqyBxlMyoKpD4jCeThp81LY2jlU8JftpZ9uQNyO3KuUA3L42svoJz7eVW3_sIk324fXrnbSF7_Gc_62_vCC2_Wo8jJqW6E&u=http%3A%2F%2Fwww.messagelabs.comMESSAGES 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 https://clicktime.symantec.com/a/1/JMYDxF_1dbWSoeoj0J1FE_o5FhHVy5Az_flqu3XPt3w=?d=N4oZh49CWFrq23i7gMBCXlvXgcUqZRbqcwauL3LF-jMaK6qMCJY7vkJiCKUfEZJPls_irg2TOTltcX-cfcn8Fy8fRVLX99o3ZDU_ExDuA0HDqylJJkQovd_4gipdxYnZ47_LB_nEpbFzZxjkZj8Ll65oSytgDW5CmanevRuBFHZtzV2Qd5ITDijTAVSZKx6BBoG1aUsjGddL8RZyc5h6ElsLLQNlYFBoRKL8rbhXWHyObHZtgA7rdhu6yNcjKMOG3z4Z4tXNd1sQv8-dlG1qSDZknFtFeuawG3wCKmHTWMPw0lM5F1vgBA8Jjmgog2jW2u8CapadcDfj5Etq8jX66Cg7mz9GDe1EoCiqyBxlMyoKpD4jCeThp81LY2jlU8JftpZ9uQNyO3KuUA3L42svoJz7eVW3_sIk324fXrnbSF7_Gc_62_vCC2_Wo8jJqW6E&u=http%3A%2F%2Faicalist.org.au%2Farchives – registration and login required.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside 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.
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_____________________________________________________________________
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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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