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Dear all,
I’m looking for evidence to back us up on not having fans in patient rooms (especially seeing that summer is around the corner).
I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of infection/colonisation (MRSA, MSSA, etc.) through fan usage in a healthcare setting?
Cheers,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685
E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdoch
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Hi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI, that showed MRSA in dust on portable fans. Never have seen anything that linked increase in MRSA or HAI directly to portable fans, though; that would be epidemiologically difficult to show, I think. Too many other variables.
Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained well. Ask if they cleaned thoroughly (meaning the fan blades) between each patient use. I suspect not!
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email________________________________
Dear all,
I’m looking for evidence to back us up on not having fans in patient rooms (especially seeing that summer is around the corner).
I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of infection/colonisation (MRSA, MSSA, etc.) through fan usage in a healthcare setting?
Cheers,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdochfacebook.com/stjohnofgodmurdoch
twitter.com/sjgh_murdoch
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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HI
I recently saw one of those new style fans in use – the ones with no blades that look like an empty circle. Very easy to clean and decreased OHS risk from spinning blades.
regards
Janet
Janet WallaceStaff Health Coordinator | Hunter New England Health
Tel 02 4924 6844 | Fax 02 4924 6845 | Mob 0439 769 033 | janet.wallace@hnehealth.nsw.gov.auHi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI, that showed MRSA in dust on portable fans. Never have seen anything that linked increase in MRSA or HAI directly to portable fans, though; that would be epidemiologically difficult to show, I think. Too many other variables.
Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained well. Ask if they cleaned thoroughly (meaning the fan blades) between each patient use. I suspect not!
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email________________________________
Dear all,I’m looking for evidence to back us up on not having fans in patient rooms (especially seeing that summer is around the corner).
I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of infection/colonisation (MRSA, MSSA, etc.) through fan usage in a healthcare setting?
Cheers,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdochfacebook.com/stjohnofgodmurdoch
twitter.com/sjgh_murdoch
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Hi Gerald
I would agree Michael. It is not possible to have a study proving every
item does not result in infection. Using infection control principles
blowing air in a ward environment cannot be a good principle. If a
patient is heavily colonised with an antibiotic resistant organism (ARO)
then blowing skin squames will result in contamination. There are many
studies indicating contamination linked to ARO’s in particular MRSA
across the ward. Risk assessment may have to be used.Regards
Rosie
Rosie Lee
RN. BSc. CICPCoordinator – Infection Prevention & Management
SMH Service – Royal Perth HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
IMPORTANT NOTICE: The contents of this email (including any attachments)
may be privileged and confidential. Any unauthorised use of its
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Behalf Of Michael Wishart
Hi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI,
that showed MRSA in dust on portable fans. Never have seen anything that
linked increase in MRSA or HAI directly to portable fans, though; that
would be epidemiologically difficult to show, I think. Too many other
variables.Doesn’t mean fans are not bad, though. 🙂 Especially when not maintained
well. Ask if they cleaned thoroughly (meaning the fan blades) between
each patient use. I suspect not!Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email
________________________________
Gerald Chan [Gerald.Chan@SJOG.ORG.AU]
Dear all,
I’m looking for evidence to back us up on not having fans in patient
rooms (especially seeing that summer is around the corner).I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of
infection/colonisation (MRSA, MSSA, etc.) through fan usage in a
healthcare setting?Cheers,
Gerald
Gerald Chan
Coordinator Infection Control
St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685W: http://www.sjog.org.au/murdoch
facebook.com/stjohnofgodmurdoch
twitter.com/sjgh_murdoch
intended recipient. They may contain confidential or privileged
information. This information may not necessarily be the view of St John
of God Health Care Inc (SJGHC). SJGHC does not warrant, represent or
guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
reliance, interference with, disclosure, distribution or copying of this
information by you is unauthorised and prohibited. If you have received
this email in error then please notify the sender by return email and
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Thanks once again, Glenys.
It’s great to know that a study was already done that took a step
further in looking into air currents and surface contamination in a
controlled environment.
Awesome to know that they’d actually utilised a biological aerosol
chamber as that knocks off the bulk of variables that may influence the
outcome.
This study would positively influence (especially from an Infection
Prevention perspective) the way patient rooms of the future are designed
and how airflow systems are engineered.
I’ll hunt down the full article.
Now if only they’d added carpet to the study!
Cheers,
GeraldGerald Chan
Coordinator Infection ControlSt John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685
E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdoch
facebook.com/stjohnofgodmurdoch (
http://www.facebook.com/stjohnofgodmurdoch )
twitter.com/sjgh_murdoch ( http://www.twitter.com/sjgh_murdoch )
>>> Glenys Harrington 28/10/2012 10:10 AM
>>>Hi Gerald,
This may in part answer your question although I have not been able to
get hold of the full article.
Publication – M.F. King, C.J. Noakes, P.A. Sleigh, M.A. Camargo-Valero.
Bioaerosol Deposition in Single and Two-Bed Hospital Rooms: A Numerical
and Experimental Study. Building and Environment. 2012.
Extract about the article from Infection Control Today(ICT).
Hospital superbugs can float on air currents and contaminate surfaces
far from infected patients beds, according to University of Leeds
researchers. The results of the study, which was funded by the
Engineering and Physical Sciences Research Council (EPSRC), may explain
why, despite strict cleaning regimes and hygiene controls, some
hospitals still struggle to prevent bacteria moving from patient to
patient.
It is already recognized that hospital superbugs, such as MRSA and C.
difficile, can be spread through contact. Patients, visitors or even
hospital staff can inadvertently touch surfaces contaminated with
bacteria and then pass the infection on to others, resulting in a great
stress in hospitals on keeping hands and surfaces clean.
But the University of Leeds research showed that coughing, sneezing or
simply shaking the bed linens can send superbugs into flight, allowing
them to contaminate recently cleaned surfaces.
PhD student Marco-Felipe King used a biological aerosol chamber, one of
a handful in the world, to replicate conditions in one- and two-bedded
hospital rooms. He released tiny aerosol droplets containing
Staphyloccus aureus from a heated mannequin simulating the heat emitted
by a human body. He placed open petri dishes where other patients beds,
bedside tables, chairs and washbasins might be and then checked where
the bacteria landed and grew.
The results confirmed that contamination can spread to surfaces across
a ward. The level of contamination immediately around the patients bed
was high but you would expect that. Hospitals keep beds clean and
disinfect the tables and surfaces next to beds, says Dr. Cath Noakes,
from the Universitys School of Civil Engineering, who supervised the
work. However, we also captured significant quantities of bacteria
right across the room, up to 3.5 meters away and especially along the
route of the airflows in the room.
We now need to find out whether this airborne dispersion is an
important route of spreading infection, adds co-supervisor Dr. Andy
Sleigh.
The researchers are hoping that computer modeling will help them
determine the risk. The findings have been compared to airflow
simulations of the mock hospital rooms and the research team have shown
that they are able to accurately predict how airborne particles can be
deposited on surfaces.
Using our understanding of airflow dynamics, we can now use these
models to investigate how different ward layouts and different positions
of windows, doors and air vents could help prevent microorganisms being
deposited on accessible surfaces, says King.
The international design and engineering firm Arup, which designs
hospitals, part sponsored the study. Phil Nedin, director and global
healthcare business leader at Arup, says: We are looking at healthcare
facilities of the future and it is important that we look at key issues
such as infection control. Being involved in microbiological studies
that inform airflow modeling in potentially infectious environments
allows us to get a clear understanding of the risks in these particular
environments.
The paper, Bioaerosol Deposition in Single and Two-Bed Hospital Rooms:
A Numerical and Experimental Study, was published in the journal
Building and Environment.
This research is funded by an EPSRC Challenging Engineering grant held
by Dr. Cath Noakes. Marco-Felipe Kings PhD was also partially sponsored
by Arup.
Bioaerosol Deposition in Single and Two-Bed Hospital Rooms: A Numerical
and Experimental Study. Building and Environment. 2012.
http://www.infectioncontroltoday.com/news/2012/10/superbugs-ride-air-current
regards
GlenysBehalf Of Gerald Chan
Thanks Rosie, Michael and all for your responses.
I was hoping for a study that at least attempted to demonstrate that
common skin pathogens do get dispersed quite significantly by fans…
understandably, this is an obvious “common sense” thing to ICPs but
surprisingly, to the general public (and even for some nurses), this
doesn’t click.This generation demands for evidence for everything (and rightly so if
we can back ourselves up with that).It would be great if a study was done whereby MSSA/MRSA positive
patients cared for in 2 controlled environments, either a vinyl floor
single room or a carpeted single room, then utilised fans (which have
been cleaned) and we compared culture plates (or an air sampling device
fit for this) placed vertically in the direct air stream of the fans
(one at a closer proximity to the fan and maybe another placed past the
patient)… obviously this needs more looking into! 🙂I am not a fan (pardon the pun!) of fans nor do I like carpets in a
healthcare setting but there hasn’t been any strong supportive evidence
to support what would be seen as obvious IC concerns.I guess cleaning and a risk assessment would be the way to go for now.
Thanks again for all comments/feedback.
Regards,
Gerald
Gerald Chan
Coordinator Infection Control
St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685W: http://www.sjog.org.au/murdoch
facebook.com/stjohnofgodmurdoch (
http://www.facebook.com/stjohnofgodmurdoch )twitter.com/sjgh_murdoch ( http://www.twitter.com/sjgh_murdoch )
>>> “Lee, Rosie” 26/10/2012 7:46 AM >>>
Hi Gerald
I would agree Michael. It is not possible to have a study proving every
item does not result in infection. Using infection control principles
blowing air in a ward environment cannot be a good principle. If a
patient is heavily colonised with an antibiotic resistant organism (ARO)
then blowing skin squames will result in contamination. There are many
studies indicating contamination linked to AROs in particular MRSA
across the ward. Risk assessment may have to be used.Regards
Rosie
Rosie Lee
RN. BSc. CICP
Coordinator Infection Prevention & Management
SMH Service – Royal Perth Hospital
Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
IMPORTANT NOTICE: The contents of this email (including any
attachments) may be privileged and confidential. Any unauthorised use
of its contents is expressly prohibited. If you received this email in
error, please advise me by reply email or telephoneBehalf Of Michael Wishart
Hi Gerard
I recall seeing a study years ago, I think UK based so maybe in JHI,
that showed MRSA in dust on portable fans. Never have seen anything that
linked increase in MRSA or HAI directly to portable fans, though; that
would be epidemiologically difficult to show, I think. Too many other
variables.Doesn’t mean fans are not bad, though. 🙂 Especially when not
maintained well. Ask if they cleaned thoroughly (meaning the fan blades)
between each patient use. I suspect not!Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au (
https://mail.svhac.org.au/OWA/UrlBlockedError.aspx )
Please consider the environment before printing this email( http://www.acipcconference.com.au/ )
Gerald Chan [Gerald.Chan@SJOG.ORG.AU]
Dear all,
I’m looking for evidence to back us up on not having fans in patient
rooms (especially seeing that summer is around the corner).I can’t seem to locate any supportive articles on this.
Has there been any studies done that demonstrate an increased rate of
infection/colonisation (MRSA, MSSA, etc.) through fan usage in a
healthcare setting?Cheers,
Gerald
Gerald Chan
Coordinator Infection Control
St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4685W: http://www.sjog.org.au/murdoch
facebook.com/stjohnofgodmurdoch (
http://www.facebook.com/stjohnofgodmurdoch )twitter.com/sjgh_murdoch ( http://www.twitter.com/sjgh_murdoch )
intended recipient. They may contain confidential or privileged
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guarantee the accuracy or completeness of the information. SJGHC does
not accept liability for any loss or damage in connection with the
information. If you are not the intended recipient then any use,
reliance, interference with, disclosure, distribution or copying of this
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