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Hi all,
Can someone please give me the current guidelines (preferably evidence based) on the correct skin (area) prep prior to insertion of an IDC.
We’ve received some new competencies and part of this one states washing the area with warm soapy water.
I’m trying to think how you’d perform this aseptically with warm soapy water…
A few hospital policies I’ve read from various states say the same, and some say there is no evidence to say cleansing the peri anal area with eg. chlorhex is beneficial.
I don’t need paragraphs of evidence, just the facts and current guidelines if anyone has them please.
Thank you,
Helen.Helen Scott
Infection Control Co-ordinator |
Hospital Education Co-ordinator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
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Hi Helen
The latest US HICPAC guidance (http://www.cdc.gov/hicpac/pdf/CAUTI/CAUTIguideline2009final.pdf ) has this to say:
C. In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment. (Category IB)
Use sterile gloves, drape, sponges, an appropriate antiseptic or sterile solution for periurethral cleaning, and a single-use packet of lubricant jelly for insertion. (Category IB)
1. Routine use of antiseptic lubricants is not necessary. (Category II) (Key Question 2C)
1. Further research is needed on the use of antiseptic solutions vs. sterile water or saline for periurethral cleaning prior to catheter insertion. (No recommendation/unresolved issue) (Key Question 2C)
D. In the non-acute care setting, clean (i.e., non-sterile) technique for intermittent catheterization is an acceptable and more practical alternative to sterile technique for patients requiring chronic intermittent catheterization. (Category IA) (Key Question 2A)
Further research is needed on optimal cleaning and storage methods for catheters used for clean intermittent catheterization. (No recommendation/unresolved issue) (Key Question 2C)
You may find acute vs community insertion, indwelling vs intermittent and HCW vs self-catheterisation guidelines vary.
Cheers
MichaelMichael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this emailHi all,
Can someone please give me the current guidelines (preferably evidence based) on the correct skin (area) prep prior to insertion of an IDC.
We’ve received some new competencies and part of this one states washing the area with warm soapy water.
I’m trying to think how you’d perform this aseptically with warm soapy water…A few hospital policies I’ve read from various states say the same, and some say there is no evidence to say cleansing the peri anal area with eg. chlorhex is beneficial.
I don’t need paragraphs of evidence, just the facts and current guidelines if anyone has them please.
Thank you,
Helen.Helen Scott
Infection Control Co-ordinator |
Hospital Education Co-ordinator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.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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Hi Helen,
If your refer to the Australian Guidelines for the Prevention and Control
of Infections in Healthcare (NHMRC 2010) section B 4.2.1 and table B4.4
this provides you with an overview of the recommendations for insertion
and maintenance of indwelling urinary catheters. It identifies that there
is no advantage in using antiseptic preparations over sterile saline but
it does not mention ‘warm soapy water’ however maintaining good personal
hygiene is a factor in reducing risk.regards,
SueSue Greig
Senior Project Officer
Australian Commission on Safety and Quality in Health Care
GPO Box 5480 Sydney NSW 2001 | Level 7, 1 Oxford Street, Darlinghurst NSW
2010
( direct (02) 9126 3565 | ( switchboard (02) 9126 3600 | 6 (02) 9126 3613
|
Email sue.greig@safetyandquality.gov.au | http://www.safetyandquality.gov.auHelen Scott
Sent by: ACIPC Infexion Connexion
10/12/2012 02:24 PM
Please respond to
ACIPC Infexion ConnexionTo
AICALIST@AICALIST.ORG.AU
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Preparation for insertion of IDC [SEC=No Protective Marking]Hi all,
Can someone please give me the current guidelines (preferably evidence
based) on the correct skin (area) prep prior to insertion of an IDC.
We’ve received some new competencies and part of this one states washing
the area with warm soapy water.
I’m trying to think how you’d perform this aseptically with warm soapy
water…A few hospital policies I’ve read from various states say the same, and
some say there is no evidence to say cleansing the peri anal area with eg.
chlorhex is beneficial.I don’t need paragraphs of evidence, just the facts and current guidelines
if anyone has them please.Thank you,
Helen.Helen Scott
Infection Control Co-ordinator |
Hospital Education Co-ordinator |
Nepean Private Hospital
Kingswood, NSW.
Tel 02 4725 8758 | helen.scott@healthscope.com.auPlease consider the environment before printing this message
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of ACIPC.
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.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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