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  • #74916
    Emma Trippe
    Participant

    Author:
    Emma Trippe

    Position:

    Organisation:

    State:

    Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
    I$B!G(Bm thinking;
    Groin/ perineum &
    Additional specimens should be obtained as follows: (if relevant)
    $B!|(B Urine – voided or catheter urine
    $B!|(B Skin lesions and wound swabs
    $B!|(B Swabs of sites of catheters or other skin penetrating devices

    Aprreciate your advice
    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D475D3.A2307160]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
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    #74917
    Deen, Sharon
    Participant

    Author:
    Deen, Sharon

    Position:

    Organisation:

    State:

    Just wondering what cohort of people would you screen?

    I have had a look on CDC and there seems to be only advice for those who have tested positive and their contacts.

    Cheers,

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]

    Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
    I$B!G(Bm thinking;
    Groin/ perineum &
    Additional specimens should be obtained as follows: (if relevant)
    $B!|(B Urine – voided or catheter urine
    $B!|(B Skin lesions and wound swabs
    $B!|(B Swabs of sites of catheters or other skin penetrating devices

    Aprreciate your advice
    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D475D3.A2307160]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
    http://www.calvarycare.org.au.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #74918
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Sharon

    I think she means contact screening. This is what the Commonwealth document says:

    4.9. Screening Close contacts or roommates of the colonised or infected patient who were in the same bay/room for longer than 24 hours with an affected patient in the 28 days prior to first identification should be screened for C. auris colonisation. Newly identified colonised patients should be isolated and managed as in 4.4 Managing transmission above. The aim is to prevent the spread of C. auris to those most at risk of becoming infected. If contacts have already been discharged then the facility should provide consumer information to the patient and, where able, contact the patient$B!G(Bs general practitioner. All healthcare facilities should have a system for identifying patients at re-admission or outpatient attendance who have previously isolated the organism or who are identified as a contact but have not been cleared of colonisation. Similarly, patients who have been inpatients of a hospital in another country which has reported multiple cases and/or transmission should be identified at presentation and screened. Screening samples should be collected on three consecutive days. Screening should be undertaken promptly. Screening performed whilst the patient is on antifungal medication or had been treated within the preceding 7 days or who had been exposed to topical antiseptic washes in the preceding 48 hours must be repeated when such factors no longer apply before a negative result can be considered valid. Screening should consist of taking swabs from both axilla and both sides of the groin which can be pooled and processed as the one sample by the laboratory. If screening a patient who is known to be previously colonised or infected with C. auris, it is recommended that the original site of colonisation as well as axilla/groins are sampled. The laboratory must be informed that C. auris is under investigation.

    From https://www.health.qld.gov.au/__data/assets/pdf_file/0028/722827/Candida-auris-guideline.pdf

    Cheers
    Michael

    Michael Wishart, CICP-E
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D475D7.7EDD5580]
    P Please consider the environment before printing this email

    Just wondering what cohort of people would you screen?

    I have had a look on CDC and there seems to be only advice for those who have tested positive and their contacts.

    Cheers,

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]

    Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
    I$B!G(Bm thinking;
    Groin/ perineum &
    Additional specimens should be obtained as follows: (if relevant)
    $B!|(B Urine – voided or catheter urine
    $B!|(B Skin lesions and wound swabs
    $B!|(B Swabs of sites of catheters or other skin penetrating devices

    Aprreciate your advice
    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D475D3.A2307160]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
    http://www.calvarycare.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 acipclist@acipc.org.au

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    and any attached files is strictly prohibited. If you have
    received this e-mail message in error please immediately
    advise the sender by return e-mail, or telephone 1800 243 903.
    You must destroy the original transmission and its contents.
    Any views expressed within this communication are those of
    the individual sender, except where the sender specifically
    states them to be the views of Ramsay Health Care.
    This communication should not be copied or disseminated
    without permission.

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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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    ______________________________________________________________________
    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.

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    #74920
    Donna Cameron
    Participant

    Author:
    Donna Cameron

    Position:
    Infection Control Consultant

    Organisation:
    University of Melbourne

    State:
    VIC

    Hi Emma,

    CDC, Public Health England & the European CDC all recommend groin and axilla swabs for screening. Other sites such as urine, wounds indwelling device sites etc can be included but the minimum should be groin and axilla.

    Groin and axilla swabs is what was recommended for screening contacts of the recent Victorian cases. We also included:

    * Wounds

    * Exit sites of indwelling devices (e.g. PEGs)

    * Urine if they had an IDC

    * Sputum if they had a trache

    Reference to groin and axilla swabs (and other recommended sites) can be found here:

    CDC, Recommendations for Infection Prevention and Control for Candida auris (look under $B!H(BHow to screen$B!I(B heading) https://www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html
    PHE, Guidance for the laboratory investigation management and infection prevention and control for cases of C. auris (see $B!H(BScreening policies$B!I(B on page 8) https://www.gov.uk/government/collections/candida-auris#guidance-for-laboratories,-healthcare-providers-and-healthcare-professionals
    European CDC, Candida auris in healthcare settings – Europe (see $B!H(BPreventing transmission from patients known to carry C. auris$B!I(B) https://ecdc.europa.eu/en/publications-data/rapid-risk-assessment-candida-auris-healthcare-settings-europe

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au
    Microbiological Diagnostic Unit Public Health Laboratory
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au

    Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
    I$B!G(Bm thinking;
    Groin/ perineum &
    Additional specimens should be obtained as follows: (if relevant)
    $B!|(B Urine – voided or catheter urine
    $B!|(B Skin lesions and wound swabs
    $B!|(B Swabs of sites of catheters or other skin penetrating devices

    Aprreciate your advice
    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D475D3.A2307160]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
    http://www.calvarycare.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.

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    #74921
    Donna Cameron
    Participant

    Author:
    Donna Cameron

    Position:
    Infection Control Consultant

    Organisation:
    University of Melbourne

    State:
    VIC

    Hi Sharon,

    Apart from known C. auris contacts, you may want to consider screening any patients who have been admitted to an overseas health care facility in the previous 12 months, the same as you should be screening them for CPE and other MROs. My understanding is that all cases to date in Australia have had a history of admission to an overseas hospital.

    Regards,
    Donna

    Donna Cameron
    Infection Control Consultant
    T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
    donna.cameron@unimelb.edu.au
    Microbiological Diagnostic Unit Public Health Laboratory
    The Peter Doherty Institute for Infection and Immunity
    792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
    doherty.edu.au

    Just wondering what cohort of people would you screen?

    I have had a look on CDC and there seems to be only advice for those who have tested positive and their contacts.

    Cheers,

    Sharon Deen
    Infection Control Nurse

    [http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]

    Peel Health Campus
    Infection Control
    Phone:

    08 9531 8570

    Fax:

    08 9531 8409

    Email:

    DeenSharon@ramsayhealth.com.au

    Web:

    http://www.ramsayhealth.com

    Address:

    110 Lakes Road, Mandurah WA 6210

    [http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]

    Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
    I$B!G(Bm thinking;
    Groin/ perineum &
    Additional specimens should be obtained as follows: (if relevant)
    $B!|(B Urine – voided or catheter urine
    $B!|(B Skin lesions and wound swabs
    $B!|(B Swabs of sites of catheters or other skin penetrating devices

    Aprreciate your advice
    Emma Trippe
    Infection Control Consultant
    [cid:image001.png@01D475D3.A2307160]
    Calvary Riverina Hospital
    Hardy Avenue Wagga Wagga NSW 2650
    P: 02 6932 1628
    E: Emma.Trippe@calvarycare.org.au
    http://www.calvary-wagga.com.au

    Hospitality | Healing | Stewardship | Respect
    Continuing the Mission of the Sisters of the Little Company of Mary

    This email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
    http://www.calvarycare.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 acipclist@acipc.org.au

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    information that is confidential and subject to privilege. If you
    are not the intended recipient, and have received the e-mail
    in error, you are notified that any use, dissemination,
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    and any attached files is strictly prohibited. If you have
    received this e-mail message in error please immediately
    advise the sender by return e-mail, or telephone 1800 243 903.
    You must destroy the original transmission and its contents.
    Any views expressed within this communication are those of
    the individual sender, except where the sender specifically
    states them to be the views of Ramsay Health Care.
    This communication should not be copied or disseminated
    without permission.
    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 acipclist@acipc.org.au

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