Re: cardiac catheter lab skin preparation

[Lindy Ryan]

Dear Catina

as per Micheal we have our cath lab use 2% CHG in 70% alchol for skin
prep.
(although We have said Ok to pts with sensitive skin & groin areas
where some pts are very sensistive & have been complaining about
burning from the alcohol to use the povidine iodine skin prep ) ……
Given that Adams et al 2005 JHI ‘Evaluation of 2% CGH in 70% isoprol
alcohol disinfectant’ indicated that a Log 10 reduction factor in cfu/ml
of S. epidimidis was 4.7 with 2%CHG in 70%IPA and 4.4 in 10% aqueous
povidine iodine (all others compared were >> WishartM@ramsayhealth.com.au 22/06/2010 2:54:06 pm >>>
Hi Catina

We recently moved over to alcoholic 2% chlorhexidine as a skin prep
for
all of our interventional cardiovascular procedures at the request of
our consultants. Apparently they had seen some evidence to support
this.
Queensland Health has provided a position paper which supported this
if
we think of cardiovascular access as intravascular, so we were happy
to
comply with our consultants’ request.

The QLD Health document can be found here:
http://www.health.qld.gov.au/chrisp/resources/rec_prac_skinprep.pdf

Hope this helps.

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation,
please
consider the environment before printing this email.
________________________________________
Behalf Of Catina Eyres
preparation

Hello,
I’m wondering what other institutions use for skin preparation when
performing angiograms and placing permanent implantable devices ie.
Pacemakers, ICD, etc.
Cheers,
Catina

Catina Eyres
Nurse Consultant
Infectious Diseases & Infection Control
Bendigo Health
PO Box 126 Bendigo 3552
ceyres@bendigohealth.org.au
p 03 5454 8414 (Infection Control)
p 03 5454 8422 (Infectious Diseases)
f 03 5454 8419
m 0409 230 871
pager 023

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[Catina Eyres]

Hi Lindy,
Thanks very much for the detailed answer. Much appreciated.
Cheers,
Catina

Catina Eyres
Nurse Consultant
Infectious Diseases & Infection Control
Bendigo Health
PO Box 126 Bendigo 3552
ceyres@bendigohealth.org.au
p 03 5454 8414 (Infection Control)
p 03 5454 8422 (Infectious Diseases)
f 03 5454 8419
m 0409 230 871
pager 023

—–Original Message—–

Dear Catina

as per Micheal we have our cath lab use 2% CHG in 70% alchol for skin
prep.
(although We have said Ok to pts with sensitive skin & groin areas
where some pts are very sensistive & have been complaining about
burning from the alcohol to use the povidine iodine skin prep ) ……
Given that Adams et al 2005 JHI ‘Evaluation of 2% CGH in 70% isoprol
alcohol disinfectant’ indicated that a Log 10 reduction factor in cfu/ml
of S. epidimidis was 4.7 with 2%CHG in 70%IPA and 4.4 in 10% aqueous
povidine iodine (all others compared were >> WishartM@ramsayhealth.com.au 22/06/2010 2:54:06 pm >>>
Hi Catina

We recently moved over to alcoholic 2% chlorhexidine as a skin prep
for
all of our interventional cardiovascular procedures at the request of
our consultants. Apparently they had seen some evidence to support
this.
Queensland Health has provided a position paper which supported this
if
we think of cardiovascular access as intravascular, so we were happy
to
comply with our consultants’ request.

The QLD Health document can be found here:
http://www.health.qld.gov.au/chrisp/resources/rec_prac_skinprep.pdf

Hope this helps.

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation,
please
consider the environment before printing this email.
________________________________________
Behalf Of Catina Eyres
preparation

Hello,
I’m wondering what other institutions use for skin preparation when
performing angiograms and placing permanent implantable devices ie.
Pacemakers, ICD, etc.
Cheers,
Catina

Catina Eyres
Nurse Consultant
Infectious Diseases & Infection Control
Bendigo Health
PO Box 126 Bendigo 3552
ceyres@bendigohealth.org.au
p 03 5454 8414 (Infection Control)
p 03 5454 8422 (Infectious Diseases)
f 03 5454 8419
m 0409 230 871
pager 023

This e-mail message and any accompanying files may contain
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,
distribution, forwarding, printing or copying of the message
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 authors, and
do not represent the opinion of AICA.
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
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You can unsubscribe from this list be sending ‘signoff aicalist’
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______________________________________________________________________________

This electronic message and any attachments may be confidential. If you
are not the intended recipient of this message would you please delete the
message and any attachments and advise the sender. Sydney West
Area Health Service (SWAHS) uses virus scanning software but excludes
any liability for viruses contained in any email or attachment.

This email may contain privileged and confidential information intended
only for the use of the addressees named above. If you are not the
intended recipient of this email, you are hereby notified that any use,
dissemination, distribution, or reproduction of this email is prohibited. If
you have received this email in error, please notify SWAHS
immediately.

Any views expressed in this email are those of the individual sender
except where the sender expressly and with authority states them
to be the views of SWAHS.

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.au

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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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