Re Infection Control guidelines for bronchoscopy in operating theatres

[Anonymous]

Dear Listserv members,

Here at Hornsby Hospital, we do not have a negative pressure theatre for performing bronchoscopies. So my question is:

Does anyone have guidelines for performing bronchoscopies on patients with suspected tuberculosis in the absence of a negative pressure theatre ?

Kind regards,

Rita

Rita Roy

Clinical Nurse Consultant | Infection Control
Hornsby Kuringai Health Services
Tel 02 9477 9232 | Fax 02 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au
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[Gerald Cha]

Hi Rita,
Have you got a Type 5 negative pressure isolation room?
Prior to the development of our current Endoscopy Unit with negative pressured procedural rooms, our management of TB sputum spear positive cases coming in for elective bronchs involved the utilisation of one of our Type 5 negative pressure isolation rooms on the wards.
This involved a lot of logistical planning and the room also had to be blocked in advance for this patient to come in the following day (thankfully these are very isolated cases).
I note that you’d mentioned suspected TB and the same plan may apply but it would save your facility heaps of hassle if you pursued x3 early morning sputum AFBs for TB as a measure for clearance for your patient with suspected pulmonary TB (the clearance criteria may vary by resp consultant or state so you’ll need to look into this further).
Have a look at the WHO Policy on TB Infection Control in Health-Care Facilities here: http://whqlibdoc.who.int/publications/2009/9789241598323_eng.pdf
If push comes to shove and you really need to use your positive pressured theatre, you’ll have to ensure that the air exchanges achieve the recommended air dilution rates and all staff members don P2 masks.
Advisable to have this patient done last on the theatre list as well… Still this is not the ideal way to go in my opinion and I would opt for either of the first 2 options above.
Hope that helps somewhat in your final planning.
Regards,
Gerald

Gerald Chan
Coordinator Infection Control

St John of God Murdoch Hospital
100 Murdoch Drive
MURDOCH. WA 6150

P: 9366 1552
M: 0405 495 906 (7804)
F: 9311 4604
E: Gerald.Chan@sjog.org.au
W: http://www.sjog.org.au/murdoch

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>>> Rita Roy 3/09/2013 10:59 AM >>>

Dear Listserv members,
Here at Hornsby Hospital, we do not have a negative pressure theatre for performing bronchoscopies. So my question is:
Does anyone have guidelines for performing bronchoscopies on patients with suspected tuberculosis in the absence of a negative pressure theatre ?
Kind regards,
Rita
Rita Roy

Clinical Nurse Consultant | Infection Control
Hornsby Kuringai Health Services
Tel 02 9477 9232 | Fax 02 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au

This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities. 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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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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