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Hi Michael,
You might like to share our paper re simulated transmission of bugs from the floor to the bed by patients wearing overshoes. My postdoc who did this study got a post-op infection and rightly or wrongly considered it was because they didn’t take her overshoes off before taking her into the OT. She had worn the overshoes into the toilet.Regards
KarenKaren Vickery
Associate Professor, Department of Biomedical Sciences
BVSc (Hons) (USyd), MVSc (USyd), PhD (USyd), MASM.
Macquarie University Vice Chancellor Innovation Fellow. Scientific Director, Surgical Infection Research Group, Department of Medicine and Health Sciences, Macquarie University.
* Macquarie University BioFocus Research Centre
https://orcid.org/0000-0003-0998-1370
* Email karen.vickery@mq.edu.auHi Carol
Overshoes are not considered to reduce post-operative surgical site infections. From a biological plausibility/epidemiological viewpoint, it is hard to transmit infections routinely from the floor of an OT. But there is a suggestion that the touching of the feet/shoes to apply overshoes contaminates hands (that may not then get appropriately washed!).
The main reason for most staff attending a procedure wearing overshoes over their ‘outside’ shoes is to protect their shoes from splashes. No-body wants their $500 Gucci loafers to be stained with iodine, do they? 🙂
I recently did some consulting in an animal research facility, and the main issue with shoes there was not sterility during procedures, but the tracking of mud and dirt (and other stuff…) from the animal enclosures into the theatres. They had a process of changing from gumboots into disposable boots in an anteroom outside the theatre itself.
I would be comfortable with a no overshoes required policy (we have one here), but you might need to mention mud and dirt from outside (who cleans the shoes? How do you police this?), and have a way to protect those Gucci loafers!
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Dear Brains Trust
What are the latest thoughts on wearing dedicated shoes in the operating theatre?
We are currently looking at our Dress Code and because we are a veterinary hospital, we don’t have change rooms like human hospitals, so we tend to put shoe covers on but I think that is a problem due to potential of contamination of the hands.
I have been led to believe that shoe covers and/or dedicated shoes do not contribute to post-operative infections?
Thoughts?
Cheers
CarolCarol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.auI acknowledge the Traditional Owners of the land on which I work, and pay my respects to the Elders, past and present.
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