Routine Chlorhexidine washes in ICU

[Anonymous]

Dear colleagues,
With a recent spike in HAI MRO’s in our ICU unit, best practice literature suggests routine 2% chlorhexidine body washes.
I would love your thoughts and experiences with this proposal.
Kind regard
Kristin

Kristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital

[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

[Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
‘Bulla Yana Yabur’ Standing Together As One

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.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

[Emma Trippe]

Hi Kristin we have 4% Chlorhex wash in our ICU bathrooms and continue to have low incidence MROs
we also have focused on other factors which may interplay with MRO transmission eg disposable curtains, pt dedicated equipment/devices
, cleaning schedule ( twice daily clean in ICU) , Hand hygiene products & compliance, monitoring PPE ect
Good luck ! Emma

Emma Trippe
Infection Control Consultant
[cid:image001.png@01D542CD.595A59C0]
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.

Dear colleagues,
With a recent spike in HAI MRO’s in our ICU unit, best practice literature suggests routine 2% chlorhexidine body washes.
I would love your thoughts and experiences with this proposal.
Kind regard
Kristin

Kristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital

[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

[Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
‘Bulla Yana Yabur’ Standing Together As One

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.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.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

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

[Glenys Harrington]

Hi Kristin,

Lots of information in the peer review literature – some suggested reading
below

. Curtis J. Donskey MD et al. Effect of chlorhexidine bathing in
preventing infections and reducing skin burden and environmental
contamination: A review of the literature. American Journal of Infection
Control 44 (2016) e17-e21

. Susan S. Huang, M.D.Targeted versus Universal Decolonization to
Prevent ICU Infection. N Engl J Med. 2013 Jun 13;368(24):2255-65

*Bleasdale SC, Trick WE, Gonzalez IM, Lyles RD, Hayden MK, and
Weinstein RA (2007).
Effectiveness of chlorhexidine bathing to reduce catheter-associated
bloodstream infections in medical intensive care unit patients
External Web Site Icon. Archives
of Internal Medicine, 167(19):2073-9.

*Climo MW, Septowitz KA, Zucotti G, Fraser VJ, Warren DK, Perl TM,
Speck K, Jernigan JA, Robles JR, Wong ES (2009).
The Effect of daily bathing
with Chlorhexidine on the Acquisition of Methicillin-resistant
Staphylococcus aureus, Vancomycin-resistant Enterococci and
Healthcare-associated Bloodstream Infections: Results of a
Quasi-experimental Multicenter Trial
External Web Site Icon. Critical
Care Medicine, 37(6):1858-65.

*Popovich K, Hota B, Hayes R, Weinstein R, Hayden M (2009).
Effectiveness of routine
Patient Cleansing with Chlorhexidine Gluconate for Infection Prevention in
the Medical Intensive Care Unit
External Web Site Icon. Infection Control and Hospital Epidemiology,
30(10):959-963.

*Huang SS, Septimus E, Hayden MK, Kleinman K, Sturtevant J, Avery TR,
Moody J, Hickok J, Lankiewicz J, Gombosev A, Kaganov RE, Haffenreffer K,
Jernigan JA, Perlin JB, Platt R, Weinstein RA; Agency for Healthcare
Research and Quality (AHRQ) DEcIDE Network and Healthcare-Associated
Infections Program, and the CDC Prevention Epicenters. Effect of body
surface decolonisation on bacteriuria and candiduria in intensive care
units: an analysis of a cluster-randomised trial. Lancet Infect Dis. 2016
Jan;16(1):70-9. doi: 10.1016/S1473-3099(15)00238-8. Epub 2015 Nov
27.PMID:26631833

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

P.O. Box 6385

Melbourne

Australia, 3004

M: +61 404816434

E: infexion@ozemail.com.au

Kristin Ryan-Agnew (Northern NSW LHD)

Dear colleagues,

With a recent spike in HAI MRO’s in our ICU unit, best practice literature
suggests routine 2% chlorhexidine body washes.

I would love your thoughts and experiences with this proposal.

Kind regard

Kristin

Kristin Ryan-Agnew

Kristin Ryan-Agnew (MPH/Grad Cert IP&C)

Infection Prevention & Control Clinical Nurse Consultant

The Tweed Hospital

cid:image001.png@01D36E89.D6B88C30 National Standard 3 : Preventing and
Controlling Healthcare Associated Infections

cid:image001.png@01CC899A.70FE88C0

I acknowledge the Bundjalung people as traditional owners of the land on
which I work and live.

‘Bulla Yana Yabur’ Standing Together As One

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.

Replies to this message will be directed back to the list. To create a new
message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to
admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’
(without the quotes) to listserv@aicalist.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

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

[Sally Holmes]

Hi all ,
Could someone please advise if there any indication or contra indication for using 70 % alcohol and 2% chlorhexidine prep pads for IV cannulas or CVC lines only .

The MDS sheets are unclear as to suitability.

[cid:image003.jpg@01D543C7.C1F8F950]Sally Holmes
Quality Manager and Infection Control & Prevention Coordinator
Lakeview Private Hospital|17-19 Solent Circuit Norwest NSW 2153
http://www.lakeviewprivate.com.au

Hi Kristin we have 4% Chlorhex wash in our ICU bathrooms and continue to have low incidence MROs
we also have focused on other factors which may interplay with MRO transmission eg disposable curtains, pt dedicated equipment/devices
, cleaning schedule ( twice daily clean in ICU) , Hand hygiene products & compliance, monitoring PPE ect
Good luck ! Emma

Emma Trippe
Infection Control Consultant
[cid:image001.png@01D542CD.595A59C0]
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.

Dear colleagues,
With a recent spike in HAI MRO’s in our ICU unit, best practice literature suggests routine 2% chlorhexidine body washes.
I would love your thoughts and experiences with this proposal.
Kind regard
Kristin

Kristin Ryan-Agnew
Kristin Ryan-Agnew (MPH/Grad Cert IP&C)
Infection Prevention & Control Clinical Nurse Consultant
The Tweed Hospital

[cid:image001.png@01D36E89.D6B88C30] National Standard 3 : Preventing and Controlling Healthcare Associated Infections

[Description: Description: Description: Description: cid:image001.png@01CC899A.70FE88C0]
I acknowledge the Bundjalung people as traditional owners of the land on which I work and live.
‘Bulla Yana Yabur’ Standing Together As One

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.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.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

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

______________________________________________________________________

While this email message has been scanned for the presence of computer viruses,
and Lakeview Private Hospital has taken every reasonable precaution to
minimise the risk from them, we cannot accept liability from same. You should carry
out your own virus checks before opening attachments.

This email and any attachments are confidential and may be privileged or contain
confidential information and is intended only for use of the addressee. Any
unauthorised direct or indirect dissemination, use, disclosure or copying is strictly
prohibited and may be unlawful. Please delete any emails received in error.

Any views, advice or opinions contained in this communication are those of the
individual sender except where the sender specifies and with authority states them
to be the views of Lakeview Private Hospital.

______________________________________________________________________

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

To send a message to the list administrator send an email to admin@acipc.org.au

You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

[Author]

Posts