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  • #69085
    Jane Barnett
    Participant

    Author:
    Jane Barnett

    Email:
    Jane.Barnett@CDHB.HEALTH.NZ

    Organisation:

    State:

    Hi

    We’ve got some staff who can only use the PCMX scrub product as they are
    sensitive to both chlorhex and betadine but BD have advised that they
    are withdrawing this product. Can I ask what other centres are doing
    for staff with allergies – would plain soap and water washed followed by
    plain alcohol (without antiseptic additive) be sufficient for surgical
    procedures? Thoughts/ideas welcome.

    Thanks

    Jane Barnett

    Clinical Nurse Specialist

    Infection Prevention & Control

    Christchurch Women’s Hospital

    Private Bag 4711, Christchurch

    Infection Prevention and Control is Everyone’s Business

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    #69087
    Matthias Maiwald (KKH)
    Participant

    Author:
    Matthias Maiwald (KKH)

    Email:
    matthias.maiwald@KKH.COM.SG

    Organisation:

    State:

    Hi Jane,

    Alcohol products are perfectly adequate for surgical hand and arm antisepsis. There is a chapter in the 2009 WHO Hand Hygiene Guideline, starting on page 54, and a similar article (by some of the same authors) in J Hosp Infect:

    http://www.ncbi.nlm.nih.gov/pubmed/19716627

    In fact, alcohol products for surgical hand antisepsis (a) provide far greater microbial reduction than aqueous detergent products such as chlorhexidine and betadine scrubs, and (b) are generally better tolerated on skin than detergent products, but (c) so far there is no study that the better microbial reduction on hands translates into lesser surgical site infections.

    I would personally recommend against (!) using alcohol gels for that purpose, because the gel residue is often sticky and will be uncomfortable under the gloves.

    My recommendation would be to look for a product that meets the European standard EN 12791 for surgical hand antisepsis, because this is a very stringent standard and products that meet it generally have very good performance.

    Typical alcohol products that are designed for surgical hand antisepsis often consist of blends of different alcohol types (e.g. a certain percentage of isopropanol plus n-propanol, etc.), because iso- and n-propanol have greater relative antimicrobial efficacy than ethanol. Some commercial products have some added mecetronium etilsulfate (which is from the quaternary ammonium compounds (QAC) class of disinfectants). But there is generally no need to add chlorhexidine, betadine or PCMX to the alcohol.

    There are several decades of practical clinical as well as testing and approval experience of alcohols for surgical hand antisepsis in Europe.

    Companies that have products that are suitable for surgical hand antisepsis and meet EN 12791 might include B. Braun, Ecolab, Schuelke and Bode (perhaps others). I have heard that the Australian TGA has started registering alcohol products for surgical hand antisepsis, but I am not sure about the NZ status.

    It is important to make sure that hands are clean and dry before using alcohols for surgical hand antisepsis. This can be achieved for the first scrub of the day by a thorough soap hand and arm wash (does not need to be antiseptic soap) and removal of dirt under the fingernails. After the soap wash, it is important to dry hands and arms completely, e.g. with a sterilised towel. Then, the alcohol is rubbed in very liberally (note: the amount is different from a hand rub as in the 5 Moments), typically such that the hands amd arms are being kept wet and being rubbed for the entire period. Typical periods are about 3-5 minutes. For subsequent scrubs on the same day (if hands have not been contaminated by other, e.g. ward work), an alcohol rub alone without prior soap step is sufficient.

    There has been discussion whether the WHO-formulated hand rubs (which are excellent for usual hand hygiene and meet EN 1500) meet the surgical standard EN 12791 and proposals have been made for improved WHO formulations (however, this is more relevant for low-resource settings which would benefit most from cheap standard formulations):

    http://www.ncbi.nlm.nih.gov/pubmed/21450366

    http://www.ncbi.nlm.nih.gov/pubmed/21741115

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    Hi
    We’ve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies – would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
    Thanks

    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch

    Infection Prevention and Control is Everyone’s Business
    ________________________________

    Attention:
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    [cid:kkh1e9f.gif]kkh

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    #69090
    Helen Scott
    Participant

    Author:
    Helen Scott

    Email:
    Helen.Scott@HEALTHSCOPE.COM.AU

    Organisation:

    State:

    Hi Jane,
    The CDC have got a good article on this. It’s their MMWR and in October
    2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more
    up to date report somewhere. You could also try Skinman Soft, made by
    Orion.
    Cheers,
    Helen.
    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message
    , Jane
    Barnett wrote:

    Hi
    Weve got some staff who can only use the PCMX scrub product as they
    are sensitive to both chlorhex and betadine but BD have advised that
    they are withdrawing this product. Can I ask what other centres are
    doing for staff with allergies would plain soap and water washed
    followed by plain alcohol (without antiseptic additive) be sufficient
    for surgical procedures? Thoughts/ideas welcome.
    Thanks
    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Infection Prevention and Control is Everyone’s Business

    Attention:
    The information contained in this message and or attachments is
    intended only for the person or entity to which it is addressed and may
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    in reliance upon, this information by persons or entities other than the
    intended recipient is prohibited. If you received this in error, please
    contact the sender and delete the material from any system and destroy
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    #69094
    Matthias Maiwald (KKH)
    Participant

    Author:
    Matthias Maiwald (KKH)

    Email:
    matthias.maiwald@KKH.COM.SG

    Organisation:

    State:

    Dear Helen,
    Yes, Skinman Soft N (Ecolab, formerly Henkel, distributed in Australia by Orion) is one of the formulations that are suitable for surgical hand antisepsis and it fulfils EN 12791.
    Sorry, which article in MMWR do you mean? I could not find it in the 2002 list of articles:
    http://www.cdc.gov/mmwr/index2002.htm
    Note, there is also another article from a US perspective in the AORN Journal in 2004:
    http://www.sciencedirect.com/science/article/pii/S0001209206606194
    Best regards, Matthias.

    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
    Sent: Tuesday, 12 June, 2012 12:36 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi Jane,

    The CDC have got a good article on this. It’s their MMWR and in October 2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more up to date report somewhere. You could also try Skinman Soft, made by Orion.

    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message <5CF778CD399D414080027BBC8F4991D83567DA@mschcexp07.cdhb.local>, Jane Barnett <Jane.Barnett@CDHB.HEALTH.NZ> wrote:
    Hi
    Weve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
    Thanks

    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Tel: 03 364 4510 (int 85510)
    Fax: 03 364 4607

    Infection Prevention and Control is Everyone’s Business
    ________________________________

    Attention:
    The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.

    Thank You.

    ________________________________
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    [cid:kkh2409.gif]kkh

    ________________________________
    The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.

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    #69099
    Tracy Sloane
    Participant

    Author:
    Tracy Sloane

    Email:
    Tracy.Sloane@SOUTHERNHEALTH.ORG.AU

    Organisation:

    State:

    Hi All,
    If you check out the latest edition of Healthcare Infections you will find an article about a study I did prior to TGA approval of a surgical hand rub (SHR) looking at HCW current scrub practices and their knowledge and attitudes about SHR. You might find the reference list helpful.
    Cheers,
    Tracy
    Tracy Sloane
    Senior Infection Control Consultant
    Dandenong Hospital, Southern Health
    T (03) 95548173 F (03) 95541905
    E tracy.sloane@southernhealth.org.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
    Sent: Tuesday, 12 June 2012 2:36 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi Jane,

    The CDC have got a good article on this. It’s their MMWR and in October 2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more up to date report somewhere. You could also try Skinman Soft, made by Orion.

    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message <5CF778CD399D414080027BBC8F4991D83567DA@mschcexp07.cdhb.local>, Jane Barnett <Jane.Barnett@CDHB.HEALTH.NZ> wrote:
    Hi
    Weve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
    Thanks

    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Tel: 03 364 4510 (int 85510)
    Fax: 03 364 4607

    Infection Prevention and Control is Everyone’s Business
    ________________________________

    Attention:
    The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.

    Thank You.

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

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    #69118
    Robert Robinson
    Participant

    Author:
    Robert Robinson

    Email:
    Robert.Robinson@SWAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Good morning

    I would like to know from those facilities who currently uses 70% Isopropyl alcohol v/v in 0.5% to 1% Chlorhexidine, and are moving towards or have now changed to using 2% Chlorhexidine in alcohol specifically for insertion of an Peripheral IVC.

    I am aware of the current recommendations surrounding this but would like others comments on this matter.

    regards

    Robert Robinson

    Clinical Nurse Consultant | Infection Control
    Blacktown/Mt. Druitt Hospitals
    Tel 02 9881 8994 | Mob 0408 923 789 | robert.robinson@swahs.health.nsw.gov.au

    ___________________________________

    IMPORTANT: The information contained in this e-mail message (including attachments) may be confidential and may also be subject to legal professional privilege.

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    Any views expressed in this communication are those of the individual sender, except where the sender states them to be the views of the Nepean Blue Mountains Local Health District/Western Sydney Local Health District.

    Unless otherwise expressed, it is not represented, warranted or guaranteed that the integrity of this communication has been maintained nor that the communication is free of virus, errors or interference.

    06/15/12 – 10:03:00

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    #69121
    Matthias Maiwald (KKH)
    Participant

    Author:
    Matthias Maiwald (KKH)

    Email:
    matthias.maiwald@KKH.COM.SG

    Organisation:

    State:

    Dear Prue, dear Colleagues,

    Just wanted to add one aspect to the discussion on alcohol-based surgical hand antisepsis: this is the importance of technique.

    I realise there are differences between countries/settings where this is newly introduced versus those where this has been standard practice in operating theatres for many decades.

    An example where this has been newly introduced and apparently failed due to non-adherence to proper technique is here:

    http://www.ncbi.nlm.nih.gov/pubmed/20103542

    In settings where this has been practiced for a long time such procedures become highly ritualised and are being watched by a number of (sometimes fierce) operating theatre nurses and surgeons, to make sure that every new person adheres to this.

    A fundamental difference between simple ward-based hand antisepsis (such as for the 5 Moments) and surgical hand antisepsis is that for the former, a single volume of hand rub of about 3 mL is applied. For surgical hand antisepsis, the WHO 2009 Guideline recommends repeated application of about 15 mL to hands and forearms, but also states that one study demonstrated that keeping the hands and forearms literally wet with alcohol for the entire duration of the procedure is more important than the actual volume applied.

    The latter would require re-thinking for those who are only used to the 5-Moments-type hand rub with about 3 mL, and is one reason why I do not recommend gels (but instead liquids) for surgical hand antisepsis — gels would just build up too much sludge when applied as required for surgical hand antisepsis.

    As already mentioned, another article is here:

    http://www.ncbi.nlm.nih.gov/pubmed/19716627

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Prue Wright
    Sent: Friday, 15 June, 2012 5:28 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi All,
    We have introduced Skinman which is an alcoholic based surgical scrub. It is very popular with the surgeons and scrub staff. Many of us have problems with dermatitis from traditional water based scrubbing, these have been resolved with the Skinman.

    Prue Wright
    Infection Control Coordinator
    Hurstville Private Hospital
    37 Gloucester Rd, Hurstville, NSW 2220, Australia
    T +61 2 9579 7780 F +61 2 9579 7466
    E Infection.Control@hurstvilleprivate.com.au W healthecare.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tracy Sloane
    Sent: Wednesday, 13 June 2012 9:19 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi All,
    If you check out the latest edition of Healthcare Infections you will find an article about a study I did prior to TGA approval of a surgical hand rub (SHR) looking at HCW current scrub practices and their knowledge and attitudes about SHR. You might find the reference list helpful.
    Cheers,
    Tracy
    Tracy Sloane
    Senior Infection Control Consultant
    Dandenong Hospital, Southern Health
    T (03) 95548173 F (03) 95541905
    E tracy.sloane@southernhealth.org.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
    Sent: Tuesday, 12 June 2012 2:36 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi Jane,

    The CDC have got a good article on this. It’s their MMWR and in October 2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more up to date report somewhere. You could also try Skinman Soft, made by Orion.

    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message <5CF778CD399D414080027BBC8F4991D83567DA@mschcexp07.cdhb.local>, Jane Barnett <Jane.Barnett@CDHB.HEALTH.NZ> wrote:
    Hi
    Weve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
    Thanks

    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Tel: 03 364 4510 (int 85510)
    Fax: 03 364 4607

    Infection Prevention and Control is Everyone’s Business
    ________________________________

    Attention:
    The information contained in this message and or attachments is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any system and destroy any copies.

    Thank You.

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

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    [cid:kkh3c44.gif]kkh

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    #69122
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael_Wishart@health.qld.gov.au

    Organisation:

    State:

    Hi all

    Along the lines of Matthias’ post, has anyone yet seen any standardised protocols for Australian HCW’s from any Australian college or association? I think that ACORN was working on something, and possibly RACS, but I have not yet seen anything. Has any other Australian professional entity produced some usage protocols for surgical antisepsis with waterless agents yet?

    I am not asking about protocols developed by manufacturers or suppliers.

    Thanks
    Michael

    Michael Wishart

    Public Health Nurse,Communicable Disease Control
    Logan West Moreton PHU
    Ph 34131200 Fax 34131221

    To contact Nursing team:
    LWM_PHN@health.qld.gov.au

    >>> “Matthias Maiwald (KKH)” 15/06/2012 11:05 am >>>

    Dear Prue, dear Colleagues,

    Just wanted to add one aspect to the discussion on alcohol-based surgical hand antisepsis: this is the importance of technique.

    I realise there are differences between countries/settings where this is newly introduced versus those where this has been standard practice in operating theatres for many decades.

    An example where this has been newly introduced and apparently failed due to non-adherence to proper technique is here:

    http://www.ncbi.nlm.nih.gov/pubmed/20103542

    In settings where this has been practiced for a long time such procedures become highly ritualised and are being watched by a number of (sometimes fierce) operating theatre nurses and surgeons, to make sure that every new person adheres to this.

    A fundamental difference between simple ward-based hand antisepsis (such as for the 5 Moments) and surgical hand antisepsis is that for the former, a single volume of hand rub of about 3 mL is applied. For surgical hand antisepsis, the WHO 2009 Guideline recommends repeated application of about 15 mL to hands and forearms, but also states that one study demonstrated that keeping the hands and forearms literally wet with alcohol for the entire duration of the procedure is more important than the actual volume applied.

    The latter would require re-thinking for those who are only used to the 5-Moments-type hand rub with about 3 mL, and is one reason why I do not recommend gels (but instead liquids) for surgical hand antisepsis — gels would just build up too much sludge when applied as required for surgical hand antisepsis.

    As already mentioned, another article is here:

    http://www.ncbi.nlm.nih.gov/pubmed/19716627

    Best regards, Matthias.


    Matthias Maiwald, MD, FRCPA
    Consultant in Microbiology
    Adj. Assoc. Prof., Natl. Univ. Singapore
    Department of Pathology and Laboratory Medicine
    KK Women’s and Children’s Hospital
    100 Bukit Timah Road
    Singapore 229899
    Tel. +65 6394 8725 (Office)
    Tel. +65 6394 1389 (Laboratory)
    Fax +65 6394 1387

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Prue Wright
    Sent: Friday, 15 June, 2012 5:28 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi All,
    We have introduced Skinman which is an alcoholic based surgical scrub. It is very popular with the surgeons and scrub staff. Many of us have problems with dermatitis from traditional water based scrubbing, these have been resolved with the Skinman.

    Prue Wright
    Infection Control Coordinator
    Hurstville Private Hospital
    37 Gloucester Rd, Hurstville, NSW 2220, Australia
    T +61 2 9579 7780 F +61 2 9579 7466
    E Infection.Control@hurstvilleprivate.com.au W healthecare.com.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tracy Sloane
    Sent: Wednesday, 13 June 2012 9:19 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi All,
    If you check out the latest edition of Healthcare Infections you will find an article about a study I did prior to TGA approval of a surgical hand rub (SHR) looking at HCW current scrub practices and their knowledge and attitudes about SHR. You might find the reference list helpful.
    Cheers,
    Tracy
    Tracy Sloane
    Senior Infection Control Consultant
    Dandenong Hospital, Southern Health
    T (03) 95548173 F (03) 95541905
    E tracy.sloane@southernhealth.org.au

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Helen Scott
    Sent: Tuesday, 12 June 2012 2:36 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical hand scrub

    Hi Jane,

    The CDC have got a good article on this. It’s their MMWR and in October 2002, Vol 51, page 17 it discusses exactly this. I’m sure there’s a more up to date report somewhere. You could also try Skinman Soft, made by Orion.

    Cheers,
    Helen.

    Helen Scott
    Infection Control Co-ordinator
    Nepean Private Hospital
    Penrith, NSW.
    0247 327333
    Helen.Scott@healthscope.com.au

    Please consider the environment before printing this message

    >>> On 11/06/2012 at 5:50 am, in message , Jane Barnett wrote:
    Hi
    Weve got some staff who can only use the PCMX scrub product as they are sensitive to both chlorhex and betadine but BD have advised that they are withdrawing this product. Can I ask what other centres are doing for staff with allergies would plain soap and water washed followed by plain alcohol (without antiseptic additive) be sufficient for surgical procedures? Thoughts/ideas welcome.
    Thanks

    Jane Barnett
    Clinical Nurse Specialist
    Infection Prevention & Control
    Christchurch Women’s Hospital
    Private Bag 4711, Christchurch
    Tel: 03 364 4510 (int 85510)
    Fax: 03 364 4607

    Infection Prevention and Control is Everyone’s Business

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