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TGA change to listing of 2% CHG in 70% ETOH enquiry

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  • #70110
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in
    70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s
    for insertions of CVADs or preop skin prep? and if so were you notified
    of the change to the physical labelling from it previously being
    labelled for use as skin prep – ‘use as a preoperative treatment of
    unbroken skin’ to it at some date being relabelled as a “hospital
    grade disinfectant ” “with the direction “of apply to hard surfaces e.g
    walls and floors”

    Can I ask then if you were aware can I ask are you still using it as a
    skin antisepsis even with the label change or have you stopped using
    for this purpose… and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan

    Infection control CNC

    Nepean Hospital NBMLHD

    Phone 4724 2228

    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    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.

    07/03/13 – 09:03:59

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    #70114
    Jane Tomlinson
    Participant

    Author:
    Jane Tomlinson

    Email:
    Jane_Tomlinson@HEALTH.QLD.GOV.AU

    Organisation:

    State:

    Hi Lindy
    our generic branded liquid solution seems to now also have the ‘hospital grade disinfectant and the surface cleaning” directions, however our single use swabs and packets do not. Has anyone contacted the manufacturer yet?
    regards
    J

    We Passed Accreditation – met with merit for standard 3 Infection Prevention – many thanks for your assistance and great work

    Jane Tomlinson RN
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    Royal Children’s Hospital
    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266
    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au
    Ground Floor, South Tower
    Herston Rd, HERSTON QLD 4029
    http://www.health.qld.gov.au/childrenshealth

    >>> Lindy Ryan 3/07/13 9:03 >>>

    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in 70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s for insertions of CVADs or preop skin prep? and if so were you notified of the change to the physical labelling from it previously being labelled for use as skin prep – use as a preoperative treatment of unbroken skin to it at some date being relabelled as a hospital grade disinfectant with the direction of apply to hard surfaces e.g walls and floors

    Can I ask then if you were aware can I ask are you still using it as a skin antisepsis even with the label change or have you stopped using for this purpose and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan
    Infection control CNC
    Nepean Hospital NBMLHD
    Phone 4724 2228
    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________
    IMPORTANT: The information contained in this e-mail message (including attachments) may be confidential and may also be subject to legal professional privilege.
    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.
    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).
    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.
    07/03/13 – 09:03:59
    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.
    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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    ********************************************************************************
    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
    **********************************************************************************

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    #70115
    Borrell, Sue
    Participant

    Author:
    Borrell, Sue

    Email:
    S.Borrell@ALFRED.ORG.AU

    Organisation:

    State:

    I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol
    with the same labeling- will share the response when it arrives
    I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now
    has this labeling
    Have had a look around the TGA website and have not seen anything about
    category changes
    regards
    Sue
    Sue Borrell
    Infection Prevention Nurse Consultant
    Infection Prevention & Hospital Epidemiology

    t 03 90763139
    m 0429 806356
    e S.Borrell@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia

    Alfred Health incorporates The Alfred, Caulfield Hospital and
    Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
    confidential and intended solely for the use of the individual or entity
    to whom they are addressed. If you have received this email in error,
    please notify us by return email and delete all copies in your system.
    If you are not the intended recipient, you are hereby notified that any
    disclosure, copying, distribution or taking any action in reliance on
    the contents of this information is strictly prohibited and may be
    unlawful. Alfred Health is not liable for the proper and complete
    transmission of the information contained in this communication or for
    any delay in its receipt.

    Please consider the environment before printing this email.

    ________________________________

    Behalf Of Jane Tomlinson
    in 70% ETOH enquiry

    Hi Lindy
    our generic branded liquid solution seems to now also have the ‘hospital
    grade disinfectant and the surface cleaning” directions, however our
    single use swabs and packets do not. Has anyone contacted the
    manufacturer yet?
    regards
    J
    We Passed Accreditation – met with merit for standard 3 Infection
    Prevention – many thanks for your assistance and great work
    Jane Tomlinson RN
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    Royal Children’s Hospital
    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266
    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au
    Ground Floor, South Tower

    Herston Rd, HERSTON QLD 4029

    http://www.health.qld.gov.au/childrenshealth

    >>> Lindy Ryan 3/07/13 9:03 >>>

    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in
    70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s
    for insertions of CVADs or preop skin prep? and if so were you notified
    of the change to the physical labelling from it previously being
    labelled for use as skin prep – ‘use as a preoperative treatment of
    unbroken skin’ to it at some date being relabelled as a “hospital
    grade disinfectant ” “with the direction “of apply to hard surfaces e.g
    walls and floors”

    Can I ask then if you were aware can I ask are you still using it as a
    skin antisepsis even with the label change or have you stopped using
    for this purpose… and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan

    Infection control CNC

    Nepean Hospital NBMLHD

    Phone 4724 2228

    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

    attachments) may be confidential and may also be subject to legal
    professional privilege.

    Unless you are the intended recipient any unauthorised use,
    dissemination,further distribution or reproduction of this communication
    in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the
    sender by return e-mail and delete and/or destroy your copy of this
    communication (including attachments).

    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.

    07/03/13 – 09:03:59

    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.

    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

    ************************************************************************
    ********

    This email, including any attachments sent with it, is confidential and
    for the sole use of the intended recipient(s). This confidentiality is
    not waived or lost, if you receive it and you are not the intended
    recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of
    this email is strictly prohibited. The information contained in this
    email, including any attachment sent with it, may be subject to a
    statutory duty of confidentiality if it relates to health service
    matters.

    If you are not the intended recipient(s), or if you have received this
    email in error, you are asked to immediately notify the sender by
    telephone collect on Australia +61 1800 198 175 or by return email. You
    should also delete this email, and any copies, from your computer system
    network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy,
    distribute or take any action(s) that relies on it; any form of
    disclosure, modification, distribution and/or publication of this email
    is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this
    email does not contain malicious software, Queensland Health does not
    accept responsibility for the consequences if any person’s computer
    inadvertently suffers any disruption to services, loss of information,
    harm or is infected with a virus, other malicious computer programme or
    code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the
    sender and not the views of the Queensland Government.

    ************************************************************************
    **********

    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.

    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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    #70116
    Wilkinson, Irene (Health)
    Participant

    Author:
    Wilkinson, Irene (Health)

    Email:
    irene.wilkinson@HEALTH.SA.GOV.AU

    Organisation:

    State:

    Hi all,
    My understanding is that the TGA has changed its registration processes for skin disinfectants so that they now need to be registered as OTC medicines. This probably involves another cost for manufacturers who may be trying to get around this by simply re-labelling their products. Consumers need to express to the product suppliers that this is not acceptable.
    In the meantime, if the product has not changed its formulation, some healthcare facilities are electing to continue to use the products “off label”.
    Clearly not a satisfactory situation.

    Regards,
    Irene

    Irene Wilkinson
    Manager, Infection Control Service
    SA Health
    Irene.wilkinson@health.sa.gov.au

    I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol with the same labeling- will share the response when it arrives

    I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now has this labeling

    Have had a look around the TGA website and have not seen anything about category changes

    regards
    Sue

    Sue Borrell
    Infection Prevention Nurse Consultant
    Infection Prevention & Hospital Epidemiology

    t 03 90763139
    m 0429 806356
    e S.Borrell@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia

    [cid:694182800@09072013-1D34]

    Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

    Please consider the environment before printing this email.

    ________________________________
    Hi Lindy
    our generic branded liquid solution seems to now also have the ‘hospital grade disinfectant and the surface cleaning” directions, however our single use swabs and packets do not. Has anyone contacted the manufacturer yet?
    regards
    J

    We Passed Accreditation – met with merit for standard 3 Infection Prevention – many thanks for your assistance and great work

    Jane Tomlinson RN
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    Royal Children’s Hospital
    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266
    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au
    Ground Floor, South Tower
    Herston Rd, HERSTON QLD 4029
    http://www.health.qld.gov.au/childrenshealth [cid:AYCCANSEZKYQ.IMAGE_5.gif] [cid:CYGCMIATVVPE.IMAGE_5.BMP]

    >>> Lindy Ryan <Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU> 3/07/13 9:03 >>>
    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in 70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s for insertions of CVADs or preop skin prep? and if so were you notified of the change to the physical labelling from it previously being labelled for use as skin prep – ‘use as a preoperative treatment of unbroken skin’ to it at some date being relabelled as a “hospital grade disinfectant ” “with the direction “of apply to hard surfaces e.g walls and floors”

    Can I ask then if you were aware can I ask are you still using it as a skin antisepsis even with the label change or have you stopped using for this purpose… and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan
    Infection control CNC
    Nepean Hospital NBMLHD
    Phone 4724 2228
    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    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.

    07/03/13 – 09:03:59
    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.

    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

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************

    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.

    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 ACIPC.

    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 ACIPC.

    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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    #70117
    Donnellan, Robyn
    Participant

    Author:
    Donnellan, Robyn

    Email:
    Robyn.Donnellan@NCAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi All,
    My memory recalls that there used to be a rust inhibitor in some of Chlorhexidene liquid disinfectants (check the product specs of the solution), when instrument soaking practices occurred. I would imagine that this would not be the case with impregnated swabs.
    Kind regards
    Robyn Donnellan CICP
    CNC Infection Prevention & Control Service for
    Mid North Coast and Northern NSW
    Local Health Districts

    Hi all,
    My understanding is that the TGA has changed its registration processes for skin disinfectants so that they now need to be registered as OTC medicines. This probably involves another cost for manufacturers who may be trying to get around this by simply re-labelling their products. Consumers need to express to the product suppliers that this is not acceptable.
    In the meantime, if the product has not changed its formulation, some healthcare facilities are electing to continue to use the products “off label”.
    Clearly not a satisfactory situation.

    Regards,
    Irene

    Irene Wilkinson
    Manager, Infection Control Service
    SA Health
    Irene.wilkinson@health.sa.gov.au

    I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol with the same labeling- will share the response when it arrives

    I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now has this labeling

    Have had a look around the TGA website and have not seen anything about category changes

    regards
    Sue

    Sue Borrell
    Infection Prevention Nurse Consultant
    Infection Prevention & Hospital Epidemiology

    t 03 90763139
    m 0429 806356
    e S.Borrell@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia

    [cid:694182800@09072013-1D34]

    Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

    Please consider the environment before printing this email.

    ________________________________
    Hi Lindy
    our generic branded liquid solution seems to now also have the ‘hospital grade disinfectant and the surface cleaning” directions, however our single use swabs and packets do not. Has anyone contacted the manufacturer yet?
    regards
    J

    We Passed Accreditation – met with merit for standard 3 Infection Prevention – many thanks for your assistance and great work

    Jane Tomlinson RN
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    Royal Children’s Hospital
    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266
    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au
    Ground Floor, South Tower
    Herston Rd, HERSTON QLD 4029
    http://www.health.qld.gov.au/childrenshealth [cid:AYCCANSEZKYQ.IMAGE_5.gif] [cid:CYGCMIATVVPE.IMAGE_5.BMP]

    >>> Lindy Ryan <Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU> 3/07/13 9:03 >>>
    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in 70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s for insertions of CVADs or preop skin prep? and if so were you notified of the change to the physical labelling from it previously being labelled for use as skin prep – ‘use as a preoperative treatment of unbroken skin’ to it at some date being relabelled as a “hospital grade disinfectant ” “with the direction “of apply to hard surfaces e.g walls and floors”

    Can I ask then if you were aware can I ask are you still using it as a skin antisepsis even with the label change or have you stopped using for this purpose… and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan
    Infection control CNC
    Nepean Hospital NBMLHD
    Phone 4724 2228
    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    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.

    07/03/13 – 09:03:59
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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    #70118
    Tim Spencer
    Participant

    Author:
    Tim Spencer

    Email:
    Tim.Spencer@SSWAHS.NSW.GOV.AU

    Organisation:

    State:

    Most surgical instruments are surgical stainless steel – which don’t
    generally rust so I would question the addition of a rust inhibitor – it
    would be toxic I’m sure!

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
    Service

    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

    Behalf Of Donnellan, Robyn

    Hi All,

    My memory recalls that there used to be a rust inhibitor in some of
    Chlorhexidene liquid disinfectants (check the product specs of the
    solution), when instrument soaking practices occurred. I would imagine
    that this would not be the case with impregnated swabs.

    Kind regards

    Robyn Donnellan CICP

    CNC Infection Prevention & Control Service for

    Mid North Coast and Northern NSW

    Local Health Districts

    Behalf Of Wilkinson, Irene (Health)

    Hi all,

    My understanding is that the TGA has changed its registration processes
    for skin disinfectants so that they now need to be registered as OTC
    medicines. This probably involves another cost for manufacturers who may
    be trying to get around this by simply re-labelling their products.
    Consumers need to express to the product suppliers that this is not
    acceptable.

    In the meantime, if the product has not changed its formulation, some
    healthcare facilities are electing to continue to use the products “off
    label”.

    Clearly not a satisfactory situation.

    Regards,

    Irene

    Irene Wilkinson

    Manager, Infection Control Service

    SA Health

    Irene.wilkinson@health.sa.gov.au

    Behalf Of Borrell, Sue

    I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol
    with the same labeling- will share the response when it arrives

    I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now
    has this labeling

    Have had a look around the TGA website and have not seen anything about
    category changes

    regards

    Sue

    Sue Borrell
    Infection Prevention Nurse Consultant

    Infection Prevention & Hospital Epidemiology

    t 03 90763139

    m 0429 806356

    e S.Borrell@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia

    Alfred Health incorporates The Alfred, Caulfield Hospital and
    Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are
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    ________________________________

    Behalf Of Jane Tomlinson
    in 70% ETOH enquiry

    Hi Lindy

    our generic branded liquid solution seems to now also have the ‘hospital
    grade disinfectant and the surface cleaning” directions, however our
    single use swabs and packets do not. Has anyone contacted the
    manufacturer yet?

    regards

    J

    We Passed Accreditation – met with merit for standard 3 Infection
    Prevention – many thanks for your assistance and great work

    Jane Tomlinson RN

    Clinical Nurse Consultant

    Infection Management and Prevention Service

    Royal Children’s Hospital

    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266

    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au

    Ground Floor, South Tower

    Herston Rd, HERSTON QLD 4029

    http://www.health.qld.gov.au/childrenshealth

    >>> Lindy Ryan 3/07/13 9:03 >>>

    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in
    70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s
    for insertions of CVADs or preop skin prep? and if so were you notified
    of the change to the physical labelling from it previously being
    labelled for use as skin prep – ‘use as a preoperative treatment of
    unbroken skin’ to it at some date being relabelled as a “hospital
    grade disinfectant ” “with the direction “of apply to hard surfaces e.g
    walls and floors”

    Can I ask then if you were aware can I ask are you still using it as a
    skin antisepsis even with the label change or have you stopped using
    for this purpose… and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan

    Infection control CNC

    Nepean Hospital NBMLHD

    Phone 4724 2228

    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

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    _____________________________________________________________________
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    #70170
    Beth Bint
    Participant

    Author:
    Beth Bint

    Email:
    Beth.Bint@SESIAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi All

    This is the advice we have received from our pharmacy regarding this matter.

    “Chlorhexidine 2% in Alcohol 70% was a hospital only product before but is now available to everybody so labelling was changed to accommodate this broader group. Its still the same product still safe to use on skin. The manufacturer (name available on request) is aware of hospitals concerns and by the end of this month (hopefully) will be rolling out hospital only labelled bottles that will have the original directions on them and would only be available to hospitals.”

    We will be seeking written advice from this company regarding this as assurance of safe use under the current labelling until the relabelled product is available.

    Regards
    Beth

    Beth Bint

    Infection Prevention and Control Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House Wollongong Hospital
    Tel 02 4222 5898 |beth.bint@SESIAHS.HEALTH.NSW.GOV.AU
    http://www.health.nsw.gov.au
    ________________________________

    Hi all,
    My understanding is that the TGA has changed its registration processes for skin disinfectants so that they now need to be registered as OTC medicines. This probably involves another cost for manufacturers who may be trying to get around this by simply re-labelling their products. Consumers need to express to the product suppliers that this is not acceptable.
    In the meantime, if the product has not changed its formulation, some healthcare facilities are electing to continue to use the products off label.
    Clearly not a satisfactory situation.

    Regards,
    Irene

    Irene Wilkinson
    Manager, Infection Control Service
    SA Health
    Irene.wilkinson@health.sa.gov.au

    I have emailed the manufacturer of 100ml 2% Chlorhexidine in 70% Alcohol with the same labeling- will share the response when it arrives

    I note the 500ml bottle of 0.5% Chlorhexidine in 70% Alcohol also now has this labeling

    Have had a look around the TGA website and have not seen anything about category changes

    regards
    Sue

    Sue Borrell
    Infection Prevention Nurse Consultant
    Infection Prevention & Hospital Epidemiology

    t 03 90763139
    m 0429 806356
    e S.Borrell@alfred.org.au

    Alfred Health
    55 Commercial Road
    Melbourne VIC 3004
    PO Box 315 Prahran
    VIC 3181 Australia

    Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
    http://www.alfredhealth.org.au

    CONFIDENTIALITY NOTICE: This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error, please notify us by return email and delete all copies in your system. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Alfred Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

    Please consider the environment before printing this email.

    ________________________________
    Hi Lindy
    our generic branded liquid solution seems to now also have the ‘hospital grade disinfectant and the surface cleaning” directions, however our single use swabs and packets do not. Has anyone contacted the manufacturer yet?
    regards
    J

    We Passed Accreditation – met with merit for standard 3 Infection Prevention – many thanks for your assistance and great work

    Jane Tomlinson RN
    Clinical Nurse Consultant
    Infection Management and Prevention Service
    Royal Children’s Hospital
    Children’s Health Queensland
    T: 07 3636 7856 | M: 0408 236 266
    | F: 3636 5505
    E: jane_tomlinson@health.qld.gov.au
    Ground Floor, South Tower
    Herston Rd, HERSTON QLD 4029
    http://www.health.qld.gov.au/childrenshealth

    >>> Lindy Ryan <Lindy.Ryan@SWAHS.HEALTH.NSW.GOV.AU> 3/07/13 9:03 >>>
    Dear Colleagues

    Just wondering if anyone; facilities/ service had been using 2%CHG in 70% ETOH (tinted pink /red/blue) for skin antisepsis for their pt. s for insertions of CVADs or preop skin prep? and if so were you notified of the change to the physical labelling from it previously being labelled for use as skin prep – use as a preoperative treatment of unbroken skin to it at some date being relabelled as a hospital grade disinfectant with the direction of apply to hard surfaces e.g walls and floors

    Can I ask then if you were aware can I ask are you still using it as a skin antisepsis even with the label change or have you stopped using for this purpose and if so what are you now using instead?

    Any advice or feedback would be grateful

    Many thanks

    Regards

    Lindy

    Lindy Ryan
    Infection control CNC
    Nepean Hospital NBMLHD
    Phone 4724 2228
    Email lindy.ryan@swahs.health.nsw.gov.au

    Infection Prevention and control is everyones business

    ___________________________________

    Unless you are the intended recipient any unauthorised use, dissemination,further distribution or reproduction of this communication in any form whatsoever, is strictly prohibited.

    If this communication has been sent to you in error, please notify the sender by return e-mail and delete and/or destroy your copy of this communication (including attachments).

    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.

    07/03/13 – 09:03:59
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