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Topical Antiseptic agent used for decolonising or as suppresive therapy for MRSA carriers

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  • #69516
    Lee, Rosie
    Participant

    Author:
    Lee, Rosie

    Position:

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    Hello

    We have been using 3% hexachlorophene body wash as part of the topical
    decolonisation therapy for selected MRSA carriers who meet a specific
    for over 20 years. The supply is no longer available. Suggested
    alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel
    on what others are using around Australia so hoping you can share the
    information. It is difficult to measure success but if you have done so
    it would be great to hear about it.

    Regards

    Rosie

    Rosie Lee
    RN. BSc. CICP

    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989

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    #69517
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Position:

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    Hi Rosie,

    At TQEH we routinely use 4% Chlorhexidine as either a body wash or disposable body wipes for MRSA. Generally successful but it is always dependent on compliance whilst on the treatment, by the client.

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) – Infection Prevention & Control Unit|
    t: +61 8 8222 7588| p:47757| f: +61 8 8222 6461 | DX: 465432 |e:marija.juraja@health.sa.gov.au

    Care Excellence Collaboration Integrity
    GERMS CAN KILL…

    ________________________________

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
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    #69518
    Jayne OConnor
    Participant

    Author:
    Jayne OConnor

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    Hi Rosie,

    Our facilities policy is to use triclosan 1% for all our MRO patients. I have used chlorhexidene wash as part of a decolonisation protocol too.

    Kind regards

    Jayne

    Jayne O’Connor RN, BSc. Infection control
    CNC IPC
    Sydney Adventist Hospital
    185 fox valley rd
    Wahroonga
    NSW 2076

    ________________________________

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
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    #69519
    TERRI CRIPPS
    Participant

    Author:
    TERRI CRIPPS

    Position:

    Organisation:

    State:

    Hi Rosie,
    This is what we use with children who have MRSA:

    Suitable body washes are either 1% Triclosan (PhisoHex) or a chlorhexidine based wash like Microshield TM 2 or Microshield TM4 (2% chlorhexidine gluconate or 4% chlorhexidine gluconate wash respectively). If however the child has eczema, then a Oilatum Plus* (Benzalkonium chloride 6% w/w, Triclosan 2% w/w, light liquid paraffin 52.5% w/w) should be used instead.

    Good luck.
    Terri Cripps | Clinical Nurse Consultant Infection Control | Sydney Children’s Hospital
    ‘: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

    [cid:image001.jpg@01CDBCF1.FF8A8220]

    Hi Rosie,

    Our facilities policy is to use triclosan 1% for all our MRO patients. I have used chlorhexidene wash as part of a decolonisation protocol too.

    Kind regards

    Jayne

    Jayne O’Connor RN, BSc. Infection control
    CNC IPC
    Sydney Adventist Hospital
    185 fox valley rd
    Wahroonga
    NSW 2076

    ________________________________

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
    IMPORTANT NOTICE: The contents of this email (including any attachments) may be privileged and confidential. Any unauthorised use of its contents is expressly prohibited. If you received this email in error, please advise me by reply email or telephone

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    #69520
    Jayne OConnor
    Participant

    Author:
    Jayne OConnor

    Position:

    Organisation:

    State:

    Hi Rosie

    Just to add, with the protocol we followed ( in my previous life) compliance was an issue until we were fortunate enough to employ a nurse specifically to maintain our MRSA protocol, this involved education of staff and patients/relatives, commencing the patient on the protocol early with follow up in the community if needed and close monitoring while they were inpatients. I understand this may not be appropriate in all settings but it was very successful and our MRSA infection rates were halved over a 3 year period.

    Jayne

    ________________________________

    Hi Rosie,

    Our facilities policy is to use triclosan 1% for all our MRO patients. I have used chlorhexidene wash as part of a decolonisation protocol too.

    Kind regards

    Jayne

    Jayne O’Connor RN, BSc. Infection control
    CNC IPC
    Sydney Adventist Hospital
    185 fox valley rd
    Wahroonga
    NSW 2076

    ________________________________

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
    IMPORTANT NOTICE: The contents of this email (including any attachments) may be privileged and confidential. Any unauthorised use of its contents is expressly prohibited. If you received this email in error, please advise me by reply email or telephone

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    #69522
    Matthias Maiwald (KKH)
    Participant

    Author:
    Matthias Maiwald (KKH)

    Position:

    Organisation:

    State:

    P.S. My understanding is that hexachlorophene is an historical antiseptic that is now obsolete. The spectrum of activity is narrower and the overall efficacy less than chlorhexidine, and it was found neurotoxic when used on neonates; this was reported in the early 1970s.


    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

    Hello

    We have been using 3% hexachlorophene body wash as part of the topical decolonisation therapy for selected MRSA carriers who meet a specific for over 20 years. The supply is no longer available. Suggested alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel on what others are using around Australia so hoping you can share the information. It is difficult to measure success but if you have done so it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator – Infection Prevention & Management
    SMH Service – Royal Perth Hospital

    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
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    [cid:kkh4fe.gif]kkh

    ________________________________
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    #69523
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Rosie
    We have been having a similar issue. We currently use 1% Triclosan for
    topical decolonisation and a 1% Chlorhexidene lotion for neonates. It
    has been suggested though by one of our ID physicians that we should
    consider sourcing a 2% Chlorhexidene wash as this would be superior to
    Triclosan or 1% Chlorhexidine for adults? We would be interested in what
    you are able to find out!
    Regards
    Mary

    Mary Willimann I Clinical Nurse Consultant – Infection Prevention &
    Control I St John of God Subiaco Hospital
    Level 3, 12 Salvado Road SUBIACO WA 6008
    P: 08 9382 6220 F: 08 9382 6785 E: mary.willimann@sjog.org.au

    >>> “Lee, Rosie” 7/11/2012 10:05 AM >>>

    Hello
    We have been using 3% hexachlorophene body wash as part of the topical
    decolonisation therapy for selected MRSA carriers who meet a specific
    for over 20 years. The supply is no longer available. Suggested
    alternatives are 1% Triclosan or Chlorhexidene. I wanted to get a feel
    on what others are using around Australia so hoping you can share the
    information. It is difficult to measure success but if you have done so
    it would be great to hear about it.

    Regards
    Rosie
    Rosie Lee
    RN. BSc. CICP
    Coordinator Infection Prevention & Management
    SMH Service – Royal Perth Hospital
    Ph + 61 8 9224 2805 Fax + 61 8 9224 1989
    IMPORTANT NOTICE: The contents of this email (including any
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