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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. CICPCoordinator – Infection Prevention & Management
SMH Service – Royal Perth HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
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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.auCare 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 HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
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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 HospitalPh + 61 8 9224 2805 Fax + 61 8 9224 1989
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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 HospitalPh + 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 telephoneMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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 HospitalPh + 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 telephoneMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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 1387Hello
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 HospitalPh + 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 telephoneMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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
MaryMary 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
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 telephoneMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.
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