Course Access
- This topic has 7 replies, 9 voices, and was last updated 9 years, 11 months ago by
.
-
Posts
-
Posted on behalf of Toni – Moderator
*I would like to know if anyone has a protocol for clearing a patient
with VRE and are willing to share. *Thanks, Toni.
Regards,
**Toni Schouten** CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
toni.schouten@sswahs.nsw.gov.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auMichael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auWe clear patients when they have had 3 consecutive negative rectal swabs taken at least one week apart.
Fiona Wilson
Manager, Infection Control
Western Health
Phone: 8345 6666 pager 506
Fax: 83456973
email: fiona.wilson@wh.org.au—–Original Message—–
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU]On Behalf
Of Michael Wishart
Sent: Friday, 19 February 2010 10:13 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] VRE ClearancePosted on behalf of Toni – Moderator
*I would like to know if anyone has a protocol for clearing a patient
with VRE and are willing to share. *Thanks, Toni.
Regards,
**Toni Schouten** CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
Tele: +61 2 951 59308
Pager: 80878 (via switch 9515 6111)
Fax: +61 2 951 59304
toni.schouten@sswahs.nsw.gov.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auWARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auSA MRO Guidelines for Renal Replacement Therapy are posted on the SA Dept
of Health website, they state:
“VRE clearance will only be considered six months after the last
positive result
Three consecutive VRE negative faecal samples must be obtained at least
one week apart.
The patient must have ceased all antibiotics (IV or Oral) for at least
two weeks before specimens are collected.
There must be no unhealed wounds.
After a patient has been cleared from VRE carriage, they may return to
dialysis in the main area, under standard precautions.
They should undergo routine three monthly screening with the rest of their
cohort.
It is prudent to perform a VRE screen 1 week after any course of
antibiotics to determine if the patient has reverted to positive status.”On a personal note I would treat any ‘cleared’ VRE patients as positive as
soon as they start antibiotics (while waiting for the antibiotics to cease
and one or two weeks wait to retest) as the VRE status often reverts to
positive.Carolyn Chenoweth
Baxter Therapy Services
Quality Assurance Coordinator
Payneham Dialysis Centre
2 Portrush Road
PAYNEHAM SA 5070
ph 1300 734 834
fax 08 8336 4833“Wilson, Fiona L
(Infection
Control)” To
cc
Sent by: AICA
Infexion Subject
Connexion Re: [AICA_Infexion_Connexion] VRE19/02/2010 09:50
AMPlease respond to
AICA Infexion
ConnexionWe clear patients when they have had 3 consecutive negative rectal swabs
taken at least one week apart.Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au—–Original Message—–
Of Michael WishartPosted on behalf of Toni – Moderator
*I would like to know if anyone has a protocol for clearing a patient
with VRE and are willing to share. *Thanks, Toni.
Regards,
**Toni Schouten** CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
toni.schouten@sswahs.nsw.gov.au
Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of AICA.
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.auNorthern/Melbourne/Western Health e-mail network. The sender cannot be
validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for
more information.Messages posted to this list are solely the opinion of the authors, and do
not represent the opinion of AICA.
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.auThe information transmitted is intended only for the person(s)or entity to which it is addressed and may contain confidential and/or legally privileged material. Delivery of this message to any person other than the intended recipient(s) is not intended in any way to waive privilege or confidentiality. Any review, retransmission, dissemination or other use of , or taking of any action in reliance upon, this information by entities other than the intended recipient is prohibited. If you receive this in error, please contact the sender and delete the material from any computer.
For Translation:
http://www.baxter.com/email_disclaimer
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auNo clearance occurs at Flinders Medical Centre.
Ingrid Tribe
RN,BN,GDip QI HlthCare, MMedSci(ClinEpid)
Coordinator, Infection Control Service
Flinders Medical Centre
Bedford Park
South Australia 5042
AustraliaT: 8204 5051
F: 8204 4733
W: ingrid.tribe@health.sa.gov.auThe information contained in this email may be confidential and may also be the subject of legal professional privilege or public interest immunity. If you are not the intended recipient, use, disclosure or copying of this email and / or its attachments is unauthorised. If you have received this email in error, please email or telephone the above signatory.
—–Original Message—–We clear patients when they have had 3 consecutive negative rectal swabs taken at least one week apart.
Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au—–Original Message—–
Of Michael WishartPosted on behalf of Toni – Moderator
*I would like to know if anyone has a protocol for clearing a patient
with VRE and are willing to share. *Thanks, Toni.
Regards,
**Toni Schouten** CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
toni.schouten@sswahs.nsw.gov.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auAs one of the areas that do clear patients, we do not ask our patients to get tested once they are discharged home or to a non-acute facility. We consider them still to be VRE positive if/when they are readmitted; our policy is that they are considered positive until they have had 3 consecutive negative specimens taken at least one week apart – the ‘at least’ is the relevant part – it may be months between their 2nd and 3rd negative swab – as long as they are consecutive we do not fuss about the time frame (apart from the ‘at least’ one week apart.
Patients who are discharged to one of our non-acute facilities (nursing home, aged care, rehab) do not have Contact Precautions in place either (unless they have diarrhoea plus incontinence); we only put the precautions in place when they are in an acute care facility.
We still use the DHS Guidelines from 1998 (which I have heard are being updated). I have asked a few acute hospitals in Melbourne what they do re precautions and clearance – we all do things a bit differently!Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au—–Original Message—–
Of Jane Hellsten
Clearance—–Original Message—–
I have been following the VRE clearance query with interest. At Bendigo
Health we do not clear patients with VRE, they remain on the list
forever.We do however clear Dialysis patients as we can easily keep
testing them, we also use the 3 consecutive clear results one week
apart.
I am interested to know the policies to enable the testing if the
patient has been discharged or transferred ie how do you obtain the the
3 consecutive rectal swabs?
We have been considering changing our VRE policy and it is difficult
with not state or national guidelines to assist.
thanks and regards
Jane Hellsten
Manager Infection Prevention Control
Bendigo Health
jhellste@bendigohealth.org.au
22.02.10—–Original Message—–
Behalf Of Wilson, Fiona L (Infection Control)We clear patients when they have had 3 consecutive negative rectal swabs
taken at least one week apart.Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au—–Original Message—–
Of Michael WishartPosted on behalf of Toni – Moderator
*I would like to know if anyone has a protocol for clearing a patient
with VRE and are willing to share. *Thanks, Toni.
Regards,
**Toni Schouten** CICP
Clinical Nurse Consultant
Infection Control
Royal Prince Alfred Hospital
Level 7, KGV Building
Missenden Road
Camperdown NSW 2050
Australia
toni.schouten@sswahs.nsw.gov.au
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
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.auNorthern/Melbourne/Western Health e-mail network. The sender cannot be
validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888
for more information.Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
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.auMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
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.auThis e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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.auHi Ravi (apologies for getting your name confused in original post!)
We follow the CHRISP VRE clearance guidelines here.
http://www.health.qld.gov.au/qhpolicy/docs/gdl/qh-gdl-409.pdf
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 12 September 2014 2:30 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [asid-ozbug] VRE clearance[Posted on behalf of Dotel Ravindra Moderator. Replies will be copied to Dr Ravindra.]
——– Original message ——–
From: Dotel Ravindra
Date:12/09/2014 11:52 (GMT+10:00)
To: asid-ozbug@malbec.burnet.edu.au
Subject: [asid-ozbug] VRE clearanceDear Ozbuggers,
Could we ask about your practice on VRE clearance and deflagging previously VRE colonized patients?
What are your inclusion and exclusion criteria for the clearance?
Is there a differentiation according to the van type van A vs. van B?We currently dont have a policy or procedure for clearing VRE flagged patients, but are feeling increasing pressure to do so.
With regards,
Ravi Dotel (ID registrar Liverpool Hospital)
&
Michael Maley
.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 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
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.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 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
Hi Ravi & Michael,
At Austin Health (Melbourne) while we never remove a VRE alert from the patient record we do clear them allowing them to come out of precautions. It is dependent on how long ago their last positive VRE sample was, the ward they are admitted to and if they are being put onto a course of treatment antibiotics. We have an algorithm the bed managers use which I am happy to share if you would like to see it. This is only applicable to the acute care setting as in our non-acute beds patients with VRE are only put into contact precautions if they are incontinent (and it is uncontainable) and uncooperative.
We also have three levels of contact precautions now (Routine, Enhanced & Intensive) and for VRE it is what we term Routine Contact precautions where staff only wear a plastic apron. Gloves are only used as per standard precautions so the contact precautions are not as onerous as they once used to be.
Currently, we dont have different screening/clearance protocols for van A or van B.
Regards,
Donna.
Donna Cameron
Manager Infection Control
Austin Health
P.O. Box 5555
HEIDELBERG Vic 3968
9496 6625
Fax: 9496 6677
Pager: 6625
donna.cameron@austin.org.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 12 September 2014 2:30
To: AICALIST@AICALIST.ORG.AU
Subject: [asid-ozbug] VRE clearance[Posted on behalf of Dotel Ravindra Moderator. Replies will be copied to Dr Ravindra.]
——– Original message ——–
From: Dotel Ravindra
Date:12/09/2014 11:52 (GMT+10:00)
To: asid-ozbug@malbec.burnet.edu.au
Subject: [asid-ozbug] VRE clearanceDear Ozbuggers,
Could we ask about your practice on VRE clearance and deflagging previously VRE colonized patients?
What are your inclusion and exclusion criteria for the clearance?
Is there a differentiation according to the van type van A vs. van B?We currently dont have a policy or procedure for clearing VRE flagged patients, but are feeling increasing pressure to do so.
With regards,
Ravi Dotel (ID registrar Liverpool Hospital)
&
Michael Maley
.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 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 contains confidential information intended
only for the person named above and may be subject to
legal privilege and confidentiality obligations imposed
by legislation or be subject to intellectual property
protection or copyright. If you are not the intended recipient,
any use, disclosure, copying or distribution of this transmission
is prohibited. If you have received this message in error,
please notify us immediately by return email and delete the
original email and any attachments.
Austin Health provides no guarantee that this transmission
is free of virus or that it has not been intercepted or altered.*****************************************************************
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 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@aic
At SAH we do not routinely clear VRE patients. However on very rare occasions we have taken these patients off contact precautions under the guidance of our ID Physician. This involved multiple sets of rectal swabs that were negative for VRE prior to ceasing the precautions.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Mobile: 0408 468 470
Office: (02) 9487 9732
Fax: (02) 9473 8053
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 12 September 2014 2:30 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [asid-ozbug] VRE clearance[Posted on behalf of Dotel Ravindra Moderator. Replies will be copied to Dr Ravindra.]
——– Original message ——–
From: Dotel Ravindra
Date:12/09/2014 11:52 (GMT+10:00)
To: asid-ozbug@malbec.burnet.edu.au
Subject: [asid-ozbug] VRE clearanceDear Ozbuggers,
Could we ask about your practice on VRE clearance and deflagging previously VRE colonized patients?
What are your inclusion and exclusion criteria for the clearance?
Is there a differentiation according to the van type van A vs. van B?We currently dont have a policy or procedure for clearing VRE flagged patients, but are feeling increasing pressure to do so.
With regards,
Ravi Dotel (ID registrar Liverpool Hospital)
&
Michael Maley
.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 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
CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMESSAGES 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 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
Hi
HNE will clear VRE (vanA or B) based on whether 2 separate swab sets are negative > 6 mths after the previous positive isolate. Wounds and urine (if catheterised) also cultured. We then re-screen based on targeted generalised adm criteria and ICU adm get screened.
Regards
JohnDr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health[cid:image001.jpg@01CFD044.08AD6A90]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of CAMERON, Donna
Sent: Friday, 12 September 2014 2:56 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [asid-ozbug] VRE clearanceHi Ravi & Michael,
At Austin Health (Melbourne) while we never remove a VRE alert from the patient record we do clear them allowing them to come out of precautions. It is dependent on how long ago their last positive VRE sample was, the ward they are admitted to and if they are being put onto a course of treatment antibiotics. We have an algorithm the bed managers use which I am happy to share if you would like to see it. This is only applicable to the acute care setting as in our non-acute beds patients with VRE are only put into contact precautions if they are incontinent (and it is uncontainable) and uncooperative.
We also have three levels of contact precautions now (Routine, Enhanced & Intensive) and for VRE it is what we term Routine Contact precautions where staff only wear a plastic apron. Gloves are only used as per standard precautions so the contact precautions are not as onerous as they once used to be.
Currently, we dont have different screening/clearance protocols for van A or van B.
Regards,
Donna.
Donna Cameron
Manager Infection Control
Austin Health
P.O. Box 5555
HEIDELBERG Vic 3968
9496 6625
Fax: 9496 6677
Pager: 6625
donna.cameron@austin.org.auFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Friday, 12 September 2014 2:30
To: AICALIST@AICALIST.ORG.AU
Subject: [asid-ozbug] VRE clearance[Posted on behalf of Dotel Ravindra Moderator. Replies will be copied to Dr Ravindra.]
——– Original message ——–
From: Dotel Ravindra
Date:12/09/2014 11:52 (GMT+10:00)
To: asid-ozbug@malbec.burnet.edu.au
Subject: [asid-ozbug] VRE clearanceDear Ozbuggers,
Could we ask about your practice on VRE clearance and deflagging previously VRE colonized patients?
What are your inclusion and exclusion criteria for the clearance?
Is there a differentiation according to the van type van A vs. van B?We currently dont have a policy or procedure for clearing VRE flagged patients, but are feeling increasing pressure to do so.
With regards,
Ravi Dotel (ID registrar Liverpool Hospital)
&
Michael Maley
.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 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 contains confidential information intended
only for the person named above and may be subject to
legal privilege and confidentiality obligations imposed
by legislation or be subject to intellectual property
protection or copyright. If you are not the intended recipient,
any use, disclosure, copying or distribution of this transmission
is prohibited. If you have received this message in error,
please notify us immediately by return email and delete the
original email and any attachments.
Austin Health provides no guarantee that this transmission
is free of virus or that it has not been intercepted or altered.*****************************************************************
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 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 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 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.
Dear All
A few questions and comments (in advance of the ACIPC SIG starting its work)
1. Are people promoting the use of WPRO 2004 Infection Control Guidelines? These do not appear to have been updated. Are there more recent WHO- worldwide guidelines that people use? What other materials are you providing? There is a real need for us to standardise what local and national advice we give for these programs.
2. The WPRO inf control assessment tool is also there – are people using it? I’ve just been up in PNG and really even that tool is a road too far for nearly everywhere
3. Do any of your hospitals have redundant mechanical beds that still function? Goroka Hospital really needs some. They also need a replacment general ultrasound machine. Perhaps we should be putting these things on Gumtree!! Our healthservice recently sent all its old beds up to Alotau. I can arrange transport with the Air Force etc from Newcastle.
4. Re TB and DR-TB infection control in PNG , there is finally some semblance of national action with a crisis committee of experts, including key NGos meeting now. MSF have become involved with control efforts in the Port Moresby region. They are focusing on the USAID F-A-S-T control framework . I’ve updated all relevant links from this page – http://hicsigwiki.asid.net.au/index.php?title=Tuberculosis_healthcare_infection_control_in_resource_poor_settings .
5. I’d encourage all those involved with overseas work to join one of the relevant discussion communities on GHDONLINE.org . ALso encourage your in-country colleagues and NGO partner groups to join. It would be great to think about establishing a specific community on this Harvard resource for Pacific Nation inf control – perhaps this could be then moderated by experts who sit on the ACIPC SIG.
Lukim yupela!
Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org[cid:image001.jpg@01CFD0C8.FBB34460]
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 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’ (
From: noreply+feedproxy@google.com [mailto:noreply+feedproxy@google.com] On Behalf Of Controversies in Hospital Infection Prevention
Controversies in Hospital Infection Prevention________________________________
Top Papers in Infection Prevention
Posted: 13 Sep 2014 09:55 AM PDT
[cid:image001.jpg@01CFD0CB.FD67A3C0]Last week, Andreas Voss gave a talk on the year’s top papers in infection prevention at ICAAC. He graciously allowed us to post his slides to the blog. To see his presentation, click here. Thanks, Andreas!
You are subscribed to email updates from Controversies in Hospital Infection Prevention
To stop receiving these emails, you may unsubscribe now.Email delivery powered by Google
Google Inc., 20 West Kinzie, Chicago IL USA 60610
Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org[cid:image003.jpg@01CFD0CB.FD67A3C0]
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 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
Hi John
There are also the Secretariat of the Pacific Community Infection Control
guidelines, published by the Pacific Public Health Surveillance Network,
http://www.spc.int/phs/PPHSN/Activities/PICNet/IC-Guidelines.htm which were
updated in 2010. These are specifically for the Pacific and were based upon
the Fiji Ministry of Health guidelines, by Ms Margaret Leong of the Fiji
Ministry of Health.Perhaps ACIPC could contribute to the 2004 document and 2009 tool updates?
Kind regards
Peta-Anne*For appointment bookings click here *
*Dr Peta-Anne Zimmerman RN BN MHSc (Infection Control) DrPH
CICP*Lecturer/Course
Convenor
Visiting Research Fellow, Gold Coast Hospital and Health Service
Commencing Student Coordinator
Centre for Health Practice Innovation Griffith Health Institute
School of Nursing and Midwifery, Gold Coast | Griffith UniversitySouthport. QLD. 4215. Australia.
PRIVILEGED – PRIVATE AND CONFIDENTIAL
This email and any files transmitted with it are intended solely for the
use of the addressee(s) and may contain information which is confidential
or privileged. If you receive this email and you are not the addressee or
responsible for delivery of the email to the addressee(s), please disregard
the contents of the email, delete the mail and notify the author
immediately.On 15 September 2014 09:51, John Ferguson wrote:
> Dear All
>
>
>
> A few questions and comments (in advance of the ACIPC SIG starting its
> work)
>
>
>
> 1. Are people promoting the use of WPRO 2004 Infection Control Guidelines?
> These do not appear to have been updated. Are there more recent WHO-
> worldwide guidelines that people use? What other materials are you
> providing? There is a real need for us to standardise what local and
> national advice we give for these programs.
>
>
>
> 2. The WPRO inf control assessment tool is also there – are people using
> it? I’ve just been up in PNG and really even that tool is a road too far
> for nearly everywhere…
>
>
>
> 3. Do any of your hospitals have redundant mechanical beds that still
> function? Goroka Hospital really needs some. They also need a replacment
> general ultrasound machine. Perhaps we should be putting these things on
> Gumtree!! Our healthservice recently sent all its old beds up to Alotau. I
> can arrange transport with the Air Force etc from Newcastle.
>
>
>
> 4. Re TB and DR-TB infection control in PNG , there is finally some
> semblance of national action with a crisis committee of experts, including
> key NGos meeting now. MSF have become involved with control efforts in the
> Port Moresby region. They are focusing on the USAID F-A-S-T control
> framework . I’ve updated all relevant links from this page –
> http://hicsigwiki.asid.net.au/index.php?title=Tuberculosis_healthcare_infection_control_in_resource_poor_settings
> .
>
>
>
> 5. I’d encourage all those involved with overseas work to join one of the
> relevant discussion communities on GHDONLINE.org . ALso encourage your
> in-country colleagues and NGO partner groups to join. It would be great to
> think about establishing a specific community on this Harvard resource for
> Pacific Nation inf control – perhaps this could be then moderated by
> experts who sit on the ACIPC SIG.
>
>
>
> Lukim yupela!
>
>
>
>
>
> *Dr John Ferguson*
>
> Director, Infection Prevention & Control, *Hunter New England **Health*
> Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 |
> john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org
>
>
>
> [image:
> http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Hunter-New-England-LHD.jpg%5D
>
>
>
>
> 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 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 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 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
- The forum ‘Infexion Connexion’ is closed to new topics and replies.