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Dear Brains Trust,
Our facility recently underwent accreditation and there was surprise expressed at our ongoing screening of patients for VRE, with verbal reports that a number of hospitals no longer routinely screen for VRE.
I would like to know what people are doing in their facilities
* Do you screen or not screen?
* If you screen, what patient population is screened?
* If you have stopped screening – Why?
* If you have stopped screening what is the impact on VRE infection rates?
* How are VRE positive patients managed?Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control________________________________
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Hi Fiona,
We screen all renal patients on a quarterly basis.
We screen all patients who have been admitted for an overnight stay outside WA then we manage them on contact precautions in isolation until the results are received.
VRE inpatients are managed in a single room with an ensuite on contact precautions.
Kind regards,
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]
Peel Health Campus
Infection Control
Phone:08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
[http://www.ramsayhealth.com/~/media/Images/email/email-social-media2.jpg]
Dear Brains Trust,
Our facility recently underwent accreditation and there was surprise expressed at our ongoing screening of patients for VRE, with verbal reports that a number of hospitals no longer routinely screen for VRE.
I would like to know what people are doing in their facilities
* Do you screen or not screen?
* If you screen, what patient population is screened?
* If you have stopped screening – Why?
* If you have stopped screening what is the impact on VRE infection rates?
* How are VRE positive patients managed?Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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.
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Hi Fiona
Answers to your questions in red following regarding VRE query.
* Do you screen or not screen?
* Yes, we screen as per the following:
* High risk units – ICU – On admission and weekly thereafter
* Ambulatory units – dialysis – Prior to admission and every 3 months thereafter
* People who are identified as a VRE contact
* Stool, rectal or perianal swabs are considered a sensitive method for detection of VRE
* If you screen, what patient population is screened?
* As above
* If you have stopped screening – Why?
* N/A
* If you have stopped screening what is the impact on VRE infection rates?
* N/A
* How are VRE positive patients managed?
* Transmission-based Precautions i.e. Contact Precautions, isolation, alerts, patient education, as per Queensland Health Guideline: Management of MROs.
* https://www.health.qld.gov.au/__data/assets/pdf_file/0026/444626/multi-resistant-organisms.pdfKind regards
Meredith Southon
Meredith Southon
infection control coordinator[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]
John Flynn Private Hospital
Infection Prevention and Control
Phone:07 5598 9000 ex 9663
Email:
Web:
Address:
42 Inland Drive, Tugun QLD 4224
[http://www.ramsayhealth.com/~/media/Images/email/email-social-media.jpg]
[footerBLUE]
Dear Brains Trust,
Our facility recently underwent accreditation and there was surprise expressed at our ongoing screening of patients for VRE, with verbal reports that a number of hospitals no longer routinely screen for VRE.
I would like to know what people are doing in their facilities
* Do you screen or not screen?
* If you screen, what patient population is screened?
* If you have stopped screening – Why?
* If you have stopped screening what is the impact on VRE infection rates?
* How are VRE positive patients managed?Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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.
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This 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,
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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 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.
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Hi Fiona
* Do you screen or not screen?
* Yes, we screen as per the Queensland Health guidelines (link as posted by Meredith
* If you screen, what patient population is screened?
* ICU – weekly, all cardiothoracic patients pre-op, direct transfers from other hospitals, those with an overnight hospital stay in the past six weeks, or with a past history of VRE.
* If you have stopped screening – Why?
* Not applicable
* If you have stopped screening what is the impact on VRE infection rates?
* Not applicable
* How are VRE positive patients managed?
* As per QHealth, with single room and contact precautions in wards. We also have specific precautions in procedural areas simply because we do not yet routinely clean with disinfectants.
Hope this helps, but I doubt it! 🙂Cheers
MichaelPS Apologies for any confusion to date over my multiple email addresses… have changed to this one now for ACIPC membership and this list.
Michael Wishart, CICP-E
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D44A9D.DC2489D0]
P Please consider the environment before printing this emailDear Brains Trust,
Our facility recently underwent accreditation and there was surprise expressed at our ongoing screening of patients for VRE, with verbal reports that a number of hospitals no longer routinely screen for VRE.
I would like to know what people are doing in their facilities
* Do you screen or not screen?
* If you screen, what patient population is screened?
* If you have stopped screening – Why?
* If you have stopped screening what is the impact on VRE infection rates?
* How are VRE positive patients managed?Kind regards,
Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
Launceston General Hospital, Level 2, Launceston TAS 7250
phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control________________________________
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
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 acipclist@acipc.org.au
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This 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.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/a/1/fzvNeQ9rN_Qb0fWUoYIBkToUWrps_rsoFkXg2Ny5ATQ?d7O_Q-rtBlE6yXazxqvaldzYF2pEPB_zEz3zcHFr5aOuj-_04tBxRMBprnybK8EDZ8hUwXfk6lYkpRJnocSWSUd1OtTNbWf5Fn6whkYq9TxB3-cyANU2W59wkVU22wft5eLjT38NIu4ZYz7m81vwAgK3I3XiOZeVPMXUqsuaPX9aEd1TaXCaqR_AY4ZQ1nFedQiYmWowdZEleBaMBodjtHDvXJoiy0WS-p6jQ-SOgCVx50GwsOa9G9GYfb01cn2XQYpzlVfjpr1Vj8jHETaQldY5WdgVZyXjuWpvIm01yIW2YrRhLnUXRS-OtgZhxaSwD9TyTXvnX32s1kLzn9cGIwCrhV1-dH6CX8T7wdwhniRUMKuzZm8ZOw_iu4OKppH7LedqqjALk0cO9SD3XVZOdRFc%3D&uemail%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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HI Fiona,
Screening for haemodialysis patientsKHA-CARI draft haemodialysis infection
control guidelines (2017) were indicating that screening for VRE in haemodialysis
patients was no longer required.
However still waiting for these haemodialysis
infection control guidelines to be finalised and reposted on their website.We no longer routinely screen for VRE
in our dialysis clinics. We manage all patients with strict standard precautions
and strict aseptic technique.
No affect on our VRE infection rates,
which were previously rare anyway.
With best regards
Carolyn Chenoweth
Quality & Infection Prevention and Control Manager, Australia
Asia Pacific Quality & IPC SME. CICP
Fresenius Medical Care Australia Pty Ltd
Payneham Dialysis Clinic,
2 Portrush Road
PAYNEHAM 5070
Australia
T: +61 (0) 8 8165 4313
M: +61 (0) 407 810 800
http://www.fmc-ag.comFrom:
"EXTERN ACIPC
Infexion Connexion" <ACIPCLIST@ACIPC.ORG.AU>
To:
ACIPCLIST@ACIPC.ORG.AU
Date:
12/09/2018 12:36 PM
Subject:
[ACIPC_Infexion_Connexion]
VRE Management
Dear Brains Trust,
Our facility recently underwent accreditation
and there was surprise expressed at our ongoing screening of patients for
VRE, with verbal reports that a number of hospitals no longer routinely
screen for VRE.
I would like to know what people are doing
in their facilities- Do you screen or not screen?
- If you screen, what patient population
is screened? - If you have stopped screening Why?
- If you have stopped screening what is the
impact on VRE infection rates? - How are VRE positive patients managed?
Kind regards,
Fiona De Sousa CICP-E|
Nurse Manager |
Infection Prevention &
Control Unit
Launceston General Hospital,
Level 2, Launceston TAS 7250
phone: 6777 6715
| mobile: 0408
487 197 | fax:
6777 5170 | email:
fiona.de.sousa@ths.tas.gov.au
|
intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control
CONFIDENTIALITY NOTICE AND DISCLAIMER
The information in this transmission may be confidential and/or protected
by legal professional privilege, and is intended only for the person or
persons to whom it is addressed. If you are not such a person, you are
warned that any disclosure, copying or dissemination of the information
is unauthorised. If you have received the transmission in error, please
immediately contact this office by telephone, fax or email, to inform us
of the error and to enable arrangements to be made for the destruction
of the transmission, or its return at our cost. No liability is accepted
for any unauthorised use of the information contained in this transmission.
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 acipclist@acipc.org.au
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to admin@acipc.org.au
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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.
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