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[Posted on behalf of Gemma Klintworth – Moderator]
Dear all,
We have recently realised that the CDC and WHO differ in recommendations regarding order of PPE removal.
Currently we teach the order as per CDC (and as adopted by NHMRC guidelines) but are curious as to why the recommendation is to remove gloves, then goggles and then gown, where as WHO recommends gloves and gown first (likely being the two dirtiest items) and then goggles.
Two varying posters are attached.
Any thoughts would be appreciated.
Kind regards,
Gemma
Gemma Klintworth
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiologyt 03 90762250 e G.Klintworth@alfred.org.au
m 0419 383 840Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia[cid:part2.04000504.07030802@internode.on.net]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Dear Gemma
An interesting question. My guess would be that WHO being a global agency provides advice that can be generic and accommodate the very many different types, combinations and compositions of PPE used for isolation. In contrast CDC is a USA-based agency with a very discrete primary audience, USA healthcare providers. Typically PPE used in the USA is well-defined, high quality and standardised.
The fact that much of the world including Australian ICPs often look to the CDC for best practice is in my mind a great thing, especially as Australia is closer to US practice than it is to less wealthy nations (part of WHO’s target audience).
There has been some research done around different types of potential contamination of clothing and face when removing PPE so you may want to read that. Overall the key messages would be:
1. Teach a system, one way and stick to it;
2. Ensure compliance with wearing PPE and removing it is improved. Current research shows that HCWs are generally worse at PPE selection d use than they are with hand hygiene compliance.
I have attached a couple of papers you may find interesting.
Good luck.
Regards
CathDr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty LtdAdjunct Professor
Griffith University, School of Nursing and Midwifery
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo][Description: icp icon][Posted on behalf of Gemma Klintworth – Moderator]
Dear all,
We have recently realised that the CDC and WHO differ in recommendations regarding order of PPE removal.
Currently we teach the order as per CDC (and as adopted by NHMRC guidelines) but are curious as to why the recommendation is to remove gloves, then goggles and then gown, where as WHO recommends gloves and gown first (likely being the two dirtiest items) and then goggles.
Two varying posters are attached.
Any thoughts would be appreciated.
Kind regards,
Gemma
Gemma Klintworth
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiologyt 03 90762250 e G.Klintworth@alfred.org.au
m 0419 383 840Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia[cid:part2.04000504.07030802@internode.on.net]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.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 Vincent’s 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.
________________________________
No virus found in this message.
Checked by AVG – http://www.avg.com
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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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
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Hmm, no attachments… trying again….
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]
[Posted on behalf of Gemma Klintworth – Moderator]
Dear all,
We have recently realised that the CDC and WHO differ in recommendations regarding order of PPE removal.
Currently we teach the order as per CDC (and as adopted by NHMRC guidelines) but are curious as to why the recommendation is to remove gloves, then goggles and then gown, where as WHO recommends gloves and gown first (likely being the two dirtiest items) and then goggles.
Two varying posters are attached.
Any thoughts would be appreciated.
Kind regards,
Gemma
Gemma Klintworth
Infection Prevention Nurse Consultant
Infection Prevention and Healthcare Epidemiologyt 03 90762250 e G.Klintworth@alfred.org.au
m 0419 383 840Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 Australia[cid:part2.04000504.07030802@internode.on.net]
Alfred Health incorporates The Alfred, Caulfield Hospital and Sandringham Hospital
http://www.alfredhealth.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 Vincent’s 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 Vincent’s 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
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
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