[Michele.Cullen@HEALTH.VIC.GOV.AU Subject: Re: CJD In-Reply-To:]

Dear Marlize

The CJD guidelines questions should be asked by the treating medical
officer. They should form part of the decision making related to the need
for surgery, as part of the diagnostic work-up, and any surgical
arrangements.
They should only be asked if the patient is having high risk tissue surgery
and is either low risk or high risk for CJD.

Please refer to:
Table 1 on page 4 Known or predicted infectivity of human body tissues
and fluids for CJD
Section 2.3 Patient risk categories on page 5
Section 2.4 Risk assessment on page 5 – Table 2
Appendix 3 Risk assessment tool on page 19
Appendix 4 summary of actions for a surgical procedure on page 21.

Together they help the treating medical officer to decide if:
this is a background/low/high risk patient
the procedure involves high-medium or low-no infectivity tissue
the reprocessing required, that is, routine or additional procedures
(Table 2)

Therefore, there is no need for all patients being admitted to a health
care facility to be routinely asked questions about CJD when they are not
in any of the above situations, particularly when you frequently have to
explain what it is.

NBWe now refer to CJD as CJD and not cCJD – the term classical has been
dropped internationally. That is, it is CJD (in its various forms) and
vCJD.

I am a member of the CDNA writing group which revised the current
guidelines which are not very different to the 2007 version. There is some
clarification and additional detail in some sections but the basic premise
is the same.

I would be happy for you to contact me off line if you wish.

Regards

(Embedded (Embedded image moved to file: pic27048.jpg)
image moved
to file:
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Michele Cullen
Infection Control Consultant | Communicable Disease Prevention and
Control | Public Health
Department of Health | 50 Lonsdale Street, Melbourne, Victoria,
3000
p. 03 9096 5094 | f. 1300 651 170
e. michele.cullen@health.vic.gov.au

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|AICALIST@AICALIST.ORG.AU |
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|05/09/2013 07:23 AM |
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|CJD |
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|ACIPC Infexion Connexion |
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Good morning Everyone,

We are currently reviewing our Risk assessment tool. We have added
Infection Control questions, these include risks for MRO’s, wounds /
devices and cCJD.
We don’t have enough space to add all the infection control risks . We have
a few questions on CJD but I was hoping to reduce the number to only 2
questions.
Can anyone please share with me, your questions on the risk for CJD?

Thank you

Marlize Senekal
Infection Prevention and Control Coordinator
St. Andrew’s War Memorial Hospital
457 Wickham Terrace, Spring Hill
Brisbane
Ph. 07-3834 4444
Ext. 4328, Pg. 0328

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