[Amanda Brown]

Hi Emma,

Just to reiterate and expand on Kylie and Terry’s reference, AS/NZS4815:2006
12.2.2 also stipulates instruments and sterilisers shall not be interchanged
between necropsy, human and animal use.

Happy for you to make contact also if you require any further assistance.

Kind regards, Amanda

Amanda Brown

Practice Plus Consultant

Tuesday and Thursday

Australian Dental Association Victorian Branch Inc.

Level 3, 10 Yarra Street

South Yarra, Victoria 3141

T 03 8825 4626 F 03 88254644

http://www.adavb.net |
practiceplus.adavb.org

Terry

Hi Emma,

One issue that needs to be considered is the statement in AS/NZS4187:2014
page 7:

Infection prevention and control practices preclude the interchange of RMDs
between postmortem examinations and live patient health care. Infection
prevention and control practices also preclude the interchange of RMDs
between veterinary and human health care, including RMDs used in preclinical
training on animal tissue.

I hope this is of some assistance.

Kind Regards

Terry McAuley

Director

MSc Medical Device Decontamination

PO BOX 2249, Greenvale, VIC Australia 3059

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ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Jones, Emma

Hi all

I’m looking for some infection control guidelines around pig cadaver
courses.

We are a dental supply company and have showrooms around the country which
are functional but aren’t used to treat patients. We have a specialist who
is wanting to host a course at our showroom facility for implant surgery on
pig heads.

I’m working with our OHS manager to see if it’s possible to host the course
at our facility safely.

Any help would be greatly appreciated

Thanks

Emma

Emma Jones
Infection Control Category Manager

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[Amanda Brown]

Hi Betty,

See attached the June program for WHO WPR weekly webinar series. It
contains a link to previous webinars, one of which was on ventilation.

It may be useful.

Kind regards, Amanda Brown

Sarah Bailey
Theatres

Hi Fiona,

The thought of a negative pressure operating theatre is very scary – that
they are positive pressure is to protect the patient from infection of an
open wound. With negative pressure theatres they just become a sink for any
bits of dust and bacteria and fungi floating around in the air. The risks to
the patient are huge. What antibiotic prophylaxis would you use when you
know you have unclean air flowing over the patient with an open wound on a
table? How will this risk be communicated to the patient prior to surgery so
they have informed choice about the risks of their surgery? Is there any
point operating on the patient if they are then at high risk of overwhelming
infection?

With proper airflow, the HEPA filtered air flows from the roof, past the
staff and then to the patient and away across the floor to the exhausts. The
air flow direction helps protect the staff, along with proper PPE.

Airflow in theatres is not changed for measles of TB patients, so why for
COVID if this is based on a proper risk assessment rather than fear?

If your Facility Manager is a member of the Institute of Hospital Engineers
Australia (IHEA), we have had two webinars on air conditioning during COVID
with some very experienced air conditioning/theatre air supply specialists,
including on negative pressure operating theatres that were recorded, and
would be good for anyone contemplating this to listen to – any IHEA member
will have access and probably wouldn’t mind you having a listen.

Regards,

Sarah Bailey MSc, PGDip Med Myc

SENIOR CONSULTANT

1300 400 733

0415 879 028

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Sousa, Fiona M

Hi All,

In response to COVID, and for future planning I have been asked to consider
the creation of a negative pressure operating theatre for use in emergency
surgery for a COVID positive case (e.g. C-section, post MVA).

I am aware that this is against the usual recommendations which are for
positive pressure operating theatre to reduce risk of Surgical Site
Infection. However it has been raised with me that the risk of unexpected
intubation of a COVID positive patient in a positive pressure theatre puts
staff at risk.

I am interested in how other facilities are responding to this issue and
balancing risk to staff with risk to patient.

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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