[Carolyn Chenoweth]

Our haemodialysis bloodlines have needleless injection ports. We have been using these bloodlines for awhile now with no recorded increase in BSI rates.
Carolyn Chenoweth
Baxter Therapy Services
Quality Assurance Coordinator
Payneham Dialysis Centre
2 Portrush Road
PAYNEHAM SA 5070
From: AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Wendy Grey
Sent: Friday, 12 March 2010 09:47 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [AICA_Infexion_Connexion] Needleless IV admin sets

Has anyone recently changed to needleless IV admin sets? We are considering some of these safety systems, but have heard anecdotal evidence of an increase in BSI rates following introduction. Does anyone have any experience of this change in systems and therefore practice??
regards
Wendy

Wendy Grey
Nursing Director of Infection, Prevention and Control
IMB 64
PO Box 670
Townsville Hospital 4810
Phone: 4796 1182
Fax : 4796
Mobile: 0428 649 072

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For Translation:

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[Carolyn Chenoweth]

SA 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] VRE

19/02/2010 09:50
AM

Please respond to
AICA Infexion
Connexion

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 Wishart

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

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