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Don Bissell

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  • in reply to: Korean HAI data #70317
    Don Bissell
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    Author:
    Don Bissell

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    Claire
    You can find the data at the link below
    http://www.cdc.go.kr/CDC/health/CdcKrHealth0501.jsp?menuIdsHOME001-MNU0001-MNU0111-MNU0114

    Regards
    Don

    Don Bissell
    Managing Director
    BIOQUELL ASIA PACIFIC PTE LTD

    207 Henderson Road,#01-05
    Singapore 159550

    My first question on this data would be what antibiotic prescribing practices and stewardship protocols are in place in Korea? I recall from meeting with the Japanese Infection Control groups some time ago that there had been some collaboration in terms of ICP numbers and IC programs in an attempt to educate the associated Ministries of Health in each country.

    Are you able to cite the reference paper for this data Don although I see it was from KONIS where was it published? It would be useful to know which definitions and methodology they are using ie if it is based on NNIS (CDC) as they are not part of the International Nosocomial Infection Control Consortium.

    Regards,
    Claire

    Claire Boardman
    B. App Sc (nsg), Grad Cert IC, MPH, CICP
    Past President, ACIPC
    [cid:CEUPYBISHPOH.IMAGE_78.BMP][cid:image002.png@01CE9430.4A744D00]

    List members may be interested to read the latest HAI surveillance data from South Korea. These highlight some interesting points:

    * 89% of S.aureas were MRSA. This must be the highest rate reported anywhere in the world

    * 51% of E. faecium were VRE

    * Almost 87% of Acinetobacter were Imipenem resistant

    * The IC nurse/doctor : bed ratio is < 2 which is low and 416 beds to each IC professional which is correspondingly high

    * It is difficult to compare their rates with other studies because only patient days are reported and not the number of patients, but assuming the LOS was 3 days this suggests that the overall infection rate was 14%

    Quite astonishing.

    Don Bissell
    Managing Director
    BIOQUELL ASIA PACIFIC PTE LTD

    207 Henderson Road,#01-05
    Singapore 159550

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    in reply to: Possums #69768
    Don Bissell
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    Don Bissell

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    Ozone above a concentration of 0.1ppm is highly dangerous to humans so one has to execute extreme caution
    Regards

    Don Bissell
    Managing Director
    BIOQUELL ASIA PACIFIC PTE LTD

    207 Henderson Road,#01-05
    Singapore 159550

    Hi Jennifer

    More as a householder with experience living in possum infested houses than in hospital facilities, I would say residual smell is most likely a deceased possum which remains in al cavity (wall/roof/floor, take your pick). We actually had an issue here at HSN during a building expansion program where a possum found its way into a ceiling cavity (small crawl space) and ended up dying in there. The flies came first (humidity breeds them quickly), then the smell, which grew as time progressed, then abated, but the flies persisted. Took lots of unpleasant crawling to find the offender, actually. Would suggest a pest control expert with experience in possum infestations to do a full check. Other than that, lots of ozone generating machine for a long time….

    Good luck.

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    Im wondering if anyone has experience with clean up after possum infiltration?
    One of our smaller clinics had the pesky critters come visiting and they managed to make a rather gruesome mess while awaiting their eviction. Clean up has occurred but there still is a malingering smell… particularly with warmer weather…. Any suggestions?

    Jennifer Benjamin
    Infection Control Consulant
    Melbourne Pathology
    M: 0402000590
    Quality is in our DNA
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