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Hi Tracie,
I recommend you look at the Australian Health Facilities Guidelines, Part D: Infection Prevention and Control. There is a section (02.04 Hand Hygiene – Schedule and Placement) which specifies room/space and where hand hygiene facilities (and the type) should be located.
https://healthfacilityguidelines.com.au/part/part-d-infection-prevention-and-control-0
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au________________________________
Hi
can someone please tell me what the requirements are for hand basins in patient rooms. We have 1 hand basin for 9 acute beds which is located in the hallway.
ABHR is located at the end of every bed and outside each room. Each room has an ensuite for patients.Tracie Oates
ICP
Heathcote Health
Victoria.
tls_65@hotmail.com
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Hi Margaret,
Victoria has also gone with the same PPE removal sequence as NSW (if what you have below is correct – I haven’t seen their guidance).
There are mocked up posters available on the Victorian DHHS website (link below) which have directly used the PPE donning and doffing sequences as outlined in the NHMRC Australian guidelines for the prevention and control of infection in health care (2019) – see pages 122 & 123 in the PDF version. They are also in the MAGICApp version but harder to tell you where to find them.
I suspect NSW has gone with the same sequencing as this is what is advised in the NHMRC Australian guideline. Their sequencing is adapted from the CDC recommendations. I am aware that WHO do have slightly different sequencing than CDC (i.e. gown off before eye wear).
It would be good if there could be consistency with recommendations.
Link to Victorian DHHS posters https://www.dhhs.vic.gov.au/information-health-services-and-general-practitioners-novel-coronavirus
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au________________________________
Sun
Dear Michael/Phil,
Many thanks
As a professional assisting in GP staff education, please comment on order for putting on (not as critical admittedly) but order of removal as below happy to accept of course as long as this is what is meant
RESPIRATORY SYMPTOMS/SPECIMEN COLLECTION FOR 2019-nCoV REQUIRED:
o perform hand hygiene before donning gown, gloves, eye protection (goggles or face shield) and P2/N95 respirator (for specimen collection) which must be fit checked
o at completion of consultation, remove gown and gloves, perform hand hygiene; remove eye protection and P2 respirator without touching the front of them; perform hand hygiene.
Are you indicating gown and glove removal in one movement? Is it indicating gown before goggle removal? Yes understood that eyes are possible portal of entry
Just comparing this with NSW health dept below which I understood is universal
Fit in this order
Wash hands or use alcohol-based rub
Respirator
Goggles
Gown
Gloves
Remove in this order
Gloves
Wash hands or use alcohol-based rub
Goggles
Gown
Respirator
Wash hands or use alcohol-based ru
Regards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
[Posted on behalf of member – Moderator]
Hi Phil
Will these recommendations for type of precautions apply to inpatient management of suspected or confirmed cases? That is: manage the patient in a negative pressure room under contact and droplet precautions, using airborne precautions for AGP?
Many thanks
Rebecca Adams
Rebecca Adams
Clinical Nurse Consultant
Communicable Diseases and Infection Management Unit
Queensland Health
On Sat, Feb 1, 2020, 2:16 PM Philip Russo <prusso@acipc.org.au> wrote:
INFECTION PREVENTION AND CONTROL RECOMMENDATIONS WHEN CARING FOR SUSPECTED 2019-nCoV INFECTIONS
AHPPC commissioned Lyn Gilbert to convene an advisory group to advise on infection control recommendations. This group has made some interim recommendations that are broadly consistent with the WHO and EU policy, but not the same as CDC policy.
In summary
* Contact and droplet precautions are recommended for routine care of patients with suspected and confirmed nCoV infection
* Contact and airborne precautions are recommended when performing aerosol generating procedures (AGPs), including taking respiratory specimens (which may provoke sneezing/coughing).A few points about these recommendations
* These are interim recommendations and may be updated
* These are minimum standards that are designed to allow patients with suspected coronavirus to be assessed safely in any setting, including general practice and hospitals
* A higher standard of protection (use of airborne precautions) should be used for high risk AGPs such as bronchoscopy and intubation. Where possible, AGPs (esp nebulisers) should be avoided if possible.
* If hospitals choose to use PAPRs or other PPE, it is essential that staff have adequate training to use them safely. HCWs (esp RMOs starting this week!) should be be trained to use PPE.
* This advice has been provided to the Chief Health Officers (AHPPC) but not yet endorsed.The more detailed recommendations are below
USE OF PPE DURING CARE OF PATIENTS WITH SUSPECTED OR CONFIRMED nCoV INFECTION.
A person who has been in Hubei province (or other region where the risk of human-to-human transmission is significant) in the previous 14 days OR has been in contact with a person with nCoV infection should be in quarantine (voluntary or supervised).
If a quarantinable person needs to see a doctor for any reason (e.g. development of fever and respiratory symptoms or other illness/injury), they should be asked to phone GP or ED before presenting.
o If the patient has symptoms consistent with nCoV case definition, local public health unit should be consulted about the most suitable venue for clinical assessment and specimen collection.
On presentation (to GP or hospital ED), the patient should be given a surgical mask and immediately directed to a single room, ideally with negative pressure ventilation (whether or not respiratory symptoms) are present.
For clinical examination of a quarantinable patient (as above) transmission-based precautions should be observed whether or not respiratory symptoms are present as follows:
NO RESPIRATORY SYMPTOMS/RESPIRATORY SPECIMEN NOT REQUIRED:
o perform hand hygiene before donning gown, gloves and surgical mask (for routine clinical care),
o at completion of consultation, remove PPE and perform hand hygiene.
RESPIRATORY SYMPTOMS/SPECIMEN COLLECTION FOR 2019-nCoV REQUIRED:
o perform hand hygiene before donning gown, gloves, eye protection (goggles or face shield) and P2/N95 respirator (for specimen collection) which must be fit checked
o at completion of consultation, remove gown and gloves, perform hand hygiene; remove eye protection and P2 respirator without touching the front of them; perform hand hygiene.
At completion of the consultation, the room surfaces should be wiped clean with disinfectant wipes by a person wearing gloves, gown and surgical mask.
NOTE: If respiratory specimen collection (or other aerosol-generating procedure) has been performed in a room without negative pressure ventilation, it should not be used for patient consultation for at least 30 minutes (cleaning can be performed, during this time)
Philip Russo PhD MClinEpid BN, FACIPC
ACIPC President
P +61 3 6281 9239
W acipc.org.au
A 228 Liverpool Street, Hobart TAS 7000, Australia
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Hi Daniela,
When I worked at Austin Health we installed soap dispensers into the patient showers as apart of our VRE program. That was about 2008/9. We installed 2% chlorhexidine soap (green) into all showers. They were the same soap dispensers as the ones used for hand washing at the sinks. As far as I am aware there weren’t any issues with them being in the showers and deteriorating more quickly than at the hand basins.
One thing we did have to be careful with was the placement of them because if they dripped at all the soap could become a slip hazard. There were already small shelves in the showers so we located the dispensers above these shelves to prevent any soap drips getting on the floor.
The other good thing about using the same company as the hand basin dispensers was that the turtle packs are interchangeable and didn’t mean any change to the products being ordered. We were also able to get all of the soap dispensers for free (lots installed across all campuses meaning lots of extra soap sold), so installation was the only cost.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au[cid:6bd13399-060e-49a7-98dd-666ddf5eddca] [cid:ffc767b3-4ae7-431a-ae2b-92566f058eed]
[cid:0d4c07c4-1d72-41d2-accb-bd471e500cd3]
________________________________
Dear colleagues,
We are looking at installing shampoo/body wash soap product in our patient showers, which we hope will be safer and more cost effective than providing individual bottles and bars of soap to patients who do not have their own toiletries. The idea is to have a standardised pump dispenser (similar in design to clinical handwashing product) containing an all-in-one product.
I am interested to know if other facilities have installed these types of pumps in their patient showers, and your experience/advice in particular if there are any issues with the style of pump or bracket used given they are frequently exposed to heat and moisture.
If there are specific products or brands you wish to name, please contact me directly at D.Karanfilovska@alfred.org.au as not to breach the conditions of membership to this forum.
Many thanks,
Daniela
Daniela Karanfilovska
Clinical Nurse Consultant
Infection Prevention & Healthcare EpidemiologyThe Alfred (Mon/Wed/Fri) Caulfield Hospital (Tues & Thurs)
m 0427 703 769
e D.Karanfilovska@alfred.org.au
Alfred Health
55 Commercial Road
Melbourne VIC 3004
PO Box 315 Prahran
VIC 3181 AustraliaAlfred Health incorporates The Alfred, Caulfield Hospital, Sandringham Hospital and Melbourne Sexual Health Centre
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Hi Rebecca,
Tasmanian Infection Prevention and Control (TIPCU) have some very good PPE donning and doffing videos (and a number of other IC resources).
The link to these videos can be found here:
https://www.dhhs.tas.gov.au/publichealth/tasmanian_infection_prevention_and_control_unit/healthcare_worker_education/proper_use_of_personal_protective_equipmentRegards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au________________________________
Hi all,
Just wondering if someone has a PPE Don and Doff video that they would be prepared to share? I can see a few on the internet but would chasing an Australian based presentation.
Thanks, Bec
Rebecca ODonnell | Infection Prevention and Control Co-ordinator
St Vincent’s Private Hospital Toowoomba | 22-36 Scott Street,TOOWOOMBA 4350
T +61 7 4690 4042
E rebecca.odonnell@svha.org.au
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Hi Sharon,
Apart from known C. auris contacts, you may want to consider screening any patients who have been admitted to an overseas health care facility in the previous 12 months, the same as you should be screening them for CPE and other MROs. My understanding is that all cases to date in Australia have had a history of admission to an overseas hospital.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auJust wondering what cohort of people would you screen?
I have had a look on CDC and there seems to be only advice for those who have tested positive and their contacts.
Cheers,
Sharon Deen
Infection Control Nurse[http://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo.jpg]
Peel Health Campus
Infection Control
Phone:08 9531 8570
Fax:
08 9531 8409
Email:
DeenSharon@ramsayhealth.com.au
Web:
Address:
110 Lakes Road, Mandurah WA 6210
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Dear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
I$B!G(Bm thinking;
Groin/ perineum &
Additional specimens should be obtained as follows: (if relevant)
$B!|(B Urine – voided or catheter urine
$B!|(B Skin lesions and wound swabs
$B!|(B Swabs of sites of catheters or other skin penetrating devicesAprreciate your advice
Emma Trippe
Infection Control Consultant
[cid:image001.png@01D475D3.A2307160]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
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Hi Emma,
CDC, Public Health England & the European CDC all recommend groin and axilla swabs for screening. Other sites such as urine, wounds indwelling device sites etc can be included but the minimum should be groin and axilla.
Groin and axilla swabs is what was recommended for screening contacts of the recent Victorian cases. We also included:
* Wounds
* Exit sites of indwelling devices (e.g. PEGs)
* Urine if they had an IDC
* Sputum if they had a trache
Reference to groin and axilla swabs (and other recommended sites) can be found here:
CDC, Recommendations for Infection Prevention and Control for Candida auris (look under $B!H(BHow to screen$B!I(B heading) https://www.cdc.gov/fungal/candida-auris/c-auris-infection-control.html
PHE, Guidance for the laboratory investigation management and infection prevention and control for cases of C. auris (see $B!H(BScreening policies$B!I(B on page 8) https://www.gov.uk/government/collections/candida-auris#guidance-for-laboratories,-healthcare-providers-and-healthcare-professionals
European CDC, Candida auris in healthcare settings – Europe (see $B!H(BPreventing transmission from patients known to carry C. auris$B!I(B) https://ecdc.europa.eu/en/publications-data/rapid-risk-assessment-candida-auris-healthcare-settings-europeRegards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auDear All, just updating our MRO policy with reference to C.auris – which sites are we meant to screen ? I$B!G(Bve read a lot of literature but there is nothing specifically outling the testing sites.
I$B!G(Bm thinking;
Groin/ perineum &
Additional specimens should be obtained as follows: (if relevant)
$B!|(B Urine – voided or catheter urine
$B!|(B Skin lesions and wound swabs
$B!|(B Swabs of sites of catheters or other skin penetrating devicesAprreciate your advice
Emma Trippe
Infection Control Consultant
[cid:image001.png@01D475D3.A2307160]
Calvary Riverina Hospital
Hardy Avenue Wagga Wagga NSW 2650
P: 02 6932 1628
E: Emma.Trippe@calvarycare.org.au
http://www.calvary-wagga.com.auHospitality | Healing | Stewardship | Respect
Continuing the Mission of the Sisters of the Little Company of MaryThis email is confidential and may be subject to copyright and legal professional privilege. If this email is not intended for you please do not use the information in any way, but delete and notify us immediately. For full copy of our Privacy Policy please visit
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Sorry Janine,
I also forgot to add that if you don’t know the air changes per hour you should speak to your Engineering Dept. They should be able to give you this information.
Regards,
DonnaHi Janine,
The time to remove airborne contaminants from a room is dependent on the number of air changes per hour (ACHR). There is a handy table in the Victorian Guidelines for the classification and design of isolation rooms in health care facilities (2007) on page 21 “Air changes per hour (ACHR) and time in minutes required for various airborne contaminant removal efficiencies” (snapshot of the table below) which will help answer how long you should leave a room before entering the room without appropriate PPE (i.e. P2 respirator). The link to this document is here: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Guidelines-for-the-classification-and-design-of-isolation-rooms-in-health-care-facilities-Victorian-Advisory-Committee-on-Infection-Control-2007
Note that the room does not need to be “cleared” before cleaning can commence. The cleaners can be wearing appropriate PPE while cleaning the room during this time. This will reduce the turn-around time for the room if cleaning takes place during the “airborne contaminant removal” period.
My understanding, at least in Victoria, of the timeframes you quote were in relation to the exposure follow up time period after someone had been in a room/area with measles. We used to follow up measles exposures for a period of 2 hours after the person had left an area, but this was reduced to 30 minutes some years ago.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
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Hi Janine,
The time to remove airborne contaminants from a room is dependent on the number of air changes per hour (ACHR). There is a handy table in the Victorian Guidelines for the classification and design of isolation rooms in health care facilities (2007) on page 21 “Air changes per hour (ACHR) and time in minutes required for various airborne contaminant removal efficiencies” (snapshot of the table below) which will help answer how long you should leave a room before entering the room without appropriate PPE (i.e. P2 respirator). The link to this document is here: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Guidelines-for-the-classification-and-design-of-isolation-rooms-in-health-care-facilities-Victorian-Advisory-Committee-on-Infection-Control-2007
[cid:image002.png@01D3A1BE.A64738E0]
Note that the room does not need to be “cleared” before cleaning can commence. The cleaners can be wearing appropriate PPE while cleaning the room during this time. This will reduce the turn-around time for the room if cleaning takes place during the “airborne contaminant removal” period.
My understanding, at least in Victoria, of the timeframes you quote were in relation to the exposure follow up time period after someone had been in a room/area with measles. We used to follow up measles exposures for a period of 2 hours after the person had left an area, but this was reduced to 30 minutes some years ago.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHi,
Just a Friday afternoon question:
Can anyone provide me with evidence in regards to how long we should leave a room prior to cleaning an airborne precaution room
o In our local procedure we have 2 hours
However, I thought that had been decreased to 30minutes
o I’m aware of the airchanges etc in our negative pressure rooms but this query has come from our Emergency Department.
Any help greatly appreciatedRegards
Janine Egart
Clinical Nurse Consultant – DDHHS
Clinical Governance Unit
p: 07 46166206 | m: 0400704118 (SD: 1947)
a: Pechy Street, Toowoomba, Qld 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Hospital and Health Service[DDHHS]
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Hi,
In response to a couple of points raised about this guideline:
One of the consensus document developers is Sue Atkins (see page 21). Sue is a long-standing member of ACIPC and provided education sessions on behalf of ACIPC several years ago about Aseptic Technique.
The document does provide advice about using opened but not used dressings, and of note in section 5.3 Care delivery setting considerations (page 15), it advices that this should not be considered for inpatient hospital settings. It also provides quite extensive advice as to when and how it could be an appropriate option. While in a perfect world you would always advise that dressings should not be cut down and used later, sometimes this is unavoidable, particularly with some of the more expensive dressings (e.g. silver dressing) and when the patient is paying for their own dressings. They may only be able to purchase larger dressings for a smaller wound and to discard the left over dressing would be cost prohibitive. Therefore, providing suitable advice as to how this can be done with the least risk is the sensible option.
Regards,
DonnaDonna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.au
Microbiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.auHI Lindy,
Our Wound Care CNC has recently asked us the same question. The guideline seems quite useful but we have concerns about the advice that discusses the practice of cutting dressings down to size and using the ‘opened but not used’ remainder for future dressing changes. Sections 5, 6 and 7 are the relevant ones.
What are others’ thoughts?Joanna Harris
Nurse Manager, ISLHD Infection Management and Control Service (IMACS)
Telephone – mobile 0475 943494 / Wollongong office 4222 5898 / Warrawong office 4221 6820
Joanna.Harris@health.nsw.gov.au
http://www.health.nsw.gov.au[http://www.who.int/entity/gpsc/5may/MAIN1.jpg?ua1]
http://www.who.int/gpsc/5may/patient-tips.pdf?ua1
Hello
hope you are all having a lovey day
Just wondering if anyone has come across this 2017 document developed by Wounds Australia called the ‘application of aseptic technique in wound dressing procedure’.
It is a consensus document put out by Wound Australiana that I have been approached by staff in regards to them in using & developing local processes and procedures .I am uncertain with whom they may have consulted with from Infection control perspective in developing their consensus as on face value it looks like a useful resource… what are others thoughts?
kind regards
Lindy
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
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Hi Belinda,
The Victorian Department of Health and Human Services provide a sample of a room and a ward contact letter you are welcome to use or use as a basis for drafting your own letters. They can be found here:
Regards,
Donna
Donna Cameron
Infection Control Consultant
T +61 (0) 3 8344 3574 (Monday, Wednesday & Friday); +61 (0) 3 9096 5233 (Tuesday & Thursday)
donna.cameron@unimelb.edu.auMicrobiological Diagnostic Unit Public Health Laboratory
The Peter Doherty Institute for Infection and Immunity
792 Elizabeth Street | Melbourne | Victoria | Australia | 3000
doherty.edu.au[cid:b23f8c25-95e5-4a0d-83f3-f25cd668967b] [cid:a09fa74e-6188-4854-a560-5983d33b6160]
[cid:b5098556-1192-4e0a-92df-04883a7d6b0d]
________________________________
Hi all
Does anyone have a letter that you have sent to patient that have been a contact to CRE, if so would you be happy to share
Thanks
Belinda
Belinda Boston
Infection Prevention and Control CNC | NursingSt George Public Hospital
1st Floor James Laws House
Gray Street Kogarah NSW
Tel (02) 9113 4608 | Fax (02) 9113 1575 | Mob 0429 890 544 | belinda.boston@health.nsw.gov.au
http://www.seslhd.health.nsw.gov.au/[Image result for merry christmas]
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Hi Richard,
I would be concerned with the use of tiles as well. Regardless of antimicrobial activity, if dust can penetrate the ceiling, which is a strong possibility with tiles, then you will have an ongoing problem that could become difficult to deal with. It is the potential gaps in the ceiling that I would perceive to be the problem, not the use of something that may or may not have antimicrobial activity. The tiles may have the best antimicrobial activity known to man but if the dust can get between the tiles, the antimicrobial efficacy is a moot point.
Even though a NICU will also be required (or should be) positively pressured to surrounding areas, airflows can be difficult to maintain depending on where doors are located and how much traffic comes in and out. At least if the ceiling is solid that is one less way for dust/fungal spores to enter this high risk area.
Regards,
Donna
………………………………………………………………………..
Donna Cameron | Infection Control Consultant
Microbiological Diagnostic Unit
Public Health Laboratory | Department of Microbiology & Immunology
The University of Melbourne, Building 248, Level 1, 792 Elizabeth Street, Melbourne, 3010, VIC
Telephone +61 3 8344 3574 | Fax +61 3 8344 7833
Website http://www.mduphl.unimelb.edu.au/
[cid:image001.jpg@01D0A504.C7427D20]
This email and any attachments may contain personal information or information that is otherwise confidential or the subject of copyright. Any use, disclosure or copying of any part of it is prohibited. The University does not warrant that this email or any attachments are free from viruses or defects. Please check any attachments for viruses and defects before opening them. If this email is received in error please delete it and notify us by return email.Hi all,
I do agree, but we also have to be open to new products on the market that may actually far exceed and meet the needs of the build.
I would be asking for the technical data, independent evidence regarding the antimicrobial performance.
Take into account that if the product can tolerate the harshest chemicals like bleach and you can use a vaporised product to disinfect, why would you need the antimicrobial plaster.
Possibility- for additional insurance/reassurance if the cleaning wasn’t being done as you would have expected or that it has an ongoing residual effect on the bioburden in the room.
These types of products also have a prolonged kill time of up to 72 hours, so it’s not instant.
The guidelines are a great resource for ICPs ( I know I use them all the time) but we also need to be mindful that things change and they are a guide.
Just my thoughts….Kind Regards
Marija Juraja |Clinical Service Coordinator -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 8222 4527(RAH) 8222 7588 (TQEH)| m: 0466 379 821|e:marija.juraja@sa.gov.au |web: IPCU Intranet Site and Resources
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image002.png@01D230F7.D4B2D1F0][cid:image001.jpg@01CF74C9.73C91440]No point having a National standard that we have all waited for for so long, and not use it. If we let architects dictate the terms we are not in a good place.
We are providing health care not a sound booth…
Thanks
MichelleMichelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165
[cid:7815855E-5747-41E2-8873-78E10553939F]Dear All,
At Western Health in Victoria we are building a new Women’s and Children’s hospital. The Australian Health Facility Guidelines recommend for nurseries (we plan for level 2 and 3 NICU) ‘monolithic from wall to wall without fissures, open joints or crevices that may retain or permit the passage of dirt particles.’There seems to be is a move away these guidelines and the use of solid plasterboard in ICUs and NICUs mainly for the sake of acoustics and the architects want to use a flush plasterboard perimeter with antimicrobial performance mineral fibre tiles in the NICU ceiling.
I am a bit sceptical on the antimicrobial claims and don’t like to defer from the current guidelines which are clear about the use of tiles. Does anyone have any information or opinion to share?
Regards,
RichardRichard Bartolo
Manager Infection Prevention
Western Health
Gordon Street, Footscray VIC 3011
Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
Web. http://www.westernhealth.org.au[2010wh_logo]
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