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Hi Marg,
New publication posted on 13th March 2020.
Aerosol and surface stability of HCoV-19 (SARS-CoV-6 2) compared to
SARS-CoV-1medRxiv preprint doi: https://doi.org/10.1101/2020.03.09.20033217
*”HCoV-19 (SARS-2) has caused >88,000 reported illnesses with a
current case-fatality ratio of ~2%. Here, we investigate the stability of
viable HCoV-19 on surfaces and in aerosols in comparison with SARS35 CoV-1.
Overall, stability is very similar between HCoV-19 and SARS-CoV-1. We found
that viable virus could be detected in aerosols up to 3 hours post
aerosolization, up to 4 hours on copper, up to 24 hours on cardboard and up
to 2-3 days on plastic and stainless steel. HCoV-19 and SARS-CoV-1 exhibited
similar half-lives in aerosols, with median estimates around 2.7 hours. Both
viruses show relatively long viability on stainless steel and polypropylene
compared to copper or cardboard: the median half-life estimate for HCoV-19
is around 13 hours on steel and around 16 hours on polypropylene. Our
results indicate that aerosol and fomite transmission of HCoV-19 is
plausible, as the virus can remain viable in aerosols for multiple hours and
on surfaces up to days.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
marjenes@OPTUSNET.COM.AU
inanimate surfaces and its inactivation with biocidal agentsGlenys I noted 10 minutes is being recommended by our official feed but its
way less than that as you and I knowRegards,
Margaret Jennings
Marjen Education Serviceswebsite. http://www.marjenes.com.au
email. marjenes@optusnet.com.aumob. 0404 088 754
> On Behalf Of Glenys Harrington
inanimate surfaces and its inactivation with biocidal agentsDear All,
This publication (in press yesterday) notes the following in the summary:
*”The analysis of 22 studies reveals that human coronaviruses such as
Severe Acute Respiratory Syndrome (SARS) coronavirus, Middle East
Respiratory Syndrome (MERS) coronavirus or endemic human coronaviruses
(HCoV) can persist on inanimate surfaces like metal, glass or plastic for up
to 9 days, but can be efficiently inactivated by surface disinfection
procedures with 62-71% ethanol, 0.5% hydrogen peroxide or 0.1% sodium
hypochlorite within 1 minute”.Kampf G, et al. Persistence of coronaviruses on inanimate surfaces and its
inactivation with biocidal agents, Journal of Hospital Infection, https://
doi.org/10.1016/j.jhin.2020.01.022.May be of interest/use.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
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Hi Fiona,
The application for such strategies are for haemorrhagic type of disease
outbreaks in underdeveloped countries where people have to reuse heavy duty,
reusable waterproof aprons over PPE (isolation precautions or removing
deceased bodies). The application also applies to gumboots which are reused.https://www.unicef.org/supply/files/Rapid_advice_guideline_technical_specifi
cations_on_Ebola_response_WHO.pdfThe disinfectant that is sprayed on the reusable items is chlorine.
If you are going to “spray” a disinfectant in a hospital you will need a
dedicate area with drainage.An option may be the following:
a.Over standard PPE for the procedure wear a good quality, long
sleeved, plastic, disposable gown
b.Wear disposable waterproof foot covers to the knee
c.At the end of the procedure wipe the front (i.e. trunk area) of the
plastic disposable gown with infection control approved cleaning and
disinfecting wipes
d.Remove the plastic disposable gown followed by other PPE as per your
sequence of doffing (removal) proceduresRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Sousa, Fiona M
Hi Brains Trust,
Borrowing for previous world experience with Ebola, I have been asked to
provide details of a product that can be sprayed onto staff to decontaminate
them prior to doffing their PPE to reduce potential exposure.The clinical scenario put to me was the ICU setting with intubation of a
heavily coughing / expectorating patient, with this leading to heavy
contamination of PPE. It was proposed that for safety of the staff member a
decontamination spray be used prior to doffing.I would appreciate advice from colleagues regarding both the suitability of
this type of decontamination and what sort of situation this would be
undertaken in. Also if you are able to provide advice on a specific product
you have experience with I would appreciate an off-list email.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
IPCU – ‘By working together we promote a culture of safety to reduce
preventable infections and transmission of multi-resistant organisms’_____
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Hi Tracey,
Artificial acrylic nails have been shown to harbor higher frequencies of potential pathogens after alcohol hand rub and after antimicrobial soaps. Artificial acrylic nails & fungal infection often occurs with poorly fitted acrylic nails or any disturbance to the original fit (i.e. warmth, moisture and darkness) which affects the skin under the nail and skin around the nail.
Sherner et al showed the following:
*68 pts suffering from nail changes and paronychia which appeared after removal of artificial nails
*Culture was positive in 67 patients (98.5%)
*Candida spp. were the most common pathogenShemer A et al. Onycomycosis due to artificial nails. J Eur Acad Dermatology Venereol. 2008 Aug;22(8):998-1000
Despite artificial acrylic nails being epidemiologically implicated in several outbreaks (i.e. Serratia marcesans, Pseudomonas aeruginosa,Candida spp) I understand the finding were inconclusive in relation to what came first:
a.nail contamination which resulted in patient infection/colonisation/outbreak or
b.patient infection/colonisation which resulted in HCW hand/nail contaminationI dont get too caught up in these types of issues (i.e. artificial nails, nail polish) unless Im investigating an outbreak and can establish an epidemiological links. Such issues can take up a lot of an ICPs time when there are probably more pressing issues we could focus our limited resources on.
Below the elbows another recently introduced infection control strategy that is controversial and lacks evidence to support the practice.
Hope this is helpful.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hello ladies,
I did a lit review on this for uni. The most recent study I found was
Hewlett, A. L., Hohenberger, H., Murphy, C. N., Helget, L., Hausmann, H., Lyden, E., . . . Hicks, R. (2018). Evaluation of the bacterial burden of gel nails, standard nail polish, and natural nails on the hands of health care workers. AJIC: American Journal of Infection Control, 46(12), 1356-1359. doi:10.1016/j.ajic.2018.05.022
I would ask the staff members to show the scientific literature they are basing their statements on. Irrespective of that, if the policy is bare then bare it must be. When they sign their employee agreement they agree to abide by policy and procedure, you might point that out to them.
Regards
Angela Carvosso
Registered Nurse
Warwick Health Service
Sent from Mail for Windows 10
Hi Tracey,
I have the same issue with staff saying that Shellac is safe to wear when it comes to hand hygiene.
I would like to be included in any information in regards to this please.
Regrds,
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
PO Box 263, Toowoomba, QLD 4350
280 North St, Toowoomba, QLD 4350
Hello all,
I am having a hard time to get some nurses to adhere to below the elbows in regards to Nail Polish, Enhancements, SNS, Shellac etc.
Most of the staff say that because its Shellac or SNS, it doesnt chip and become a hazard.
I have given them our policies to support this fact of removal all nail enhancements.
Does anyone know of any recent studies on this topic that I read to get more information to supply to my staff?
Thanks,
Tracey Wood
Regional Infection Control Coordinator
Gosford Private HospitalBurrabil Avenue, North Gosford NSW 2250, Australia
T +61 2 4348 8511 F +61 2 4323 8118
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Hi Mary,
Find below a link to the following Victorian guidelines which includes pressure differential information.
Guidelines for the classification and design of isolation rooms in health care facilities Victorian Advisory Committee on Infection Control 2007.
regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Dear All
Would anyone be able to point me in the direction of guidelines specifying pressure differentials for type 5 isolation rooms.
We have the WA Health Facility Guidelines for Engineering Services (revised 2017) but I was wondering if there were any others that you are using?
Many thanks
Mary
Mary Willimann CIPC-E | Manager Infection Control
St John of God Subiaco Hospital
T: (08) 9382 6871 | M: 0439993772 | F: (08) 9382 6785 | E: Mary.Willimann@sjog.org.au
12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
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Hi Phil,
I’m seeking some clarification in relation to the information sheet with
interim recommendations for the use of personal protective equipment (PPE)
during hospital care of people with Coronavirus Disease 2019 (COVID-19) you
posted below.Specifically the number of times staff are required to wash their hand when
removing PPE as per instruction below:*Perform hand hygiene before donning gown, gloves, eye protection
(goggles or face shield) and a P2/N95 respirator, which should be
fit-checked.
*After the consultation, remove gown and gloves, perform hand
hygiene, remove eye protection perform hand hygiene, remove P2/N95
respirator and perform hand hygiene. Do not touch the front of any item of
PPE during removal, perform hand hygiene at any point contamination may have
occurred.
*The room surfaces should be wiped clean with detergent/disinfectant
by a person wearing gloves, gown and surgical mask.
*The room should be left vacant with the door closed for at least 30
minutes after specimen collection (cleaning can be performed during this
time by a person wearing PPE).My understanding is that this requirement is specific to Ebola and is not
necessary for Coronavirus?I note it is not a requirement in the CDC guidelines – Interim Infection
Prevention and Control Recommendations for Patients with Confirmed
Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for
COVID-19 in Healthcare Settings. Updated February 21, 2020https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommen
dations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-nc
ov%2Fhcp%2Finfection-control.htmlAre you or anyone else on the advisory group able to clarify furtther?
Many thanks in anticipation.
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Russo
personal protective equipment (PPE) during hospital care of people with
Coronavirus Disease 2019 (COVID-19)An information sheet with interim recommendations for the use of personal
protective equipment (PPE) during hospital care of people with Coronavirus
Disease 2019 (COVID-19).Available here
https://www.health.gov.au/resources/publications/interim-recommendations-for
-the-use-of-personal-protective-equipment-ppe-during-hospital-care-of-people
-with-coronavirus-disease-2019-covid-19MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
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Hi Kate,
In the first instance it would depend on the manufactures/ suppliers
instructionsRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Kate
disinfectionCan I please ask for assistance with the following question:
How are semi-critical devices being high level disinfected in other
organisations? Specifically devices (RMD) that come into contact with
non-intact skin, blood or body fluid; that can’t be reprocessed in CSSD or
an automatic HLD unit e.g. stethoscope, blood pressure cuffs, EEG/ECG leads
etc.Furthermore, how do you track the reprocessing of these items?
Kind regards
Kate Ryan
RMD Program Officer
0434 609 208 | 03 9496 6706
Infectious Diseases Department
Level 7, Harold Stokes Building
145 Studley Road, Heidelberg
PO Box 5555, Victoria, 3084
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Hi Phil,
Thanks for posting the new interim minimum standards “Infection prevention
recommendations for care of patients with nCoV’.They sound sensible, easy to apply, are not lengthy and hence are a good
quick reference.Once endorsed by AHPPC look forward to seeing them readily available to all
healthcare settings (i.e. aged care, private hospitals, day surgeries), on
the Australian Government Health Department web page, rather than waiting
for state governments to update their individual guidelines.https://www.health.gov.au/resources/collections/novel-coronavirus-2019-ncov-
resourcesRegards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Russo
care of patients with nCoVINFECTION PREVENTION AND CONTROL RECOMMENDATIONS WHEN CARING FOR SUSPECTED
2019-nCoV INFECTIONSAHPPC 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.be subject to change as more information becomes available
. 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 checkedo 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.auA 228 Liverpool Street, Hobart TAS 7000, Australia
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Hi Sheilla,
During such an outbreak you have to be practical particularly in developing countries where supplies may be very limited.
Have you contacted the company representatives in Vietnam to check?
http://business.amchamvietnam.com/list/member/3m-vietnam-ltd-ho-chi-minh-city-2
Are you able to get a supply of gowns and other PPE that has not expired?
Are you in touch with the HCMC Infection Control Society and the health department in HCMC?
Ho Chi Minh City Infection Control Society, Vietnam
201B Nguyen Chi Thanh, District 10, Ho Chi Minh City, VietnamTel :+ 84913750074 Fax: + 8438557267
If you are unable to get any gowns that have not expired and you have checked the integrity of the ones you have ( i.e. no holes or tears) then you should use the ones you have until you can get new stock.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Dear Brain Trust:
In our hospital , can we still use this in case theres an outbreak of 2019- nCoV in our isolation room even the gown was expired 3 years ago ? What is the risk? I cant find any hard evidence that theres a risk in using it after expiration date.
I hope someone can shed a light on me regarding this.
Thanks and kind regards,
Sheilla S. Mercado
Nurse Manager
Quality Management
BNH VIN QUC T CITY
S 3, ng 17A, P. Bnh Tr ng B
Q. Bnh Tn, TP.HCM, Vit nam
CITY INTERNATIONAL HOSPITAL
No.3, 17A St., Binh Tri Dong B Ward
Binh Tan Dist., HCMC Vietnam
fax +84-8 6269 6269
tel +84-8 6280 3333 (ext: 8397)
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Hi Tenneale,
Most plants/gardens in hospital settings while accessible to staff, patients
and visitors are generally separated from main areas within the hospital.Evidence linking flowers and plants to outbreaks of infection or illness in
individual patients is minimal. However because of the high-level of
bacteria, moulds/fungi in soil and water in flower vases precautions for
general patient-care settings relates to the prevention of hand
contamination and includes:a. limiting flower and plant care to staff with no direct patient
contactb. advising health-care staff to wear gloves when handling plants
c. washing hands after handling plants
d. changing vase water every 2 days and discharging the water into a
sink outside the immediate patient environment, and e. cleaning and
disinfecting vases after use.Ornamental plants are also problematic as they accumulate dust, can’t be
cleaned and may serve as a reservoir of Aspergillus spp (fungi)., and
dispersal of spores into the air from this source can occur. Health-care
associated outbreaks of invasive aspergillosis reinforce the importance of
maintaining an environment as free of Aspergillus spp. spores as possible
for patients with severe, prolonged neutropenia (immunosuppressed patients).Potted plants, fresh-cut flowers, and dried flower arrangements may provide
a reservoir for these fungi as well as other fungal species and these types
of plants are usually excluded from areas where immunosuppressed patients
are be located.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Charlene Dixon
Good morning Tenneale,
Soil harbours micro-organisms such as anthrax, botulism, tetanus, Legionella
sp. Listeria, Aspergillosis, Coccidioidomycosis, Q fever and the list goes
on.These organisms can infect susceptible individuals, and so can become the
causative agents of soil borne diseases in humans. This risk of exposure to
infectious organisms from the soil has been known for centuries. Therefore,
soil has the potential to transmit these micro-organisms and diseases to
staff and immunocompromised patients, in a clinical setting.I hope this has clarified things for you.
Kind regards,
Dr Charlie (Charlene) Dixon
CNC
Infection Prevention & Control Unit | Safety & Quality
South West Hospital and Health Service | Queensland Government
Corner Bowen & Spencer Streets ROMA Qld 4455.
T: 07 46241823
E: Charlene.dixon@health.qld.gov.auW: http://www.health.qld.gov.au/southwest
South West Hospital and Health Service acknowledges the Traditional Owners
of the land, and pays respect to Elders past, present and future.> On Behalf Of Florence, Tenneale
Hi all,
Could someone please shine some light or provide recognised resources on the
reasons as to why it is not deemed appropriate to have pot plants (in soil)
within a health care setting.Thank you, Tenneale
Tenneale Florence
Clinical Nurse Consultant
Infection Prevention and Control
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Dear All,
Glenda will be sadly missed.
Even during her illness she took the time to take part in audio interviews
with Cathy Balding on her blog site ”
QualityTalks by CathyBalding, QualityTalks are interviews and podcasts for
making quality make sense, and practical leadership for creating great care
– from a range of perspectives. Listen, learn and enjoy!”Glenda Gorrie ‘Person centred Care from the inside out” – Part 1 & 2
http://www.cathybalding.podbean.com/
It was lovely to be able to hear her voice again and there are lessons for
us all.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Donna Cameron
Hi Michael,
Could you please post Claire’s email below re Glenda Gorrie.
Thanks,
DonnaFarewell Glenda Gorrie (Vale 15.10.2019)
I learned yesterday of Glenda’s passing though Fiona Wilson, her longtime
friend and colleague who was with Glenda when she died at home with friends
and family.Glenda, Fiona and I worked together for almost 10 years at the Royal
Melbourne which was then North Western Health and what an amazing 10 years
that was. I frequently reflect on what Glenda has taught me which has
contributed greatly to my professional career. After many years of observing
her work style, her leadership, her amazing intellect and her ability in
different environments within health I was privileged to benefit from her
depth of understanding of the health system and the systems more notably in
which we all operate and find so challenging.Glenda was a strong, independent and oh so knowledgeable senior nurse and
infection control leader. Her personal interests outside of Infection
Control included observations on the political landscape, her love of
literature, the arts and the natural environment. All have left an indelible
imprint on me and I reflect with great fondness on the years we worked
together. Many would know Glenda could be formidable yet she held people to
account for their actions and was an exemplar of professional conduct in the
face of adversity and I, as a fledgling novice admired and modelled many of
her behaviours.I will always be grateful to her for how she has shaped my thinking, my own
leadership style and supported me in my early career to become the
individual I am today. While I did not always agree with Glenda, I admired
her tenacity and ability to analyse systems, to advocate for those who could
not and, for her commitment to nursing and Infection Control more broadly.
She was compassionate, she was fair and she was disciplined.What I also learned from Glenda was to enjoy the small victories, celebrate
success (and oh didn’t we) and, how to support each other. Unbeknown to me
was that at the time Glenda was ‘mentoring us’, she was equipping us with
the tools and tenacity to work with people of all disciplines, experience
and backgrounds; lessons I will be forever grateful for and that have served
me well more broadly in health outside of Infection Prevention and Control.Before the College there was AICA and, before AICA there was VICPA and,
before that there was the Victorian Advisory Committee on Infection Control
(VACIC) and Glenda represented all Victorian ICPs on these committees,
serving as VICPA President for many years and as the Victorian
representative on AICA. Glenda always her her sights on the bigger picture
and was instrumental and supportive of the concept of moving AICA from a
federated (state based) model to a truly National organisation (Company
Limited by Guarantee). While her representation on these and other groups
was highly valued, Glenda also recognised that others should be given the
opportunity to lead and propelled many others into these representative and
leadership roles. She is remembered for her ability and insight into sharing
the opportunity and knowledge.My thoughts are with Luke, her family and close friends and, her cats (there
was always a cat or three in Glenda’s life).A glass of the finest bubbles to you Glenda!
With my greatest respect.
Claire
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Hi Holly,
Here is the link to the NHSN Procedure-associated Module surgical site
infection SSI. The definition for Superficial incisional SSI, Deep
incisional SSI and Organ/Space SSI start on page 9https://www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf
In Victoria VICNISS collect data on SSI (based on the NHSN surveillance
methods). If you contact them I’m sure they will be happy to share a copy of
their VICNISS SURVEILLANCE MODULE, Surgical Site Infection (SSI), which
includes criteria for defining SSI along with the surveillance methodology.
Might be a useful resource for you.regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Holly Dodd
Dear Brains Trust,
A question has cropped up in relation to seroma and surgical site
infections.If one develops post-surgery, would it be classified as a complication and
if it cultured an organism, then and would you class it as a SSI?Does anyone know of any evidence to support this or not?
Thank you in advance for your wisdom.
Kind Regards,
Holly
Holly Dodd
Infection Prevention and control Clinical Nurse Consultant
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076
Monday- Thursday
p: +61 2 9847 9433 | f: +61 2 9473 8053 | m: +61 408468470 | e:
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Hi all,
Have not seem anything in Australia, but lots of free material on APICs web page whos theme for 2019 International Infection Prevention Week is Vaccines are Everybodys Business.
http://professionals.site.apic.org/iipw/promotional-toolkit/
infographic posters
http://professionals.site.apic.org/infographic/
logo and web buttons
http://professionals.site.apic.org/iipw/logos-and-web-buttons/
games and activities
http://professionals.site.apic.org/get-social/online-resources/
polls and quizzes
http://professionals.site.apic.org/get-social/polls-and-quizzes/
infection prevention videos
http://professionals.site.apic.org/get-social/videos/
regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi Helen,
I would love to hear as well as I cant find any Australian resources to help with promoting the week.
Thanks,
Leisa
Leisa Bridges
AWH Infection Prevention and Control Practitioner
Email:leisa.bridges@awh.org.auMail to:
PO Box 326
Albury NSW 2640cid:image002.jpg@01CCBE64.0CF28850
Visit us at http://www.awh.org.au
The Best of Health
Hi everyone,
I was just wondering if anyone was doing something for Infection Control Week on the 13 -19 October?
I had a look on the internet and saw that It is Vaccines are everybody Business.
Just wondering if you are all doing the same or is that just American theme?
Any suggestions would be appreciated.
Thanks
Helen
Helen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
|
W:
PO Box 263, Toowoomba, QLD 4350
280 North St, Toowoomba, QLD 4350
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Hi Jo,
There is now ample evidence that no-touch systems can reduce environmental contamination with health careassociated pathogens.
As there can be considerable variability in the design, function and capabilities of such systems (i.e. Hydrogen peroxide vapour vs. aerosol, low-concentration hydrogen peroxide system vs. a high-concentration hydrogen peroxide system) the selection and/or continued use of such systems should:
be dependent on review of the peer-reviewed literature
verification of bactericidal capability assessed by carrier test method and/or ability to disinfect actual rooms and preferably
demonstration that the system has the ability to reduce healthcare associated infections.
A recent review by Rutala and Webber on Best practices for disinfection of noncritical environmental surfaces and equipment in health care facilities will be of interest/use.
William A. Rutala PhD, MPH, David J. Weber MD, MPH. Best practices for disinfection of noncritical environmental surfaces and equipment in health care facilities: A bundle approach. American Journal of Infection Control 47 (2019) A96A105. https://www.ajicjournal.org/article/S0196-6553(19)30055-0/fulltext
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
[Posted on behalf of member moderator]
We used a hydrogen peroxide vapour spray unit for several years. We have stopped using it for a number of reasons
1. It was expensive and was being over used especially after hours.
2. Those using it had a real problem with remembering that the room and equipment had to be cleaned first- it was very attractive to simply put it into a room, switch it on and close the door on it. We had incidences where the bed had not even been stripped of its linen before it was used. In short it was being seen as an easy way to terminally disinfect a room.
3. It was actually more time consuming and meant rooms were unavailable longer especially relevant in ED when they kept using in the isolation room after hours.
4. The NHMRC guidelines gave us evidence to take it out of service.
In theory it seemed a great product but as people refused to use it correctly, use of the system became more hazardous than advantageous.
Cathy Mowat
Clinical Nurse Consultant
Infection Prevention and Control
Central Gippsland Health
T. 03 5143 8518
Good Morning All,
I am still hoping for thoughts and feedback around the hydrogen peroxide vapour sprays, are any of you using these systems and if so what are your thoughts following the release of the latest NHMRC guidelines, e.g will you continue to use, and in which instances do you use it?
Looking forward in anticipation of any comments and thoughts about this.
Kind Regards
Jo
Jo Mayer
Infection Control Manager
Phone:08 9346 6479Dear All,
I am wondering what sites that utilize disinfection systems such as hydrogen peroxide vapour as part of a two-step clean are doing since the release of the updated NHMRC Guidelines.
I would grateful for any commentary around this.
Kind Regards
Jo Mayer
Jo Mayer
Infection Control Managerhttp://www.ramsayhealth.com/~/media/Images/email/email-RHC-logo
Hollywood Private Hospital
Infection ControlPhone:
08 9346 6479
Fax:
08 9330 2368
Email:
Web:
Address:
Monash Avenue, Nedlands WA 6009
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Thanks for clarifying Carol.
To avoid confusion in human healthcare settings probably need to clarify
animal versus human in your postings as 1%CHG is a concentration below what
is normally recommended for a pre-operative skin wash in humans.This also applies to intraoperative skin prep which in addition to a higher
concentration of CHG should also be alcohol based not detergent as in the
animal preoperative setting.Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Carol Bradley
Yes I am Glenys
Cheers
Carol
Sent from my Samsung Galaxy smartphone.
——– Original message ——–
Hi Carol,
Noting your signature block can I clarify if you are referring to animal
preoperative skin prep in your posting to the ACIPC list server?Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Carol Bradley
1% chlorhexidine gluconate in a detergent base
Carol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.au
I acknowledge the Traditional Owners of the land on which I work, and pay my
respects to the Elders, past and present.cid:image002.jpg@01D31D8F.E823DE70
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them. If this email is received in error, please delete it and notify us by
return email.Wishart
[Posted on behalf of member – Moderator]
Hi
Can other Health Services please advise what they are using as a
Pre-Operative Wash?Kind regards
Alyson
Alyson Martin
Clinical Nurse
Infection Control & Tableland ImmunisationCairns and Hinterland Hospital and
Health Service
Mareeba
alyson.martin@health.qld.gov.au
P: 0740929394 M: 0448926800Find us on Facebook
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Hi Carol,
Noting your signature block can I clarify if you are referring to animal
preoperative skin prep in your posting to the ACIPC list server?Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Carol Bradley
1% chlorhexidine gluconate in a detergent base
Carol Bradley | Surgery Tutor/Clinical Skills Centre Manager
Associate in Veterinary Education (RVC)
Faculty of Veterinary & Agricultural Sciences (FVAS)
Level 1, Building 418, 250 Princes Hwy, Werribee
The University of Melbourne, Victoria 3010 Australia
T: +61 3 9731 2083 E: cbrad@unimelb.edu.au
I acknowledge the Traditional Owners of the land on which I work, and pay my
respects to the Elders, past and present.cid:image002.jpg@01D31D8F.E823DE70
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.Wishart
[Posted on behalf of member – Moderator]
Hi
Can other Health Services please advise what they are using as a
Pre-Operative Wash?Kind regards
Alyson
Alyson Martin
Clinical Nurse
Infection Control & Tableland ImmunisationCairns and Hinterland Hospital and
Health Service
Mareeba
alyson.martin@health.qld.gov.au
P: 0740929394 M: 0448926800Find us on Facebook
Queensland Health acknowledges the Traditional Owners of the land, and pays
respect to Elders past, present and future______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is
for the use only of the intended recipient, and may not be duplicated or
used by any other party without the express consent of the sender. If you
are not the intended recipient of the Email, please notify the sender
immediately by return email, delete the Email, and do not copy, print,
retransmit, store or act in reliance on the Email. St Vincent’s Health
Australia (“SVHA”) does not guarantee that the Email is free from errors,
viruses or interference. Emails to and from SVHA or its related entities may
be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.Replies to this message will be directed back to the list. To create a new
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(without the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
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