[Jocelyne Basseal]

Dear Glenys and ACIPC group

Thank you for bringing up a very important discussion relating to
ultrasound transducers and for mentioning ASUM and my conference
presentation.

ASUM’s Standard of Practice Board will be reviewing its current guidelines
this year with our Infection Control expert.

On another note, I am keen to work with more Infection Control specialists
(via ACIPC) to improve the current situation and if there is anyone that
would like to be involved or offer any comments for discussion with ASUM,
we would be thrilled to hear from you.

Please also feel free to contact me directly via my work email (details
below).

Thank you again for bringing up this topic Glenys, wishing you all the best
Kind regards
Jocelyne

*Dr Jocelyne Basseal*

*BSc (Hons), PhD*
*Publications and Scientific Editor*

*Work days: Monday, Tuesday and Wednesday (8.30am-4.30pm)*

*Australasian Society for Ultrasound in Medicine (ASUM)*PO Box 943, Crows
Nest NSW 1585, SYDNEY AUSTRALIA.
*j.basseal@asum.com.au *ABN 64 001 679 161. ASUM is
certified ISO 9001:2008 Quality Management System
*www.asumconference.com.au*

On Sun, Jan 10, 2016 at 12:00 AM, Glenys Harrington wrote:

> Dear All,
>
>
>
> I recently viewed the Infection Control Today Webinar titled: **Infection
> Control in Ultrasound: Mitigating cross contamination risk*.** The
> webinar provided an excellent overview of the topic and Dr Cathryn Murphy
> PhD (Australia) was one of the panelists.*
> http://www.infectioncontroltoday.com/webinars/2015/11/infection-control-in-ultrasound.aspx?cmpidLI1-6&scLI1-6
>
>
>
> In the webinar Dr Craig Meyers, Professor of Microbiology and Immunology
> at Penn State College of Medicine discussed the following:
>
>
>
> Human Papillomavirus HPV16
>
>
>
> *By way of background HPV types 16 and 18, are responsible for
> most HPV-caused cancers such as cervical, anogenital and oropharyngeal
> cancers*
>
>
>
> Human Papillomavirus HPV16 and susceptibility of commonly
> used disinfectants
>
>
>
> The possibility of fomite or non-sexual transmission of HPV16
>
>
>
> The efficacy of an automated ultrasound probe disinfector
> against high-risk human papillomavirus.
>
>
>
> Interestingly both Glutaraldehyde and Cidex *OPA* (*0.55*% *ortho-phthalaldehyde)
> *are not virucidal against Human Papillomavirus HPV16 and HPV18. See the
> following attachments:
>
>
>
> *Myers J et al. Susceptibility of high-risk human
> papillomavirus type 16 to clinical disinfectants.** J Antimicrob
> Chemother 2014; 69: 15461550. *
>
>
>
> *Myers C et al. The efficacy of an automated ultrasound probe
> disinfector against high-risk human papillomavirus.** SHEA Spring 2015:
> Science Guiding Prevention, May 14-15 2015, Orlando, Florida, USA*
>
>
>
> I had a quick look at the Australasian Society for Ultrasound in Medicine
> (ASUM) web page:
>
>
>
> In their Policies and Statements B2 *Statement on the Disinfection of
> Transducers *May 1996 (Reaffirmed September 2015) there are no specific
> guidelines/recommendations in relation to high level disinfectant *selection
> and use in situations where Human Papillomavirus may be a risk*.
> http://www.asum.com.au/newsite/Files/Documents/Policies/2015.09.03%20B2%20disinfection%20final.pdf
>
>
>
> Also of interest was a conference presentation (ASUM Annual Meeting 2015)
> by Dr Jocelyne Basseal titled ***Disinfection of ultrasound
> transducers; Results from an ASUM survey* This was an *anonymous*
> survey of ASUM members to assess current practices in relation to
> transducer disinfection and basic hygiene for external and intracavity
> probes.
>
>
>
> They received 105 responses from across Australia and NZ.
>
>
>
> While the presentation was encouraging in terms of a future strategies to
> improve infection prevention and control in the area of sonography I was
> surprised at some of the current practices for both external and
> intracavity probes including:
>
> Topping up of ultrasound gel(41%) (i.e. reusing the same
> container over and over again without cleaning will results in
> contamination with organisms such as pseudomonas (personal ICP experience)
>
> Using non-sterile gel for intracavity biopsy procedures(5%)
> (see TGA and FDA contaminated ultrasound gel recall
> http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm299409.htm
> https://www.tga.gov.au/alert/l-gel-ultrasound-transmission-gel-recall )
>
>
>
> cleaning only for intracavity transducers (2.5%), i.e. no
> high level disinfection
>
>
>
> cleaning ultrasound machine keyboard daily (60%), cleaning
> machine keyboard week (approx. 30%), i.e. they should be cleaned between
> each patient
>
>
>
> no ultrasound induction training on employment (43%)
>
>
>
> no training from the manufacturer (approx. 58%), and so on…
>
>
>
>
> http://www.asum.com.au/newsite/Files/Documents/elearning/ASUM%202015%20Conference%20Session/Concurrent%209B/Concurrent%209B.html
>
>
>
> This survey also begs the question what infection prevention and control
> training sonographers are receiving in university Medical Sonography
> courses?
>
>
>
> As Glutaraldehyde and Cidex *OPA* (*0.55*% *ortho-phthalaldehyde) are
> commonly used disinfecting agents in health facilities it may be timely to
> review current practices and procedures relating** not only to **intracavity
> ultrasound practices and procedures** in relation to high-risk *Human
> Papillomaviruses but *intracavity ultrasound** practices in general **at
> your **Health F**acility.*
>
>
>
> regards
>
>
>
> Glenys
>
>
>
>
>
> Glenys Harrington
>
> Consultant
>
> Infection Control Consultancy (ICC)
>
> PO Box 5202
>
> Middle Park
>
> Victoria, 3206
>
> Australia
>
> M: +61 404 816 434
>
> infexion@ozemail.com.au
>
> ABN 47533508426
>
>
>
>
>
>
>
>
>
>
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