[Joe-Anne Bendall]

This is excellent Glenys
Thank you for putting this together and sharing

Thanks
Joe

Joe-Anne Bendall
HAI Program Manager | Clinical Excellence Commission
Level 17, 2-24 Rawson Place, Haymarket, NSW 2000
Tel (02) 9269 5614 | Fax (02) 9269 5599 | Joe-Anne.Bendall@health.nsw.gov.au
http://www.cec.health.nsw.gov.au/patient-safety-programs/assurance-governance/healthcare-associated-infections
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Dear All,

As per my posting below find attached a table of Infection Control courses (Graduate Certificate/Masters) available in Australia.

For additional information please contact the universities or details provided in the links column.

Many thanks to ACIPC members who assisted with providing information.

Regards

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

Hi All,

I’m often asked for details of infection control course (i.e. certificate, graduate diploma, masters) in Australia.

Does anyone have a list?

If not I’m happy to compile a list and share on infexion-connexion if colleagues can send me through the details or links.

Many thanks in anticipation.

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au
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[Joe-Anne Bendall]

Hi
Maybe look at evidence away from operating theatre. There is some evidence of oral flora contamination of patients following intravitreal injections. One post procedure complication is endophthalmitis and this has been increasing in patients associated with this procedure since approx. 2012 (due to the number of injections given to patients)

Example of a study
REDUCING ORAL FLORA CONTAMINATION OF INTRAVITREAL INJECTIONS WITH FACE MASK OR SILENCE
Doshi, Rishi R MD; Leng, Theodore MD, MS; Fung, Anne E MD
Abstract Purpose: To provide experimental evidence to support or refute the proposition that the use of surgical face masks and/or avoidance of talking can decrease the dispersion of respiratory flora during an intravitreal injection. Methods: Ten surgeons recited a 30-second standardized script with blood agar plates positioned 30 cm below their mouths. The plates were divided into 4 groups, with 10 plates per group. In Group 1, participants did not wear a face mask. In Group 2, participants wore a standard surgical mask. In Group 3, no mask was worn, but plates were pretreated with 5% povidoneiodine. In Group 4, no mask was worn, and participants remained silent for 30 seconds. The plates were then incubated at 37C for 24 hours, and the number of colony-forming units (CFUs) was determined. Results: Mean bacterial growth were as follows: Group 1, 8.6 CFUs per subject; Group 2, 1.1 CFUs per subject; Group 3, 0.1 CFUs per subject; and Group 4, 2.4 CFUs per subject. Differences between the groups were statistically significant (P < 0.05), with the exception of Group 2 versus Group 4 (P = 0.115). Conclusion: The use of a face mask and avoidance of talking each significantly decreased the dispersion of bacteria. Even without these interventions, plates pretreated with povidoneiodine demonstrated the least bacterial growth.
________________________________

References

1. Jager RD, Aiello LP, Patel SC, Cunningham ET Jr. Risks of intravitreous injection: a comprehensive review. Retina 2004;24:676698. Ovid Full Text Bibliographic Links [Context Link]

2. Fung AE, Rosenfeld PJ, Reichel E. The International Intravitreal Bevacizumab Safety Survey: using the Internet to assess drug safety worldwide. Br J Ophthalmol 2006;90:13441349. Bibliographic Links [Context Link]

3. Schwartz SG, Flynn HW, Scott IU. Endophthalmitis after intravitreal injections. Expert Opin Pharmacother 2009;10:21192126. Bibliographic Links [Context Link]

4. Doshi RR, Arevalo JF, Flynn HW Jr.Cunningham ET Jr. Evaluating exaggerated, prolonged, or delayed postoperative intraocular inflammation. Am J Ophthalmol 2010;150:295304. Full Text@CIAP Bibliographic Links [Context Link]

5. McCannel CA. Meta-analysis of endophthalmitis after intravitreal injection of anti-vascular endothelial growth factor agents: causative organisms and possible prevention strategies. Retina 2011. Epub ahead of print. [Context Link]

6. Lipp A, Edwards P. Disposable surgical face masks for preventing surgical wound infection in clean surgery. Cochrane Database Syst Rev 2002;(1):CD002929. Bibliographic Links [Context Link]

7. Philips BJ, Fergusson S, Armstrong P, et al. Surgical face masks are effective in reducing bacterial contamination caused by dispersal from the upper airway. Br J Anaesth 1992;69:407408. [Context Link]

8. O’Kelly SW, Marsh D. Face masks and spinal anaesthesia. Br J Anaesth 1993;70:23

9. [Context Link] 9. Bylsma G, Guymer R, Qureshi S, et al. Intravitreous injections. Clin Experiment Ophthalmol 2006;34:388390. Ovid Full Text Bibliographic Links [Context Link]

10. Namdari H, Kintner K, Jackson BA, et al. Abiotrophia species as a cause of endophthalmitis following cataract extraction. J Clin Microbiol 1999;37:15641566. Bibliographic Links [Context Link]

11. McLure HA, Mannam M, Talboys CA, et al. The effect of facial hair and sex on the dispersal of bacteria below a masked subject. Anaesthesia 2000;55:173176. Ovid Full Text Bibliographic Links [Context Link]

12. Schweizer RT. Mask wiggling as a potential cause for wound contamination. Lancet 1976;2:11291130. Bibliographic Links [Context Link] Key words: endophthalmitis; face mask; intravitreal injection; oral flora; surgical mask.

Thanks
Joe

Joe-Anne Bendall

HAI Program Manager | Governance and Assurance
Level 17, 2-24 Rawson Place, Haymarket, NSW 2000
Tel (02) 9269 5614 | Fax (02) 9269 5599 | Joe-Anne.Bendall@health.nsw.gov.au
http://www.cec.health.nsw.gov.au/patient-safety-programs/assurance-governance/healthcare-associated-infections

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lesley Alway
Sent: Thursday, 10 August 2017 11:28 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Wearing of Surgical masks in the Operating room

Dear Cathryn and Michael, agree wholeheartedly have had to fit this fight for to many years, found it helpful ( and typical not to see the value to the patient) to focus on the wearer not the patient safety. I use the example would they do procedures without glove – of course not!!!!! Same applies to masks and eye protection.

Lesley Alway
Director
Strategic Health Resources.
Post Graduate Education Services.
0408 324 727
03 94390534

Director Australian Health Design Council
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Cathryn Murphy
Sent: Wednesday, 9 August 2017 4:17 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Wearing of Surgical masks in the Operating room

Dear All

I agree with Michaels rationale and agree there are cases of occupational transmission of serious bloodborne illness from mucousal splashes reported in the literature. So from an OCH&S obligation the HCW should comply.

This is one of those frustrating issues that come up from time to time and they drive me crazy. They are like the ? of eating in theatres/ anaesthetists wearing masks/ OT staff changing attire etc. Why IC professionals continually have to fight these causes is exhausting and sad but back to the science.whilst Michael provides a meta-analysis it is a few years old and it is based on very few reports probably because the issue hasnt been well studied not that the issue isnt important.

I would also draw attention to the increasing use of air-purifying systems in the US and other countries. Some of the data related to validation studies are very compelling and show how CFU counts of bacteria rise (sometimes to extremes) when speaking (behind masks) happens. Obviously showing causation between high counts/ speaking and actual wound infection is difficult given to the many confounders (# of people in the room/ traffic/ movement/ +/- measures like laminar flow/ skin prep etc etc) but surely it just makes sense for people in the OR to wear masks for everyones sake.

Off track..but I recall being asked this exact question by a group of anaesthetists at a scientific meeting in the late 1990s and after responding seriously and scientifically I then added mask wearing depends on how good looking you are and in your case I wouldas you can imagine it went down like a lead balloon but it silenced the question asker.

I seriously wish you good luck in fighting these battles and I wish the people we served relaised the very serious and very real issues we fight daily and perhaps then they would stop creating distractions like this.

With respect
Cath

Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, Australia

E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 9 August 2017 15:29
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Wearing of Surgical masks in the Operating room

Hi Fran

This topic has received a fair bit of attention over the years, and yes, your doctors are correct: there is no compelling evidence to suggest surgical face masks reduce surgical site infection rates. See this meta-analysis conclusion: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0064347/

Having said that, my own rationale for staff wearing surgical face masks during procedures is for protection of their mucous membranes from splashing of potentially infectious material. In my view, the strike resistance for surgical face masks is of high importance, and has little to do with preventing contamination of the surgical wound.

To suggest staff in a room during a procedure dont wear masks would in my opinion be asking for trouble. From a occupational health and safety perspective, I would always recommend everyone in a room during a surgical procedure should be wearing a surgical face mask, and eye protection as well.

In my view, anyway.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Franciska Ferreira
Sent: Wednesday, 9 August 2017 3:03 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Wearing of Surgical masks in the Operating room

Afternoon All,

I require some assistance please.

Weve had interesting discussions amongst some of Visiting Medical Officers regarding the effectiveness of wearing surgical masks in the operating room to decrease the likelihood of postoperative surgical site infections. The practice of wearing masks is believed to minimize the transmission of oro-and nasopharyngeal bacteria from Theatre Operating staff to patients wounds. However a couple of individuals believe there is not enough evidence to support this and therefore dont think it is necessary to wear surgical masks while operating.

Im aware of the requirements as per the ACORN Standards and the National Infection Control Guidelines (2016 Draft version), which our Staff complies by, however I cannot find current best practice or evidence to provide to those two individuals.

Any suggestions please? And if youre willing to share, what is the Policy in regards this matter at your facilities?

Kind Regards

Franciska Ferreira
Infection Prevention & Control/Wound Management Consultant
Burnside War Memorial Hospital
120 Kensington Road, Toorak Gardens, SA 5056
t: 08 8202 7231 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au
[technology_to_control_infections][cid:image007.png@01D3111C.606F74F0]

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[Joe-Anne Bendall]

Hi Cate

We did a small renovation and the contractors did a major seal up with plastic during the generation of dust phase. They also used some sticky mats at the exit point.
We had a similar issue with dust in corridors and near the lift. They did mopping twice a day also to keep the area clean.

I was on first name basis with them by the end!

Thank you

Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
(Including vaccination and screening)
Monday – Friday 0800 – 1630
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |?page 22070 via switch 9382 7111| 7 Fax 93827510 |
?Mobile 0418984255 | * Joe-Anne.Bendall@HEALTH.NSW.GOV.AU

Hi Cate

If it is airborne dust rather than trafficked dust that is the issue, my thoughts would be to get the contractor to create a ‘negative pressure’ zone in the corridor outside the work to stop dust spreading to other areas through the air. There are mobile negative pressure extractors they can hire which can be placed strategically in the corridor.

Just a thought.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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Hi everyone,
I am trying to manage construction dust from the new ICU build- yes the same one as the jumbo toilet rolls- I am having an issue with dusty footprints in the hallway and lift near the construction zone. The wards close to the zone include Renal Dialysis, Maternity, NICU and ICU The contractors regularly mop the hallway etc but the issue is the dust leaving the zone. In the Zone there is a long piece of carpet leading to door and just before the door is another sticky matt. There is also a rubber matt outside the door. There is a sign about wiping feet etc. It is clear that these are not enough, can anyone give me some ideas on the best way to manage this. We have a good working relationship with the contractors and should be able to resolve this issue. Are there better products the contractors can purchase to prevent this dust be transported
Thanks in advance
Cate Coffey | Clinical Nurse Consultant
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hopsital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517737
e … cate.coffey@nt.gov.au http://www.nt.gov.au/health

Our Vision: Better health outcomes for all Central Australians
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[Joe-Anne Bendall]

Hi
There is a company in Qld – Sterimatt who so wall units

Thank you

Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
(Including vaccination and screening)
Monday – Friday 0800 – 1630
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
|* ph +61 2 9382 7199 |?page 22070 via switch 9382 7111| 7 Fax 93827510 |
?Mobile 0418984255 | * Joe-Anne.Bendall@HEALTH.NSW.GOV.AU

Hi,

Just wondering what facilities out there have PPE wall units in patient rooms? If you do where do you source them from and costings?

Kind regards,

Rebecca O’Donnell
Infection Prevention and Control Co-ordinator
St Vincent’s Private Hospital Toowoomba

p 07 4690 4042 | f 07 4690 4400
a 22-36 Scott Street, Toowoomba 4350
e rebecca.o’donnell@svha.org.au | http://www.stvincentstoowoomba.org.au

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[Joe-Anne Bendall]

I agree with the discussion so far as we are all bound by a Code of Conduct, particularly unauthorised use of confidential information.

Thank you (Please note change of email address)

Joe-Anne Bendall
Joe-Anne Bendall
Clinical Nurse Consultant Infection Prevention and Control
(Including vaccination and screening)
Monday Friday 0800 – 1630
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
| ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | Joe-Anne.Bendall@HEALTH.NSW.GOV.AU

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Wilkinson, Irene (Health)
Sent: Friday, 8 April 2016 2:58 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: ACIPC 2014 Sharps injury Survey

Good comments Cath. I have a few comments to add to yours (and perhaps stimulate some discussion).

I believe the use of the AICAlist by researchers to recruit participants could be problematic for a number of reasons:

1. No-one knows how representative the membership is of all healthcare settings, which could introduce bias into the data.

2. I would think the majority of list subscribers are interested in participating in a forum for discussion, and could be somewhat irritated by the intrusion of requests to perform surveys, unless they pertain specifically to the college business?

3. Many respondents would need to obtain permission to supply data pertaining to their institution, so a formal request by letter would be more likely to get a positive response from management.
Kind regards,
Irene
Irene Wilkinson BSc(Hons) MPH
Manager, Infection Control Service
Communicable Disease Control Branch
System Peformance and Service Delivery
SA Health
Government of South Australia

Ph: (08) 7425 7170 | Fax: (08) 8226 2594 | Email: Irene.Wilkinson@sa.gov.au
http://www.sahealth.sa.gov.au/infectionprevention
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Dr Cathryn Murphy
Sent: Friday, 8 April 2016 12:00 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: ACIPC 2014 Sharps injury Survey

Dear Terry

I hope that you get the answers you are after. Perhaps if you provided very explicit details of every way you intend to use the data people may be more willing to respond. Given your commercial background potential respondents may need guaranteed assurance that you are not going to use this data for any specific commercial purpose or to inform any one medical device manufacturer. The information you gain will be valuable to medical device manufacturers and policy makers alike. Would you consider guaranteeing simultaneous release of aggregate data to the public domain? Again, this may reassure potential contributors.

At a more strategic level the ongoing problem of low response rates and difficulty identifying and contacting those specifically responsible for infection prevention in Australian healthcare organisations is problematic. In 1997 when I did my PhD I achieved a remarkable 76% or thereabouts response rates. The last few surveys I have seen use this list in the last 2 years as a proxy gateway to ICPs have achieved very poor response rates in comparison. In fact most would not rate as publishable and the data is inherently limited in value and generalisability.

I would welcome discussion and opportunity to better understand what impedes Aussie ICPs from contributing and what individual researchers and ACIPC could do, or do better to help improve overall response rates. Compared to international surveys we perform very badly in terms of response and it is retarding Australias ability to rightly showcase great work done here.

Regards and good luck
Cath

PLEASE NOTE OUR NEW MAILING ADDRESS:

Cathryn Murphy RN MPH PhD
Executive Director
Infection Control Plus Pty Ltd
PO Box 3079
Burleigh Town 4219
Queensland
AUSTRALIA

E: Cath@infectioncontrolplus.com.au
Ph: +61 428 154154

http://www.infectioncontrolplus.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Friday, 8 April 2016 7:41 AM
To: AICALIST@AICALIST.ORG.AU
Subject: ACIPC 2014 Sharps injury Survey

Dear members

ACIPC Sharps Injury Survey we need your participation
Our aim is 150 hospitals and 50 non-hospital healthcare facilities. With 41 responses received to date, we need your participation!
The Survey
Just 11 Qs on your 2014 data; open till May 31st 2016. Click on https://www.surveymonkey.com/r/C5KPSJL or ACIPC website box

Points to remember:

You may first want to ask Finance/Human Resources for answers to Qs7 – 9.

All data is confidential and no facility will be named

Data from ALL HCF is needed (hosp, aged care, community, ambulance, GP, etc)

If a Q is not applicable to your facility write NA

If more than one hospital in your group, please submit each hospital separately, or email Terry Grimmond for an Excel multiple-facility version.

More detail? Contact Terry Grimmond at terry@terrygrimmond.com

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01D1917A.D15B8A50]
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Professor Ramon Shaban, ACIPC President
Sent: Wednesday, February 24, 2016 7:23 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Media Release – Measles and Vaccination

Colleagues
For your information and noting.

Kind regards,
Ramon

[ACIPC_Logo_Colour_RGB_Hi_Res.jpg]

Professor Ramon Z Shaban
PRESIDENT

Australasian College for Infection Prevention and Control

GPO Box 3254, Brisbane Qld 4001
Tel: +61 7 3735 6463 Mobile: 0478 312 668

Email: president@acipc.org.au

Web: https://www.acipc.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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