[Matthias Maiwald (SHHQ)]

Hi Robert, hi Richard,

Waterless surgical scrub (better term: alcohol-based surgical hand antiseptic) would be indicated for operations. There are now a number of alcohol-based hand rubs that fulfill a dual purpose of being both a surgical hand antiseptic and a ward-based alcohol-based hand rub for use between patients. The difference is that for surgical hand antisepsis, alcohol-based hand antiseptics need to fulfill more stringent requirements (e.g. in Europe standard EN 12791), while ward-based hand antiseptics need to fulfill slightly less stringent requirements (e.g. EN1500). A number of products fulfill both and can be used interchangeably (but the application mode, technique and duration are different).

In terms of skin antisepsis (different from hand antisepsis), almost anything is compatible with use on mature neonates, but premature neonates are a problem. This poses a continuing dilemma. Europe has octenidine for that purpose, which has quite reasonable microbial killing capacity, and is very compatible with premmie skin.

Regards, Matthias.

—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Bartolo, Richard
Sent: Friday, 24 July, 2015 8:20 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Neonatal Intensive Care

Hi Robert,
We use Skinman 90 in all our Operating Suites, Medical Imaging and Cardiac Labs and Dialysis Units. I see no reason why you shouldnt use it in you NICU.

Richard Bartolo
Manager Infection Prevention
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Ph. 03 8345 6113
Mob. 0438 560 441
Email. richard.bartolo@wh.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Robert Robinson
Sent: Friday, 24 July 2015 10:01 AM
To: AICALIST@AICALIST.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Neonatal Intensive Care

Hi all
I have two questions specifically for facilities with a NICU but all feedback will be appreciated.

1. Has any NICU undertaken an evaluation and implemented a waterless surgical scrub in their unit?

2. Looking at other NICU policies / protocols for skin antisepsis prior to IM injections, taking into consideration mothers with known BBV?

Kind Regards

Robert Robinson

Clinical Nurse Consultant, Nepean Blue Mountains LHD | Infection Prevention and Control
Nepean Hospital, PO Box 63, Penrith 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | robert.robinson@health.nsw.gov.au

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