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Michael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auHi Emmajane
The WHO link the he message was correct, but just didn’t parse correctly.
Try this:
http://www.who.int/influenza/human_animal_interface/faq_H7N9/en/index.html
Cheers
Michael Wishart
ACIPC Infexion Connexion AdministratorOn 06/04/2013 19:39, Emmajane Odonoghue wrote:
> Hi Michael
> The WHO address came up as page not found.
> Any chance you may be able to check same?
> Thanks
> Emmajane
>
> Emmajane O’Donoghue
>
> Infection Control Consultant
> HICMR Pty Ltd
> (Healthcare Infection Control Management Resources)
> Level 1, 123 Camberwell Road, Hawthorn East 3123
> Ph: (03) 98119923 Fax: (03) 98824534
> National pager number: 1300-657-359
> http://www.hicmr.com.au
>
>
> —–Original Message—–
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
> Sent: Saturday, 6 April 2013 10:47
> To: AICALIST@AICALIST.ORG.AU
> Subject: H7N9 influenza
>
> [Forwarded on behalf of Claire Boardman – Moderator]
>> Information for clinicians
>>
>> As you’d be aware, human cases of H7N9 influenza has been reported in
>> China. Some information for clinicians (received from Dr Gary Lum at
>> Office of Health Protection and summarized with permission), current
>> as of Friday 5 April.
>>
>> 1. The number of confirmed patients is 11, including 5 fatalities.
>>
>> 2. There continues to be no evidence of human-to-human transmission
>> and no epidemiological links between patients have been found.
>>
>> 3. All the patients detected to date have been seriously unwell.
>>
>> 4. Cases have been clustered in the central eastern provinces (3
>> Shanghai; 1 Anhiu; 4 Jiangning and 3 Zhejiang). These are the
>> provinces around the cities of Shanghai and Nanjing.
>>
>> 5. Analyses indicate that this virus is resistant to adamantanes but
>> susceptible to oseltamivir.
>>
>> 6. This virus is subtyped as LPAI (for birds) H7N9 and appears to be
>> an assortment of 3 avian viruses; the first 3 strains have been
>> sequenced and appear to be closely related genetically.
>>
>> Testing
>>
>> PCR protocols have been developed and web-based publication is
>> planned. Export of the virus to allow validation is also planned.
>> Testing of suspected cases in Australia should be performed in
>> consultation with jurisdictional public health units and reference
>> laboratories.
>>
>> Further information for clinicians is being developed by CDNA.
>>
>> Historically
>>
>> No previous cases of H7 in humans have been reported in China (or
>> Asia) prior to these cases
>>
>> Infection with H7 viruses is rare in humans, but viruses from both
>> lineages (North American and Eurasian) have caused infection
>> previously. Observed symptoms include conjunctivitis and mild
>> respiratory symptoms. One fatal case (pneumonia) with HPAI H7N7 was
>> reported in the Netherlands in 2003.
>>
>> Most human cases of H7 have been linked to occupational exposure (i.e.
>> contact with poultry or laboratory exposure)
>>
>> The virus appears resistant to amantanes (e.g., amantadine) and
>> susceptible to neurominidase inhibitors (oseltamivir and zanamivir).
>>
>> Further information is also available on the WHO website:
>> http://www.who.int/influenza/human_animal_interface/faq_H7N9/en/index.
>> html
>>
>> Allen
>>
>> —
>> Allen Cheng
>> Associate Professor in Infectious Diseases Epidemiology Department of
>> Epidemiology and Preventive Medicine Monash University
>>
>> Infectious Diseases Physician
>> Alfred Hospital
>>
>> Honorary Principal Research Fellow
>> Menzies School of Health Research
>>
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Michael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auHi Joanna
STERRAD is a hydrogen peroxide gas plasma sterilisation process. During
sterilisation the hydrogen peroxide is not a gas state, it is a plasma
state (the so-called fourth state of matter –
http://en.wikipedia.org/wiki/Plasma_%28physics%29). Sterilisation with
hydrogen peroxide plasma has quite different permeation and
sterilisation properties than gas sterilisation like EtO.Cheers
Michael Wishart
ICPOn 22/02/2013 17:38, Joanna Harris wrote:
> Thanks for your reply Michael. I may have not have written it clearly enough, but my question about the Sterrad relates to whether, in Australia, the Sterrad is considered a gas steriliser. My colleagues and I have always understood that the term gas steriliser refers to processing using Ethylene oxide rather than hydrogen peroxide in a Sterrad. I’m interested to hear others’ views
> Jo
> ________________________________________
> From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart [Michael.Wishart@hsn.org.au]
> Sent: Friday, 22 February 2013 1:01 PM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re: Reprocessing of Savary Gilliard dilators
>
> Hi Joanna
>
>
> 1. We process our oesophageal dilators through our Soluscope 3 machines using glutaraldehyde, only in our Endoscopy Department.
>
> 2. We use a terminal rinse in the Soluscope 3 which includes an alcohol rinse through the lumens.
>
> 3. They are stored flat in their cases, and processed immediately before use. Emergency use is extremely rare here, but it would be almost impossible to process them immediately before emergency use.
>
> 4. Sterrad does provide sterilisation, but would possibly be unsuitable for these items due to composition and lumen length/diameter. We would need to get Sterrad and dilator manufacturer agreement they could be appropriately processed in Sterrad.
>
> Michael Wishart
> CNC Infection Control
> Holy Spirit Northside Private Hospital
> 627 Rode Road, Chermside, Qld 4032
> t: (07) 3326 3068 | f: (07) 3607 2226
> e: Michael.Wishart@hsn.org.au
> w:www.holyspiritnorthside.org.au
> Please consider the environment before printing this email
>
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joanna Harris
> Sent: Friday, 22 February 2013 10:27 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Reprocessing of Savary Gilliard dilators
>
>
> We are currently reviewing our reprocessing of Savary-Gilliard oesophageal dilators.
>
> Please could you tell me;
>
> 1. What process / machine / disinfectant agent are you currently using for reprocessing these items?
>
> 2. If a Steris machine is being used, do you use alcohol to flush the lumen prior to storage?
>
> 3. How do you store the items, and for how long after processing and before their re-use?
>
> 4. Do you consider the Sterrad system (using hydrogen peroxide) to be a gas steriliser?
>
> Thanks
>
>
> Joanna Harris
>
> Manager, | Infection Management and Control Service (IMACS)
> Level 1 Lawson House, Wollongong Hospital, Wollongong 2500, NSW
> Tel 02 4222 5898 | Fax 02 4222 5367 | joanna.harris@sesiahs.health.nsw.gov.au
> http://www.islhd.health.nsw.gov.au
>
> [cid:image001.jpg@01CE10EF.8F8CF190]
>
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Michael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auMichael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.auMichael Wishart
Infection Control Coordinator
St Vincent's Private Hospital Northside & St Vincent's Private Hospital Brisbane
Brisbane, QLD
michael.wishart@svha.org.au
