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Hi Cath
This product is not available in Australia, either. I would be surprised if there are any centres in Australia using formulations of ethanol or povidone iodine for nasal decolonisation currently, but would love to hear from anyone that can source appropriate nasal decolonisation products of this type in Australia.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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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P Please consider the environment before printing this emailHi Matthias
I was loathe to use trade names on this site. However, I will to respond. There is a growing body of US evidence around a product called Nozin. More details are at nozinpro.com
When I was at APIC in June 2017 there was a lot of interest in the product in healthcare and other settings.
Thanks for your view on the existing literature Matthias, I always enjoy your responses.
Yours sincerely
Cath
Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.auHi Cath, hi Michael,
I am curious about the remark below concerning ethanol for nasal decolonisation. The last time I looked (which is a while ago), the results achieved were not convincing.
From a physiological and/or conceptual point of view, while alcohol is a fantastic antiseptic/disinfectant for superficial skin, it is usually deemed unsuitable for mucous membranes (which the inside of the nose consists of), due to its more aggressive nature than aqueous antiseptics.
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Senior 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 1387Hi Cath
Just a comment: the povidone iodine nasal cream commonly used pre-op in the US is not yet available in Australia, as far as I am aware. I wish it was, as getting traditional pre-admission nasal decolonisation (5 days of mupuricin or the like) done in a private hospital is not easy!
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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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P Please consider the environment before printing this emailDear All
I am interested in learning more about the adoption and use of nasal decolonisation in Australia and New Zealand. In the US this appears to be being used sometimes in place of Contact Precautions. There is a download from IC Today to that effect plus some recent papers. Happy to share if anyone wants it, please email me. So would any of you be able to comment on these questions and if and how you use nasal decolonisation in your organisations please. Thanks in advance.
a) other than ethanol and povidone iodine (e.g.: 3M and others) what else is used for nasal decolonisation right before surgery?
b) which are the most commonly used products?
c) what are the surgery profiles where these are used? (e.g.: ortho, open heart, hernia repair etc)
d) what is the adoption rate for using something like this? Is it universal or a % of surgeons opt to do it?Yours sincerely
Cath
Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au______________________________________________________________________
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Hi Cath
Just a comment: the povidone iodine nasal cream commonly used pre-op in the US is not yet available in Australia, as far as I am aware. I wish it was, as getting traditional pre-admission nasal decolonisation (5 days of mupuricin or the like) done in a private hospital is not easy!
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailDear All
I am interested in learning more about the adoption and use of nasal decolonisation in Australia and New Zealand. In the US this appears to be being used sometimes in place of Contact Precautions. There is a download from IC Today to that effect plus some recent papers. Happy to share if anyone wants it, please email me. So would any of you be able to comment on these questions and if and how you use nasal decolonisation in your organisations please. Thanks in advance.
a) other than ethanol and povidone iodine (e.g.: 3M and others) what else is used for nasal decolonisation right before surgery?
b) which are the most commonly used products?
c) what are the surgery profiles where these are used? (e.g.: ortho, open heart, hernia repair etc)
d) what is the adoption rate for using something like this? Is it universal or a % of surgeons opt to do it?Yours sincerely
Cath
Cathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.au______________________________________________________________________
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.
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Hi Terry
We had this question many years ago at St Elsewhere’s when we opened a new imaging procedure room that was used for vascular grafts. Because the imaging was so good, a gastroenterologist wanted to do so specific colonoscopy procedures requiring imaging in it. The vascular surgeons kicked up a big stink, but the ID/micro people supported it with the appropriate cleaning between cases and use of the procedure room (it was HEPA filtered) for both types of cases.
Similar concept. Not sure if there would be a need to be a waiting period to ensure appropriate air changes before ophthalmic procedures that followed endoscopies (eg possible aerosolized viruses?).
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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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P Please consider the environment before printing this emailHi Everyone,
I have been asked if there is any evidence available that would indicate that you should not perform ophthalmic procedures in a correctly ventilated Operating Room after the OR has been used for endoscopy procedures.
I haven’t been able to locate anything suggesting that this is an issue – however before making a recommendation I thought I would ask the “Brain Bank” if they have ever researched this question and if so have they found an answer?
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
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Hi Terry
I have always recommended that clinical waste bins used in patient accommodation areas (except ICU) have lids, but I can’t actually recall any guidance to say this is mandated.
There are two reasons for this recommendation: one is to try and minimise non-clinical waste going into the bin (hopefully having to open the lid will make them think [well, you can try!]); the second one is to try and keep patients out of rummaging through clinical waste.
But in procedural areas, where there no major risk of patients trawling through clinical waste, we recommend that lids are left off. There is more risk of splashes and exposures if staff have to navigate lids in these areas, in my view. This includes ICU, where we have a clinical waste bin at the head of each bed.
As far as general waste is concerned, I can think of no reason that bins must have lids. Obviously it looks nice, and hands-free is super-cool, but that’s about it.
It would be interesting to challenge the auditor and see if they can produce evidence for their recommendation.
This may also be something that is mandated in a particular state, but I can’t recall having seen anything specific to this.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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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P Please consider the environment before printing this emailHi Everyone,
I have a client that has been told by an accreditor that they MUST have waste bins with lids.
I have been scouring the NHMRC Guidelines, AS3816 and other state based guidelines available in the public domain, however I am yet to come across a statement where it mandates that waste bins must have lids.
I can appreciate in ward area it is aesthetically pleasing to have lidded bins, with hands free operation of course.
However in the Operating Suite, Recovery Room and also in dental procedure rooms, it makes no sense to me at all to have lids on the waste bins. In fact it adds to the complication of safe patient care and waste disposal.
Can anybody point me in the direction of a published Standard or Guideline that mandates that lids must be on waste bins in Health Services Organisations?
Thanks in anticipation.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
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Hi Cate
We use a detergent only impregnated cloth for all routine equipment cleaning. For terminal cleans we use a two-step process with detergent and accelerated hydrogen peroxide.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Michael,
Are your detergent wipes just neutral detergent wipes or are they 2 step with a biocidal?
cheers
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/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Hi Pam
We use detergent wipes to clean most medical equipment, including beds and patient trolleys, and if beds are cleaned as part of a room discharge clean, reusable ‘charged’ microfibre cloths are used. No buckets of water required.
The only evidence I have to support this is that we have been doing this for a couple of years, and we continue to see almost no MRO cross-infection.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Everyone,
Current practice at our facility is to use bucket of warm water with detergent to clean non infectious beds post patient discharge.
I am not a fan of the buckets and was wondering what is best and current practice in other health services.
Does anyone have any evidence or suggestions they would be willing to share?Cheers from Pam
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services
Department of Health is a Smoke Free Workplace
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Hi Pam
We use detergent wipes to clean most medical equipment, including beds and patient trolleys, and if beds are cleaned as part of a room discharge clean, reusable ‘charged’ microfibre cloths are used. No buckets of water required.
The only evidence I have to support this is that we have been doing this for a couple of years, and we continue to see almost no MRO cross-infection.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Everyone,
Current practice at our facility is to use bucket of warm water with detergent to clean non infectious beds post patient discharge.
I am not a fan of the buckets and was wondering what is best and current practice in other health services.
Does anyone have any evidence or suggestions they would be willing to share?Cheers from Pam
Pamela Boon | Clinical Nurse Manager
Infection Prevention & Management Unit
Royal Darwin Hospital |Top End Health and Hospital Services
Department of Health is a Smoke Free Workplace
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Thanks Cath
The Cochrane Collection actually published on this last year, but I consider that a poor analysis. The quality and quantity of evidence is particularly underwhelming.
They did reach a similar conclusion, though.
Key results
Overall, we found very few studies and identified no new trials for this latest update. We analysed a total of 2106 participants from the three studies we found. All three studies showed that wearing a face mask during surgery neither increases nor decreases the number of wound infections occurring after surgery. We conclude that there is no clear evidence that wearing disposable face masks affects the likelihood of wound infections developing after surgery.Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailDear All
I agree with Michael’s 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 hasn’t been well studied not that the issue isn’t 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 everyone’s 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 would”…as 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
CathCathryn Murphy RN B. Photog MPH PhD CIC
Chief Executive Officer & Creative Director
Infection Control Plus Pty Ltd
QLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W:http://www.infectioncontrolplus.com.auHi 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 don’t 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
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailAfternoon All,
I require some assistance please.
We’ve 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 patient’s wounds. However a couple of individuals believe there is not enough evidence to support this and therefore don’t think it is necessary to wear surgical masks while operating.
I’m 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 you’re 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
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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 don’t 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
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailAfternoon All,
I require some assistance please.
We’ve 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 patient’s wounds. However a couple of individuals believe there is not enough evidence to support this and therefore don’t think it is necessary to wear surgical masks while operating.
I’m 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 you’re 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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Hi Helen
That is an interesting question. The use of domestic washing machines to reprocess microfibre cloths would not be recommended, as there would be no validation of thermal disinfection of the cloths.
Having said that, the standard for laundry services for healthcare are only specific about laundered items that are costed to a patient/client or used in direct patient care, not about environmental cleaning tools. So there is no real pressure on a facility to use a commercial washing machine for mops heads or microfibre cloths, despite them requiring a thermal disinfection process.
It would be interesting to know if any facilities are using domestic washing machines to clean this type of equipment.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi all,
This is such an interesting topic and I am also interested to know how facilities are managing cleaning of the reusable microfibre cloths.I am concerned about use of domestic washing machines as common place to avoid/ reduce the costs of sending to a commercial hospital laundry.
I would appreciate your views and thoughts.
Kind regards
Helen
Helen Truscott
Clinical Nurse Consultant Infection Prevention & Control Service | Nursing & Midwifery Directorate
NNSW LHD
PO Box 904 Tweed Heads NSW 2485
Tel:07 5506 7227 | Fax :07 5506 7282 | Mob:0418 993745 | Helen.Truscott@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[Description: Description: cid:image001.png@01CC899A.70FE88C0]
[Clean hands count]
Hi Terry,
Leaving aside the issue of detergents versus disinfectant for routine cleaning purposes (floors) in healthcare facilities my comments are as follows:
Mops with detergent or disinfectant dispensed from the internal channel of the mop handle
* I have seen these mops many years ago. The channel in the mop handles could not be adequately cleaned or disinfected. When we cultured the channels they were contaminated as fluid had remained stagnant in the channel over long periods of time and cleaning agents were simply being topped up. Think you will find the same if you sample the channels of such mops today.
* Such mops are not suitable for use in healthcare facility.
Disposable microfiber wipe system
* I’m assuming the wipes are attached to the base of a mop (? Velcro) and disposed of after so many uses?
* Microfiber will do a better job at cleaning over other types of mopping materials (cotton/foam mop heads).
It is probably a matter of what is practical, easy and the most cost effective option for an organisation i.e. disposable microfiber or standard non microfiber mop heads which can be reusable or disposable.
Regards
Glenys
Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.auHi Terry
I have seen similar systems for use in hospitals. I don’t think they are unsuitable, it’s just a matter of if they are cost-effective or not. If the microfibre wipes are truly charged microfibre material, they don’t need detergents to collect dirt and debris. The addition of a disinfectant is simply to reduce bioburden more that simple cleaning will do. In my view this is unnecessary, but not inappropriate, if you understand what I mean.
Cleaning with a normal cloth dipped only in disinfectant with no detergency properties would be inappropriate, but that is not what I have seen with microfibre cleaning with the addition of disinfectants. Microfibre charged cloths will attract soils and debris, so do not need a detergent.
I am not 100% sure I am actually addressing your question though, as I will admit I am not 100% sure what you are asking.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Everyone,
I’m coming across environmental cleaning service providers in the Day Surgery sector that are wanting to ‘mop’ floors with a disposable microfiber wipe system used in conjunction with a disinfectant that is either supplied by dipping the wipe in the disinfectant solution or alternatively having the disinfectant poured into the handle of the mop and discharged by the press of a button.
The disposable microfiber wipe is discarded between cleaning different areas, however I am not convinced that this method of cleaning is suitable.
I’d appreciate some feedback from the brains trust please.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
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Hi Terry
I have seen similar systems for use in hospitals. I don’t think they are unsuitable, it’s just a matter of if they are cost-effective or not. If the microfibre wipes are truly charged microfibre material, they don’t need detergents to collect dirt and debris. The addition of a disinfectant is simply to reduce bioburden more that simple cleaning will do. In my view this is unnecessary, but not inappropriate, if you understand what I mean.
Cleaning with a normal cloth dipped only in disinfectant with no detergency properties would be inappropriate, but that is not what I have seen with microfibre cleaning with the addition of disinfectants. Microfibre charged cloths will attract soils and debris, so do not need a detergent.
I am not 100% sure I am actually addressing your question though, as I will admit I am not 100% sure what you are asking.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailHi Everyone,
I’m coming across environmental cleaning service providers in the Day Surgery sector that are wanting to ‘mop’ floors with a disposable microfiber wipe system used in conjunction with a disinfectant that is either supplied by dipping the wipe in the disinfectant solution or alternatively having the disinfectant poured into the handle of the mop and discharged by the press of a button.
The disposable microfiber wipe is discarded between cleaning different areas, however I am not convinced that this method of cleaning is suitable.
I’d appreciate some feedback from the brains trust please.
Kind Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting Pty Ltd ACN 604 439 698
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
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Hi Irene
I thought the OMG PIVC study (http://www.omgpivc.org/) was going to be powered for PIVCassociated bacteraemia? Havent seen any final publications from that study yet. Can anyone from AVATAR comment, please?
Thanks
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0]
P Please consider the environment before printing this emailFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Wilkinson, Irene (Health)
Sent: Friday, 21 July 2017 3:14 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: PIVC DocumentationI would like to send a cautionary note about the Cochrane review.
My assessment of the data presented in the review shows that taking IV-related bloodstream infection as the end point, there were insufficient cases in each group to reach statistical significance. The conclusions of that review appear to have been based on all cause bloodstream infection.Id be pleased to know if anyone has a contrary view, since we are currently looking at this issue in South Australia.
Regards,
IreneIrene Wilkinson BSc(Hons) MPH
Manager, Infection Control Service
Communicable Disease Control Branch
System Peformance and Service Delivery
SA Health
Government of South AustraliaPh: (08) 7425 7170 | Fax: (08) 8226 2594 | Email: Irene.Wilkinson@sa.gov.au
http://www.sahealth.sa.gov.au/infectionprevention
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This e-mail may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this e-mail. If this e-mail is received in error, please inform the sender by return e-mail and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the e-mail and any attached files for viruses.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of CURTIS, Kerrie
Sent: Friday, 21 July 2017 1:24 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: PIVC DocumentationHi Sue
I applaud your excellent PIV documentation!
There is Cochrane evidence to support clinically indicated removal of PIVs compared to routine replacement are there any plans for the future to move to clinically indicated removal?
Kind regards
KerrieKerrie Curtis | Clinical Nurse Specialist | Day Oncology
________________________________
Olivia Newton John Cancer and Wellness Centre / Austin Health
e: kerrie.curtis@austin.org.au
w: 03 9496 3488
a: 245 Studley Road Heidelberg VIC 3084Victorian rep. for Australian Vascular Access Association (AVAS)
Deputy Chair, Cancer Nurses Society of Australia, Vascular Access Device and Infusional Therapy SPN Victorian
Chapter Lead for Alliance for Vascular Access Teaching and Research (AVATAR)
Adjunct Research Fellow, AVATAR, Menzies Health Institute, Griffith University, QueenslandFrom: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Gonelli, Susan
Sent: Friday, 21 July 2017 7:47 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: PIVC DocumentationHi Sonja
We use this one at PH.Regards
Sue Gonelli CNC Infection Prevention and Control Unit
Infection Prevention and Control Unit PO Box 52, Frankston Vic 3199
Direct 9784 7722 Mobile 0408 234 497 Fax 9784 2347 Switchboard 03 9784 7777
sgonelli@phcn.vic.gov.au[cid:image001.jpg@01D301F5.89A9AC90]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of sonja wegert
Sent: Thursday, 20 July 2017 1:39 PM
To: AICALIST@AICALIST.ORG.AU
Subject: [SUSPICIOUS MESSAGE] PIVC DocumentationPossible Spam or Malicious Phishing email, If you are not sure the email sender, please report this to IT ServiceDesk @7815.
Hello All,We are looking to improve our compliance with documentation regarding insertion and removal of PIVC in our medical notes. Does anybody has any forms/tools or ideas which work and happy to share?
Regards
SonjaSonja Wegert | Infection Control Practitioner (ICP)
Infection Prevention and Control Unit | Central Australia Health Service
Northern Territory Government
Alice Springs Hospital, Gap Rd, Alice Springs
GPO Box 2234, Suburb, NT Postcode
p … 08 89517977
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Hi Rita
I haven’t seen any specific for hospital settings (apart from generic outbreak management plans, or pandemic influenza plans) but there are several recent guidelines for aged care influenza outbreaks, which may provide some guidance for a hospital-specific plan.
https://www.health.qld.gov.au/__data/assets/pdf_file/0024/653631/flu-communique-june-17.pdf
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D3021B.D4CC2EC0]
P Please consider the environment before printing this emailDear All,
Do you have an “Management of Influenza outbreak in a hospital setting” procedure or policy that you would be happy to share?
Many thanks,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[Description: 5 moments hand hygiene]
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Hi Kate
I have used the Commonwealth Aged Tool Toolkit forms before in a hospital setting.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2CEFB.919945A0]
P Please consider the environment before printing this emailHi Everyone,
We currently have a gastro outbreak in Alice Springs, I was wondering if anyone had signage they would share for use in ED waiting room and OPD to advise general public to perform hand hygiene and other preventative measures?
thanks
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/healthOur Vision: Better health outcomes for all Central Australians
Our Values: Community at the Centre | Equity and Integrity | We are Accountable | We are Relevant Today and Ready for Tomorrow | We are Committed to High Quality Care | We Value our PartnershipsCentral Australia Health Service is a Smoke Free Workplace
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Hi Jo
1. We change these routinely at 12 months. The brand we use suggest 2 years, but we have seen independent microbiological validation of the antimicrobial barrier supported for only 12 months (from St Vincent’s Sydney I think), so we go with that.
2. Don’t change them for any MRO, only for visible staining or damage.
3. Would recommend as it certainly saves the cleaning staff form changing curtains more regularly for cleaning. There was some discussion on how they would look in a private hospital., but we have had no complaints from patients or visitors about them, so they must fit in OK. Make sure staff label with at least the date to change them when they get put up. Ours have both the date hung, and the date to change.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2CB11.B21B6CB0]
P Please consider the environment before printing this emailHi All
Two questions for those of you who have moved across to disposable privacy curtains.
1. How often do you routinely change the curtains?
2. Apart issues such as damage, visible staining etc do you change these curtains more frequently ( e.g. c diff patients, CPE, Norovirus outbreak….)
Oops – another question – would you recommend them? If not why not.
Thanks folks
jo
Joanne Cocks | Infection Control Coordinator
St Vincent’s Melbourne | PO Box 2900 | 41 Victoria Parade, Fitzroy VIC 3065
t: +61 3 9231 4069 | f: +61 3 9231 4068 http://www.svha.org.au[Description: Description: email signature_envision]
______________________________________________________________________
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Hi Holly
We also screen all readmissions within 6 weeks, and we only classify as HA MRO if:
* They are readmitted with 48 hours of discharge, and/or:
* The MRO isolate is related to a clinical infection which meets the criteria for HAI (eg surgical site infection within 30 days, ongoing management of indwelling device)
I know what you are alluding to, and if we see patterns (eg all from a certain ward return with a specific ESBL), then we may have a specific admission/discharge screening study (time-limited) to give us a clearer picture. But generally, we do not automatically record them all as HA MRO’s.
Hope this helps.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 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
[cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2C7EA.8D1209D0]
P Please consider the environment before printing this emailDear All,
We screen all our patients for MRSA if they are a recent admission.
Where would I find the reference to the time period of when a MRSA acquisition is classed as ours or can be classed as community acquired?
Thank you in advance for your help.
Holly Dodd
CNC Infection Prevention and Control
Sydney Adventist HospitalM: 0408468470 P: 02 94879433 F: 02 9473 8053
Monday- Friday 8-2.15
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