[Michelle Bibby]

HI John

This is so important, not only from a PPE perspective, but also a HH
perspective! Their compliance is appalling on both fronts and then throw in
aseptic technique compliance and we wonder why we get line infections, I
think it is high tide that we made a stand.

I am more than happy to put my hand up and assist!

Thanks for raising the issue

Regards
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au
http://www.infectionprevention.com.au

Ferguson

Dear All
The College of Anaesthetists avoids specifying in their infection control
guideline as to whether PPE should be worn by staff who are intubating a
patient. Most anaesthetists dont wear a mask or eye protection though some
have been sensitised by undisclosed meningococcal sepsis cases etc.
My view is that gloves mask and eye protection are indicated as per std
prec. (Not withstanding, an anaesthetic colleague recently disputed this and
said that most patients being intubated are apnoeic at the time and
therefore not producing aerosols!). What have others put in place re
standard requirements? Has anyone got a stomach to take on the college ?
Or do people regard this as too low a risk (I dont).
Best wishes
John

Dr John Ferguson MBBS DTM&H FRACP FRCPA
Microbiologist | Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
Conjoint Assoc. Professor | University of Newcastle
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310,
Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial
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[Michelle Bibby]

HI Terry

It is unfortunate that common sense does not prevail and also unfortunate
that a reference is required to support what would appear to be such a
simple issue to resolve.

I would support 100% that a fan in this area is not acceptable and will see
if I can find something as I am sure there is somewhere

Thanks
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au
http://www.infectionprevention.com.au

Terry McCauly

Hi everyone,
A facility has recently purchased a large wall mounted oscillating fan and
installed it in the area where the porters remake beds / trolleys and this
area is open to the recovery room.
I am concerned about disruption of the air flows and the potential risks
associated with blowing particulates [from linen used to make up the
trolleys] around the facility.
However I have been challenged to provide evidence that fans pose a risk of
infection and / or evidence that fans should not be used in this
environment.
A quick google search and review of ACORN Standards reveals little so I am
hoping someone else may have come across this issue and can provide some
assistance.
All feedback gratefully received.
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 3802

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[Michelle Bibby]

Hi Karen

Unfortunately I am unable to attend, but would love the information
discussed, will it be made public to conference attendees?

Thanks
Michelle

Michelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165

Dear colleagues,
Please find attached information regarding the Hand Hygiene Australia
pre-ACIPC conference hand hygiene workshop in Melbourne this November.
We have some terrific invited speakers confirmed, including Professor Didier
Pittet (Geneva, Switzerland) who will discuss hand hygiene promotion among
doctors. Please see the attached flyer for further details.
Who should attend: Anyone seeking fresh ideas to make their hand hygiene
program more effective and sustainable

For more information visit http://www.hha.org.au or email
the HH Team at hha@austin.org.au

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[Michelle Bibby]

Hope this helps Kelly
Regards
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au

Kelly Barton

Hi everyone
does anyone have a CPE information brochure/hand out for patients that I
could use?
Cheers,
Kelly
Kelly Barton
Infection Prevention & Control Officer
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[Michelle Bibby]

Thank you Mary-Louise for your response re Graves et al study and the
variances.

The concerns of biased data reported for hand hygiene compliance is worth
noting and I too agree with your comments here.

Costs associated with the efforts to report HH data as required which
detracts from some of the critical day to day requirements of the IC nurse
need further review.

Thank you
Michelle

Michelle Bibby
Infection Prevention Australia
Michelle@infectionprevention.com.au
+429071165

Dear Ramon and Glenys

Graves et al study relies on the accuracy of the 2 pivotal variables: SAB
and hand hygiene compliance. The accuracy of the latter is serious limited.
Our report in the Medical Journal of Australia (Med J Aust 2014; 200
(9):534-537. http://dx.doi.org/10.5694/mja13.11203) concluded the HHA
program reports rates that have been biased upwards by very few high
performers.

The conclusion from our findings and Graves et al is:

(1) SAB respond to multiple interventions and hand hygiene is only one of
these.
(2) hygiene compliance rates have not reached a tipping point to reduce SAB
and this tipping point is a long way off because
(3) the hand hygiene compliance rates are inaccurate.

It is important to have a national HH program. But the expense of the
current program is too high when the cost of audits provides flawed data
that reinforces a misguided belief that our hospitals are performing HH
well.

Mary-Louise

Professor Mary-Louise McLaws

Professor of Epidemiology in Healthcare Infection and Infectious Diseases
Control

http://research.unsw.edu.au/people/professor-marylouise-mclaws

SPHCM SAMUELS BUILDING

UNSW AUSTRALIA, SYDNEY NSW 2052 AUSTRALIA

CRICOS Provider Code 00098G

Professor Ramon Shaban, ACIPC President [president@ACIPC.ORG.AU]

Colleagues

The study by Graves et al. reports a range of interesting findings, and
raises many issues regarding hand hygiene for broader consideration. The
College is examining the paper and is preparing a media release for release
in the coming days.

Kind regards,
Ramon

Professor Ramon Z Shaban
PRESIDENTAustralasian College for Infection Prevention and Control
GPO Box 3254, Brisbane Qld 4001
668Email: president@acipc.org.auWeb: https://www.acipc.org.au

On 25 February 2016 at 21:16, Glenys Harrington
wrote:
> Dear All,
>
> Find attached the following publication (February 9, 2016).
>
> Graves et al. Cost-Effectiveness of a National Initiative to Improve
> Hand Hygiene Compliance Using the Outcome of Healthcare Associated
> Staphylococcus aureus Bacteraemia. PLoS ONE 11(2): e0148190.
> doi:10.1371/journal.
>
>
> The analysis was undertaken on data from 6 Australian states:
>
> In 2/6 states there was a 1% chance it was cost effective
>
> In 1/6 states there was a 26% chance it was cost effective
>
> In 1/6 states there was a 80% chance it was cost effective and
>
> In 2/6 a 100% chance it was cost effective.
>
>
> Interesting figure showing cost increases and cost savings by state (fig 2).
>
> Also some interesting points in the discussion.
>
> Shame there was No useable pre-implementation data available for Victoria
> and hence was not able to be analysed.
>
> Given the findings of the analysis it raises the following questions for
> governments:
>
> Shouldnt the program be scaled back and some of the money be spent
> on other initiatives to reduce hospitals associated infections(HAIs)?
>
>
>
> Shouldnt the program be scaled back to reduce the infection control
> workload associated with the program which is currently overwhelming and
> taking ICPs away from other core infection control activities?
>
>
> A press release by the College about the findings of this study and the views
> of the college in terms of the allocation of limited resources would be
> timely.
>
>
> 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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[Michelle Bibby]

Thank you Cath

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au

Cathryn Murphy

Without Prejudice

Dear Members

I was saddened to read the recent Press Release regarding the College’s
position on Children In Detention. In my 25 plus years as a member and once
President of AICA and as a 7 year board member and 2010 APIC President
alignment of a professional body with any non-infection prevention political
issue appears unprecedented.

Regardless of where members stand personally on this contentious issue it is
arrogant and perhaps even incorrect for the President to assume unilateral
support of his position by all members.

Further, whilst the AMA acts as the primary industrial relations agency for
medical practitioners and as such rightly has an opinion on this issue the
College purpose as stated in its Constitution makes no mention of political
commentary as a goal.

Informally, I have canvassed views from at least two other senior College
members who are offended by the College’s action. I would request that in
future the Executive and College leadership do not assume members’ positions
on non infection prevention matters and instead focus solely on working
within the scope of the Constitution representing members well on infection
prevention matters.

Regards
Cathryn Murphy
Executive Director
Infection Control Plus Pty Ltd

Cathryn Murphy RN PhD
Executive Director
PO Box 106
West Burleigh QLD 4219
Queensland, AUSTRALIA

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

——– Original message ——–

[Posted on behalf of ACIPC President Moderator]

Colleagues
Please note the attached media release from the College.

Kind regards,

Ramon

Professor Ramon Z Shaban
PRESIDENTAustralasian College for Infection Prevention and ControlGPO Box
3254, Brisbane Qld 4001
668Email: president@acipc.org.au Web:
https://www.acipc.org.au
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[Michelle Bibby]

HI Jayne

The other thing to consider is why are they testing.

You can refer to the National HIV testing policy which clearly articulates
reasonable testing, but it is just not to cover their poor practice in the
event of a needle stick injury
You can download it off the web

Regards
Michelle

Michelle Bibby
Infection Prevention Australia
+61 429 071 165
Michelle@infectionprevention.com.au

On 3/11/2015, 10:48 AM, “ACIPC Infexion Connexion on behalf of Jayne
OConnor”
wrote:

>Dear Brains trust,
>
>Something to think about over morning tea!
>
>Some of our surgeons have decided to start testing patients for HIV,
>HepB & HepC , our concern is around consent and who gains it, rumour has
>that the Drs are not??, how do we stand as a healthcare facility legally?
>Doc’s we have read talk about the practitioner obtaining consent but not
>the healthcare facilities responsibility.
>
>Does anyone have any evidence or can point me in the right direction to
>obtain the evidence?
>
>Muchly appreciated
>
>Kind regards
>Jayne
>
>Jayne OConnor RN, BSc.Inf.Cont.
>IPC Co ordinator
>Sydney Adventist Hospital
>185 Fox valley Rd,
>Wahroonga 2076
>Tel: DD (02)0 9487 9732
>Mobile: 0406752685
>
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