[Maree Sommerville]

Hi Robert,

We are currently considering Tristel wipes for our transvaginal &
transrectal ultrasound probes.

They are relatively new on the Australian market. TGA approval from May
2011 for disinfection of semi-critical items.

Ashmed Pty Ltd is the supplier (1300 680 898).

They had a stand at the APSIC conference.

Maree Sommerville

Infection Control Nurse Consultant

Mercy Hospital for Women

8458 4759

________________________________

Behalf Of Robert Robinson

Hi all

I’m interested to hear from the list if anyone uses or has comments on
sporicidial wipes for high level disinfection of non lumened medical
devices. I have heard (but not confirmed) these are being used in some
Australian hospitals. I’m only aware of one company that has TGA
approval for their use in Australia.

Your thoughts would be much appreciated.

regards

Robert Robinson

Clinical Nurse Specialist- Infection control

Nepean Hospital

Penrith NSW

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[Maree Sommerville]

We have Trophon EPR in our medical imaging department and are increasing
this to other areas within our service.

The ultrasonographers find it very easy to use and it has been well
received.

Visually the probes that are disinfected in the Trophon are much
cleaner.

The only major problem we had was damage to the outer cover on the
probes which was attributed to the machine.

Further investigation revealed that staff did not open the door wide
enough and when putting it in the machine, brushed against the latch and
was damaged.

An expensive error that was rectified with some education!

Hydrogen Peroxide is also used in the Sterrad system and we use it for
our flexible endoscopes in CSSD. One of its benefits is short
sterilisation times.

I am interested and easy method in tracking usage as with other
disinfection processes but this is a foreign concept to
ultrasonographers and the medical staff who will be the primary users.

Any tips or comments greatly appreciated.

Do other services using the Trophon track usage?

Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

________________________________

Behalf Of Lyn A. Golden

We currently use OPA in a GUS system to process semi critical intra
cavity ultrasound probes: Radiology department would like to change to a
system that uses nebulised hydrogen peroxide.-Nanosonics Trophen EPR

Does anyone have any comments? Have you used H2O2 as a disinfectant? Is
there proof of disinfection by aerosoled particles?

Cheers Lyn

Lyn Golden

Infection Prevention & Control Manager

Echuca Regional Health

P 03 54855340

F 03 54825478

Helping Everyone To Be And Stay Healthy

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[Maree Sommerville]

Hi Sony,
Our procedure on PIF follows the WHO recommendations:
At risk infants receive ready to feed infant formula.
PIF is prepared with water that is >70C.
As you know, other elements accompany the preparation of milk that includes hygiene of food handler, the environment, equipment, storage and use of prepared formula within a specified timeframe.

http://www.who.int/foodsafety/publications/micro/pif_guidelines.pdf

http://www.who.int/foodsafety/publications/micro/PIF_Bottle_en.pdf

http://www.who.int/foodsafety/publications/micro/pif2007/en/

Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

—–Original Message—–

Dear All,

My hospital is mainly using the commercially sterile ready-to-feed liquid infant formula, however we still need to reconstitute powdered infant formula (PIF), and we use steam sterilizer to sterilize the PIF.

We would like to know the recommended sterilization parameters such as temperature and the duration for this process.

Regards,

Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk

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[Maree Sommerville]

Dear all,

I am reviewing MHW policy on Accidental sharing of breast milk (wrong
baby to mother or expressed breast milk to wrong baby). We would have 1
or 2 of these per year.

Our testing regime at the time of the incident includes:

* Donor Mother:

o HIV Abs, Hep C Abs, Hep B sAg, CMV

o Sample of milk for CMV.

o Lifestyle risk assessment.

* Recipient Mother:

o HIV Abs, Hep C Abs, Hep B sAg, CMV

* Recipient Baby:

o Saliva and Urine for CMV

* Follow up for baby is at 3 months and 6 months

I am interested in knowing how this compares with other organisation’s
policies.

Should the follow up be more rigorous if the donor mother is positive
for BBV or has high risk behaviour and if so what should it be?

If the Breast Milk has been frozen, what difference does this make in
deciding how to follow up?

There is not a lot of literature on this subject.

The available literature discusses the likelihood of transmitting BBV
via breast milk.

* Transmission for the Hepatitis group is low via breast milk

* HIV and CMV are more likely

Looking forward to hearing from you.

Maree

Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084

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[Maree Sommerville]

The hospital I work for is about to launch a Breast Milk Donor Bank.
The launch is imminent. We have just finalised the policy for cleaning
and storage of bottles and equipment.

Generally, all equipment is manually washed and then processed in washer
for thermal disinfection. The washer/disinfector has a printout that is
evidence the cycle has reached thermal disinfection (final rinse: >90
degrees for 1 min). The items are stored clean in a plastic bag, sealed
and dated with sticker “Washed and disinfected”.

Happy to discuss further.

Maree Sommerville

Infection Control Nurse Consultant

Mercy Hospital for Women

163 Studley Road

Heidelberg 3084

________________________________

—–Original Message—–
Behalf Of Jane Barnett

Hi

I’d be very interested to know what protocols are in place in Australian
hospitals where breast milk donor banks exist. Our neonatal unit is in
the process of setting up a bank and all milk will be pasteurised;
however, I would like to know what advise is given to mothers regarding
the cleaning or disinfection of the breast pump equipment at home.

Thanks

Jane Barnett

CNS IP&C Christchurch Women’s Hospital

Christchurch

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