[Paul Smollen]

Hi Michael,

The MJA have once again dedicated an issue to all things infection
related, including antimicrobial resistance, HAIs and infinitely
interesting parasites, to coincide with this week’s combined
Australasian Society for Infectious Diseases (ASID) and Communicable
Disease Control Network Australia conference in Canberra. And includes
the article that news source refers to.

http://us4.campaign-archive2.com/?udee90e386671d8aa31389c490&id6cded81
05f&e66eb52162f

Paul Smollen

Project Manager, Healthcare Associated Infections (HAI)

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 |F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of Michael Wishart

Hi all

http://news.ninemsn.com.au/health/2013/03/18/03/28/hospital-superbug-pro
mpts-call-for-action

I thought some list subscribers may be interested in the above media
report of carbapenem resistant Enterobacteriaceae (CRE) in an Australia
hospital, given the recent release of the US CDC report on CRE (see
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6209a3.htm?s_cidmm6209a3_w )

Has anyone in Australia / New Zealand seen outbreaks of infection with
these resistant organisms this year?

Cheers

Michael

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

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[Paul Smollen]

Toni,

I do enjoy this chestnut. While it is a public perception, facilities
and us at the Ministry receive multiple complaints from visitors about
this issues. One of the complaints we get is that the public see them in
the gowns in the cafe and are worried they are going off to operate on
their family member. This alone could convince your OT staff against the
practice.

The problems lies with no valid evidence. This comment may open a can of
worms….. but I find this should be a two way street and if OT staff
want to walk around a hospital and outside and do all normal activities
in their scrubs, then they should allow people to walk into an OT in
street clothes. I really see no difference. While we are concerned with
levels of evidence about scrubs outside an OT what level of evidence is
there about wearing scrubs inside an OT? The scrubs are usually kept on
open shelves in open change rooms with toilets and showers nearby.

I do know of facilities that have a lunch ordering system with their
cafe and the food is delivered there. This may be an option you could
explore.

Good luck with it all.

Paul Smollen

Project Manager, Healthcare Associated Infections (HAI)

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 |F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of Toni Schouten

Dear All,

The issue of where you can and cannot wear operating theatre attire
(blues) has arisen at our facilities – again.

I would be interested to know if your facilities/organisations allow
theatre staff to eat and drink in the on-site cafeteria if they have
clean blues that are covered.

Food is not supplied to the OT; staff are permitted to collect food from
the on-site cafeteria if in clean blues that are covered; there is a tea
room but it is said that it can be over crowded at peak times.

The public perseption (and complaints received) says that they should
not be allowed to eat and drink there.

What valid evidence is there and what do others do or say to back up
that they should not eat and drink in on-site cafeterias (if at all).

Look forward t your comments.

Regards, Toni.

Toni Schouten CICP

Clinica Quality Manager

Sydney Local Health District

toni.schouten@sswahs.nsw.gov.au

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[Paul Smollen]

Dear Lindy,

As the CEC are the creators of the poster, I thought I might be able to
provide you with an answer.

The data to be displayed for the BSI is NSW Clinical Indicator SABSI 2.1
and 2.2. It was just given the title “Blood Stream Infection” to
simplify so the general public could understand.

It is up to each facility how they want to display the SABSI data, so a
facility can choose to use their monthly data and change the insert each
month or use quarterly data or even year to date figures.

You may even choose 3 times a year to coincide with the Hand Hygiene
data. Apart from the monthly figure you should have a year to date rate
as well. It may be appropriate to use the year to date rate when it is
time to update the poster insert which should be a minimum 3 times a
year.

Hope this has made it a little clearer. Happy for the NSW clinicians to
contact me to further discuss if there is still confusion.

Paul Smollen

Project Manager, Healthcare Associated Infections (HAI)

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 |F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of Lindy Ryan

Dear all

just a question for my NSW ICP colleagues out there.

We are in the process of distributing and using the newly released “Help
us Beat Infections” posters we were recently sent for us to join in
with the rest of the state public facility’s in displaying the one
standard hand hygiene results posters for each of our wards however i
have a question that i am hoping for some consensus on as i have been
unable to get any standard answer to date in my calls around (& maybe I
am not understanding the instructions we were sent ..maybe I am just
having a slow day?)

Q1. In the section where we are asked to enter our BSI rate what are
folks entering?

I am assuming this figure it would be NSW CI 2.1 & 2.2 (HA SABSI)????
given we all collect it (I have had this feedback form another iCP which
sounds fair)

Q2. where it indicates to add your quarterly rate what is everyone
putting in this section

I would be assuming then that we use the last 3 months worth of 2.1 &
2.2 numerators & denominators and divide by 3 to get our quarterly rate
to provide a figure each month for our managers to add to this chart

I would be interested to hear what other from NSW sites are doing …or
if I have it totally wrong and I can locate our quarterly BSI rate else
where or work it out differently. Adding our HH scores is the easy bit
..it the BSI i am not clear on so any thoughts on what you guys in NSW
are doing would be greatly appreciated

thanks

Lindy

Lindy Ryan

Clinical Nurse Consultant | Infection Control Services, Nepean Hospital.
Nepean Blue Mountains Local Health District PO Box 63 Penrith NSW
2751Tel 02 4734 2228 | Fax 02 4734 2517 |
lindy.ryan@swahs.health.nsw.gov.au
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[Paul Smollen]

Cathy I would consider contacting the PEP services that are offered by
most states. NSW, Vic, SA and WA all have a PEP services for the
community that covers sexual exposure, IUD sharing and community
needlesticks.

The NSW PEP service is run by Albion St Centre
http://www.sesiahs.health.nsw.gov.au/albionstcentre/
http://www.rightnow.acon.org.au/pep I know it is extremely rare to
place a community needlestick on PEP unless the needle had directly come
from another person. If a person is placed on PEP it is the same PEP
pack given to sexual exposures and follow up at the hospitals that
administer PEP is with the HIV CNC.

Hope that helps.

Paul Smollen

Project Manager, Healthcare Associated Infections (HAI)

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 |F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of Cathy Mowat

Just wondering how other places manage those from the community who
present to the Emergency Department following a blood or body fluid
exposure incident? Often our staff packs are used to manage the incident
which sends the results back to us in infection control. We are
considering that maybe a community exposure management pack should be
developed and used for these people- the number of presentation is
fairly low.

Cathy Mowat

Infection Control

Central Gippsland Health Service

Sale Victoria 3850

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[Paul Smollen]

Fiona,

I agree with Matt and Terry. In addition the single units reduce water
consumption and in fact in across a number of government departments and
office towers in Sydney we use a waterless single mounted urinal. I have
had no reports or complaints from anyone about the waterless units.

Paul Smollen

Project Manager, HAI

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 l F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of Fiona de Sousa

Hi All,

We are currently considering bathroom furniture for male toilets and
there is a debate over floor troughs versus wall mounted single urinals.
I have been told that the floor mounted trough poses a greater infection
control risk for the spread of infection than the wall mounted urinal
but am unsure why this is. Has anyone else looked at this issue for
their facility and what was the outcome?

Kind Regards,

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

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[Paul Smollen]

Marlize,

If the patient is washing their own clothes then a disinfectant is not
required. I would imagine it is a domestic washing machine that you have
purchased and not a commercial washing machine. AS4146 is quite clear
about chemical disinfection. Most commercial washing machines achieve
disinfection through thermal methods of above 65degrees. I would say if
you require the items to be disinfected I would use a commercial company
to do it as you would have to conducting monitoring and testing.

A cheap and efficient way to disinfect clothing is to use a tumble
drier, it can reduce bacteria in clothing by a 100fold.

Paul Smollen

Project Manager, HAI

Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
NSW 2000

T: (02) 9269 5586 l F: (02) 9269 5599 | E:
Paul.Smollen@cec.health.nsw.gov.au

http://www.cec.health.nsw.gov.au

Behalf Of SAWMH.ICC

Good afternoon Everyone,

Our Rehab Unit has purchased a washing maschine as part of their rehab
program for inpatients. I need to find a detergent with disinfecting
qualities. Is there anyone that can help me with the name of a product
or company that I can contact?

Thank you

Marlize Senekal

Infection Prevention and Control Coordinator

St. Andrew’s War Memorial Hospital

457 Wickham Terrace, Spring Hill

Brisbane

Ph. 07-3834 4444

Ext. 4328, Pg. 0328

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