Re: CDC guidelines question re disinfection of gloved hands - any shared advice - words of wisdom? - ACIPC - Australasian College for Infection Prevention and Control

22/10/2014 at 4:59 pm #71577 Quote

Gerald Cha

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Author:
Gerald Cha

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Gerald.Chan@sjog.org.au

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I share Robyns concerns with regards to the recommendations for ABHR use on gloves.

Having witnessed staff do this in the past (when the Hand Hygiene Initiative was first introduced) and taking a considerable time to curb this practice through staff education, this exception for PPE doffing post Ebola patient contact may just revive this bad practice and confuse staff into thinking that its acceptable (from a 5 Moments perspective that is).

If an ABHR is to be utilized for glove decontamination, I think it would be best that a different product be selected (such as the waterless surgical hand scrubs commonly utilized in Theatre environments rather than on wards) to alleviate any confusion as theres clear product differentiation.

The waterless surgical hand scrubs, being an aqueous alcohol, could easily be sprayed on gloves should that direction be taken for its use (as an assisted spray done by the trained observer instead of dispensed through a pump).

Or alternatively, can hypochlorite be used as another option for disinfecting the first layer of PPE?

Although at 5,000 ppm, Im uncertain if thats a safe concentration should accidental contact come with skin.

I would think that the use of disinfectant wipes be only selected if the PPE used was soiled and that there was a need to remove gross soilage first and then follow that up with a liquid disinfectant (or ABHR as recommended by the CDC) for full coverage.

Kind regards,

[cid:image003.png@01CFEE00.6C926D60]

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Donnellan, Robyn
Sent: Wednesday, 22 October 2014 11:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hi Terry
I am concerned that the CDC has recommended the use of ABHR on gloves. ABHR has skin emollients in the preparation and is classified as a skin antiseptic not a disinfectant. A straight 70% alcohol impregnated wipe (disinfectant ) should be used if an equipment surface wipe is required throughout the doffing procedure. Some staff think the use of ABHR is acceptable, I would be disappointed if this poor practice was promoted.
Kind regards
Robyn Donnellan CICP
CNC Infection Prevention & Control Service
for Northern NSW LHD
02 66207490

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Terry Grimmond
Sent: Wednesday, 22 October 2014 1:02 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hi Michael,
Given Ebola urgency, uniqueness, and common need of members, can you allow an exception in naming of disinfectant brands and types? The CDC list of EPA registered is very frustrating and not applicable in Australia.
Linda, CDNA recommends 1,000-5,000ppm hypochlorite for cleaning and spills (dependent on blood presence) it is economical, readily available and effective.
Regards,
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01CFEE08.AD39A920]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lindy Ryan
Sent: Wednesday, October 22, 2014 2:01 PM
To: AICALIST@AICALIST.ORG.AU
Subject: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

Hey all Ebola champions

just been asked by my boss here what others are considering or have to hand re the new CDC guidelines

http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html

re this point specifically

Disinfection of gloved hands using either an EPA-registered disinfectant wipe or alcohol-based hand rub between steps of taking off PPE.

Will you be considering ABHR or a disinfectant wipeif a wipe what would you use.

We are just trying to understand what specifically is in the EPA registered disinfectant wipe so we can match it with what we have TGA approved and available in Australia as there are many listed but not available in Australia

We have a disinfectant wipe here we use for environmental cleaning (I know I cant name products on this forum) here but know there are other products. Can anybody send me what they are using off line and if it comply with the EPA list as recommended by the CDC (I know you are busy so a quick reply with just a name would be great!)

Hope you are all travelling wellhuge body of work being done by us all trying to have consistency for staff and pt safety and calm another thesis for somebody in the making hey?

Thank you so much for those of you who have kindly shared so much already you are all such a wonderful group to be able to liaise and work with I love being an ICP when I get to work with such proactive resourceful sharing bunch as we all are!!

Cheers

Lindy

Lindy Ryan

Infection Prevention & Control CNC | Infection Control Service Nepean Hospital NBMLHD
PO Box 63, Penrith, 2751
Tel (02) 4734 2228 | Fax (02) 4734 2517 | lindy.ryan@health.nsw.gov.au
http://www.health.nsw.gov.au

Wise and human management of the patient is the best safeguard against infection
(Florence Nightingale Circa 1860)

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Re: CDC guidelines question re disinfection of gloved hands – any shared advice – words of wisdom?

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