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11/02/2021 at 1:21 pm #77718AnonymousInactive
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HI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4 Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
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11/02/2021 at 3:57 pm #77719AnonymousInactiveAuthor:
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Hi Cate,
Unless it is an MRAB, we manage with standard precautions even in ICU. Perhaps you might ask the Intensivist his reasons for isolating? Often they just see Acinetobacter baumanii and isolate without realising it’s not multiresistant? (Apologies if you’ve already done that).
Regards,
Rita
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 94856581 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
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[New signature block]
HI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4 Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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12/02/2021 at 8:20 am #77720Good morning Cate and Rita,
It would be best to discuss with the ID Team the reason for requesting isolation due to the nature of Acinetobacter and its ability to become resistant quickly. The person might have been treated with broad spectrum antimicrobials adding to the risk.
Acinetobacter has been associated with many outbreaks in ICUs across the world and is very hard to eradicate once in a unit.Kind regards
MarlizeMarlize Senekal
Infection Prevention and Control Clinical Nurse Consultant
Residential Aged Care Support ServicesM 0418 866 816 | E MSenekal@wmq.org.au | http://www.wmq.org.au
Central Offices – Wheller Gardens: 930 Gympie Road, Chermside QLD 4032Wesley Mission Queensland respectfully acknowledge the Traditional Custodians of the lands on which we work and live. We acknowledge Elders both past and present, whose ongoing effort to protect and promote Aboriginal and Torres Strait Islander cultures will leave a lasting legacy for future Elders and leaders.
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Hi Cate,
Unless it is an MRAB, we manage with standard precautions even in ICU. Perhaps you might ask the Intensivist his reasons for isolating? Often they just see Acinetobacter baumanii and isolate without realising it’s not multiresistant? (Apologies if you’ve already done that).
Regards,
Rita
Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 94856581 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[cid:image001.jpg@01D47A96.4139D820]
[New signature block]
HI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4 Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.auMESSAGES 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.
Archive of all messages are available at http://secure-web.cisco.com/1NAN6p9Wyf-E_bbPSUiKtE6qYYiKJauAZ7rrxeP96rTS9SJdwI0MztSZ-vCNTPUU1jb9yJ7IXKMcAcMrY_S412rrlbAECKYIaBlnCcM-Qkd5IEsnHm0FpusEwJeFLVakSPzOefhVLLhXyJXXskdshBZG76oZnOYe-70lnlBuGbi6sJTJeR55hx2XEzA6-QxbZw62F3CdqqX9hyuusSak0ZVyLsL9gzSVWbGHt2RWW5Pytl3dOk8qDCiIXym6-7ZY5h1guVMU-q2YmCSceAPfkGHPKBXlp784JQFFKJLG_eK-9L3L5PwIL1TxeE8-V8Vn6-ERbY77ccf6ZkEZrPHn6mRzlrOuch_CoyPrtCmIOX1cdd1aeWPlPm2ru4O3pQCDhrResVh_SnDapLF9DGWrxkz5qbT1QXNUhQQkAfO2yjPnZgDWzN2Z1oYAacrMXI3Ic3G17payqeNYhijP_oonMYfYHRAM1xARE6TZTGvHTmxc/http%3A%2F%2Faicalist.org.au%2Farchives – registration and login required.
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Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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16/02/2021 at 8:50 am #77721Hi Cate,
we only isolate and initiate contact precautions if the Acinetobacter is multi drug resistant, maybe question the ID physician as he may have another reason for isolation?
Would be interested to know their response. Good luckJayne
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.au
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[1_twitter] [2_linkedIn] [3_facebook] [4_insta] [5_youtube]HI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4 Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
http://www.health.nt.gov.auEmail has been scanned by the AHCL Mail Filtering service, click here to report this as spam or malicious email.
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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16/02/2021 at 4:31 pm #77722Dear my Respected Colleagues
Acinetobacter have the intrinsic ability to turned resistant very quickly so , contact isolation precautions would be recommended from day 1 admission …..to avoid un intended outbreaks
Thank you
Dr Asmaa HagagInfection control consultant ,CICKing Abdullah Medical CitySaudi ArabiaSent from Yahoo Mail on Android
On Tue, 16 Feb 2021 at 12:53 am, Jayne OConnor wrote: #yiv8348119132 #yiv8348119132 — _filtered {} _filtered {} _filtered {}#yiv8348119132 #yiv8348119132 p.yiv8348119132MsoNormal, #yiv8348119132 li.yiv8348119132MsoNormal, #yiv8348119132 div.yiv8348119132MsoNormal {margin:0cm;margin-bottom:.0001pt;font-size:11.0pt;}#yiv8348119132 a:link, #yiv8348119132 span.yiv8348119132MsoHyperlink {color:#0563C1;text-decoration:underline;}#yiv8348119132 a:visited, #yiv8348119132 span.yiv8348119132MsoHyperlinkFollowed {color:#954F72;text-decoration:underline;}#yiv8348119132 p {margin-right:0cm;margin-left:0cm;font-size:12.0pt;font-family:New;}#yiv8348119132 p.yiv8348119132MsoAcetate, #yiv8348119132 li.yiv8348119132MsoAcetate, #yiv8348119132 div.yiv8348119132MsoAcetate {margin:0cm;margin-bottom:.0001pt;font-size:8.0pt;}#yiv8348119132 span.yiv8348119132EmailStyle17 {color:windowtext;}#yiv8348119132 span.yiv8348119132EmailStyle19 {color:#1F497D;}#yiv8348119132 span.yiv8348119132BalloonTextChar {}#yiv8348119132 .yiv8348119132MsoChpDefault {font-size:10.0pt;} _filtered {}#yiv8348119132 div.yiv8348119132WordSection1 {}#yiv8348119132
Hi Cate,we only isolate and initiate contact precautions if the Acinetobacter is multi drug resistant, maybe question the ID physician as he may have another reason for isolation?
Would be interested to know their response. Good luckJayne
Jayne O’Connor RN ,BSc.,Inf.Cont
IPC Co-Ordinator
Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076p: +61 2 9480 9732| f:+612 9470 8052| m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
http://www.sah.org.auHI everyone
ID team have just recommended that we isolate in contact precautions an ICU patient with a sensitive Acinetobacter Baumannii in his sputum . Currently we only isolate and used contact transmission based precautions for multi resistant Acinetobacter Species.
The NHMRC guidelines do not include this pathogen in Section 6.4Type and duration of precautions for specific infections and conditions .Until now we have always managed this pathogen using standard precautions when it is sensitive and in contact precautions when resistant.
Can you let you how you manage patients with this pathogen in your hospital? Do you include this pathogen in your transmission based precautions guidelines?
RegardsCate Coffey
RN BaAScN MPH&TM Grad Cert Infection Control Nursing
Clinical Nurse ManagerCentral Australia Health Service
Department of Health
Northern Territory GovernmentInfection Prevention and Control Unit
Alice Springs Hospital
PO Box 2234, Alice Springs, NT 0871
cate.coffey@nt.gov.aut. 08 8951 7737
http://www.health.nt.gov.auEmail has been scanned by the AHCL Mail Filtering service, clickhere to report this as spam or malicious email.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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