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On a related subject, toilet plume aerosols would appear to be a risk in healthcare settings, sluice rooms with a hopper even without a spray hose, could be considered a toilet without a lid …? The storage of any patient equipment in sluice rooms may pose a risk of transmission of enteric organisms, though the “significance of the risk is largely uncharacterised” (Johnson et al 2013)
Reference
Johnson D, Mead K, Lynch R, and Hirst D (2013) Lifting the lid on toilet plume aerosol: A literature review with suggestions for future research. American Journal of Infection Control 41 (2013) 254-8
JackieJacqueline Miley
Infection Prevention & Healthcare Epidemiology
Department of Infectious Diseases Alfred Health and Monash University
t 03 90763139 e J.Miley@alfred.org.auAlfred Health
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Hi all
Thanks for the interesting article. This article is very timely
In relation to the spray hoses has anyone noticed that these are currently contained in the health facility guidelines for use in the dirty utility rooms as a standard component. My concern is that this is a real splash and infection control risk for staff and possibly patients if items are contaminated
This is a recent issue for us with redevelopment. Has anyone else had any issues with this?
Belinda
Belinda Straube
Infection Prevention and Control Department
St George Hospital
Kogarah
Page 424
St George/Sutherland Hospitals and Health Services
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Hi Ruth,
I imagine the risk of contamination in toilet/anteroom facilities with bidets would be similar to the risks associated with the use of sprayers (also called aerated spray wands) in patient toilet facilities?
In terms of the sprayers/wands these are hoses with a nozzle which are installed at the back of the toilet and used to rinse out bed pans in the toilet bowl in anteroom toilet/shower facilities (single/multi-bed rooms) and in “hoppers” (wall-mounted sinks, with deep basins, large drains, and a spray arm that flush like a toilet) in dirty utility rooms (see attached an embedded images).
While they are not very common in Australian healthcare facilities for patient toilets sprayers/wands seem to be more common in parts of Canada and the US (mentioned in some of Carlings publications) and have contributed in outbreaks of C.difficile in Canada – Preliminary Findings with C.difficile Outbreak in Cape Breton District Health Authority (CBDHA), 21 April 2011, Department of Health and Wellness, Nova Scotia – attached.
A June 2009 Quebec report (Comparative Analysis of Bedpan Processing Equipment) by the Agence d’valuation des technologies et des modes d’intervention en sant (AETMIS now INESSS) recommended that “staff must not empty bedpans into sinks or toilets and must no longer use spray wands”. The report includes options in terms of appropriate reprocessing methods for bed pans and a cost analysis of each option – see link.
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With this at risk population (oncology) you would need an assurance that the toilet seat and surrounding area did not become contaminated during use with the bidet water (which will be contaminated with faecal and other contaminants).
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
Has anyone had to consider the installation of bidets from an IPC perspective. We are planning a brand new surgical wing and our Oncology department want to install for patients with anal fissures and other medical conditions. There are documented health benefits but I wondered about any water or other contamination issues? I notice that the Australian IPC Guidelines include a cleaning regime for bidets so I am assuming that in principle they are acceptable.
Regards
Ruth
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