VRE screening and clearance

[Julie Hasted]

Afternoon All,

We are currently reviewing all of our procedures in relation to the management of patients with VRE. We currently do not screen for clearance of VRE in our facilities so as part of this review I would like to gather information from across the country on the range of procedures in place to manage these patients. The information I am after is:

1. Do you routinely screen for VRE in your facility/service now?

* If yes, what patient groups are screened

* if no what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections?

2. Do you screen for clearance for VRE and if so, what are your guidelines for a patient to be considered ‘cleared’?

3. If you do screen to clear VRE was this decision made to address isolation bed pressure or as part of a clinical risk assessment, or both?

4. For those that do ‘clear’ VRE patients what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections?

Any information would be gratefully received.

Julie Hasted

CNC Infection Prevention – Toowoomba/Mental Health
Darling Downs Hospital and Health Service
Toowoomba Hospital
Kobi House
Pechey Street
Toowoomba QLD 4350

P: 07 4616 6807 | F: 07 4616 6456
M: 0418 183 045

E: julie.hasted@health.qld.gov.au

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[Susan Farrugia]

Dear Julie

Please see responses to your questions in RED.
We are a 38 bed sub-acute private hospital, to help with context.
I’d be interested to see the results!

1. Do you routinely screen for VRE in your facility/service now? NO. The only routine screening is for MRSA.

* If yes, what patient groups are screened

* if no what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections? We have several multi bed rooms, so isolation is always a challenge. Our infection rate remains low with typically 0-1 patients identified per month in Infection Surveillance (usually 0-10 HAI per 10 000 bed days)

2. Do you screen for clearance for VRE and if so, what are your guidelines for a patient to be considered ‘cleared’? NO

3. If you do screen to clear VRE was this decision made to address isolation bed pressure or as part of a clinical risk assessment, or both? N/A

4. For those that do ‘clear’ VRE patients what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections? N/A

I hope this is helpful for you.

Kind Regards

Susan Farrugia
Safe Practice Manager
Longueville Private Hospital
02 9427 0844
susan.farrugia@iphoa.com.au

Afternoon All,

We are currently reviewing all of our procedures in relation to the management of patients with VRE. We currently do not screen for clearance of VRE in our facilities so as part of this review I would like to gather information from across the country on the range of procedures in place to manage these patients. The information I am after is:

1. Do you routinely screen for VRE in your facility/service now?

* If yes, what patient groups are screened

* if no what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections?

2. Do you screen for clearance for VRE and if so, what are your guidelines for a patient to be considered ‘cleared’?

3. If you do screen to clear VRE was this decision made to address isolation bed pressure or as part of a clinical risk assessment, or both?

4. For those that do ‘clear’ VRE patients what has been the result in your facility in relation to isolation bed pressure, clinical outcomes, rates of infections?

Any information would be gratefully received.

Julie Hasted

CNC Infection Prevention – Toowoomba/Mental Health
Darling Downs Hospital and Health Service
Toowoomba Hospital
Kobi House
Pechey Street
Toowoomba QLD 4350

P: 07 4616 6807 | F: 07 4616 6456
M: 0418 183 045

E: julie.hasted@health.qld.gov.au

********************************************************************************

This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

**********************************************************************************
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.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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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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