{"title":"Friend or foe(mite): contamination of stethoscopes","authors":"Pimentel JD BA MBBS","doi":"10.1071/HI06020","DOIUrl":"10.1071/HI06020","url":null,"abstract":"<div><p>Contamination of stethoscopes is a common but overlooked problem. To demonstrate this fact, the stethoscopes of those present at a journal club were investigated for the presence of bacteria; 100% of the stethoscopes tested had viable bacteria present. These results highlight the fact that the stethoscope is a potential source of cross-contamination.</p><p>In order to reduce this threat, stethoscopes should undergo, at the very least, daily decontamination. This can be easily accomplished with an alcohol swab. Staff education and institution-wide policies can help increase adherence to this simple and quick infection control measure. To ensure long-term compliance, continual re-emphasis of stethoscope decontamination is required.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Pages 20-21"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diary of Events","authors":"","doi":"10.1071/HI06032","DOIUrl":"https://doi.org/10.1071/HI06032","url":null,"abstract":"","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Page 32"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137396790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal watch","authors":"","doi":"10.1071/HI06026","DOIUrl":"https://doi.org/10.1071/HI06026","url":null,"abstract":"<div><p>Journal Watch presents a brief description of articles recently published in other journals and thought to be of relevance or interest to the AIC readership. Readers are encouraged to refer to the full article for complete information</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Pages 26, 29"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137396791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospital safety and hospital acquired infection","authors":"Anthony Morton MSc(Appl), MD, MS","doi":"10.1071/HI06003","DOIUrl":"10.1071/HI06003","url":null,"abstract":"<div><p>The current practices of target setting and comparing institutions via ‘league tables’ regarding their infection control systems are considered to of limited use. An alternative method of monitoring, known as PDCA, is discussed; P (plan), D (do or implementation of the system), C (check or surveillance) and A (act or feedback of results). To successfully implement such a method in our hospitals, it must be established from the ‘bottom-up’ and be seen to be both evidence-based and tailored for the individual institution's specific needs.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Pages 3-5"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dianne Dreimanis RN BHSc (Nursing) MN, Wendy Beckingham RN BHSc (Nursing) Grad Cert (Infection Control), Peter Collignon (Med) FRACP FRCPA FASM, Max Graham RN
{"title":"Review of neonatal unit continuous positive airways pressure (CPAP) (with humidification)","authors":"Dianne Dreimanis RN BHSc (Nursing) MN, Wendy Beckingham RN BHSc (Nursing) Grad Cert (Infection Control), Peter Collignon (Med) FRACP FRCPA FASM, Max Graham RN","doi":"10.1071/HI06022","DOIUrl":"10.1071/HI06022","url":null,"abstract":"Infections, in particular healthcare associated infections (HCAI), in the neonatal intensive care unit (NICU) are recognised as major causes of morbidity and deaths. The most common way bacteria are spread from patient-to-patient in hospitals is via the hands of staff (e.g. MRSA). Outbreaks and, on occasions, HCAIs are caused by bacteria associated with water (e.g. pseudomonas). A study by Freige estimated that infection with Pseudomonas aeruginosa results in approximately 1,400 deaths each year in the United States of America. Outbreaks of P. aeruginosa are linked to many sources but some of the more common have been contaminated respiratory equipment, antiseptics and tap water.","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Pages 22-23"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Control charts in hospital epidemiology and infection management: an update","authors":"Anthony Morton MSc(Appl), MD, MS","doi":"10.1071/HI06006","DOIUrl":"10.1071/HI06006","url":null,"abstract":"<div><p>Control chart methods were reviewed in <em>Australian Infection Control</em> in 2001<sup>1</sup>. Since that time there have been improvements in these methods. A major advance has been the incorporation of risk-adjustment. In this article, what we regard to be the most useful control chart techniques currently available are described in a non-technical way. For those who wish to implement these methods, suitable non-mathematical references are included.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"11 1","pages":"Pages 6-11"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI06006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Watch","authors":"","doi":"10.1071/HI05141","DOIUrl":"https://doi.org/10.1071/HI05141","url":null,"abstract":"<div><p>Journal Watch presents a brief description of articles recently published in other journals and thought to be of relevance or interest to the AIC readership. Readers are encouraged to refer to the full article for complete information.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 4","pages":"Pages 141-142"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137231290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Deborah Friedman MB BS, FRACP, Philip L Russo BN, M.Clin.Epid, Michael J Richards MB BS, FRACP, MD
{"title":"Surveillance for ventilator-associated pneumonia: the challenges and pitfalls","authors":"N Deborah Friedman MB BS, FRACP, Philip L Russo BN, M.Clin.Epid, Michael J Richards MB BS, FRACP, MD","doi":"10.1071/HI05122","DOIUrl":"10.1071/HI05122","url":null,"abstract":"<div><p>The VICNISS Hospital Acquired Infection Surveillance System, operating from Victoria, Australia, was developed in 2002. VICNISS performs surveillance for hospital acquired infections (HAIs), including an intensive care unit (ICU) component. Surveillance is an essential component of an effective infection prevention programme. Surveillance for ventilator-associated pneumonia (VAP) is a key component of ICU surveillance for HAIs. VICNISS utilises the VAP surveillance definitions developed by the USA Centers for Disease Control and Prevention's (CDC) National Nosocomial Infections Surveillance (NNIS) system.</p><p>VAP surveillance commenced in November 2002; however, currently, only four hospitals of a possible 15 are continuing with VAP surveillance in Victoria. No neonatal intensive care units (NICUs) participate in VAP surveillance. The State aggregate VAP rate for ’Group A1’ ICUs was 5.0/1000 device days, which compared favourably with NNIS rates, while the VAP rate for ’Other’ ICUs was higher than NNIS rates, at 14.3/1000 device days. Hospitals that ceased performing VAP surveillance cited reasons including labour intensity of VAP surveillance, difficulty in applying and disagreement with the NNIS definitions, and lack of confidence that useful data were obtained.</p><p>VICNISS continues to aim at improving the acceptance of VAP surveillance by Victorian public hospitals. Nonetheless, VAP surveillance in Victoria has not been well accepted by participating hospitals, and is currently only performed by a minority of ICUs.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 4","pages":"Pages 122-125"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Dreimanis RN BHSc (Nursing) MN , W Beckingham RN BHSc (Nursing) Grad cert (Infection Control) , P Collignon MBBS BSc (Med) FRACP FRCPA FASM , J Roberts RN BHSc (Nursing) Grad Cert (Infection Control)
{"title":"Staphylococcus aureus bacteraemia surveillance: a relatively easy to collect but accurate clinical indicator on serious health-care associated infections and antibiotic resistance","authors":"D Dreimanis RN BHSc (Nursing) MN , W Beckingham RN BHSc (Nursing) Grad cert (Infection Control) , P Collignon MBBS BSc (Med) FRACP FRCPA FASM , J Roberts RN BHSc (Nursing) Grad Cert (Infection Control)","doi":"10.1071/HI05127","DOIUrl":"10.1071/HI05127","url":null,"abstract":"<div><p><em>Staphylococcus aureus</em> bloodstream (SAB) infections are common and serious causes of morbidity and mortality worldwide. Approximately one half of all SAB episodes have a hospital onset. In the remainder, the patients are living in the community when they become ill (i.e. community onset); of these, about one third are related to health care procedures. These SAB episodes are associated with a high mortality, yet many are potentially preventable.</p><p>At The Canberra Hospital (TCH) there have been 2193 cases of ’significant’ blood stream infection (BSI) since 1998. Of these, 470 were caused by <em>Staphylococcus aureus</em>. Intravenous catheters (IV) were the most frequent cause of these episodes (152 episodes). Following the introduction of our ’whole of hospital’ BSI surveillance programme, we have seen the number of IV catheter associated BSIs drop from 109 episodes in 1998 to 42 episodes in 2004 (all microorganisms). IV catheter episodes due to SAB have dropped from 26 per year in 1998 to 14 in 2004.</p><p>Data on all SAB episodes are relatively easy to collect and will also let us measure what is happening with methicillin resistant <em>S. aureus</em> (MRSA). When individual hospitals look for the causes for health care associated SAB, this will identify preventable factors. This should result in changes in clinical practices and protocols in those hospitals. We will then see a fall in the numbers of these serious and lifethreatening infections in Australia.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 4","pages":"Pages 127-130"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Gillespie BN, MPH, Stephen Blamey MBBS, FRACS, FACS
{"title":"Unexplained failure of biological indicators","authors":"Elizabeth Gillespie BN, MPH, Stephen Blamey MBBS, FRACS, FACS","doi":"10.1071/HI05131","DOIUrl":"10.1071/HI05131","url":null,"abstract":"<div><p>This report concerns a pattern of unexplained biological indicator system failure with low temperature hydrogen peroxide plasma sterilisation technology. This technology is a safe alternative to ethylene oxide (EtO) sterilisation and has its own specific biological indicator system. After establishing that our practices were in accordance with the manufacturers’ recommendations, the manufacturer re-engineered both the manufacturing process and the quality controls used during biological indicator manufacture. As a result, the biological indicator failure rate returned to a level consistent with the rest of the world.</p><p>The aim of the report is to identify the value of monitoring to ensure that the process outcomes predicted by a manufacturer are accurate. This in turn, assists in avoiding additional costs of a failed monitoring process.</p></div>","PeriodicalId":92877,"journal":{"name":"Australian infection control : official journal of the Australian Infection Control Association Inc","volume":"10 4","pages":"Pages 131-135"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1071/HI05131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59225606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}