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Wash, Sanitize, Moisturize—Soothing and Effective Hand Hygiene. Adding an Antimicrobial Lotion to a Handwashing Regimen Can Increase Antimicrobial Efficacy, Skin Moisturization and Increased Compliance with Hand Hygiene.
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Poster Abstracts / American Journal of Infection Control 45 (2017) S16-S93
all central line dressing changes, and providing staff nurses with education and resources to support best practices in central line maintenance and access. RESULTS: Baseline CLABSI rates in 2011 were 11.7 in all inpatient areas and 8.5 in all ICUs. After implementation of the vascular access service the CLABSI rate dropped to 0.19 per 1000 patient days and 0.083 SIR over a period of 3 years. We experienced an increase in CLABSI SIR from 2015 0.083 to 0.482 in 2016. Central line utilization rates dropped from 0.804 to 0.741 in the adult ICU. CONCLUSIONS: Implementing a Vascular Access Service to standardize care and maintenance of central lines can improve CLABSI rates. The VAS also improved our catheter utilization rates. From 2015 to 2016 a slight increase occurred in our rate of CLABSI which could be attributed to a decrease focus on prevention when it was determined that other healthcare associated infections were more prevalent among our patient population.
Session WSOH-100 12:30-1:30 p.m. Utilizing the Brucella Risk Assessment Decision Tree Following Operating Room Exposure to Brucella Wanda Gillespie, RN, CIC, Assistant Director Hospital Epidemiology, AU Medical Center; Peter Rissing, MD, Hospital Epidemiologist, AU Medical Center; Rebecca Walker, RN, CIC, Director Hospital Epidemiology, AU Medical Center; James Foster, MD, Medical Director, Occupational Health, AU Medical Center; Lynn Griffin, RN, CIC, Nurse Epidemiologist, AU Medical Center; Edith Swab, BSN, RN, Employee Helath and Wellness Nurse, AU Medical Center BACKGROUND: Brucellosis is a rare but potentially serious zoonotic illness. Brucellosis is immediately reportable as a potential agent of bioterrism. Brucellosis exposure is from direct contact or inhalation. In 2016 a patient presented to an academic medical center with a Brucella infected mycotic aneurysm. METHODS: In January 2016, a patient presented with a mycotic aneurysm and serologic panel positive for Brucella. The patient was taken to the operating room (OR) for debridement. Standard OR personal protective equipment (PPE) was utilized during the procedure. Public Health was notified of the Brucella exposure. The Brucella Risk Assessment Decision Tree provided by Public Health was applied and determined that due to lack of appropriate PPE, exposure workup and treatment was required. Exposed OR and laboratory staff were identified and educated on risks associated with the handling and aerosolization of this serious bacteria. RESULTS: Aortic tissue from the patient cultured positive for Brucella. Collaboration with Public Health on applying the decision tree determined that the risk of aerosolization of this significant organism met the definition of low risk, thus requiring staff monitoring and prophylaxis. Serology testing was performed at baseline, six, twelve, eighteen, and twenty-four weeks post-exposure. Brucella serology revealed one staff member, a surgical resident, remained elevated at 80, from the desired result of < 20. Counseling was conducted by Infectious Disease and Occupational Health. Three staff members left the facility prior to completion of testing and reported to Public Health. CONCLUSIONS: Lack of adherence to appropriate transmission based precautions exposed healthcare workers to aerosolized bacteria. The
Brucella Risk Assessment Decision Tree was instrumental in identifying exposed personal for testing and treatment. OR and laboratory staff were educated on the importance of following standard and transmission based precautions for duration of this patient’s illness. Additional therapy and counseling were provided for staff whose serological testing was >20.
Session WSOH-101 12:30-1:30 p.m. Wash, Sanitize, Moisturize—Soothing and Effective Hand Hygiene. Adding an Antimicrobial Lotion to a Handwashing Regimen Can Increase Antimicrobial Efficacy, Skin Moisturization and Increased Compliance with Hand Hygiene. Namita Agarwal, Ms, Senior Formulation Chemist, Vi-Jon; Cathy Crabtree-Kelch, Vice President Research & Development, Vi-Jon, Inc.; Donna Santoro, Vice President & General Manager, Away-from-Home, Vi-Jon Inc.; Alisa Benson, BS, Director of Regulatory Affairs, Vi-Jon, Inc.; Marybeth Flaschner, BS, Regulatory Affairs Project Manager, Vi-Jon; Daryl Paulson, PhD, MBA, President/CEO, BioScience Laboratories BACKGROUND: Many occupations require repeated hand hygiene cycles per work shift which can result in dry, irritated skin and discourage adherence to hand hygiene programs. This study highlighted three part hand hygiene regimen (hand wash, hand sanitizer and hand sanitizing lotion) that provides increased skin moisturization without compromising antimicrobial efficacy by comparing it to a standard two-part hand hygiene regimen (hand wash and hand sanitizer) METHODS: Phase I of testing evaluated antimicrobial efficacy. Serratia marcescens (ATCC #14756) was indicator microorganism. Sixteen subjects participated in this study: half of those volunteers utilized three-part regimen and other half used two-part regimen, all under supervision of trained laboratory technicians in controlled laboratory setting. Subjects were randomized to three product regimen performed product application cycles consisting of hand wash, hand sanitizer and hand sanitizing lotion. Those subjects randomized to two product regimen performed product application cycles consisting of hand wash and hand sanitizer application only. Each group performed twenty cycles of product applications with microbial recoveries taken at baseline and after product application cycles 1, 5, 10, 15, and 20. Phase II of the study evaluated skin moisturization. Twenty subjects participated in this study: half of those volunteers utilized three-part regimen and other half used two-part regimen. Subjects were randomized into either the three or two product regimen and performed product application cycles as in Phase I with Corneometer measurements for skin condition taken at baseline and after product application cycles 1, 5, 10, 15, and 20. RESULTS: Statistical analysis of the data revealed that addition of the hand sanitizer lotion to the handwashing regimen produced greater antimicrobial reductions and Corneometer readings confirmed the increase in skin moisturization with no adverse effects. CONCLUSIONS: Analysis of the data collected in this study indicate that increased antimicrobial activity and skin moisturization benefits would result with continued adherence to the three-part regimen of: wash, sanitize and moisturize.
APIC 44th Annual Educational Conference & International Meeting | Portland, OR | June 14-16, 2017
Poster Abstracts / American Journal of Infection Control 45 (2017) S16-S93
all central line dressing changes, and providing staff nurses with education and resources to support best practices in central line maintenance and access. RESULTS: Baseline CLABSI rates in 2011 were 11.7 in all inpatient areas and 8.5 in all ICUs. After implementation of the vascular access service the CLABSI rate dropped to 0.19 per 1000 patient days and 0.083 SIR over a period of 3 years. We experienced an increase in CLABSI SIR from 2015 0.083 to 0.482 in 2016. Central line utilization rates dropped from 0.804 to 0.741 in the adult ICU. CONCLUSIONS: Implementing a Vascular Access Service to standardize care and maintenance of central lines can improve CLABSI rates. The VAS also improved our catheter utilization rates. From 2015 to 2016 a slight increase occurred in our rate of CLABSI which could be attributed to a decrease focus on prevention when it was determined that other healthcare associated infections were more prevalent among our patient population.
Session WSOH-100 12:30-1:30 p.m. Utilizing the Brucella Risk Assessment Decision Tree Following Operating Room Exposure to Brucella Wanda Gillespie, RN, CIC, Assistant Director Hospital Epidemiology, AU Medical Center; Peter Rissing, MD, Hospital Epidemiologist, AU Medical Center; Rebecca Walker, RN, CIC, Director Hospital Epidemiology, AU Medical Center; James Foster, MD, Medical Director, Occupational Health, AU Medical Center; Lynn Griffin, RN, CIC, Nurse Epidemiologist, AU Medical Center; Edith Swab, BSN, RN, Employee Helath and Wellness Nurse, AU Medical Center BACKGROUND: Brucellosis is a rare but potentially serious zoonotic illness. Brucellosis is immediately reportable as a potential agent of bioterrism. Brucellosis exposure is from direct contact or inhalation. In 2016 a patient presented to an academic medical center with a Brucella infected mycotic aneurysm. METHODS: In January 2016, a patient presented with a mycotic aneurysm and serologic panel positive for Brucella. The patient was taken to the operating room (OR) for debridement. Standard OR personal protective equipment (PPE) was utilized during the procedure. Public Health was notified of the Brucella exposure. The Brucella Risk Assessment Decision Tree provided by Public Health was applied and determined that due to lack of appropriate PPE, exposure workup and treatment was required. Exposed OR and laboratory staff were identified and educated on risks associated with the handling and aerosolization of this serious bacteria. RESULTS: Aortic tissue from the patient cultured positive for Brucella. Collaboration with Public Health on applying the decision tree determined that the risk of aerosolization of this significant organism met the definition of low risk, thus requiring staff monitoring and prophylaxis. Serology testing was performed at baseline, six, twelve, eighteen, and twenty-four weeks post-exposure. Brucella serology revealed one staff member, a surgical resident, remained elevated at 80, from the desired result of < 20. Counseling was conducted by Infectious Disease and Occupational Health. Three staff members left the facility prior to completion of testing and reported to Public Health. CONCLUSIONS: Lack of adherence to appropriate transmission based precautions exposed healthcare workers to aerosolized bacteria. The
Brucella Risk Assessment Decision Tree was instrumental in identifying exposed personal for testing and treatment. OR and laboratory staff were educated on the importance of following standard and transmission based precautions for duration of this patient’s illness. Additional therapy and counseling were provided for staff whose serological testing was >20.
Session WSOH-101 12:30-1:30 p.m. Wash, Sanitize, Moisturize—Soothing and Effective Hand Hygiene. Adding an Antimicrobial Lotion to a Handwashing Regimen Can Increase Antimicrobial Efficacy, Skin Moisturization and Increased Compliance with Hand Hygiene. Namita Agarwal, Ms, Senior Formulation Chemist, Vi-Jon; Cathy Crabtree-Kelch, Vice President Research & Development, Vi-Jon, Inc.; Donna Santoro, Vice President & General Manager, Away-from-Home, Vi-Jon Inc.; Alisa Benson, BS, Director of Regulatory Affairs, Vi-Jon, Inc.; Marybeth Flaschner, BS, Regulatory Affairs Project Manager, Vi-Jon; Daryl Paulson, PhD, MBA, President/CEO, BioScience Laboratories BACKGROUND: Many occupations require repeated hand hygiene cycles per work shift which can result in dry, irritated skin and discourage adherence to hand hygiene programs. This study highlighted three part hand hygiene regimen (hand wash, hand sanitizer and hand sanitizing lotion) that provides increased skin moisturization without compromising antimicrobial efficacy by comparing it to a standard two-part hand hygiene regimen (hand wash and hand sanitizer) METHODS: Phase I of testing evaluated antimicrobial efficacy. Serratia marcescens (ATCC #14756) was indicator microorganism. Sixteen subjects participated in this study: half of those volunteers utilized three-part regimen and other half used two-part regimen, all under supervision of trained laboratory technicians in controlled laboratory setting. Subjects were randomized to three product regimen performed product application cycles consisting of hand wash, hand sanitizer and hand sanitizing lotion. Those subjects randomized to two product regimen performed product application cycles consisting of hand wash and hand sanitizer application only. Each group performed twenty cycles of product applications with microbial recoveries taken at baseline and after product application cycles 1, 5, 10, 15, and 20. Phase II of the study evaluated skin moisturization. Twenty subjects participated in this study: half of those volunteers utilized three-part regimen and other half used two-part regimen. Subjects were randomized into either the three or two product regimen and performed product application cycles as in Phase I with Corneometer measurements for skin condition taken at baseline and after product application cycles 1, 5, 10, 15, and 20. RESULTS: Statistical analysis of the data revealed that addition of the hand sanitizer lotion to the handwashing regimen produced greater antimicrobial reductions and Corneometer readings confirmed the increase in skin moisturization with no adverse effects. CONCLUSIONS: Analysis of the data collected in this study indicate that increased antimicrobial activity and skin moisturization benefits would result with continued adherence to the three-part regimen of: wash, sanitize and moisturize.
APIC 44th Annual Educational Conference & International Meeting | Portland, OR | June 14-16, 2017